Pec minor cops the blame for shoulder pain, scapular dyskinesia and all sorts of upper limb pain and “dysfunction”. Is pec minor shortness or “tightness” really responsible for shoulder pain? 

In this podcast with Jo Gibson (Clinical Physiotherapy Specialist), you’ll discover whether the latest evidence supports pec minor as a major cause of shoulder pain, or whether pec minor is an innocent victim. You’ll also explore:

- Is pec minor responsible for shoulder pain?
- Does pec minor truly become “shortened”?
- Is there a link between a shortened pec minor, scapular dyskinesia and risk of developing shoulder pain?
- Should the Pectoralis minor be stretched in patients with shoulder pain? 
- Review of pec minor attachments & anatomy
- Measurement of pec minor length has been shown in the literature to be reliable, but do we need to measure it?
- What is the most effective way of increasing length in pec minor? Stretching, self release, taping or strengthening the rotator cuff?
- Does pec minor stretching help to improve shoulder function, mechanics or prevent injury in overhead athletes? 
- How long do ROM improvements following pec minor stretching last? 
- If patients have a clear history of trauma, is pec minor shortness relevant?
- Is pec minor shortness relevant in thoracic outlet syndrome (TOS)?
- Can weightlifters develop pec minor tendinopathy?
- Is it worth assessing pec minor length in shoulder pain patients?
- Does the evidence support treating PM shortness in shoulder pain patients?

120. Pec minor - a major cause of shoulder pain? Physio Edge Shoulder success podcast with Jo Gibson

Marathon runners often come to us with pain, but also they need to build up their mileage in preparation for one of the most challenging events in endurance sport. They're trying to do more when their body may be telling them they need to be doing less. 

How do we manage their symptoms, and guide them up to the marathon itself?

Find out in this podcast with Tom Goom (Running Physio).

150. Top tips for treating marathon runners. Physio Edge Track record: Running repairs podcast..

Apophyseal injury in children and adolescents are common and usually respond to simple unloading interventions. But what is the underlying pathology and why do some children succumb and others not? And why do some apophyses become painful and others fail completely with a complete avulsion? Despite these questions it is an area that is under-researched and few people have a specific interest in this area. 

Listen to the insights of Dr Matthieu Sailly, who is a French sports physician who has expertise and research interest in injuries in young athlete. He was the head of the Aspire Academy medical centre where he worked extensively with highly trained adolescent athletes and developed experience on growth related injuries and long term development strategies for immature athletes in various sports.

See also:

Physeal injuries in children’s and youth sports: reasons for concern?: http://bjsm.bmj.com/content/40/9/749.full

Sports-related acute and chronic avulsion injuries in children and adolescents with special emphasis on tennis: http://bjsm.bmj.com/content/41/11/827.full

“Goalkeeper’s hip”: acute haematogenous osteomyelitis secondary to apophyseal fractures: http://bjsm.bmj.com/content/40/9/808.full

120. Pec minor - a major cause of shoulder pain? Physio Edge Shoulder success podcast with Jo Gibson

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