Going in tomorrow for shoulder cleanup and a couple tears. Good advise!
@sgr9039Күн бұрын
Thank you Doctor for making and sharing these videos. They have really helped me tremendously.
@toktik87152 күн бұрын
To remove permanent marker on whiteboard: Write over the permanent marker with white board marker, then erase as you would normally. Just passing on something I've seen.
@oakridgeboy20232 күн бұрын
I hurt my cuff and a few days later tingling
@rotatorcuffexpert2 күн бұрын
@oakridgeboy2023, How did you injure it ? How did you know it was your cuff that was injured?
@oakridgeboy20232 күн бұрын
@@rotatorcuffexpert a sleep injury , slept on my shoulder really weird one night , had to go to the emergency room, pain like I've never known
@elizabethperez30482 күн бұрын
Anterior labrum Tate with avulsion ?! Orthopedic doesn’t recommend surgery.. yet, my line of work is physical.. I push , pull, carry patients down the stairs on a stair chair or which ever carry device is needed. I normally have discomfort at night or certain maneuvers. Physical therapy hasn’t helped. I will get a second opinion.
@rotatorcuffexpert2 күн бұрын
Hi Elizabeth, Yes it sounds like a second opinion is in order!
@alexandrstroynov69866 күн бұрын
I am 40 years old professional Jiu-Jitsu guy. I have superior labor injury with Supraspinstus and infrasoanatis tear and AC joint osteoarthritis. He offered biceps tenodisis. I am not sure why I can not push and press up and it feels unstable during wrestling. I am not sure what should I do to comeback to actively I love
@rotatorcuffexpert2 күн бұрын
Pls see my reply
@alexandrstroynov69866 күн бұрын
I am 40 years old professional Jiu-Jitsu guy. I have superior labor injury with Supraspinstus and infrasoanatis tear and AC joint osteoarthritis. He offered biceps tenodisis. I am not sure why I can not push and press up and it feels unstable during wrestling. I am not sure what should I do to comeback to actively I love
@rotatorcuffexpert2 күн бұрын
@alexandrstroynov6986, That sounds like a lot of damage in your shoulder. I am not surprised that you feel unstable during wrestling with that amount of damage
@frankpernice57318 күн бұрын
Spot on with everything !! Great advice and guidance!!! Thank you!
@rotatorcuffexpert2 күн бұрын
Thanks Frank, Have you had surgery recently?
@ImJCyo10 күн бұрын
I just had a SLAP tear surgery with bicep tenodesis. It's been almost three weeks, my surgeon told me I don't need to wear my immobilizer anymore so I'm moving my shoulder more, but I still can't lift my arm very high. But I feel good about my recovery.
@rotatorcuffexpert2 күн бұрын
I am glad you are progressing well!
@robinstockler10 күн бұрын
Thank you for this video! I'm nearly 3 weeks out from my surgery SAD/DCE, biceps tendonesis, debridement and manipulation for frozen shoulder. Your comments on comparison were just what I needed. I've been searching around every day for more info. I didn't realize going into this surgery how much pain and recovery I'd need. I thought I'd be one of those back to work in 1-2 weeks. Im still in pain, and my elbow still hurts too. I have a desk job, but its constant, fast-paced computer work in a high stress environment. I feel badly I misjudged and will be out at least 2 months, per my doctor now. Thanks again for this video.
@rotatorcuffexpert2 күн бұрын
Hey Robin, Thanks for your comment! Yes going back to work that soon would be really tough. Good luck on your recovery
@alethea678110 күн бұрын
The chemistry and interaction information is great. It would be helpful to include dosage range and forms of turmeric available as well.
@rotatorcuffexpert2 күн бұрын
@alethea6781, That is a good idea! Are you having surgery soon?
@MC-cq5bv11 күн бұрын
I had bicep tenodesis surgery to repair a slap tear. During recovery, is it bad to clench muscles? I’m asking because constipation is rough being on the pain meds and I have found myself clenching a bit with my surgically repaired arm. Just worried I may be setting myself back in the recovery process.
@rotatorcuffexpert2 күн бұрын
MC, I would recommend getting in touch with your doc for some meds to help prevent the constipation. I have not seen an injury because of clenching, however I could see might be possible
@MC-cq5bvКүн бұрын
@@rotatorcuffexpert appreciate it. Just had a post op appointment and they said that it shouldn’t be a problem as far as the clenching goes. The constipation is finally over as well.
@trendtrader807411 күн бұрын
How much bone is removed in distal clavicle resection
@rotatorcuffexpert2 күн бұрын
Hi @trendtrader8074. It depends on the surgeon and the individual. Typically it is between 7mm and 15 mm. In the old days it was more through an open technique.
