If they are tight you should massage them and stretch them before looking to strengthen them. You can do both in the same plan of care, but its important to first achieve ROM in a tight muscle and then strengthen with in the "new" available ROM.

@@drbeddoedpt okay so let's say I'm done with stretching and massaging and now when I'm strengthening within the new ROM, should I focus on strengthening just the suboccipital muscles?

@@dracostartrek if your suffering from cervicogenic headaches (common headache) or weakness in sub occipitals you should focus on those specifically. Its very rare to have weakness in head/neck "flexors", SCM is very strong in 99.9% of the population. But this is why I speak in general terminology and not specifics, I don't know your' specific case and impairments.

​@@drbeddoedptgot you! Thanks doc 🙌🏻

@@captainbuck5969 yes, if you are speaking to information pertaining to your area of study and education.

@@mikamamma “light warm up exercises” so…stretching

Thanks man! I need to find more people that want to go out and winch!

The short answer: Yes (keep reading) The long answer: A global rule of thumb is a disc bulge or protruding disc under 5mm can be aided and helped by Physical Therapy (with similar techniques this device facilities, as well as other ther ex and modalities). Anything > 5mm typically requires you to go "speak" to your surgeon. As always please talk to your medical team regarding your specific needs/impairments. I am not trying to treat or diagnosis specific people over youtube!

Sir I have L4 L5 disc bulge my MRI reports says (L4-L5 level shows mild diffuse disc bulge causing B/L mild neural foraminal narrowing without spinal canal stenosis) Sir I have been doing exercises which is suggested by my phyostraphist doctor.I'am planning to buy this product so that I can add it to my exercises regime.

@@lokilama the studies are pretty clear that if a disc bulge is <5mm then proper strengthening, alignment, and stability exercises will/can bring it back to normal and >5mm typically requires surgical intervention. Best of luck, and please consult with your primary care physician if you are in doubt of your specific needs or if you have any specific questions.

@@drbeddoedpt on it thnks for your suggestion Sir

Glad you are making progress on your own! It sounds like you are already ahead of the curve. best of luck in rehab when you start PT next Tuesday!

Orthopedics are rock stars in my opinion. But the best are “artists” and sometimes that doesn’t always translate over into the rehab portion. Glad you got something out of my videos! Best of luck with the rest of your rehab journey, if your in the Orange County California area one of my team members, or me, can always come over and help you if needed! ondemandphysicaltherapycaretoyou.com

Appreciate the feedback! If you live in so-cal my company is always looking for talented therapists! My wife is an OT, my company does both PT and OT services! ondemandphysicaltherapycaretoyou.com

I'm getting this also

@@Super-lucky-7777 do you have any neck related symptoms?

the goal is NOT to lift your head off of the bed/surface, tuck the chin and just barely start to come off the surface (your head should still be in contact). these are very small muscles and if you lift to much your Anterior muscles will take over (which is what is happening now). It is also good to massage your sub occipitals if you are having headaches or issues.

You're welcome, I hope they help! Good luck with your surgery and recovery!

That's crazy about your Orthopedic! Im glad your recovery is going well! Thanks for the feedback, I made these videos awhile ago and they are finally getting some views.....I should make more! lol

@@drbeddoedpt Yes, I think so. We have done some of these so far. I can use my cane to lift my arms up toward the ceiling and then extend back over my head. We haven't done the dowel in front and lifting up. I will show that to my Physical Therapist. Yeah, the surgeon is pompous and arrogant. I'm done with him. Thank you so much for responding!

I liked my surgeon but at 3 weeks out I e only talked to him 5-10 minutes total. The PA does all initial meetings and follow up.

Thanks J, appreciate the feedback and the support!

Sorry your progress is going slower than expected. It sounds like you have elbow bursitis in the olecranon bursa. It shouldn't effect your shoulder rehab and progress. Some orthopedic surgeons will direct their patients on a modified program based off of how the surgery went or what type of "repairs" were necessary. Check with your ortho surgeons office to get more clarification!

