** In the Google Translate menu above, select your preferred language and click on TRANSLATE button **


Sergey Lyass M.D.
Cedars-Sinai Hospital

Dr. Bondarev is an excellent therapist with amazing skills. I was very impressed by my progress and want to thank dr Bondarev. I would recommend dr. Bondarev to anyone who wants fast and complete recovery after traumatic unity. Read more..

Mary Newcomb
Teacher, LAUSD

I would like to tell everyone about the wonders in healing I have experience with Dr. Anatoly Bondarev. Dr. Bondarev brings with him not only Chiropractic training from the U.S., but also traditional techniques used in Europe for generations. These techniques stand him apart from other chiropractors in the States. Read more..

Rotator Cuff

I don’t want to overload you with anatomical details of the rotator cuff. In short, the rotator cuff is a group of tendons that fuse together and get attached to the shoulder. Tendons of 4 muscles comprise the rotator cuff. You don’t need to know the names of the rotator cuff muscles. What you do need to realize is the fact that the rotator cuff muscles originate from the scapula, and this anatomical phenomena creates the so-called scapulo-humeral complex. In many cases of unsuccessful treatment of the rotator cuff the answer lies in the scapula.

The most common part of the rotator cuff disease is so called impingement sdm when the tendon [supraspinatus] and bursa get squeezed between the acromion and the humeral bone. This condition may be associated with anatomically narrow space between acromion and humeral head. Here I am useless. Call a surgeon. But this is a less frequent scenario. More commonly, the frequent scenario-is the dysfunction of the so-called acromio-clavicular joint. Here is the point when my road and orthopedic road gets divided. The dysfunction of the AC[acromio-clavicular] joint may mimic so called chronic impingement sdm, and people get unnecessary surgeries. Of course, with continued impingement due to dysfunction of the AC joint, one of the rotator cuff tendons become so damaged that surgery is unavoidable. Another problem is the thickening of acromial bone due to prolonged dysfunction of the AC joint. Unfortunately, this condition requires surgical “shaving”.

So in short, the appropriate treatment of the AC joint [as well as a scapular dysfunction]by manual therapy procedures  may prevent the development of the rotator cuff sdm and subsequent surgical intervention.

One more very important moment has to do with so called “physical therapy”. Orthopedic surgeon, being the “final authority” in musculoskeletal pathology, in case of shoulder pain that does not require surgery, send a patient to a physical therapist who immediately start exercise program with the patient. Now, imagine the dysfunctional AC joint and the scapula that gets additional trauma due to the vigorous exercises. For many patients it sounds painfully familiar. Sometimes I want to ask these providers to break their hand, and immediately start to exercise it. It would be a lot of fun to watch.

I cannot continue due to a space limit, but there is enough information for you to think already.