Mate, I can’t thank you enough thank you so much, mate. Thank you so much………….. the most fair analysis online out of interest what do you think of the program? Rather expensive program set for bye Moveu???
After 20 minutes talking about the fact that there is no impingement in the shoulder, yet you have Not come to the conclusion to give us informations about injurys in the rotator cuff instead.@@E3Rehab
@@Milo-Mikehuh would you look at that. a video about shoulder impingement didn't focus on rotator cuff. it's almost as if... that's not the topic at hand and you just want to be spoon fed information without looking it up
Well done sir. Had some pinching, stop me in my tracks shoulder pain, start around fall of last year. Orthopedist said I seems to be an overused bicep tension. I’m a mechanic, mountain bike a lot, and play darts. Just being mindful of what movements made it hurt and in the beginning, a little bit of band work, I now have been feeling it less and less. Still there, but I would rather keep it moving, make sure when carrying or moving any weight during work or elsewhere, to engage any muscles around that can aid in the work to do so. Usually helps much like a brace of the forearm for tendinitis. Ortho didn’t recommend surgery and we just keep an eye on it for some time. This video was great and I agree with a lot of what you said. Thank you
As a PT myself, this was one of my favorite videos you have presented. I have been waiting for a follow up to your upright row video which completely changed my thinking back then and this was excellent. I also appreciated Sam’s demonstrations as well. I knew the source materials immediately and it frustrates me for those uniformed viewers. Keep up the great work.
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS. www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/ What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS. www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/ What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
Absolutely phenomenal video. Your use of research to back your claims while giving relevant history behind the condition is great teaching. Thank you for this!
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS. www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/ What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
As a PTA, I love watching your content. I have learned so much (and unlearned so much) about how best to help my patients. I will be sharing this with my colleagues. Thank you guys
This may be the most helpful video I've ever had the pleasure of watching on TH-cam. I watched a handful of videos that led me to diagnose my shoulder pain as impingement and, while I was not considering surgery, the diagnosis has altered my approach to lifting. The information shared in this video disabuses me of the conventional, and now disproven impingement diagnosis, which frees me to explore other treatments. Very much appreciated and look forward to enjoying the rest of your video library ... hope you have something about wrist pain.
That was a master's level lecture about shoulder diagnosis and more. No one can make a more clear explanation on this topic. Thanks for giving your energy, time and knowledge to help the field grow 🎉
You guys are awesome! The best physical therapy channel on TH-cam in my eyes! I am always growing as a PT watching your content, applying it to my evaluation and treatment skills, and seeing the research you review for my own sake. Nobody comes close, in my opinion, to what you keep doing.
HOLY @$R#! Ive been struggling with shoulder impingement for a year. Always avoided upper rows. I just did a few as I watched this video. Immediately my shoulder felt stronger and more mobile with less pain. WTH???!!! I cant believe the studies showing the same issues in people with AND without symptoms! WHAT?? I have so much hope and excitement knowing our bodies are more capable than our science gives credit and excited to share your channel with all my friends in the profession. THANK YOU
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS. www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/ What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
My shoulder has hurt for months. Got the shoulder impingement diagnosis. Modified behavior and rest, along with anti-inflammatory medicine, was the recommended course. Somewhat better, but not gone. Will stay the course and keep looking for answers.
I've been dealing with impingement in my right shoulder since I tore a rotator cuff 11 years ago. It's been limiting my exercise selections greatly ever since. I can't do pullups, pushups or dips without a bad flare up. And lateral shoulder raises is out of the question too. Planks are iffy, especially right side planks. And as a martial artist, over head blocks and internal parry, hooks, uppercuts and backfists are significantly limited and painful. As i get older, it only gets worse and I'm finding myself cutting out entire movement patterns. This is true for other chronic injuries I'm dealing with. I try to train around them, but am running out of parts i can train around with.
Thanks for the video… very interesting and informative. I have been struggling with shoulder pain for the last 18 months or so that was diagnosed as SIS. I am an active 58 year old male who loves weight training. Through the help of PT that targeted scapular mobility problems, core strength and postural strength I was able to return to and progress with manageable symptoms. About 6 months ago I had a setback. I had to stop all upper body loading for a while and returned only by stopping all pressing movements as they seriously flared up pain. Over time I have been slowly able to add limited pressing movements back-currently dumbbell incline presses and recently seated overhead dumbbell presses. I have limited discomfort with these movements. I am very conservative of load, volume and frequency. I have not pain in pulling movements. My biggest complaint is pain during sleep. Every night the pain flares up regardless of sleep position and/shoulder support. The pain is generally in the 6-7 of 10 range and either wakes me or makes it difficult to fall back to sleep. I had an MRI done this week and they report “mild to moderate hypertrophic changes in left AC joint causing mild to moderate compression” of the supraspinatus-“there is mild lateral downsloping acromion process”. No tear is seen. I’m at a loss. I’m fine with my progress in the gym. Overtime I am gaining functionality with not increase in symptoms. But, the plain at night is intolerable. Is getting a steroid injection a good next step? Am I foolish to keep pressing given my nighttime pain? What about surgery that doesn’t remove bone, but just burrs down the “spur”? You only talked about the extreme version of decompression surgery. Thanks for any thoughts you have.
