Best Tests to Diagnose Shoulder Impingement & Rotator Cuff Pain.
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- เผยแพร่เมื่อ 7 พ.ย. 2017
- "Famous" Physical Therapists Bob Schrupp and Brad Heineck present the Best Tests to Diagnose Shoulder Impingement & Rotator Cuff Pain. Make sure to like Bob and Brad on FaceBook / bobandbrad
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Who is watching this video with incredible pain in the shoulder? 😔
My pain isn't incredible, but I am in some pain. Like a 4/10
Just excelled in my personal fitness journey and I’m sitting here in pain and fear.
@@dbprymetyme6624 aww don't be scared...I feel ya tho because all I gotta do is cough or sneeze just the right way - and bam - instant cervogenical migraine and electric shocks...
But physical therapy does help after a work out (even just doing chores sucks sometimes) 😕 but yeah.
Find your why, and I hope that grounds you and sees you thru the rough.
Just rode the river - and wow - did I forget how much the back stroke could somehow both hurt like hell but also help push my limits on physical therapy. And thank got for trigger point shots!! When they hit the nerve direct isn't exactly fun...but the I'll take a 6 over my seemingly 8/10 (for about the last decade).
I'm 😎 with my Mary Jane also. But right now I'm at about 4/10.
I have to find a position for my arm/shoulder for less pain so I can sleep at night.
"at least buy me dinner first" dear god....hahaha
I almost enjoy when I end up with a sports injury because I have an excuse to watch more Bob and Brad videos.
From an entry level OTR, thanks for all your videos. They provide such a great refresher when I come home thinking I'm totally lost.
Llllloooved it Bob & Brad! Really missed these tests in your videos, like your old ones. Really nice to see again (PT student & and big fan )
Great way to end the day, with Bob & Brad 👍
I just love that yall both care enough about your practice to nerd out about other pediatric (or whatever kind of) doctors... that alone makes me wish I was in range enough to make a heckin visit to you... But the fact that y’all take it further to help folks like me just boosts my faith in the western medicine world... I can’t thank you enough for sharing your knowledge as you do. 🙏💛🙏
your all videos encourage me to learn and study more and more..thanku Brad and Bob
That Gerber test causes a world of pain in my injured shoulder, many thanks
Thank you so much. This helped relieve my anxiety. I now think I have more an impingement/tendonitis versus rotator cuff tear. So still healing work to do, but less scary especially about getting care during covid times.
This video was especially informative and relevant to me. I have had decreasing mobility in my shoulder because of the pain. But I thought it just me getting older. I took all your tests and I may have done them wrong because the test for impingement was super positive (very painful) but also one of the rotator cuff test also was painful. Either way, I am researching if there is treatment for either and setting the appointment. Thank you Doc's
that comment about maybe you should have bought me dinner first -- cracked me up. Wonderful humour
I love these two.
Had right shoulder impingement pain for about one year. Just recently I was crossing my right arm around my chest and pulling it with my left arm. Basically a stretch of shoulder. While doing the stretch, I heard 2 pops in my right shoulder. Since then the impingement pain is gone.
I will try that one more,done it a few times,mainly hanging from a pull up bar,seems to feel a bit better,but I think I have swelling in the right should,don’t know wether to make sure the inflammations gone down or carry on doing this,I’ve have a bad should since February 2021,will try that stretch more thank u
@@garynewis8293 here is another exercise. Put sore arm behind back near waist. Take other arm behind back and grab the hand of sore arm and pull. You can experiment with changing the angle of your sore arm hand while pulling.
Absolute garbage advice here, search physio tutors impingement mythbusting, then watch there videos for early, intermediate, and Late stage rehab for the shoulder, there’s no silly stretches which do jack all, you can’t go wrong getting strong
I'm a big buff wide stalking dude and I can't do that even if my shoulders were healthy
I’m diagnosed with shoulder impingement currently doing a therapy using both shock waves and dry needles so far the results are worth it
You don't need to waste your time with that. If you cant scratch your back after 2 weeks then you got a tear
Thank you! It’s helpful
Thank you for your help , I feel better
You are great physical therapists on the earth guys :)
That is amazing.
I enjoyed.
Iam physiotherapist student, Cairo university.
Thanks so much the last exercise is me. I could do all the others but, not the last Subscapularis one.
Definitely the best guys. No comparison
I find it amusing that I have been twice to a physio and he hasn't done any of these tests on my shoulders but has given me exercises!
