What causes that? Many times you will have a dog that will not be able to get up easily from their side. They also many not lift their head on that side as well. Take a look at the shoulder, especially the possibility of a Cranial Hum Head. You will also find supraspinatus and rhomboid involvement. Adjust the shoulder and of course check the lower cervical and do some muscle work on those shoulder muscles. It also helps to have the owner use some moist heat on the shoulder joint 2 times per day. Underline the word ‘moist’ heat… 15 min on.