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS. www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/ What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
Actually it's extremely biased. Anybody that has dealt with this issue will tell you that that the upwardly rotated position of the scapula is the main cause of this, which throws his whole argument out the window
@@Krzysztof_Laguna Can you back up your opinion with some sources? Or try to substantiate your words? I mean my comment in a neutral way, not in a personal way. I just want to further my education.
This video is amazing! I wish every patient could understand all of this! I like to rehab shoulders based on: Stiff & painful Weak & painful Unstable Acute traumatic etc But at the end of the day, the rehab is nearly the same for all!
Agreed, I'm in self-imposed rehab on my right shoulder after some throbbing following a heavy push day. I've lightened the load for both push and pull days while also having specific days for shoulder functionality improvement - strength, flexibility, mobility, stability. Better to focus on my rotators now versus a severe injury later when I can't do anything. I'm also looking to get better at swimming - can't do that with a busted rotator!
Thank you for this video! It gave me reassurance that my recent shoulder injury can improve with physio and lifestyle changes. I’m scheduled for imaging in 2 weeks, now I won’t worry if they tell me my subacromion space is narrow and say I have impingement. I am looking forward to starting recovery with my physiotherapist!
ปีที่แล้ว +2
thanks for the video, very interesting to watch, but still have a question, if impingement doesnt exist, how do i cure my pain which has been diagnosed as inpingement and bursitis (and doesnt want to go away)?
"The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS."
www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/
What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research E3 Rehab has cited disagrees with them. They're using what's called an argument from fallacy. So, just do what Athlean-X suggests. Face pulls, external rotation progression, exercise modifications. I've faced the pain you're facing, so has my father, because of inflammatory arthritis, mine way more aggressive than my father, and we've both made excellent gains in the past few months, gaining a lot of function, reducing pain, using Athlean-X's content. Watch all his videos on shoulder pain and popping. Try working with resistance bands and slowly strengthen your shoulders before adding free weights.
It does exist, he's just saying nonsense. You can fix it by strenghtening your lower traps and serratus anterior muscle, which will put your scapula in a more optimal position for over head movements.
Mind blown and quite possibly life changed 💛 I've been replacing my normal upper body routine by mostly rotator cuff and scap mobilization work for more than a year now because of a shoulder niggle. Can't wait to slowly reintroduce pull-ups and dips 🤘
Current upright row 140lbs for 11. A couple of set done after benching and over head pressing. I won't stop because it also makes my shoulders feel better and they have become stronger.
I remember listening to your podcast with Jared Powell about a year ago on this topic. And now this marvelous, comprehensive presentation. Awesome! Well deserved appreciation and respect!👏 👍
Never had any problems with my shoulder in my life, even when I was benching +300lb. Then did a 150lb warmup rep on the bench and something twinged very subtly. That was 6 months ago and my shoulder has gradually become super painful.
I literally don't do lifting, I'm a girl. I woke up one day and my arm hurt and now it hurts a ton, i can't even lift my arm above my chest. Life has become very difficult.
You should probably lighten the load and focus on rotator cuff functional exercises. There are plenty here on YT to try out in the gym. Squat University has several; this channel probably has some as well.
And this piece of art video has only 14k views 🤯🤯🤯 Many thanks for this ❤❤❤, very educational, informative, clear. Warm hugs from Ukraine 🇺🇦 🤗. It's hard to find here quality qualified PT help, so this video and your channel are very important for a guyz like me.
I'm a 61 year young male in above average physical condition. I have regularly attended HIIT classes and strength training classes over the years and continue to this day. I'm not into body building or pumping iron. About 3 months ago I developed pain in my left shoulder. There wasn't any "event" that happened. This may sound strange but I attribute it to trying to train myself to sleep on my side to keep from snoring so much. Everything was fine until I started that regimen. I even felt some pain in my right shoulder but that went away. I didn't have any shoulder issues previously. I took a break from the strength training the class 13 days ago and the pain has decreased. Big surprise, right? I have also avoided sleeping on my left side. 3 1/2 weeks ago I saw my ortho and he gave me a cortisone shot. He's a specialist who focuses from the shoulder down. I've seen him over the past 10 years for various arm issues and trust him. The shot didn't seem to do anything. The pain i've been experiencing is a pinching pain. It's not a constant pain. Certain movements catch and pinch. At its worst I had constant pain going up my shoulder to my neck. My follow up is February 9th. Any feedback or suggestions would be much appreciated! Thank You!
