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Brendan, Thanks for the reply. Overall it sounds pretty much like neural pathology with adaptive responses including joint stiffness adaptive muscle changes etc. There are a number of features that dont fit, inc relief from taping into retraction and elevation, I would have guessed slight protraction and elevation would provide more relief, all the rom and resisted tests seem plausible for this explanation... definately a tricky one. I would certainly stick with neural mobes and positional/ posture work inc a closer look at breathing patterns and activation of muscles inc scalenes and also pec minor, in addition first rib position and mobility. From the sounds of things I would suggest there is no real involvement from the glenohumeral joint except as a secondary response... probably something else going on somewhere... hope my comments are of at least a little use, let us know how things progress. Regards Steve Aspinall BSc (Hons) GSR Sport Rehabilitator Bolton Therapy Centre UK _________________________________________________________________ Join the world’s largest e-mail service with MSN Hotmail. http://www.hotmail.com