b'Rotator Cuff TMImpingement:Complicated?Member support of the ANJC Political Action Committee allows the ANJC to continue furthering our profession while protecting your right to practice as a chiropractic physician.We ask that you donate towards the ANJC PACso that we may continue fighting for therights of chiropractors. Supraspinatus, infraspinatus and teres minor eccentric loadingANJC PAC supports legislators who defend the issues and interests of our patients and our profession.posterior capsule contracture, it reduces the subacromialPAC initiatives include:space creating impingement with overhead movements.Treatment of these conditions are slightly different.Poste-Greater patient access to chiropractic carerior capsule contracture should be treated with soft tissue Improved public relationsrelease of the posterior capsule and posterior glide mobiliza-Veterans benefits to access chiropractic care tion to improve IR of the glenohumeral joint.Anterior laxity should be combated with both rotator cuff and scapular Opening Workers Compensation stabilization exercises. for chiropractic careFinally, AC outlet narrowing can cause impingement via two Stopping improper denials of your care by payersdifferent possibilities.The AC outlet could be caused by And much more!either OA changes to the acromion or by congenital shapeTo make an easy online donation, visit:of the acromion.While it is not possible to change the shape of the acromion through conservative management, https://anjc.info/anjc-pac-2by improving posture, scapular mechanics, strengthening the scapular stabilizers and balancing the rotator cuff itmay be possible to prevent more aggressive surgical intervention.While the shoulder can be a daunting and complicated structure, following the above evaluation and treatmentHelp Us methods can quickly bring the shoulder into a more simplistic and manageable state.Having knowledge of softFight the Fight!tissue treatments, manipulation and mobilization, rehabil-itation, and taping can make even the most complicatedPlease consider a contributingshoulder injury highly treatable.to the ANJC Legal FundReferences:Willams GR, Martin K. Management of rotator cuff and impingement injuries in theWe must all band together to preserve chiropractic athlete. Journal of Athletic Training. 2000; 35 (3): 300-315 and the healing benefits it provides to patients,Hovis WD, etal. Posterior instability of the shoulder with secondary impingement in elite golfers. Am J Sports Med. 2002 Nov/Dec; 30 (6): 886-890 and we need your help to maintain the ANJCs Gehlsen, G. M., Ganion L. R., et al. (1999). Fibroblast responses to variation in softability to fight these legal battles on your andtissue mobilization pressure. Medicine & Science in Sports & Exercise, 31(4): 531-5 your patients behalf.Langberg H, et al Eccentric rehabilitation exercise increases peritendinous type I collagen synthesis in humans with Achilles tendinosis. Scand J Med Sci SportsNo donation is too small, and recurring 2007;17:61-66. contributions can be set up in the amountof your choice.Gregory H. Doerr, DC, CCSP, is in private practice in CliffsidePlease visit: Park and Hackensack.He lectures internationally for FAKTR and Functional Taping for Musculoskeletal Injuries and is a formeranjc.info/2021-spring-summitlecturer for Graston Technique and The Council on Chiropracticand click Donate: ANJC Legal Fundand Extremity Procedures (CCEP). www.njchiropractors.com I 19'