I can't imagine my quality of life improving by having a section of my shoulder removed. I've recently discovered the light on going easy with my shoulders due to pain while lifting, and incorporating more rotator cuff strengthening/stability exercises.
Good work. Need to be shared because so many people swear about shoulder impingement now, exactly like during many years people thought spinach was a very important source of iron just because a researcher made a typo about iron proportion in spinach!
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS. www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/ What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
I find it interesting that for pretty much all exercise movements, even the "big 3" that people cite as essential movements, for untrained individuals all of those movements will at first seem as if they are doing more harm than good, using similar language to how they discourage upright rows. but we all know that it's only lack of neurological and muscular adaptations in untrained people that contribute towards this feeling of "exercise is harmful". And I'm sure everyone would react to that as "duh, you have to start off with light weight, make those neurological pathways and gradually build muscle and gain strength in those movements so that they benefit you in the long term. The interesting thing that I mentioned I find is that for upright rows and behind the neck presses, and many other exercises that are beaten down by people such as athlean x, is that if we apply the same principles to them then there is no way that the body WON'T adapt to that movement pattern and get stronger in it.
Thank you very much for putting together so much information about this subject. I have been suffering from this for the last almost one year and tried so many different treatments but to no help. Now I understand very clearly how to deal with this.
I've taught philosophy, and formal logic and reason specifically, for decades, so I am qualified to say, 'You, Sir, make 'good' sense!', as opposed to the more 'common' variety' (a very low bar) touted and practiced by those driven by the prevailing winds of a 'shiftless' paradigm. You've validated my problem with modern 'old-school' physiotherapists, regardless of age, who hide behind a Latin narrative to propose greater expertise for themselves than their actual knowledge warrants and greater respect than they've a right to claim due to their lack of success in rehabilitating their clients; though for that lack of success they are parasitically good at generating perpetual clients.
Really interesting video. I developed quite bad pain in my right shoulder and was diagnosed with shoulder impingement... I suspect it was being caused by very poor posture... I did all the pysio work that was recommended by my Physiotherapist and added a bunch of additional exercises to work on my posture and over time it all went away. The reason i found out posture was likely the cause is that i was still able to train my shoulders (with some pain) but it hurt a hell of a lot less when i was strict with putting my shoulders back... it was then i realised how useful a mirror is when you're training!!
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS. www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/ What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
I love these videos so much. As a young dpt I feel very little identity commitment to some of the diagnoses and treatments taught during school; I hope I can remain open minded and constantly looking to research into the future. Appreciate your reference list as always!
Me encanta vuestro trabajo. Entre todos corregiremos los errores de la juventud de la evidencia. Cualquier error reconocido siempre supondrá un avance.
I love critical thinkers, people who question things and don't believe something just because an authority figure or "expert" says it. Studies are fine but have to be examined as to who is funding it. In this case that may not be much of an issue, but in other cases (I think we all know what the last few years have made us question) it's really the only issue. I am a big fan of trying what someone recommends like exercises. If it works great, if not, well It may work better for others but not for me. Bottom line on upright rows is if they bother your shoulders, find another exercise that doesn't. Informative video and I believe you nailed it. Way too many people will just believe what a doctor tells them, they want a pill that will fix the problem & do not want to hear that it's gonna take work & lifestyle changes to get the desired result, it's human nature. I believe the more research you do the more informed an opinion you will make. Buyers remorse comes from not doing the research to know what it is you are buying, don't buy a pig in a poke as they say.
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS. www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/ What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
So this worked for me, I have pain with my shoulder rotation. Dead hangs, assisted pull-ups, ITWA, face pulls and shoulder external rotation 15-20x2. For flexibility and mobility, I would get a lacrosse ball and get in there directly on your scapula and the muscle underneath your armpit, pec stretch at the corner of a room, and neck stretches
They found I have SA/SD bursitis and they called it impingement…after six months and steroids the pain is back and no one can explain it, but this video just did!
"I'm not getting paid by Big Uprightrow" - this is when I have smashed the like button and knew that I LOVE this channel. 🤣 And of course, the content is invaluable!!!!
Awesome video because I had “frozen shoulder” surgery 10 years ago and it did nothing. I wish I’d not agreed to have it. I’m still frozen, but at least it doesn’t hurt anymore because I exercise regularly, including push-ups and weight lifting. I’m 63 😅
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS. www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/ What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS. www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/ What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
thank you so much for such a thorough EVIDENCE BASED video on shoulder pain. can you tell me what exercises I can do to help with non-traumatic shoulder pain?? thanks!