You guys are really super cool !!!!!! Keep doing the god work :)
So funny and nice thank you very much hope all our doctor like you
You guys really educate me. This one was perfect. Now I can see how well my impingement is healing. It pinches the nerve that runs down my arm to my index finger and thumb. I hurt my shoulder at work and the company had me go to the urgent care (after about 5 weeks of this hurting). There the PA diagnosed me with carpal tunnel. Worker's comp then denied my claim as they believed that I hadn't been on my job long enough to have carpal tunnel (2 years). Ugh. So, I'm treating myself.
Dude it get better? I got the same issues with arm pain and tingling in my index and my thumb also.
2:31
"it does this, it does this, it does this..."
me "mine doesn't do any of that"
I had a bad fall almost 6 mths ago & everything uexplained n showed I have it's been a painfully time with physio nstreth exercises my physio said it can take up to 12 mths to get it to nearly 100% it may never get there but he'll try with working with me thank u for helping me understand the muscles n exercises.
thank you 😆 very much it's working my son because of guot and I have the osteoarthritis and my mom is the R.A.
I have just been diagnosed with shoulder impingement, never known pain like it! I've been told I got to have an operation 😕
This is good info. I can do ALL of these (strong and flexible) so I do not think anything is torn but I have pain in front of my shoulder. I assume impingement from improper form or too much weight on lat pull down machine. I bought some of your bands so I can strengthen the shoulder when some of the pain subsides.
Thanks!
We are so happy we can help, thank you for your generosity!!
Been watching you guys. And I never needed to go doctors lol Inspiring and helpful tips
My pain is in the shoulder of the arm when trying to reach the other shoulder. I don’t see much for that. There’s also some “clicking” when rotating etc.
It could be because of the way your built as well. I'm a big stalky wide big shoulder built and I couldn't do that even if my shoulders were healthy
I was in so much pain... but now all I feel is: *completely turned on.*
I can't decide which of you two dark artists I've fallen more deeply in love with. I'd touch myself, but... I cant move my right arm without smelling colors. 🤞 on the free rehab advice in the peripheral vids. 🙏🏼
😅😅
Wtf haha
Its work , thanks you proofesor .. 😁🙏
Dear Bob and Brad thanks for your helpful videos. I have right rotator cuff inflammation and I feel pain constantly in front of my shoulder and chest and while I am moving my arm. I can do all the test in this video. What should I do to decrease my pain. Thanks again, you are the best.
Dude you get better? What worked and how long did it take?
I kinda have basic training starting December 7 so I kinda need to be able to do a push-up haha. If you have any diagnose and how to begin to fix that would be great
What about the articulation of the head of the humerus and the glenoid cavity and labium?
So I'm good on all except when I really torque it like the Kennedy when I really turn it it'll start to hurt first it's just pressure than pain but I think that normal considering my arm isn't supposed to Bend like that
Bob and brad if i put my shoulder in a position like im doing an upright row i get pain and stiffness (abduction and internal rotation) in the front/side of shoulder. What do u think this could be?
I only have an aching pain in my shoulder. I know something is wrong because it cracks a lot with certain movements unlike my other shoulder. And I know I injured it on a fall 3 years ago
Great video and tips. Can you (or anyone) please help me understand what the issue might be if I feel something in my shoulder area when:
"My hands are together (like praying) slightly above eye level. Then I open my elbows outward like wings. Similarly, I slightly feel something if driving, left hand at 12 noon on the steering wheel."
What can I do to make it better. It's been several weeks. I haven't used ice yet- pain is only ~2 out of 10 and only in certain positions...but it's keeping me from lifting. I think this issue either came from starting to do pull-ups or triceps pushdowns. It's ironic that you work out to try to get healthy and you end up getting hurt. Thank you!
Had a complete shoulder replacement 4 months ago due to arthritis. Also had the symptoms of impingement. The pain and looseness of the joint has been repaired but the impingement pain persists. The doctor insists it will go away over time. Any thoughts?
what exercise is good to be able to bring my hand back behind my lower back and up to my shoulder blades. I can do it with my left hand but my right feels real tight
Which muscle is tested with the Gerber lift off test ?
Wondering if you respond to these. My shoulder only hurts when putting a lot of load on my shoulder either weight wise or repetition. So push-ups will make my shoulder flare after a couple but it only pops and cracks and really the impingement tests don’t hurt. Like I have complete mobility
Brad, I agree with Bob - you owe Bob dinner after that posterior access subscap dig!
Bob and brad the length between my neck and shoulder is different on each side one side is shorter length between neck and where the shoulder starts..and they feels different on each side like the muscles? One is long and smooth the other feels more mangled..what is that.. I did all ur test.. Mostly ok I can do arm exercises..
I don't kno wat could b wrong with me
I think I am Semi positive.
Can do these tests as an exercise ?
