Did you ever wonder why your physical therapist may check your neck and back when your complaint is really of shoulder pain? Up to 40% of people who experience shoulder pain also have decreased range of motion of the cervicothoracic spine, and the ribs. The cervicothoracic spine is the place where the neck and the spine that holds the rib cage join together. The decreased range of motion in these areas can triple the risk of having certain shoulder disorders, and worsen the outcomes for shoulder issues already occurring. Evidence based practice suggests that complete and proper therapy for some shoulder conditions is enhanced by manual therapy directed at the cerivocothoracic spine.  For more information on this condition, or to receive therapy for any issues, stop by Hands On today!