This is great and all, and I appreciate the information on the studies about surgical outcomes, but nonetheless I have significant shoulder pain on one side and not the other. I have tried cognitive behavioral therapy approaches for pain management. I have tried ceasing activity, I have tried intelligent loading of activity, I have tried modifying activity. At the end of the day, my shoulder is still fucked, it grinds, snaps and clicks painfully even after 2 different physios and giving them a lot of money and committing to their regiments. External range of motion is too much, internal rotation is very limited. Noone has been able to fix these issues or alleviate pain. So what is the strategy? I have a thick tendon and that's just life? I guess so, and I'm not looking for a magic bullet (obviously given everything I've tried above), but that is a very unfortunate outcome and I hope that the field of physio will improve because it feels like I am not able to find true success in resolving issues.
Great video. I have been working on a push heavy muscular program while having a poor lean-forward dayly posture. I believe I even press my shoulders forward think it improved my posture… wrong wrong wrong. I will work on my posture and reduce the pushing loads. Thank you for this video!
Same here! As much as I want to continue doing push-ups / shoulder presses etc, I have to tell myself to be patient and strengthen my back muscles before I continue pushing. Good luck with improving your posture : )
Thank you for this video. I was told I have shoulder impingement and it was recommended to go to PT. My doctor told me that I could try some stretching before going to PT which I did but it didn’t really help. So I stopped doing everything no exercising, no stretching, and within a few days it started to feel better. But I exercise regularly so I went back to exercising, and now my shoulder hurts again. I’m going to try resting again and if it doesn’t heal I will go to PT. My reluctance to PT is simply cost.
Awesome video, thank you. Still don't know how to get rid of the pain. It's chronic and has been with me for the last 9-10 years (anniversary yeeey :)) Anyways thank you for explaining I don't need surgery but probably physiotherapy ❤
Why in the world would debilitating surgery be your first conclusion to rule out versus trying physiotherapy to see if that improves the pain? Seems backward af
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS. www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/ What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
I have a question: I started hitting the gym six days a week last week. Front overhead shoulder pushes (dumbbells) make a "crackling" sensation inside my shoulders, especially the right should, but I do NOT feel pain. What could help me avoid this sensation? It seems like my shoulder will eventually tear, for the sensation inside of it is like sanding a piece of wood. Any suggestions or ideas? Thanks in advance.
Thank you so much for watching! Be sure to check out the blog for references: e3rehab.com/blog/the-truth-about-shoulder-impingement/
Mate, I can’t thank you enough thank you so much, mate. Thank you so much………….. the most fair analysis online out of interest what do you think of the program? Rather expensive program set for bye Moveu???
This is the BEST video I've ever seen on shoulder impingement. E3 Rehab is #1!!!
We appreciate you!
After 20 minutes talking about the fact that there is no impingement in the shoulder, yet you have Not come to the conclusion to give us informations about injurys in the rotator cuff instead.@@E3Rehab
@@Milo-Mikehe has other videos on that
@@danteghazizadeh1656 i'll search🤝
@@Milo-Mikehuh would you look at that. a video about shoulder impingement didn't focus on rotator cuff. it's almost as if... that's not the topic at hand and you just want to be spoon fed information without looking it up
Well done sir. Had some pinching, stop me in my tracks shoulder pain, start around fall of last year. Orthopedist said I seems to be an overused bicep tension. I’m a mechanic, mountain bike a lot, and play darts.
Just being mindful of what movements made it hurt and in the beginning, a little bit of band work, I now have been feeling it less and less. Still there, but I would rather keep it moving, make sure when carrying or moving any weight during work or elsewhere, to engage any muscles around that can aid in the work to do so. Usually helps much like a brace of the forearm for tendinitis.
Ortho didn’t recommend surgery and we just keep an eye on it for some time. This video was great and I agree with a lot of what you said. Thank you
BigUprightRow™ here, can confirm this man isn't on our payroll
As a PT myself, this was one of my favorite videos you have presented. I have been waiting for a follow up to your upright row video which completely changed my thinking back then and this was excellent. I also appreciated Sam’s demonstrations as well. I knew the source materials immediately and it frustrates me for those uniformed viewers. Keep up the great work.
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS.
www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/
What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS.
www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/
What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
Can you please share the link or title of that upright row video?
Absolutely phenomenal video. Your use of research to back your claims while giving relevant history behind the condition is great teaching. Thank you for this!
Jeff Cavaliere punching the air rn
Fake weights motherf...
