particularly new clients often have overactive traps and have a really hard time disengaging them. This can look like the head is going forward and the neck hyper-extends. Those movements can be very subtle and still cause discomfort in the neck in the way your client is describing it.
I would try a triceps exercise where she presses down and watch for elevation and forward rotation of the shoulders. Often times, I have clients just work on strengthening the lower traps to keep the shoulders depressed before I have them do anything else.
Jeffrey, was your second post a reply to my first post? I wasn’t questioning your expertise in any way. My comment wasn’t even directed at you. I was asking for more detail from the original poster.
Yes, this is absolutely a place to ask and answer questions. Although my answer was from a different approach from yours, it in no way disparaged or discounted yours.
I often ask further questions when I post, because it helps me to be able to answer within the trainer’s scope as well as within my own.
There is no complaint of pain only slight discomfort or pull. I have elbow extensions planned for our next session but was wondering if there were other options as well. She has no discomfort when doing any overhead movements. I will also try having her grip facing front. Thank you for your input.
As a certified trainer it assumed that we always refer our clients to a physician. I was under the impression that this forum is to assist other trainers with new ideas when we need a little friendly advise as you your self have with suggesting band therapy (which does work well also) If you are asking if I am a Dr. or a PT no I am not. I only speak of prior Hx with training prior reffered ortho pts. in regards of Rotator cuff injuries with 36 out of 36 positive outcomes. Yes I am a certified in corrective exercises.
Is assessment and corrective exercise within the scope of your practice? You might need to refer your client to a doctor or physical therapist to see what muscles are involved with her pain, and what’s safe to work and not work.
You might be able to do some simple assessments to determine which actions are possible without pain. For example, since the tricep involves two joint actions, maybe you can eliminate one and reduce discomfort. Instead of doing an overhead press from standing, what about attaching a band or tubing high and doing the tricep exercise as a pull-down – good range of motion and doesn’t put the shoulder in an unusual position.
I have one client who is recovering from a rotator cuff tear (has seen doctor and cleared for personal training) and with her I use lightweight tubing that’s attached to a pole at the height of her elbow. From there, she faces the pole and does elbow extension. It’s a very small range of motion and a very light amount of tension, but I can get her to locate (“feel”) her tricep and isolate it from the other things happening around the shoulder.