@danemyburgh12 күн бұрын
Nothing related to this video, but I had shoulder surgery done in February this year. If I were to out of interest email you a couple of the arthroscopic photos from the surgery, would you (from the images shown) comment on whether the articular cartilage (humerus/glenoid) looks normal? Obviously, these are only photos so I understand you can only comment on what the photo shows. My post op notes say the humerus and glenoid articular cartilage as "normal". Id be interested in your thoughts 🙂
@rotatorcuffexpert2 күн бұрын
Hey Dane thanks for the comment. Unfortunately at this time I cannot give individualized medical opinions. It may be coming soon though!
@HeyIntegrity12 күн бұрын
what is the length of the subcapularis tendon body before it turns into musculotendinous, is it at the glenohumeral joint/glenoid labrum level that is the cutoff? basically its pure tendon that covers up the humeral head? Some of the sagittal images look like it's 50 percent muscle and 50 percent tendon and it looks close to the humeral head but i wonder what is the cutoff for that like at the level of the distal clavicle? I thought it was suppose to be beyond the pure tendon point of the medial edge of the humeral head that it becomes 50 percent muscle and 50 percent tendon?
@HeyIntegrity12 күн бұрын
And Arthroscopically since you can see the upper half of the subscap only do you see it's whole length of the tendon or up to where from the insertion?
@rotatorcuffexpert2 күн бұрын
You can see about half of the subscap arthroscopically. You can see most of the tendon portion of the upper half. These are all variable depending on the persons exact anatomy. These are very specific questions are you a radiologist?
@HeyIntegrity12 күн бұрын
Usually the labrum is shown just as a triangle at the corner in coronal and axial on MRI or textbook images so do those perspectives not show the circumferential labrum? Similar thing with the superior glenohumeral ligament and middle glenohumeral ligament where on axial or coronal they are shown partially at one side but then inferior glenohumeral ligament is shown complete from glenoid to humerus, so is the full length not shown MRI?
@rotatorcuffexpert2 күн бұрын
Yes the labrum as well as the GH ligaments are seen on MRI. Better seen with MRI arthrogram. Often times if we are looking for the rotator cuff tear in an individual who is a little older we will just get an MRI and not an arthrogram. Therefore the labrum and ligaments are not as easily seen. Hope this helps
@tishlacombe36414 күн бұрын
Complete full-thickness tears of supraspinatus and infraspinatus, with tendon retraction and intramuscular edema.
@rotatorcuffexpert6 күн бұрын
Hey Tish, so sorry to hear about your tear. That is a bad one
@tondog907014 күн бұрын
Yes I found this real interesting about tendon repair (at least as far as my procedure & probably most). I assumed the tendon would just get anchored to the bone as in an ACL or UCL but in this case my surgeon indicated they would be trying to reestablish the enthesis (btw GT & SST) and the anchors would become vestigial (hopefully). Hence remaining fairly immobile for the first few weeks post op. Always something new to learn I guess!
@rotatorcuffexpert6 күн бұрын
@tondog9070. Glad I could help. And actually the anchors we use for the ACL and UCL have this same concept. If the tendon/ligament does not heal to bone the repair will eventually fail.
@hewaschuk16 күн бұрын
Unfortunately, it appears that Slumber Curve is no longer in business.
@rotatorcuffexpert6 күн бұрын
@hewaschuk, Oh thanks for the up date. That is really too bad
@harperleigh373216 күн бұрын
I drove after 3 days...just with one hand
@rotatorcuffexpert6 күн бұрын
Hey Harper, That may not be what your doc recommended. 😄
@mariemilovanovich69116 күн бұрын
Thank you! I'm 4 weeks post-op and counting down the days to go into the pool! I bought a mesh sling more so to identify my injury to others. I know I won't do much!
@rotatorcuffexpert6 күн бұрын
Marie, Great Idea!
@mariemilovanovich69116 күн бұрын
As always, thank you for the sound advice!
@rotatorcuffexpert6 күн бұрын
Marie, Glad I could help!
@garyschultz42517 күн бұрын
Wish my surgeon explained things this clearly it would make deciding to go ahead or not easier. I have a full thickness tear of the supraspinatus with some retraction. I get the impression from this that I could’ve made the decision to have surgery sooner rather than deliberating for months. I’ve never had categories explained like this.
@rotatorcuffexpert6 күн бұрын
@garyschultz425, I am glad our videos were helpful. Good luck in you recovery!
@BrownBarbie2217 күн бұрын
Please speak slower next time.
@rotatorcuffexpert6 күн бұрын
Sorry BB22, I will try! Nice MRI of the neck on your channel!