Heat is great from chronic pain and impairments, but be sure to take advantage of the increased blood flow and “relaxed” state of your muscles to get in and loosen them further with some manual therapy and massage!

Happy to help! You may also want to look into levator scapulae and upper trapezius trigger point release....yours are probably pretty tight ;) (I'll have a video up on it later this week).

Sorry to hear about this, I have a few videos on lymphatic massage and drainage that may be able to help!

haha, you know it!!

@@drbeddoedpt 😭😭and tomorow another day. I don't think ⛽ gas price gonna drop

@@rajanjacob2577 not anytime soon at least! the only saving grace is that I have a Prius! lol

@@drbeddoedpt 💯💯✅✅

If sternocleidomastoid is contracting to much you are doing it incorrectly. the goal of this exercise is to activate sub occipital muscles. Try retracting your neck more (it feels like you are sucking your chin back). Then "flex" its more of a lift of your head up off the surface you are lying on. Don't bring your head up too much, it really is supposed to be a "deweighting" keeping slight contact with your head and the surface lying on. Its just a slight movement, too much neck flexion and you will activate your SCM muscles.

I had the reverse shoulder replacement, coming up on 3 weeks, I've been out of the sling after 3 days, and have been doing a range of motion exercise 3 days a week since week 2, going to guess the L shape you have most likely you left the arm in the sling a lot, per doctor orders, I'm guessing, Get the range of motion going, simply sitting in a chair taking that L shape bend and with your fist going to the floor straightening it out, stop at the point of pain, go back to the L, like a seated dumbbell curl with no weight, do it for 5mins, 3x a week , then ice, good luck

Well come on over to (Care to you health inc.) and get some “good lookers” and even better service ;)

My doctor came out to talk to my girlfriend after my surgery. Later when we were talking about it, she did add "that's one good looking man".

I didn't make it all the way around on the second flip...

You don't want to be too far away so that your arms are extended out too far. But for hip abduction (out to the side) you need to be able to clear your legs away from the walker. Be sure to stand close enough that you are stable and in control with out the walker slipping or sliding! If in doubt have someone help, or place your walker up against the wall to stabilize it ;)

Awesome, Thats so great to hear!

As long as you and the walker are stable they can be performed on any type of walker! Lock the brakes ;)

To start! Then progress to 2 sets then increase your reps from 10 - 12 -15 then increase your resistance!

It depends on whether you are weight bearing or not. If you are full weight bearing or weight bearing as tolerated then yes. These would be good for you to do! If you are still partial or toe touch weight bearing then no.

@@drbeddoedpt I’m not sure what I classify as, my surgery was 3 weeks ago I can’t walk on my own but I am able to get around using a walker.

@@anjulisseacosta9297 your orthopedic surgeon should have told you what weight bearing status you are. If he didn't, check your discharge paperwork. If they cleared you to walk then you are at least WBAT (weight bearing as tolerated). But you should check with your ortho or your PCP!

2 weeks post op typically you are just getting over the inflammatory phase (phase 2) of healing and going into phase 3 (proliferative phase). This is why exercise is more structured in post op rehab. We want the tissue to be ready to meet the demands of exercise without risking further tissue injury...2 weeks post op would be to soon for some of these exercises, some of them may be okay to start depending on your individual healing process!

Sorry to hear about your pain and everything you are going through. The bone growth (osteophyte) can be considered "common" but it depends were the formation is at to determine if it is impedeing movement and causing disfunction. The clavicle-acromion joint doesn't move a lot, and if the formation is anywhere but the acromioclavlicular joint surface it should not cause to much, if any, disruption/pain with movement (but get more imaging if needed to determine location). The Cellulitis is a concern but most likely unrelated to your clavicle problem (consult with your PCP on this). With the total hip replacement and clicking I, or another competent DPT, would need to assess you in person to determine if it is effecting function or not. but strengthening in and around your hip and pelvis is most likely a solution! Please consult with your physician or health care specialist before trying anything new. Sorry dear, I hope that you are able to find the solution your are looking for. Please see a Doctor of physical therapy in person for a better assessment and I hope you are able to get back to the functionality you are looking for!