My initial injury was 9 months ago and I couldn’t even let my arm down by my side. Walked around with a sling for a few weeks. Slowly became not painful but to this day certain moves are painful, and I feel some crunching in there 😖 I start seeing a physical therapist soon. Is it possible I can NOT need surgery?
Near test and Hawkins test positive for me, I have trouble reaching over to the side and reaching behind my back (impossible)
Hey guys i found that my shoulder pain is coming from Subscapularis and im on week 2 resting it still hurts is there anything i can do to heal it faster or i just need time? Thank you for helping
The subscapularis tests at 11:00 in your video not only give me pain in my shoulder, down to my elbow as well. Any idea what that would indicate? You guys are great by the way. Thank you!
Did you find out what exactly was wrong with your shoulder? I also fail this test. And a dead hang from a pull-up bar hurts as well
I was negative with all and still have shoulder pain
I didn’t feel any pain during the test but my shoulder does feel good after doing so
Was the near test testing for rotator cuff or impingement? I listened twice and didn't hear you say.
How does crepticus figure in here or does it?
legit just clicked to hear the song lmao
it was the song we played at my wedding for my first dance with my new wife.
I had arthroscopic surgery with debridement on my right shoulder August 2020. I’m 33 years old and if I try the belly press my elbow bends inward. The lift off test I can hardly get my arm to my back and it won’t lift off. The one where I put the right hand on my left shoulder I can’t lift my hand more than a inch or two if at all possible. All this has severe pain as well as the bad pain in the day and worse at night can’t sleep without waking up about 20 or more times to adjust. Is my Subscapularis damaged?
hi guys i am in a lot of pain i dislocated my shoulder 6 weeks ago skydiving ... it was a 40MPH landing and i landed on my shoulder. anterior dislocation. i went to ER and they gave me morphine and popped it back in. it was fully healed and i had full range of motion 7 days after. so amazing. then i got too excited and confident start doing pushups and pull ups and then crazy hammer exercises to strengthen it. the next day i could barely move it so their was some tear. i felt like it was popped out slightly displaced forward. it felt pinched. it was now been 6 weeks and i can barely move past 45 degrees forward and sideways without lifting my shoulder up. i saw ur videos and someone said it sounded like an impingement. i don't have medical insurance and my job is working in the wind tunnel helping people fly. so i need my shoulder to work. do u recommend doing the impingement exercises or what can i do to get my arm above my head to stretch it out. its so tight and its different than just a tear cause there was a complete dislocation. if u could email me maybe i can come into your office?????
robyn.yo@gmail.com
should i keep resting icing it, it feels like its getting worse everyday.
How are you now?
4:45 lifting it up kills on the joint shoulder part and scapula
Been two years and multiple cortisone shots
Told tendonitis and bursitis
Also have osteoarthritis in back of neck c3-c7 ?
Kills I had epidural didn’t help it did for week or so
I’m 32 this all started when I turned 30
I did fall on shoulder fetal position 12 feet in the air and that’s when my neck cracked and started clicking and hurting
But idk how I have osteoarthritis
I dunno none of these really do anything but the mobility in my right shoulder is so much worse than the left. If I try to reach behind my back my right can go to around the middle of my back and then it feels like it can't go further and it starts to hurt, while my left can go all the way between my two shoulder blades and I can even have someone gently pushing it up even further, so mobility on my left shoulder is fantastic, I just don't know how to fix my right. I've tried everything, I've completely cut every overhead exercise, I try to gently stretch with a stick behind my back like you showed in another video. I've tried to strengthen too but it won't go away. It happened when I fell on my side directly on my shoulder with my arm in a locked position, I remember for 2 days after my arm felt like it was extremely unstable in the joint and almost popping in and out of the joint.
The 2end test oh my goodness it hurt so bad I couldn't even hold it up please help what can I do
Is it ok if all of these hurt
what about an MRI?
I'm positive for impingement in my right shoulder. It's so painful!
One year later... Did you get it fixed?
Hi. I’ve watched your videos but, they haven’t really covered my problem. I can use my shoulder in most movements. But arm at side, elbow bent at 90 degrees, I can’t raise elbow away from body without a lot of pain. Any ideas?
I have the same problem, please list any help you found. Thanks. ,
ugh I have tremondous pain on shoulder and travels to bicep and tricep. Can barely lift my arm and started physical therapy last week. i literally am dying!!! Can't sleep the pain is now traveling to forearm. Would you suggest I continue physical therapy? Dr sent me to physical therapy for bursitis and tendinitis. Wondering if it's my rotator cuff and maybe doing more damage. Please HELP
Exactly the Same with me! Haven’t slept in days. What did it end up being? And how long did it take to get better?
