Emily Shaw RMT

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Rotator Cuff DysfunctionHave you experienced or heard friends and family talk of the dreaded rotator cuff injury? Let’s ...
02/20/2026

Rotator Cuff Dysfunction
Have you experienced or heard friends and family talk of the dreaded rotator cuff injury? Let’s deep dive into it.
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The rotator cuff refers to a functionally related group of 4 muscles, that supports the shoulder joint via active stabilization and performs a variety of movements required for everyday life and sports.
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Though there is no rest involved, S.I.T.S is an acronym we use to remember what is included in this functional group (Supraspinatus, Infraspinatus, Teres Minor, and Subscapularis). Movement involved with SITS are Shoulder Internal and External rotation, and the beginning range of Abduction. Therefore, throwing or hitting sports (think volleyball and baseball) amongst other activities oftentimes can cause pain, dysfunction over time.
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In some individuals high strain and impingement can lead to tearing of the tendons of the rotator cuff. Studies show in overhead athletes, non-operative treatment ie. manual therapy and active rehabilitation are the gold standard for treating partial thickness tears (Reinholz et al., 2023). Motion is lotion.
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In clinic, we often find Subscapularis in a dysfunctional pattern with teres minor as a classic antagonistic relationship.

References
Reinholz, A. K., Till, S. E., Arguello, A. M., Barlow, J. D., Okoroha, K. R., & Camp, C. L. (2023). Advances in the treatment of rotator cuff tears: Management of rotator cuff tears in the athlete. Clinics in sports medicine, 42(1), 69.

Abduction PinchHave you ever felt a pinch or limitation in bringing your arms above your head?—There is a special relati...
02/08/2026

Abduction Pinch

Have you ever felt a pinch or limitation in bringing your arms above your head?
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There is a special relationship between the deltoid and the rotator cuff muscles within abduction of the arm to full range... as functional antagonists
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The rotator cuff is known to be a large source of active stability for the shoulder joint, and encompasses four muscles (Supraspinatis, Infraspinatus, Teres mn, and Subscapularis). These muscles in conjunction create a medial and inferior force of pull from muscle contraction. This is functionally opposed by the deltoid muscles with their superior and lateral line of pull. With dysfunction, unequal opposition forces between the deltoids and the rotator cuff create subacromial narrowing = PINCH.
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We call the range between 60-120 the painful arc, as within this range the rotator cuff tendons are vulnerable for compression as they pass under this narrow space.
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In clinic we often find dysfunction between the middle deltoid and Supraspinatus or Teres Minor with any of the rotator cuff muscles or posterior deltoid.

Comment below your experience with overhead range of motion

Skiers ThumbIt’s the season for hitting the powder, and as a skier there is risk of injury causing a condition called sk...
01/17/2026

Skiers Thumb

It’s the season for hitting the powder, and as a skier there is risk of injury causing a condition called skier’s thumb. Well, what is this and what can we do about it?

Often happening with an unexpected fall, a skier’s poles may create a valgus (hyper-abduction) force pushing on the 1st metacarpophalangeal joint. This outward force creates a sprain within the ulnar collateral ligament of the thumb (ouch), which may have long term impacts on hand function. This ligament increases stability in abduction forces of the thumb.

Based on the components of grip unpacked in my previous post, abduction of the thumb is a main component of grip and grip strength! Therefore, if instability is left untreated there is a possibility of long term weak and painful grip.

In clinic we would check for compensations within the Adductor Pollicus, Flexor Pollicus and within the Ulnar collateral ligament.

Do you know someone whose send on the hill led to an injury like this ? Tell me in the comments !

Many studies have shown correlation that our grip strength is a predictor of our overall upper body strength, and furthe...
01/07/2026

Many studies have shown correlation that our grip strength is a predictor of our overall upper body strength, and further can be an important diagnostic tool used to determine how we could age (Norman et al., 2011). While most people have functional grip strength, pain can be associated for some.

Grip strength is a mixture of intrinsic (hand) and extrinsic (forearm) muscles that perform flexion of the fingers and Opponens of the thumb and pinkie. Within the hand, we often look at the function of the Opponens Pollicis (thumb) and within Flexor Digitorum Profundus (fingers) to determine if there is weakness or dysfunction.

Each case is individual with something as complex as grip, but we frequently see compensation in the scalenes of the neck, Pectoralis minor as well as within the forearm flexors.

References
Norman, K., Stobäus, N., Gonzalez, M. C., Schulzke, J. D., & Pirlich, M. (2011). Hand grip strength: outcome predictor and marker of nutritional status. Clinical nutrition, 30(2), 135-142.

Many studies have shown correlation that our grip strength can be a predictor of our overall upper body strength, and co...
01/07/2026

Many studies have shown correlation that our grip strength can be a predictor of our overall upper body strength, and could be an important diagnostic tool used to determine how we could age (Norman et al., 2011). While most people have functional grip strength, pain can be associated for some.

Grip strength is a mixture of intrinsic (hand) and extrinsic (forearm) muscles that perform flexion of the fingers and Opponens of the thumb and pinkie. Within the hand, we often look at the function of the Opponens Pollicis (thumb) and within Flexor Digitorum Profundus (fingers) to determine if there is weakness or dysfunction.

Each case is individual with something as complex as painful grip, but we frequently see compensation in the scalenes of the neck, Pectoralis minor as well as within the forearm flexors.

References
Norman, K., Stobäus, N., Gonzalez, M. C., Schulzke, J. D., & Pirlich, M. (2011). Hand grip strength: outcome predictor and marker of nutritional status. Clinical nutrition, 30(2), 135-142.

Mind over matter - one of my personal favourite sayings and a mantra of mine for my everyday life 💪🏻💪🏻💪🏻Over 2023, a new...
01/22/2024

Mind over matter - one of my personal favourite sayings and a mantra of mine for my everyday life
💪🏻💪🏻💪🏻
Over 2023, a new challenge for me mentally and physically was the pursuit of rock climbing ! Starting this new year I have set myself a goal to keep working on my skill and capability bouldering, with the end goal of doing sport climbing and outdoor bouldering this summer!
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With the new year being the time of resolutions, It’s not about new year new you! The truth is be the same you, but the best version that you can be
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Whether mental, physical or emotional, what are your goals for this new year??

Next weeks availability for bookings ! Stay tuned for a big announcement tomorrow🙌🏻
01/06/2024

Next weeks availability for bookings !

Stay tuned for a big announcement tomorrow🙌🏻

I only have a few more spots open this week, so take a look to book!
01/04/2024

I only have a few more spots open this week, so take a look to book!

Wishing everyone a happy new year and an amazing 2024 !✨✨While I was away from the clinic for the holidays, I got the op...
01/03/2024

Wishing everyone a happy new year and an amazing 2024 !

✨✨

While I was away from the clinic for the holidays, I got the opportunity to travel back to my hometown of Fort St. John, and was met with sunrises like this almost every day! What most people don’t know is that it is amongst the top places to find sun in BC in the winter!

New evening appointments available ! …Let me know if you are unable to find a time that works to book in. Based on the ...
11/27/2023

New evening appointments available !
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Let me know if you are unable to find a time that works to book in. Based on the week I will do my best to find a time that works !

As today marks my very first day of being a registered massage therapist here’s a little post on what makes me, me !
11/23/2023

As today marks my very first day of being a registered massage therapist here’s a little post on what makes me, me !

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1925 Enterprise Way #108a
Kelowna, BC
V1Y0J9

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