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS.
www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/
What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
As a PTA, I love watching your content. I have learned so much (and unlearned so much) about how best to help my patients. I will be sharing this with my colleagues. Thank you guys
This may be the most helpful video I've ever had the pleasure of watching on TH-cam. I watched a handful of videos that led me to diagnose my shoulder pain as impingement and, while I was not considering surgery, the diagnosis has altered my approach to lifting. The information shared in this video disabuses me of the conventional, and now disproven impingement diagnosis, which frees me to explore other treatments. Very much appreciated and look forward to enjoying the rest of your video library ... hope you have something about wrist pain.
The depth and the angle you provided was awesome. Thank you.
That was a master's level lecture about shoulder diagnosis and more. No one can make a more clear explanation on this topic. Thanks for giving your energy, time and knowledge to help the field grow 🎉
You guys are awesome! The best physical therapy channel on TH-cam in my eyes! I am always growing as a PT watching your content, applying it to my evaluation and treatment skills, and seeing the research you review for my own sake. Nobody comes close, in my opinion, to what you keep doing.
HOLY @$R#! Ive been struggling with shoulder impingement for a year. Always avoided upper rows. I just did a few as I watched this video. Immediately my shoulder felt stronger and more mobile with less pain. WTH???!!! I cant believe the studies showing the same issues in people with AND without symptoms! WHAT??
I have so much hope and excitement knowing our bodies are more capable than our science gives credit and excited to share your channel with all my friends in the profession.
THANK YOU
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS.
www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/
What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
My shoulder has hurt for months. Got the shoulder impingement diagnosis. Modified behavior and rest, along with anti-inflammatory medicine, was the recommended course. Somewhat better, but not gone. Will stay the course and keep looking for answers.
Thank you🙏
Thank you!
Revolutionary, hopefully this reaches many people
One of the most useful sources online!❤ keep up the great work
Great info. Thank you for citing research instead of fear mongering.
As I pt thad does a masters on this subject I have to say that this video is amazing. And the evidence is in high standard! Thanks so much.
I've been dealing with impingement in my right shoulder since I tore a rotator cuff 11 years ago.
It's been limiting my exercise selections greatly ever since. I can't do pullups, pushups or dips without a bad flare up. And lateral shoulder raises is out of the question too. Planks are iffy, especially right side planks.
And as a martial artist, over head blocks and internal parry, hooks, uppercuts and backfists are significantly limited and painful.
As i get older, it only gets worse and I'm finding myself cutting out entire movement patterns. This is true for other chronic injuries I'm dealing with. I try to train around them, but am running out of parts i can train around with.
Been to a doctor? Check for autoimmune conditions. Been there. That's what I have.
Bald Omni Man in the video?! The E3 Rehab team are fellow Renaissance Periodization enjoyers
Thanks for the video… very interesting and informative. I have been struggling with shoulder pain for the last 18 months or so that was diagnosed as SIS. I am an active 58 year old male who loves weight training. Through the help of PT that targeted scapular mobility problems, core strength and postural strength I was able to return to and progress with manageable symptoms. About 6 months ago I had a setback. I had to stop all upper body loading for a while and returned only by stopping all pressing movements as they seriously flared up pain. Over time I have been slowly able to add limited pressing movements back-currently dumbbell incline presses and recently seated overhead dumbbell presses. I have limited discomfort with these movements. I am very conservative of load, volume and frequency. I have not pain in pulling movements. My biggest complaint is pain during sleep. Every night the pain flares up regardless of sleep position and/shoulder support. The pain is generally in the 6-7 of 10 range and either wakes me or makes it difficult to fall back to sleep. I had an MRI done this week and they report “mild to moderate hypertrophic changes in left AC joint causing mild to moderate compression” of the supraspinatus-“there is mild lateral downsloping acromion process”. No tear is seen. I’m at a loss. I’m fine with my progress in the gym. Overtime I am gaining functionality with not increase in symptoms. But, the plain at night is intolerable. Is getting a steroid injection a good next step? Am I foolish to keep pressing given my nighttime pain? What about surgery that doesn’t remove bone, but just burrs down the “spur”? You only talked about the extreme version of decompression surgery. Thanks for any thoughts you have.
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS.
www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/
What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
Love the evidence base presented here. Much appreciate the professionalism and unbiased approach. Thank you guys.
Actually it's extremely biased. Anybody that has dealt with this issue will tell you that that the upwardly rotated position of the scapula is the main cause of this, which throws his whole argument out the window
@@Krzysztof_Laguna Can you back up your opinion with some sources? Or try to substantiate your words? I mean my comment in a neutral way, not in a personal way. I just want to further my education.
Such a well researched and well presented, informative video that is underlined with a deep layer of empathy for the patient. Cheers!
Always so impressed with the content! Been following Eric and Nicole for 2 years, and it's made me such a better clinician!
Thank you for taking the time to make this incredible video.
