I have the exact same problems as this patient after a traumatic accident. My orthopedic doctor is getting me some EMG testing as he suspects nerve damage.
Is this a patient who did not improve with PT, thus the orthopedic referral or was he evaluated and referred straight to ortho? If the latter, why not attempt conservative treatment first? And thank you for the content!
empty can, horn blower, belly press, bear hug, lift-off are all included. I have a majority of the most used shoulder tests here: th-cam.com/play/PL_jx_nSzcqqEIGEcDh4Dbx4qM3kSIj5uD.html
I am a patient. Based on my observation, he has Rotate cuff tear. PT will not work. Need surgery to fix it and then PT. I wonder what has happened now after a year ? Any update?
I had three patients last year who had complete rotator cuff terrors who were able to avert surgery with physical therapy. Not every single person who has a rotator cuff tear needs to have surgery, but many do. There are a considerable number of factors that help determine if you should have surgery or not, this guy did have surgery
@OrthoEvalPal Thank you! I am the one who has a partial tear. Supraspinatus. Had 3 months PT, slight improvement, but far away from normal. Pain comes and goes. I finally decided to have surgery. Now 12 weeks post op. Going back to PT again. I have the confidence to get my normal life back in the near future.
"And then ahhh go from there.." Yes, from there doctor you hit the shit out of the cash register. Why don't they offer STEM cell treatment for shoulder injuries?
Varicella zoster, the chickenpox virus. It’s a retrovirus, meaning it lives in the DNA of your cells forever, and during times of high stress or immune compromise, you can have an outbreak. It never crosses the line of summery on your body, and it’s a very painful attack on the nerves that is a accompanied by rash. This is from memory so if I’m wrong, sue me. ;)
I have actually seen 3 people with mri diagnosed RCT's in the last two months who were scheduled for surgery and were able to cancel it. Doesn't happen often but some will do well despite the cuff tear.
@OrthoEvalPal hello doc, couple of days ago i played armwrestling and now i have some loss of strenght on pull ups and a dull ache in the front of the shoulder.I have no loss of range of motion,but less strenght on internal rotation.I thought its okay to workout,but now its a bit worse. Do you think some ice, 2 weeks rest and a couple of tb 500 injections will fix it? By the way pull ups aggravate it way more than push ups.Any idea?
I’m in PT school and I absolutely love these videos!
love these videos! I'm in PT school and these videos are super helpful for a quick review during clinicals!
Hi I'm physiotherapist from India another great video keep posting
Awesome video, thank you so much for it!
👍👍👍 Wishing a happy healthy and prosperous New Year to you and your family.
Excellent!
Thank you!
Thank you doc . ❤
What do you generally get for pain when you have this issue
I have the exact same problems as this patient after a traumatic accident. My orthopedic doctor is getting me some EMG testing as he suspects nerve damage.
what if I have all these symptoms but I have no weakness but poor internal rotation?
Is this a patient who did not improve with PT, thus the orthopedic referral or was he evaluated and referred straight to ortho? If the latter, why not attempt conservative treatment first? And thank you for the content!
another great video
But I wish you did show the tests
empty can, horn blower, belly press, bear hug, lift-off are all included. I have a majority of the most used shoulder tests here: th-cam.com/play/PL_jx_nSzcqqEIGEcDh4Dbx4qM3kSIj5uD.html
@Ortho Eval Pal with Paul Marquis PT you're correct but I meant the ones you didn't show
But I love it
Another great video
Keep up the excellent work
I am a patient. Based on my observation, he has Rotate cuff tear. PT will not work. Need surgery to fix it and then PT. I wonder what has happened now after a year ? Any update?
I had three patients last year who had complete rotator cuff terrors who were able to avert surgery with physical therapy. Not every single person who has a rotator cuff tear needs to have surgery, but many do. There are a considerable number of factors that help determine if you should have surgery or not, this guy did have surgery
@OrthoEvalPal Thank you! I am the one who has a partial tear. Supraspinatus. Had 3 months PT, slight improvement, but far away from normal. Pain comes and goes. I finally decided to have surgery. Now 12 weeks post op. Going back to PT again. I have the confidence to get my normal life back in the near future.
Best of luck! I am sure you will do well.
"And then ahhh go from there.." Yes, from there doctor you hit the shit out of the cash register. Why don't they offer STEM cell treatment for shoulder injuries?
How would you treat a rotator cuff tear?
What are shingles
Roofing material
Varicella zoster, the chickenpox virus. It’s a retrovirus, meaning it lives in the DNA of your cells forever, and during times of high stress or immune compromise, you can have an outbreak. It never crosses the line of summery on your body, and it’s a very painful attack on the nerves that is a accompanied by rash.
This is from memory so if I’m wrong, sue me. ;)
@@chriskozub8012dead
👍👍
Looks like slap lesion type 2
It's looks like a rotator cuff tear but are you sure that the orthopedic will refered him back to you if surgery is not needed
I have actually seen 3 people with mri diagnosed RCT's in the last two months who were scheduled for surgery and were able to cancel it. Doesn't happen often but some will do well despite the cuff tear.
@OrthoEvalPal hello doc, couple of days ago i played armwrestling and now i have some loss of strenght on pull ups and a dull ache in the front of the shoulder.I have no loss of range of motion,but less strenght on internal rotation.I thought its okay to workout,but now its a bit worse. Do you think some ice, 2 weeks rest and a couple of tb 500 injections will fix it?
By the way pull ups aggravate it way more than push ups.Any idea?
no like it