Dr Maggie Ju Acupuncture London Kensington, Notting Hill, Chelsea and Richmond

Shoulder impingement is a very common cause of shoulder pain. It occurs when a tendon or bursa in the shoulder rubs bones of the shoulder. Overhead activity of the shoulder, such as lifting is a risk factor for shoulder impingement syndrome. The main complaint is pain and it is persistent and affects everyday activities. The pain is on the top and outer side of the shoulder, and it is worse at night which can affects the sleep; It causes pain when reaching up behind the back or reaching up overhead. It can affect daily activity such as putting on the top. There is weakness in the arm and shoulder and restricted shoulder movement. Over time, impingement syndrome can lead to inflammation of the rotator cuff tendons (tendinitis) and bursa (bursitis). Rotator cuff tendon extends to the top of the shoulder joint. Shoulder impingement can start suddenly or come on gradually. If not treated appropriately, the rotator cuff tendons can start to thin and tear. A study investigated acupuncture

Infertility is usually defined as the inability to conceive after 1 year of regular unprotected intercourse. But for women older than 35 years the time will be shorter to for 6 months. The couple need to be assessed clinically A standard infertility evaluation is performed both for men and women and includes a semen analysis, assessment of ovulation, a hysterosalpingogram, and tests for ovarian reserve and laparoscopy. When the results of a standard infertility evaluation are normal, a diagnosis of unexplained infertility will be made. Approximately 15% to 30% of the couple has unexplained infertility. Semen analysis is test for evaluating the sperm. Here is the normal range of semen analysis as WHO guidelines. Volume 2.0-5.0 ml, pH 7.2-7.8, sperm concentration 20×106/ml, total sperm counts more than 40×106 spermatozoa, motility ≥ 50% with forward progression or ≥ 25% with rapid linear progression within 60 min after collection, morphology greater than 50% with normal morphology, v