This video is amazing! I wish every patient could understand all of this!
I like to rehab shoulders based on:
Stiff & painful
Weak & painful
Unstable
Acute traumatic etc
But at the end of the day, the rehab is nearly the same for all!
Agreed, I'm in self-imposed rehab on my right shoulder after some throbbing following a heavy push day. I've lightened the load for both push and pull days while also having specific days for shoulder functionality improvement - strength, flexibility, mobility, stability. Better to focus on my rotators now versus a severe injury later when I can't do anything. I'm also looking to get better at swimming - can't do that with a busted rotator!
¡Gracias!
Thank you!
BEST video I've ever seen on shoulder impingement.
Thank you for this video! It gave me reassurance that my recent shoulder injury can improve with physio and lifestyle changes. I’m scheduled for imaging in 2 weeks, now I won’t worry if they tell me my subacromion space is narrow and say I have impingement. I am looking forward to starting recovery with my physiotherapist!
thanks for the video, very interesting to watch, but still have a question, if impingement doesnt exist, how do i cure my pain which has been diagnosed as inpingement and bursitis (and doesnt want to go away)?
"The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS."
www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/
What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research E3 Rehab has cited disagrees with them.
They're using what's called an argument from fallacy.
So, just do what Athlean-X suggests. Face pulls, external rotation progression, exercise modifications.
I've faced the pain you're facing, so has my father, because of inflammatory arthritis, mine way more aggressive than my father, and we've both made excellent gains in the past few months, gaining a lot of function, reducing pain, using Athlean-X's content. Watch all his videos on shoulder pain and popping. Try working with resistance bands and slowly strengthen your shoulders before adding free weights.
It does exist, he's just saying nonsense. You can fix it by strenghtening your lower traps and serratus anterior muscle, which will put your scapula in a more optimal position for over head movements.
How about your pain now? I need guidance
Awesome channel. Best production on YT for physiotherapy.
Mind blown and quite possibly life changed 💛
I've been replacing my normal upper body routine by mostly rotator cuff and scap mobilization work for more than a year now because of a shoulder niggle. Can't wait to slowly reintroduce pull-ups and dips 🤘
I can't believe how good this video is. Thank you a million times !
Great video already! One second in and this is already a great video! So insightful!
Current upright row 140lbs for 11. A couple of set done after benching and over head pressing.
I won't stop because it also makes my shoulders feel better and they have become stronger.
Thank you!!This channel helps me a lot to understand better what rehab means.
I remember listening to your podcast with Jared Powell about a year ago on this topic. And now this marvelous, comprehensive presentation. Awesome! Well deserved appreciation and respect!👏 👍
This will quickly become a highly shared video with all my students. Great content as always!
You sir just earned my sub and my respect with this insane detailed and researched backt video
Again and again and again you make such a good job. much LOVEEE
Never had any problems with my shoulder in my life, even when I was benching +300lb. Then did a 150lb warmup rep on the bench and something twinged very subtly. That was 6 months ago and my shoulder has gradually become super painful.
That's probably because you were doing 300 lb bench presses. The pain probably came on gradually until one day it became obvious.
don't lie bro! e3 rehab says that there is no impingement and there shouldn't. Your shoulder doesn't have any pain!
I literally don't do lifting, I'm a girl. I woke up one day and my arm hurt and now it hurts a ton, i can't even lift my arm above my chest. Life has become very difficult.
@@WomanTakenBytheWindthat sucks. Are you side sleeper, out of curiousity?
You should probably lighten the load and focus on rotator cuff functional exercises. There are plenty here on YT to try out in the gym. Squat University has several; this channel probably has some as well.
And this piece of art video has only 14k views 🤯🤯🤯
Many thanks for this ❤❤❤, very educational, informative, clear. Warm hugs from Ukraine 🇺🇦 🤗. It's hard to find here quality qualified PT help, so this video and your channel are very important for a guyz like me.
Always making the good point. You are a real gem in YT. Thanks you!
Thanks for this video. As a provider I really enjoy your videos and recommend them to my patients. Keep it up!
Fantastic in depth video. I'm currently doing my dissertation in the area of shoulder pathologies and this has really helped, thanks!
Really helpful, 2nd year PT student here
It's all about too much weight without being ready, poor form, no control etc. Trying to run before learning to walk
wow, great content! Not sure whether I have impingement, but it has definitely been clicking and burning more in the past year.
