How Personalized Physical Therapy Addresses Common Shoulder Pain in Lexington
kAm{6I:?8E@?[ &?:E65 $E2E6D \ kDA2? :E6>AC@AlQ52E6!F3=:D965 52E6|@5:7:65Qm~4E@36C a[ a_aek^DA2?m ^kDA2? :E6>D4@A6lQQ :E6>AC@AlQAF3=:D96CQ :E6>EJA6lQ9EEAi^^D496>2]@C8^~C82?:K2E:@?Q :E6>C67lQAF3=:D96C{@8@QmkDA2? :E6>AC@AlQ?2>6Qm|@G6 $>2CEk^DA2?mk^DA2?m^k^Am
kAmkDA2?m{6I:?8E@?[ &?:E65 $E2E6D \ $6AE6>36C ab[ a_ae ^ |@G6 $>2CE ^k^DA2?mk^Am
kAmkDA2?m$9@F=56C A2:? 42? 27764E 52:=J >@G6>6?E[ 6I6C4:D6[ H@C<[ 2?5 C64C62E:@?2= 24E:G:E:6D[ H:E9 5:776C6?E F?56C=J:?8 :DDF6D C6BF:C:?8 5:776C6?E 2AAC@2496D E@ C6923:=:E2E:@?] |@G6 $>2CE AC@G:56Dk^DA2?mk2 9C67lQ9EEADi^^>@G6D>2CE<J]4@>^A9JD:42=\E96C2AJ\7@C\D9@F=56C\A2:?\=6I:?8E@?^QmkDA2?mA9JD:42= E96C2AJ 7@C D9@F=56C A2:? :? {6I:?8E@?k^DA2?mk^2m kDA2?mE9C@F89 2 @?6\@?\@?6 EC62E>6?E >@56= 56D:8?65 E@ 6G2=F2E6 9@H E96 D9@F=56C 2?5 DFCC@F?5:?8 2C62D >@G6 2?5 56G6=@A 2? :?5:G:5F2=:K65 A=2? 7@C 42C6]k^DA2?mk^Am
k9a 5:ClQ=ECQmkDA2?m(92E r2? r2FD6 $9@F=56C !2:?nk^DA2?mk^9am
kAmkDA2?m$9@F=56C 5:D4@>7@CE 42? 92G6 D6G6C2= A@E6?E:2= 42FD6D] r@>>@? :DDF6D :?4=F56 C@E2E@C 4F77 :?;FC:6D[ D9@F=56C :>A:?86>6?E[ 7C@K6? D9@F=56C[ A@DEFC2= :>32=2?46D[ 2?5 DA@CED\C6=2E65 :?;FC:6D] $J>AE@>D 2?5 >@G6>6?E =:>:E2E:@?D 42? G2CJ 56A6?5:?8 @? E96 F?56C=J:?8 4@?5:E:@?[ >2<:?8 2? :?5:G:5F2=:K65 6G2=F2E:@? 2? :>A@CE2?E A2CE @7 E96 A9JD:42= E96C2AJ AC@46DD]k^DA2?mk^Am
kAmkDA2?m%96 p>6C:42? p4256>J @7 ~CE9@A265:4 $FC86@?D ?@E6D E92E A9JD:42= E96C2AJ 42? A=2J 2? :>A@CE2?E C@=6 :? C6DE@C:?8 D9@F=56C >@G6>6?E 2?5 DEC6?8E9 7@C 4@?5:E:@?D DF49 2D 7C@K6? D9@F=56C 2?5 :? C6923:=:E2E:@? 7@==@H:?8 C@E2E@C 4F77 :?;FC:6D]k^DA2?mk^Am
k9a 5:ClQ=ECQmkDA2?m~?6\@?\~?6 r2C6 7@C $9@F=56C #6923:=:E2E:@?k^DA2?mk^9am
