It's the ones that think they have a degree/certificate that make them think they know how to deal with the problem, that worry me. Just from experience when I shattered my arm, I have seen a bunch of physiotherapists, a chiropractor, acupuncturist and 2 registered massage therapist. Two of the physiotherapists, actually set my recovery way back. It should be a red flag when they don't ask to see your x-rays before them perform any excercise, granted that some doctors don't believe anyone other than a physican should have a need to look at them. The other professionals asked to see my x-rays, before they would do anything, and they are the ones that have helped me along. I was told by the doctors that I need to do start getting movement in my arm, or the fluid that the body produced to immobilize my arm, will harden and become scar tissue making recovery a double edge sword. If I moved my arm, I could undo the work the they had done setting the fragments together. If I don't get the muscles moving they will turn into a human cast. The doctor that set my arm, kind of broke it when he reset my arm from being straight to a 90 degree position. One of the pins came loose and there was a slight gap at one of the breaks. The first physiotherapist ended up breaking my arm by making me do excercises too early. I didn't realize I was doing any damage, because for some reason I could not feel pain and I let him know before hand. If I knew what I know now back then, I could be close to 100%. I saw my accupuncturist to help with getting some flow back into my arms, it seemed to help. It gave me an idea to buy a Dr.Ho machine to get constant therapy for most of the day, and it worked at activating the muscles to pump the thick fluid out of my arm. I used the accupuncture to get the electrodes deeper in the lower lying muscles. I should have stopped going to physio, because I was making progress and I could actually move my arm on it's own, but I didn't know better at the time, and ended up traumatizing my arm to stiffen back up after a session. When I went to visit my doctor for a check up x-ray, he told me to stop what I was doing, beause the plate in my arm was bent now, but all the other pieces healed nicely. The doctor wanted to wait a few months to see if the bone will fuse itself back together. It never did and I had to go for another surgery, and by the time had come, my body tried to protect itself by dumping scar tissue everywhere trying to immobilze it. Second surgery went well, but had to cut a lot of scar tissue out of there and making the second recovery a little harder, since there was a lot of freshly cut tissue, and had to get movement again, so the raw areas wont fuse to each other and locking my arm in place. I didn't realize it, but I was suffering from a jarring pain, when I would try to raise my arm, I went for an appointment with my massage therapist, and he had a student from the college there. When I walked in he wanted to show my arm and how it was affecting my alignment. He took a look at me and could see my right shoulder was off, and told me your shoulder is dislocated. He requested to see my x-ray, when I went for my next check up x-ray, he wanted to see how it was mending and where the screws were, since they were pointed like wood screws. It was a month and a half after the second surgery, he told me it was going to be painful, and that fibromyalgia has set in, trying to fill the void of the dislocation. He was going to have to break loose the tissue that was built up in the joint and reset my shoulder, without putting stress on the arm. He put it back in place, and yeah it did hurt a bit with the sound of tissue tearing apart, but it sure felt good to raise my arm again. I tried a different physiotherapist, from a referral of a colleague of my massage therapist, it was good and he used other techniques that didn't force my arm to reduce scar tissue build up. My massage therapist did some techniques that I could not do when I tried massaging my arm, and broken up some scar tissue, so I was able to get more mobility out of my arm. Things were going good and started to make some progress, and then it was time for my third surgery to remove the hardware. The third surgery went well, they removed the screws, but they cut some more scar tissue out, so I would have to start trying to move it asap. I went to see the physiotherapist, but he wasn't, but the head physio was, so I didn't think much of it and told him I just had surgery 3 days ago, but I was told to try an get some movement going. He starts to try and bend my arm and got a little aggressive with the therapy. After the session my arm started to swell at the elbow and by the end of the day, I had this B cup boob of fluid hanging off my elbow, he must have torn the internal stitching. I went to the hospital to see if they could drain it, but they said there was a good risk of getting an infection from doing it, and I would have to wait for it to be re-absorbed back into the body. I could feel the clotted pool of blood at the bottom of the boob, because it was getting hard compared to the rest of the boob. I had to get rid of the swelling asap or I can screw up my recovery of getting movement back in my arm. My massage therapist recommended me to see another massage therapist that does lymph node drainage, after nine sessions at $100 the swelling was down considerably, but I still had the harden lump of blood, but eventually that would get absorbed. I went back to see my regular therapist and told him what had happened , and he wasn't too pleased how the head physiotherapist handled my arm. My massage therapist was able to bend my arm without being aggressive, and let the arm bend naturally. Right now I deal with a numbness in my arm and some muscles that needs to be released, it's possible that the nerves got torn with the stitches, so I have a lack of sensation there, once in a while I make some improvements. I just need to go make an appointment with my massage therapist to see if he can still do something with this. I know better now what treatment works.