Dental hygienist, shoulder bursitis - or "bursitis? &am

[sarah_venice]

I have a new client coming in in a couple of weeks - dental hygienist, uses bodywork regularly & for a long time, keeps forearms/hands in shape this way, low back "issues" longstanding, dx of shoulder bursitis (2 former work-comp claims tx w/massage, none current). When she does have shoulder pain, it's usually anterior.

I don't doubt the bursitis dx -- but there's obviously no way that the bursitis is what responded to the massage. I'm thinking that the positions a hygienist would be in a lot of the time, maybe there's some overuse of the anterior delt and upper pec major, from reaching forward and around into mouths?

Anyone have hygienist clients or similar? Anything I'm forgetting? I'm probably letting the bursitis dx throw me and should just go w/my gut and the test results, but I'd like to chat about this beforehand as she gave so much detail on the phone and is shopping for a new MT.

 

[link]

None for clients but I will let you know what bothers me sometimes...
Most days although standing for the entire case I am not in an awkward position......then BOOM, I'm needed to retract, or hold alimb in a weird way. All of my SITS muscles are aching after this....Ant delt and pec minor/maj, even levator and traps are affected because of my head hold.
I have to constantly stay on top of my forearms. I am always in a pincer grip position with my hands(passing instruments) as are the hygeinists I imagine.
Robyn

 

[Apple456689]

bjb-
i think you're right on the money. dental pros tend to have shoulder girdle issues. some have anterior problems, some posterior, some have both. i think it has to do with their body mechanics and/or the type of dental chair.

 

[StephenWeinstein]

holding arms up in the air all day, all the while intently trying to do precision work?

and the winner is.....supraspinatus.

end of story. work delts and upper traps too, but most of it will be supra. strip and stretch the aneforum.xxxonists too.

this goes for hairdressers too. and orchestra conductors too maybe. haha.

I had a client that was a dental hygenist. she said she did most of her work with her lower body facing one way, and her upper body the other, with her spine rotated the whole way up. I made an unmistakable grimace. she says its easier that way. man. anyone wanna place bets on how long before she can't hardly walk? I say 2 years.