Pattern · 01
Rotator cuff / impingement
Shoulder pain on reaching overhead; painful arc 80–120°. Upper thoracic rotation almost always at the root. 4–6 sessions. Resolves faster when the member continues loading through the protocol.
Rotator cuff pain, subacromial impingement, and the mirror-image hip pattern where pelvic rotation has locked the SI joint on one side. These are almost always downstream of a rotational pattern in the thoracic spine or pelvis - which is why they benefit from SpinalSync even when the presentation is at the joint itself.
The scan decides whether we treat the joint, the rotational spine above/below it, or both.
Shoulder pain on reaching overhead; painful arc 80–120°. Upper thoracic rotation almost always at the root. 4–6 sessions. Resolves faster when the member continues loading through the protocol.
Lateral hip pain, groin ache, or SI-joint pain - usually unilateral. Pelvic ring is rotated; sacrum stuck. Zone-VI PelviSync protocol. 6–8 sessions.
The classic: left shoulder + right hip pattern, or the mirror. Single rotational pattern running through the whole torso. Full zone-III + VI dual-zone protocol. 8 sessions typical.
Shoulder flexion/abduction or hip internal rotation - the direct functional measure.
Paraspinal asymmetry across the primary zone. Falling asymmetry = rotational pattern unwinding.
Zone-specific pressure-pain threshold. Later to move; signals the tissue has de-loaded.
Lower-weighted for this protocol, but tracks well as pain eases.
Joint-specific drills that reinforce the zone-correction between sessions. Most respond fastest with 10 minutes twice daily.
Joint pathology needing orthopaedic review is common in this category. We refer early, not late.
Depends on the tear. Partial-thickness tears are routinely managed conservatively with SpinalSync + rehab. Full-thickness tears in active members usually need surgical review; SpinalSync can play an adjunct role post-surgery once cleared.
Typically yes, with orthopaedic clearance and after 6+ months post-op. We do not apply direct impulse over the implant hardware. The PelviSync protocol at the contralateral SI joint is often helpful since pelvic rotation is common post-THR.
Not for most presentations. The intake exam sorts most shoulder-and-hip cases adequately. If the scan or exam flags anything requiring imaging, we coordinate it and pause the protocol until we have clarity.
Usually yes - with modifications guided by the ROM response. We coordinate with your coach or PT if you have one. Most members return to full load around session 4–5.
The scan picks the priority zone. Most cases are upper-thoracic, sacro-pelvic, or both.