I have both conditions at a different time. Their symptoms are the same. It must be determined by MRI. These tests can't tell. What made me suspicious was that I already had frozen shoulder and recovered by itself. How can be second time again? I went to MRI, found out this time is rotate cuff tear. I suggest everyone should go for MRI, but insurance company makes you do X ray first. They will not approve MRI without x Ray. X ray is for bone and MRI is for other soft tissues. X ray can't see, but this is insurance requirement.
hello, there was an injury, dislocation of the acromioclavicular end. what exercise do you recommend to start the knitting needles removed 20 days ago 🙏🙏🙏🙏
Yes so many doctors have no clue about these simple tests they just require expensive MRIs not even that but the reports! which may be even partially correct and things missed with it, as they have no idea what they are looking at or how to assess it without technology having to tell them anyway what i wonder is - are these tests dangerous in case you have tears in your tendons? can these tests make the tears worse? thank you
Well, we cannot totally rely on clinical bed side tests, as these are only helpful in screening. I do perform most of these tests in my office on every single patient of mine. However in order to get a confirmation of partial tears vs complete tears. MRI is still the best imaging technology we have today
Ok so im strungling ultra sound says bursitis but i have my shoulder poping out of the socket at 90 degress and popping on the way down with massive pinch.any suggestions?.i need to no with everything going on with him surely thats all showing on ultra sounds?.im 36.have been beging for an mri.after 9munths of waiting the specalist wont see me says its an impingement.please help with next step 😢 suggestion i did ur tests and im very sore after the poping and pinch
I hurt my shoulder on a bad fall about 4 months ago. Left shoulder issues. Now constant pain. Been to 2 doctors now, and I think I'm dealing with Subscapularis tear issues. Had x-ray to confirm I have arthritis and probably messed up some tendons. It's all new to me. SIGH. The caregiver was thoughtful and professional to me when I asked for options. Physical therapy perhaps, but now I'm thinking I might as well go ahead to do an MRI and get over the guessing game. Help, anybody?
I went to a physio with one sore shoulder and left with two. She pushed down on my blades and told me this should feel alot of relief. And it wasn't feeling anything. Since then my other shoulder has become so loose I do not know what the hell she's done and am scared to go again.. this video is so complicated but seriously thorough I just don't know where to begin or what to do . I've started exercising to try healing myself but even doing sit-ups on the ground sometimes hurts my shoulders.. sleeping hurts in the morning.. etc etc. What can I do?.
I'd look for a therapist that perhaps has some better communication. It's unlikely that your shoulders would become loose after she pushed down on your shoulder blades. Find a good physio or sports therapist that will get a full history from you and can diagnose you. It's likely not just your shoulder, but also other external things in your life that are also contributing. Eg. stress, poor sleep, poor nutrition and poor hydration. The therapist should be asking you a lot of questions. Also, in terms of exercises, start withe very simple things. Look up some isometric exercises and low resistance band rotator cuff exercises for shoulder instability.
No. He had no rotator cuff left and significant GH arthritis. Here is his "after" video and that is at 10 weeks. Doing way better now. th-cam.com/video/7K_-yibSStw/w-d-xo.html
What I don't understand is why you don't just send him off to get an MRI to know once and for all what's happening. All these tests are simple and easy, I get it, but the reality is that you might as well know exactly what's happening and how bad it is.
You can present this way, and simply have a frozen shoulder which does not require any diagnostic imaging whatsoever and just conservative treatment. That is the problem with the medical system. Too much over utilization of imaging and other tests were not necessary.
These tests can help aid in diagnosing but I fully agree as someone who has had a labrum tear, had surgery, and now have the SAME pain and symptoms as before but now they diagnosed me with impingement and no MRI referral. I had creptius (crackling noise during rotation and movement) while still 3 months post op and they said it’s normal and possibly caused by inflammation. So I “pushed through” and went back on full duty (AD Marine) but then a couple weeks after injured it again. It’s now 2 months later and I’m fighting for a second opinion so I can get an MRI. They don’t give out MRIs for impingement cuz it’s not surgical. I am beyond impatient at this point and the earliest they can schedule me a second opinion is after the holidays which will be almost 3 months since my last injury. And all they had to do was a simple MRI and could have spared me much pain, suffering, and anxiety.
I love watching your flow - you make it look so simple and easy!
thanks! I'm in my clinicals and these videos are super helpful to prep for incoming patients the night before!
In OT school and this helped tremendously! Great explanations!
Great demo of shoulder assessment. Made even better by using a model who actually has shoulder pain 👍
Thank you both of you. very informative
You are very welcome!
Thank you, Paul and Dave. Good and valuable content, as always!
Thanks for both of you!
Thank you for your video
They helps a lot 😃
It was a helpful video for me. Thank you so much🙂
You explain things really well
Thank you! Very informative!
Great process for eval. I am following the same flow to run through a Rotator Cuff Tear eval.
Poor guy. I hope he's doing better now.
Yes Greg, much better. Very functional and now working out independently in our fitness center.
@@OrthoEvalPal Did he get surgery? If so, shoulder replacement?
@@William14094 yes. Reverse Total Shoulder Replacement. Doing excellent!
Great video! Can you share the exercises prescribed to prepare for surgery?
This may help orthoevalpal.com/blog/f/shoulder-prehab-5-reasons-patients-need-it
@@OrthoEvalPal thankyou.. I was wondering this too
dislocation of the acromioclavicular end
Many thanks to you both. Dave, you're a trooper!