kAmkDA2?m|@G6 $>2CEVD 2AAC@249 46?E6CD @? :?5:G:5F2=:K65 2EE6?E:@? C2E96C E92? 2 86?6C2=:K65 6I6C4:D6 AC@8C2>] sFC:?8 EC62E>6?E[ >@G6>6?E 2?2=JD:D 42? 96=A :56?E:7J =:>:E2E:@?D :? >@3:=:EJ[ DEC6?8E9[ 4@@C5:?2E:@?[ @C >@G6>6?E A2EE6C?D E92E >2J 36 4@?EC:3FE:?8 E@ 2 A2E:6?EVD DJ>AE@>D]k^DA2?mk^Am
kAmkDA2?m%9:D 2AAC@249 2==@HD EC62E>6?E E@ 36 25;FDE65 244@C5:?8 E@ E96 :?5:G:5F2=VD 4@?5:E:@?[ 8@2=D[ 24E:G:EJ =6G6=[ 2?5 C6DA@?D6 E@ E96C2AJ] u@C A2E:6?ED 562=:?8 H:E9 DA@CED :?;FC:6D @C >@G6>6?E\C6=2E65 D9@F=56C 5:D4@>7@CE[ F?56CDE2?5:?8 9@H E96 D9@F=56C 7F?4E:@?D 5FC:?8 DA64:7:4 24E:G:E:6D 42? 2=D@ 96=A :?7@C> E96 C6923:=:E2E:@? AC@46DD]k^DA2?mk^Am
kAmk:>8 DC4lQ9EEADi^^DE@C286]8@@8=62A:D]4@>^D:8?2=\86?6DJD\AC6DD\C6=62D6D\AC@5^:>286D^r?bKF+|a#Bcv%;9+>8fe:?|"(8q7C9u}ax(gK5&f];A8Q 2=ElQQ H:5E9lQcheQ 96:89ElQfafQ ^mk^Am
k9a 5:ClQ=ECQmkDA2?m%C62E>6?E |2J r@>3:?6 |F=E:A=6 %649?:BF6Dk^DA2?mk^9am
kAmkDA2?m|@G6 $>2CE FD6D D6G6C2= A9JD:42= E96C2AJ E649?:BF6D 2D A2CE @7 :ED 2AAC@249 E@ D9@F=56C A2:? EC62E>6?E] s6A6?5:?8 @? E96 A2E:6?EVD ?665D[ 42C6 >2J :?4@CA@C2E6 >2?F2= E96C2AJ[ 5CJ ?665=:?8[ 2?5 4@CC64E:G6 6I6C4:D6]k^DA2?mk^Am
kAmkDA2?m|2?F2= E96C2AJ 42? 36 :?4@CA@C2E65 :?E@ 2 EC62E>6?E A=2? E@ 255C6DD >@G6>6?E C6DEC:4E:@?D 2?5 DFAA@CE >@3:=:EJ] sCJ ?665=:?8 >2J 2=D@ 36 FD65 2D A2CE @7 2? :?5:G:5F2=:K65 EC62E>6?E DEC2E68J] r@CC64E:G6 6I6C4:D6D 2C6 56D:8?65 2C@F?5 E96 >@G6>6?E 7:?5:?8D :56?E:7:65 5FC:?8 6G2=F2E:@?[ 96=A:?8 A2E:6?ED H@C< @? DEC6?8E9[ >@3:=:EJ[ 2?5 >@G6>6?E 4@?EC@=]k^DA2?mk^Am
kAmkDA2?m#2E96C E92? C6=J:?8 @? 2 D:?8=6 EC62E>6?E E649?:BF6[ E96 AC24E:46VD 2AAC@249 3C:?8D E96D6 >6E9@5D E@86E96C 32D65 @? E96 ?665D :56?E:7:65 5FC:?8 @?6\@?\@?6 42C6]k^DA2?mk^Am
k9a 5:ClQ=ECQmkDA2?mqF:=5:?8 2 !6CD@?2=:K65 !=2? 7@C $9@F=56C !2:?k^DA2?mk^9am
