Abstract. After an evaluation of Andy Roddick shoulder and elbow I explained that the real problem was muscle imbalances surrounding Andy’s shoulder. The muscle imbalances resulted in structural changes caused by muscle weakness and muscle tightness. This imbalance caused joint restrictions and the need to compensated during specific movement patterns such as the serve and ground strokes. In this case Andy’s elbow was hurting because of the above problems. I then proceeded to treat some of the joint restrictions by with soft tissue mobilization techniques and developed a specific strengthening program to improve performance.

Key words: shoulder stability, movement patterns, soft tissue mobilization techniques.