Thank you! Dave is doing great! He works out in our gym 3 days a week
Great stuff can u do a shoulder labral video and also what’s speed test?
How about one of each?
Speed's- th-cam.com/video/6rzi_zBYJNU/w-d-xo.html
SLAP tear eval- th-cam.com/video/mqhB4RZQ-9w/w-d-xo.html
What treatment would you recommend?
Surgery. th-cam.com/video/7K_-yibSStw/w-d-xo.html
Do you do virtual appointments?
I have both conditions at a different time. Their symptoms are the same. It must be determined by MRI. These tests can't tell. What made me suspicious was that I already had frozen shoulder and recovered by itself. How can be second time again? I went to MRI, found out this time is rotate cuff tear. I suggest everyone should go for MRI, but insurance company makes you do X ray first. They will not approve MRI without x Ray. X ray is for bone and MRI is for other soft tissues. X ray can't see, but this is insurance requirement.
what exercise would you recommend after removing the spokes AC injury?
The text of what you are saying is covering the video. I can't see the exercises
hello, there was an injury, dislocation of the acromioclavicular end. what exercise do you recommend to start the knitting needles removed 20 days ago
🙏🙏🙏🙏
i love watching your videos but sir kindly arrange a mic 🎤 for clear voice
Yes so many doctors have no clue about these simple tests they just require expensive MRIs not even that but the reports! which may be even partially correct and things missed with it, as they have no idea what they are looking at or how to assess it without technology having to tell them
anyway what i wonder is - are these tests dangerous in case you have tears in your tendons? can these tests make the tears worse?
thank you
Well, we cannot totally rely on clinical bed side tests, as these are only helpful in screening. I do perform most of these tests in my office on every single patient of mine. However in order to get a confirmation of partial tears vs complete tears. MRI is still the best imaging technology we have today
Ok so im strungling ultra sound says bursitis but i have my shoulder poping out of the socket at 90 degress and popping on the way down with massive pinch.any suggestions?.i need to no with everything going on with him surely thats all showing on ultra sounds?.im 36.have been beging for an mri.after 9munths of waiting the specalist wont see me says its an impingement.please help with next step 😢 suggestion i did ur tests and im very sore after the poping and pinch
I hurt my shoulder on a bad fall about 4 months ago. Left shoulder issues. Now constant pain. Been to 2 doctors now, and I think I'm dealing with Subscapularis tear issues. Had x-ray to confirm I have arthritis and probably messed up some tendons. It's all new to me. SIGH. The caregiver was thoughtful and professional to me when I asked for options. Physical therapy perhaps, but now I'm thinking I might as well go ahead to do an MRI and get over the guessing game. Help, anybody?
I might be dealing with something similarly. Did you end up taking the mri? And has pt helped heal the shoulder?
My one bit of advice is that you can never spend too much money on your health
I went to a physio with one sore shoulder and left with two. She pushed down on my blades and told me this should feel alot of relief. And it wasn't feeling anything. Since then my other shoulder has become so loose I do not know what the hell she's done and am scared to go again.. this video is so complicated but seriously thorough I just don't know where to begin or what to do . I've started exercising to try healing myself but even doing sit-ups on the ground sometimes hurts my shoulders.. sleeping hurts in the morning.. etc etc. What can I do?.
I'd look for a therapist that perhaps has some better communication. It's unlikely that your shoulders would become loose after she pushed down on your shoulder blades. Find a good physio or sports therapist that will get a full history from you and can diagnose you. It's likely not just your shoulder, but also other external things in your life that are also contributing. Eg. stress, poor sleep, poor nutrition and poor hydration. The therapist should be asking you a lot of questions. Also, in terms of exercises, start withe very simple things. Look up some isometric exercises and low resistance band rotator cuff exercises for shoulder instability.
Any chance for conservative management for this patient
No. He had no rotator cuff left and significant GH arthritis. Here is his "after" video and that is at 10 weeks. Doing way better now. th-cam.com/video/7K_-yibSStw/w-d-xo.html
❤
What I don't understand is why you don't just send him off to get an MRI to know once and for all what's happening. All these tests are simple and easy, I get it, but the reality is that you might as well know exactly what's happening and how bad it is.
You can present this way, and simply have a frozen shoulder which does not require any diagnostic imaging whatsoever and just conservative treatment. That is the problem with the medical system. Too much over utilization of imaging and other tests were not necessary.
Not easy to refer for MRI in UK unless you have already done these tests.
These tests can help aid in diagnosing but I fully agree as someone who has had a labrum tear, had surgery, and now have the SAME pain and symptoms as before but now they diagnosed me with impingement and no MRI referral. I had creptius (crackling noise during rotation and movement) while still 3 months post op and they said it’s normal and possibly caused by inflammation. So I “pushed through” and went back on full duty (AD Marine) but then a couple weeks after injured it again. It’s now 2 months later and I’m fighting for a second opinion so I can get an MRI. They don’t give out MRIs for impingement cuz it’s not surgical. I am beyond impatient at this point and the earliest they can schedule me a second opinion is after the holidays which will be almost 3 months since my last injury. And all they had to do was a simple MRI and could have spared me much pain, suffering, and anxiety.
Did he get the vaccine in that arm??
No. He had a complete Supra, infra and subscap tear with severe AR