kAmkDA2?mq642FD6 D9@F=56C A2:? 42? DE6> 7C@> 5:776C6?E EJA6D @7 :?;FC:6D @C >@G6>6?E AC@3=6>D[ EC62E>6?E 42? G2CJ 7C@> @?6 A2E:6?E E@ 2?@E96C] p A6CD@? C64@G6C:?8 7C@> 2 DA@CED :?;FCJ >2J 92G6 5:776C6?E C6923:=:E2E:@? ?665D E92? D@>6@?6 6IA6C:6?4:?8 DE:77?6DD 2DD@4:2E65 H:E9 7C@K6? D9@F=56C @C 5:D4@>7@CE C6=2E65 E@ A@DEFC2= :>32=2?46D]k^DA2?mk^Am
kAmkDA2?m|@G6 $>2CEVD @?6\@?\@?6 >@56= AC@G:56D 2? @AA@CEF?:EJ E@ >@?:E@C AC@8C6DD E9C@F89@FE E96 C6923:=:E2E:@? AC@46DD 2?5 25;FDE 6I6C4:D6D @C EC62E>6?E E649?:BF6D 2D 2AAC@AC:2E6] %96 8@2= :D E@ 255C6DD E96 :?5:G:5F2=VD >@G6>6?E ?665D H9:=6 DFAA@CE:?8 2 C6EFC? E@ E96 24E:G:E:6D E92E >2EE6C E@ E96>]k^DA2?mk^Am
kAmkDA2?mu@C {6I:?8E@? C6D:56?ED 6IA=@C:?8 EC62E>6?E @AE:@?D 7@C D9@F=56C 5:D4@>7@CE[ |@G6 $>2CE AC@G:56D :?7@C>2E:@? 23@FE :ED 2AAC@249 E@k^DA2?m k2 9C67lQ9EEADi^^>@G6D>2CE<J]4@>^A9JD:42=\E96C2AJ\7@C\D9@F=56C\A2:?\=6I:?8E@?^QmkDA2?mA9JD:42= E96C2AJ 7@C D9@F=56C A2:? :? {6I:?8E@?k^DA2?mk^2mkDA2?m]k^DA2?mk^Am
kAmkDA2?mp3@FE |@G6 $>2CEk^DA2?mk^Am
kAmkDA2?m|@G6 $>2CE AC@G:56D :?5:G:5F2=:K65 A9JD:42= E96C2AJ 7@4FD65 @? >@G6>6?E[ C6923:=:E2E:@?[ 2?5 A2E:6?E\DA64:7:4 EC62E>6?E A=2??:?8] xED @?6\@?\@?6 2AAC@249 :?4@CA@C2E6D >@G6>6?E 2?2=JD:D 2?5 2 4@>3:?2E:@? @7 E96C2A6FE:4 E649?:BF6D E@ 255C6DD :?5:G:5F2= C6923:=:E2E:@? ?665D :? {6I:?8E@?]k^DA2?mk^Am
k2 9C67lQ9EEADi^^DE@C286]8@@8=62A:D]4@>^D:8?2=\86?6DJD\AC6DD\C6=62D6D\AC@5^:>286D^H#%`t&I>`hecGv2}86"svbu}>`7+bH@!zvb;GG+w];A8Q E2C86ElQ03=2?<Q DEJ=6lQ5:DA=2Ji:?=:?6\3=@4< P:>A@CE2?EQmk:>8 DC4lQ9EEADi^^DE@C286]8@@8=62A:D]4@>^D:8?2=\86?6DJD\AC6DD\C6=62D6D\AC@5^:>286D^H#%`t&I>`hecGv2}86"svbu}>`7+bH@!zvb;GG+w];A8Q 96:89ElQ`__Q H:5E9lQ2FE@Q :E6>AC@AlQ:>286Q 2=ElQ>@G6D>2CEAC];A8Q DEJ=6lQ5:DA=2Ji:?=:?6\3=@4< P:>A@CE2?EQ ^mk^2m