Im in pain since 24 right shoulder blade with a knot and 24 hour migraines on the occipital area feels like a band connected to my head and shoulder. I’m tired of not getting treatment and feeling like I want to die because the pain dose not go away lights and noise even walking pulls my head pain when I move to walk why will no dr understand why I’m like this it’s been ten years now another dr said I have an impingement and rotary cuff. How will whatever being pressed release it’s always cracking and swollen now I’m in my mid 3o still not healed going to the emergency room on and off why dose it give u migraines? And the knot is always there getting hard when I’m annoyed giving me more pain.
Brad reminds me of Norm Macdonald at the 12:20 mark
The bear hug test is the one that is bothering me...which muscle is most affected with this test and are there any other tests to do similar to it to confirm that that's the issue? (The rests between minute 5 and 7 also bother me and I'm a volleyball player, if that helps)
They tell you every muscle associated with these tests... Watch it again.
These 2 guys are super knowledgeable but also seem like goofballs that would be fun to hang out and drink with. They’ve helped me with multiple problems with my aging body. They are great!
What if, on the last one, I can’t even get my hand on my back?
What does it mean if you can't get your arm behind your back (on the injured side)?
Frozen shoulder :(
So what are the exercises to do when the Neer test is positive?
Work on stabilizing the scapula (rhomboid, mid/lower traps) to put the scapula and shoulder in more optimal position. Mobilizations to restore the ROM limitation is important and you can use low grade mobs for pain. Strengthening the rotator cuff is important so use bands and doing shoulder abd/ER/IR strengthening in a pain free range so start isometric then move to isokinetic. Does this help?
My shoulder pain is anything overhand or overhead and right in the front middle of the shoulder. It hurts to reach across my body Range of motion is lost. What could that be?
You should watch their videos and you will find out. Easy as that my friend.
Please update this video
They have tons of videos very similar to this since this one
Lol and I really hope you get something named after youns
The thing is, you didn't really say where we might feel pain for all these different tests.
My pain is my entire upper arm. Bi and tri-ceps. No where else. On the pain arc test, it's hurts through 100% of the range. It hurts when I'm sitting, it hurts when I try to stand. It hurts as I type this. It hurt more when I try to relax the arm in some positions, and hurts more in other positions when trying to use the arm. It basically hurts everywhere, in all movements. But not up in my shoulder. A tiny bit on the ribs but nothing compared to the pain in the arm. I woke up one morning with this. 10/10 pain scale.
I tripped over a rug and the pain brought me to my knees screaming and crying.
Do I go to the ER or just find a physical therapy center?
Same. Literally. I am barely sleeping from the pain. It’s terrible. If you figure anything out- please post it here.
Same with me exactly did either of you improve? What ended up happening?
The Gerbers test is similar to the starting point to fastening my bra, which is VERY painful.
I need a helper can't do it by myself
I have tendonitis and impingement but I’m having bad shoulder blade pain it’s like pinching tender to touch someone help
Did you figure it out?
I think the short guy sound exactly like Bob Lurtzima.
10:44 lol!
We gotta remember this is a family show :)
The intro took me to the 90s ..... fuck i am old.
I passed every test but my shoulder still sore 😞
I did all the tests with the muscles i could complete them yet i still have pain i have sufficient strenght and im quite young not sure what the problem is :(
same here man. Im 24, started having shoulder pain in my right shoulder then my left gradually started the same issues. Both hurt alot all the time, but never hurt too bad during these tests. Like Idk what to do about this problem i have, its definitely made me suffer
All tests are negative. But still I'm getting pain while spiking the volleyball. Any solution?
Can someone explain the cracking and popping sounds in my shoulder . Every time I move my arm, it sounds like I'm ripping off a Barbie doll arm. I got a shot in the shoulder, but I still have cracking.
Someone slipped rice crispies into your shoulder while you slept
That’s a possible labrum tear, because there the sort of symptoms, check it out.
@@lisaellerington7855 Foster , Lisa here sounds like a weirdo. I still stick by my initial assessment.
Positive for the empty can test
informative, but your skeleton defies gravity from the pelvis, why don't you mention cervical spine , forced to stop 8 min
big bird and ernie
Any climbers in da comments?
ooph, so wordy wordy wordy wordy
first
too many tests. difficult to remember
Outdated information with fear mongering clinician terms, maybe go do some refresher courses, I hear Adam meakins shoulder complex seminar is great
I love your video--but to much stream on consciousness rambling. Let me suggest that you script and rehearse. That random chatter is very distracting.
I can't stand these surprise commercials especially like this LOUD one. W T F ! ! !
Some terrible advice boys