Incredibly well researched and presented
I'm a 61 year young male in above average physical condition. I have regularly attended HIIT classes and strength training classes over the years and continue to this day. I'm not into body building or pumping iron. About 3 months ago I developed pain in my left shoulder. There wasn't any "event" that happened. This may sound strange but I attribute it to trying to train myself to sleep on my side to keep from snoring so much. Everything was fine until I started that regimen. I even felt some pain in my right shoulder but that went away. I didn't have any shoulder issues previously. I took a break from the strength training the class 13 days ago and the pain has decreased. Big surprise, right? I have also avoided sleeping on my left side. 3 1/2 weeks ago I saw my ortho and he gave me a cortisone shot. He's a specialist who focuses from the shoulder down. I've seen him over the past 10 years for various arm issues and trust him. The shot didn't seem to do anything. The pain i've been experiencing is a pinching pain. It's not a constant pain. Certain movements catch and pinch. At its worst I had constant pain going up my shoulder to my neck. My follow up is February 9th. Any feedback or suggestions would be much appreciated! Thank You!
I can't imagine my quality of life improving by having a section of my shoulder removed. I've recently discovered the light on going easy with my shoulders due to pain while lifting, and incorporating more rotator cuff strengthening/stability exercises.
Good work. Need to be shared because so many people swear about shoulder impingement now, exactly like during many years people thought spinach was a very important source of iron just because a researcher made a typo about iron proportion in spinach!
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS.
www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/
What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
I find it interesting that for pretty much all exercise movements, even the "big 3" that people cite as essential movements, for untrained individuals all of those movements will at first seem as if they are doing more harm than good, using similar language to how they discourage upright rows. but we all know that it's only lack of neurological and muscular adaptations in untrained people that contribute towards this feeling of "exercise is harmful". And I'm sure everyone would react to that as "duh, you have to start off with light weight, make those neurological pathways and gradually build muscle and gain strength in those movements so that they benefit you in the long term.
The interesting thing that I mentioned I find is that for upright rows and behind the neck presses, and many other exercises that are beaten down by people such as athlean x, is that if we apply the same principles to them then there is no way that the body WON'T adapt to that movement pattern and get stronger in it.
Really good video and very well explained the concept of Shoulder Impingement! Thank you!!
Thank you very much for putting together so much information about this subject. I have been suffering from this for the last almost one year and tried so many different treatments but to no help. Now I understand very clearly how to deal with this.
“Big up right row” lol!! That was funny! Great video as always!!!
I've taught philosophy, and formal logic and reason specifically, for decades, so I am qualified to say, 'You, Sir, make 'good' sense!', as opposed to the more 'common' variety' (a very low bar) touted and practiced by those driven by the prevailing winds of a 'shiftless' paradigm. You've validated my problem with modern 'old-school' physiotherapists, regardless of age, who hide behind a Latin narrative to propose greater expertise for themselves than their actual knowledge warrants and greater respect than they've a right to claim due to their lack of success in rehabilitating their clients; though for that lack of success they are parasitically good at generating perpetual clients.
Really interesting video. I developed quite bad pain in my right shoulder and was diagnosed with shoulder impingement... I suspect it was being caused by very poor posture... I did all the pysio work that was recommended by my Physiotherapist and added a bunch of additional exercises to work on my posture and over time it all went away. The reason i found out posture was likely the cause is that i was still able to train my shoulders (with some pain) but it hurt a hell of a lot less when i was strict with putting my shoulders back... it was then i realised how useful a mirror is when you're training!!
I benefit from posture cues too. But it's v individual.
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS.
www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/
What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
I also am a similar case to yours! This video seems really meaningfull.
Which exercises did you do Brother?🙏
me ?
I love these videos so much. As a young dpt I feel very little identity commitment to some of the diagnoses and treatments taught during school; I hope I can remain open minded and constantly looking to research into the future. Appreciate your reference list as always!
"Identity commitment"....
Me encanta vuestro trabajo. Entre todos corregiremos los errores de la juventud de la evidencia. Cualquier error reconocido siempre supondrá un avance.
I love critical thinkers, people who question things and don't believe something just because an authority figure or "expert" says it. Studies are fine but have to be examined as to who is funding it. In this case that may not be much of an issue, but in other cases (I think we all know what the last few years have made us question) it's really the only issue. I am a big fan of trying what someone recommends like exercises. If it works great, if not, well It may work better for others but not for me.
Bottom line on upright rows is if they bother your shoulders, find another exercise that doesn't.
Informative video and I believe you nailed it. Way too many people will just believe what a doctor tells them, they want a pill that will fix the problem & do not want to hear that it's gonna take work & lifestyle changes to get the desired result, it's human nature. I believe the more research you do the more informed an opinion you will make. Buyers remorse comes from not doing the research to know what it is you are buying, don't buy a pig in a poke as they say.
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS.
www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/
What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
Good investigative work and open mind explanation. Well done
Great video, thanks. As PT it is important to keep up the knowledge with the times
Sir, thank you very much for the detailed explanations and reasoning. Everything makes sense.
