& Tomasevic, G
We often use instrument-assisted soft tissue mobilization and manual myofascial release to target: Latissimus dorsi , which limits shoulder flexion and contributes to downward scapular rotation Teres minor , which can entrap the axillary nerve and mimic rotator cuff pain Subscapularis , often overlooked but critical in internal rotation dysfunction and anterior shoulder pain These muscles often carry deep adhesions and nerve entrapments that are best released through targeted, hands-on therapy
The stronger, intermittent stimulus benefits from periodic rest
Human studies conducted to date generally involve small sample sizes, heterogeneous dosing regimens, and relatively short intervention periods, restricting the ability to draw robust conclusions regarding efficacy, optimal dosage, and treatment duration
This is a significant logistics burden
This finding is clinically significant for a patient population like ours in Doral, where the majority of patients present with Fitzpatrick III, IV, and V skin tones