k2 :E6>AC@AlQFC=Q C6=lQ?@7@==@HQ 9C67lQ9EEADi^^>@G6D>2CE<J]4@>^Q DEJ=6lQ7=@2Ei C:89Ej >2C8:?\E@Ai a_AIj >2C8:?\=67Ei `_AIj 5:DA=2Ji:?=:?6\3=@4< P:>A@CE2?EQmkDA2? :5lQAF3=:D96C{@8@Q :E6>AC@AlQ=@8@ :>286Q :E6>D4@A6lQQ :E6>EJA6lQ9EEAi^^D496>2]@C8^x>286~3;64EQmk:>8 :E6>AC@AlQFC=Q DEJ=6lQ>2I\96:89Ei `__AIj H:5E9i 2FE@j >2I\H:5E9i a__AIj 5:DA=2Ji:?=:?6\3=@4< P:>A@CE2?EQ DC4lQ9EEADi^^DE@C286]8@@8=62A:D]4@>^D:8?2=\86?6DJD\AC6DD\C6=62D6D\AC@5^:>286D^%;f5A&5x;h;e@+beK*h6:#I`r_DDKBxf%+C`~JcH]A?8Q 2=ElQ|@G6 $>2CEQ ^mk^DA2?mk>6E2 :E6>AC@AlQAC:46#2?86Q 4@?E6?ElQ_Q ^mk^2m
kAmr@?E24E x?7@C>2E:@?ik^Am
kA :E6>AC@AlQ=682=}2>6Qm|@G6 $>2CEk^Am
kA :E6>AC@AlQ255C6DDQmk^Am
kA :E6>AC@AlQ255C6DDQ :E6>D4@A6lQQ :E6>EJA6lQ9EEAi^^D496>2]@C8^!@DE2=p55C6DDQmkDA2? :E6>AC@AlQDEC66Ep55C6DDQm`a__ } {:>6DE@?6k^DA2?mk^Am
kA :E6>AC@AlQ255C6DDQ :E6>D4@A6lQQ :E6>EJA6lQ9EEAi^^D496>2]@C8^!@DE2=p55C6DDQmkDA2? :E6>AC@AlQ255C6DD{@42=:EJQm{6I:?8E@?k^DA2?m[ z* kDA2? :E6>AC@AlQA@DE2=r@56Qmc_d_dk^DA2?mk^Am
kA :E6>AC@AlQ255C6DDQ :E6>D4@A6lQQ :E6>EJA6lQ9EEAi^^D496>2]@C8^!@DE2=p55C6DDQm&?:E65 $E2E6Dk^Am
kAmkDA2? :E6>AC@AlQ?2>6Qm$2C29 |2CE:?k^DA2?mk^Am
kAmkDA2? :E6>AC@AlQE6=6A9@?6QmWgdhX a`d\ggf_k^DA2?mk^Am
kAmkDA2?mk2 C6=lQ?@7@==@HQ 9C67lQ9EEADi^^>@G6D>2CE<J]4@>^Qm9EEADi^^>@G6D>2CE<J]4@>^k^2mk^DA2?mk^Am
kAmk^Am
kAmk2 9C67lQ9EEADi^^HHH]72463@@<]4@>^>@G6D>2CE<J^Q DEJ=6lQ5:DA=2Ji:?=:?6\3=@4< P:>A@CE2?EQmk:>8 DC4lQ9EEADi^^2AA]D:8?2=86?6DJD]:@^:>8^D@4:2=\:4@?D^72463@@<]A?8Q 3@C56ClQ_Q 2=ElQu2463@@<Q DEJ=6lQ5:DA=2Ji:?=:?6\3=@4< P:>A@CE2?EQ ^mk^2mk2 9C67lQ9EEADi^^HHH]:?DE28C2>]4@>^>@G6D>2CE<J^Q DEJ=6lQ5:DA=2Ji:?=:?6\3=@4< P:>A@CE2?EQmk:>8 DC4lQ9EEADi^^2AA]D:8?2=86?6DJD]:@^:>8^D@4:2=\:4@?D^:?DE28C2>]A?8Q 3@C56ClQ_Q 2=ElQx?DE28C2>Q DEJ=6lQ5:DA=2Ji:?=:?6\3=@4< P:>A@CE2?EQ ^mk^2mk^Am