I am starting a new chapter in researching shoulder impingement
What a great video. So well done in every way
So this worked for me, I have pain with my shoulder rotation. Dead hangs, assisted pull-ups, ITWA, face pulls and shoulder external rotation 15-20x2.
For flexibility and mobility, I would get a lacrosse ball and get in there directly on your scapula and the muscle underneath your armpit, pec stretch at the corner of a room, and neck stretches
I had this surgery years ago and have never noticed any benefit from it. I’d definitely recommend people do physio before considering it.
Thanks for the work you put into making this!
You're videos deserve more attention, such high effort, thanks for sharing the knowledge :)
Thank you for going against Big Upright Row, brother! Preach!
In all seriousness, thank you for this.
Wow, thank you for making this video. So informative.
Another great video as usual. Congratulations!
They found I have SA/SD bursitis and they called it impingement…after six months and steroids the pain is back and no one can explain it, but this video just did!
"I'm not getting paid by Big Uprightrow" - this is when I have smashed the like button and knew that I LOVE this channel. 🤣 And of course, the content is invaluable!!!!
Awesome video because I had “frozen shoulder” surgery 10 years ago and it did nothing. I wish I’d not agreed to have it. I’m still frozen, but at least it doesn’t hurt anymore because I exercise regularly, including push-ups and weight lifting. I’m 63 😅
Incredibly useful
This video is so great and I feel like it should be taught in school. Thank you so much for making things simple for us.
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS.
www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/
What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
Fabulous. Such high quality content
Best video I’ve seen on this topic so far!
Thank you so much! I really appreciate the level of research you have done and present.
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS.
www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/
What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
That was an excellent video, thanks for this content!
thank you so much for such a thorough EVIDENCE BASED video on shoulder pain. can you tell me what exercises I can do to help with non-traumatic shoulder pain?? thanks!
Really, really solid video!!
This is great and all, and I appreciate the information on the studies about surgical outcomes, but nonetheless I have significant shoulder pain on one side and not the other.
I have tried cognitive behavioral therapy approaches for pain management. I have tried ceasing activity, I have tried intelligent loading of activity, I have tried modifying activity. At the end of the day, my shoulder is still fucked, it grinds, snaps and clicks painfully even after 2 different physios and giving them a lot of money and committing to their regiments. External range of motion is too much, internal rotation is very limited. Noone has been able to fix these issues or alleviate pain.
So what is the strategy? I have a thick tendon and that's just life? I guess so, and I'm not looking for a magic bullet (obviously given everything I've tried above), but that is a very unfortunate outcome and I hope that the field of physio will improve because it feels like I am not able to find true success in resolving issues.
BPC157 injections
Brilliant. Can’t thank you enough for this video. 🙏
wait, so what IS the treatment protocol?
Every one in the comments seems to love the video but after watching twice I don’t know what he is actually saying.
HAHAHAHHAHAHA the “you might not have issues with *insert something here* now but just wait 20 years” took me out hahaha
Great video. Thank you!
Brilliant video!
Thank you. Very informative and educational
Great video. I have been working on a push heavy muscular program while having a poor lean-forward dayly posture. I believe I even press my shoulders forward think it improved my posture… wrong wrong wrong. I will work on my posture and reduce the pushing loads. Thank you for this video!
Same here! As much as I want to continue doing push-ups / shoulder presses etc, I have to tell myself to be patient and strengthen my back muscles before I continue pushing. Good luck with improving your posture : )
Thank you for this video. I was told I have shoulder impingement and it was recommended to go to PT. My doctor told me that I could try some stretching before going to PT which I did but it didn’t really help. So I stopped doing everything no exercising, no stretching, and within a few days it started to feel better. But I exercise regularly so I went back to exercising, and now my shoulder hurts again. I’m going to try resting again and if it doesn’t heal I will go to PT. My reluctance to PT is simply cost.
Excellent video 👏
Always great content!
Always good stuff - Thank you
Awesome video, thank you. Still don't know how to get rid of the pain. It's chronic and has been with me for the last 9-10 years (anniversary yeeey :))
Anyways thank you for explaining I don't need surgery but probably physiotherapy ❤
Why in the world would debilitating surgery be your first conclusion to rule out versus trying physiotherapy to see if that improves the pain? Seems backward af
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS.
www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/
What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
I have a question: I started hitting the gym six days a week last week. Front overhead shoulder pushes (dumbbells) make a "crackling" sensation inside my shoulders, especially the right should, but I do NOT feel pain. What could help me avoid this sensation? It seems like my shoulder will eventually tear, for the sensation inside of it is like sanding a piece of wood. Any suggestions or ideas? Thanks in advance.
12:59 “I’m not getting paid by Big Upright Row”
😂😂😂