I have pain in supraspinatus from past 1.5 years. It hurts 10/10 when i try to reach out my back with affected arm(internal rotation). It's now causing pain in neck as well as in posterior upper arm and radiating down to hand. Can i follow this series ?
Thanks Kai, I loved this video. How would you recommend integrating this in a workout? Pre-lifting weights (as warmup), during workout as a combo exercise with for example deadlift or shoulder press or after the workout? Thanks :)
Hello Physiotutors Ive been injured for about a half year now. Im injured in my left shoulder and ive been through the whole medical system and they cant pinpoint whats wrong. But i think its either a injury in the AC-joint og shoulder impingement. To visualisize the pain it is when im OverHead with the left arm and turning it into externally rotation as hard as i can. When doing that im really feeling the pain in the at the AC-joint area What do you think the pain is causing? Shout out to your channel - keep grinding from a sub!
Shoulder impingement usually has a painful arc like 90-120 degree abduction. Once you go through the range, the pain reduces suggesting impingement. Also, you said it is hard to externally rotate, which may indicate frozen shoulder
Go see a professional or just slowly build up strength in all ranges of shoulder movement focusing on closed chain initially (proprioception) and then build up cuff strength too like their early rehab vid - I had similar issues to you - look up Ian Horsley or Adam Meakins for more education - good luck!
Hi, thanks for making great videos, @Physiotutors. Could you please clarify on why at 0 degrees, there is more compressive load? As I thought it would be of higher load at 90 degrees of abduction, given that the painful arc occurs at this angle too.
At 0 degrees abd load the rotator cuff tendons get compressed against the major tubercle of the humerus. At 90 degrees less so. The painful arc occurs in a loaded position. We are talking about 90 in a supported position
Is there any reason one can't add the "bastard" exercise to the intermediate phase, mind you a lighter weight? It looks to cover many strength components.
In a late rehab stage of SAPS, are isometric L-sits safe if done once or at most twice a week? If done in proper form, does the L-sit still cause compression of the subacromial space?
Shouldn't really be a problem even in earlier rehab phases. Never do them with our patients in subacromial pain syndrome, but could be an option for the instable shoulder. Just play around, if you can toleratie it - fine.
Good exercise demonstration; the use of terms like "porn star" and "bastards" to describe the exercises prohibit me from sharing this with students; this is not language appropriate for home exercise handouts
I like your work and your content is always beneficial. Today is the first time I give you a thumbs down strictly due to the two names of the exercises "pornstars" and "bastards". we need to keep our career field professional and there are many other names to choose to name exercises. please stay professional. Thank you.
These exercises (including their names) are derived from Adam Meakins who is known for his tendency to swear and to polarize. Feel free to give them other names if you feel that they are unprofessional or your patients would not appreciate them while we are giving credit to the inventor. At the same time we feel that these names are easy to remember and make some patients laugh which is important as well.
![3 Keys to Rehab a Rotator Cuff Tear & AVOID Surgery [UNIQUE EXERCISES]](http://i.ytimg.com/vi/o9fiTFfW4uU/mqdefault.jpg)
I really enjoy your videos guys. It's Nice of you to share your knoweldge with us i study for physiotherapy and i am about to graduate.
thanks! And congrats on the impending graduation
There’s supporting evidence to avoid using therabands during eccentric loading because they don’t follow the length tension curve of the muscle
I have pain in supraspinatus from past 1.5 years. It hurts 10/10 when i try to reach out my back with affected arm(internal rotation). It's now causing pain in neck as well as in posterior upper arm and radiating down to hand. Can i follow this series ?
Approximately how long does each phase last? Thank you
Thanks Kai, I loved this video. How would you recommend integrating this in a workout? Pre-lifting weights (as warmup), during workout as a combo exercise with for example deadlift or shoulder press or after the workout? Thanks :)
does that last exercise cause eccentric exercise of external rotators or the concentric exercise of internal rotators? Thanks for the video😊
Thank you very much,for your super information^))
You’re welcome 😇
Love it great vid
Happy to hear Noel, thanks for following!
Hello Physiotutors
Ive been injured for about a half year now. Im injured in my left shoulder and ive been through the whole medical system and they cant pinpoint whats wrong. But i think its either a injury in the AC-joint og shoulder impingement. To visualisize the pain it is when im OverHead with the left arm and turning it into externally rotation as hard as i can. When doing that im really feeling the pain in the at the AC-joint area
What do you think the pain is causing?
Shout out to your channel - keep grinding from a sub!
Shoulder impingement usually has a painful arc like 90-120 degree abduction. Once you go through the range, the pain reduces suggesting impingement. Also, you said it is hard to externally rotate, which may indicate frozen shoulder
Go see a professional or just slowly build up strength in all ranges of shoulder movement focusing on closed chain initially (proprioception) and then build up cuff strength too like their early rehab vid - I had similar issues to you - look up Ian Horsley or Adam Meakins for more education - good luck!
In flexion at 90 degrees, is the rotator cuff exercise greater compression load? 90 degrees abd, rather than 0 degrees?
No at 90 degrees it's less as the tendons don't get compressed on the humeral head
Hi, thanks for making great videos, @Physiotutors. Could you please clarify on why at 0 degrees, there is more compressive load? As I thought it would be of higher load at 90 degrees of abduction, given that the painful arc occurs at this angle too.
At 0 degrees abd load the rotator cuff tendons get compressed against the major tubercle of the humerus. At 90 degrees less so. The painful arc occurs in a loaded position. We are talking about 90 in a supported position
Is there any reason one can't add the "bastard" exercise to the intermediate phase, mind you a lighter weight? It looks to cover many strength components.
In a late rehab stage of SAPS, are isometric L-sits safe if done once or at most twice a week? If done in proper form, does the L-sit still cause compression of the subacromial space?
Shouldn't really be a problem even in earlier rehab phases. Never do them with our patients in subacromial pain syndrome, but could be an option for the instable shoulder. Just play around, if you can toleratie it - fine.
Any eccentric videos on Ac-joint sprain? I had a client who really good at that porn star stuff.
Good exercise demonstration; the use of terms like "porn star" and "bastards" to describe the exercises prohibit me from sharing this with students; this is not language appropriate for home exercise handouts
Do your students not know what a pornstar is? I'd question your academic integrity if that is the case.
why is that called "pornstars"??😀
Just the position of how the patient is sitting on the bench
I like your work and your content is always beneficial. Today is the first time I give you a thumbs down strictly due to the two names of the exercises "pornstars" and "bastards". we need to keep our career field professional and there are many other names to choose to name exercises. please stay professional. Thank you.
These exercises (including their names) are derived from Adam Meakins who is known for his tendency to swear and to polarize.
Feel free to give them other names if you feel that they are unprofessional or your patients would not appreciate them while we are giving credit to the inventor.
At the same time we feel that these names are easy to remember and make some patients laugh which is important as well.