@1RedEarthProductions17 күн бұрын
My Regeneten patch failed miserably. Not only did it disintegrate inside the shoulder, the allegedly biodegradable staples were floating around, intact, doing more damage than the original accident. The repaired supraspinatus was lost, and when it went, it took my infraspinatus tendon with it. By the way, my surgeon kept telling me that my increased/non-resolved pain was due to the healing process when it was actually a failed repair. Had to demand an MRI at six months and that is when it was revealed that his repair failed. Two months later, another surgeon had to clean up that mess at which point the concern about humeral head migration came into play because the first surgeon also took down my CA ligament and now my shoulder is unstable. Trying a Stryker In-Space balloon in 10 days to see if I can retrain the remaining two rotator cuff tendons and my deltoids to keep my shoulder centered. Still baffles me that despite my profession, he still took down the CA ligament, adding 20-30% more force to the joint to keep it centered. I am a pro sports photographer and carry those large white lenses you see on the sidelines. If this spacer doesn’t work, my career is likely over. Not because of the original accident, but because of the damage done by the first surgeon going old school on me and thinking a collagen patch would be helpful. Went in with a partial thickness tear on one tendon and now I’m missing two complete tendons, have my bicep tendon tenodesis, an unstable shoulder and constant pain when I work from what appears to be bone on bone contact. Bottom line, that patch may work…but not for a complete reconstruction like I had apparently. If I only knew what I know now, no scalpel would have gotten anywhere near my shoulder because I am worse off today than when I first had surgery in 2022.
@rotatorcuffexpert6 күн бұрын
I am so sorry for how much pain and frustration you must be feeling. Good luck on your next surgery.
@1RedEarthProductions6 күн бұрын
@@rotatorcuffexpert Thank you. It was supposed to have been today but an RN at my insurance company deemed a subacromial balloon spacer “experimental” and denied my surgery two days ago. Apparently extended use of narcotics or a total reverse shoulder replacement is preferable to them, or they want me simply quit my profession as a sports photographer. None of these options are palatable which just increases my disdain for what our “healthcare” system has done to those in need. That spacer was my last, minimally invasive shot to overcome the chronic pain. I cannot afford to pay out of pocket for the cost of the procedure so they have really put me in a bad spot just as demand for my images has continued to peak. Spent the entire summer traveling and shooting up to 12 hour days but only did that on low-dose oxycodone. Apparently my photo career was over at the moment of impact 2 years ago but it has taken this long for me to begin to accept that fate. Now, at 60 years of age, I need to try to find a new career, or simply crawl back under the covers and fall into a deep depression.
@leehamelin931418 күн бұрын
What clothes should you be wearing
@rotatorcuffexpert6 күн бұрын
Hi Lee, Loose fitting, comfortable clothing
@jesusjones434418 күн бұрын
Great video thanks what are your thoughts on SCR with torn and retraced supraspinatus and infraspinatus please? Does the infraspinatus have to be in intact?
@rotatorcuffexpert6 күн бұрын
@jesusjones4344, The infra does not need to be intact. The front muscle (subscapularis) typically needs to be intact.
@kathystreet775118 күн бұрын
I'm 2 weeks post rotator cuff surgery. And I'm experiencing sever psininthe muscles.
@rotatorcuffexpert6 күн бұрын
Kathy, so sorry for your pain. Make sure to reach out to your surgeon. There may be a med that can improve this.
@James-pu4vs19 күн бұрын
Have you seen patients with prior essential tremors, my tremors have been amplified .so much so it is a hard task to sign my name.
@rotatorcuffexpert6 күн бұрын
James, yes i have had people with essential tremors have them worsen for a time after surgery
@James-pu4vs6 күн бұрын
@@rotatorcuffexpert thanm8
@James-pu4vs6 күн бұрын
Did they later return to normal
@James-pu4vs19 күн бұрын
I was sent to pt the day after surgery then 2 days a week after, at about 4 weeks a different therapist quickly walked my arm above my shoulder and I believe she tore something back loose.
@rotatorcuffexpert6 күн бұрын
James, sounds like your recovery has been very difficult.
@James-pu4vs19 күн бұрын
How about potassium, if your muscles cramp up can that cause them to retear
@rotatorcuffexpert6 күн бұрын
James, I've never seen a muscle cramp cause a retear. Theoretically I guess it could.
@James-pu4vs19 күн бұрын
I was given celebrex and have hypertension my blood pressure at my post op visit was 200/100 and wasn't told that could be the problem.
@rotatorcuffexpert6 күн бұрын
James, did it go down when you stopped the celebrex?
@James-pu4vs2 күн бұрын
@@rotatorcuffexpert it has finally gotten down to a normal range
@James-pu4vs19 күн бұрын
Before I got surgery I had velcro sewed in place of buttons.
@rotatorcuffexpert6 күн бұрын
Great Idea James!
@dragoti112219 күн бұрын
Thank you for your kindness and concern. 🙏
@rotatorcuffexpert6 күн бұрын
I hope you are doing well @dragoti. Thank you for subscribing!
@ImJCyo19 күн бұрын
Hey, relevant video to my current issues. I had a shoulder arthroscopy a week ago, and I'm in a sling. Showering the first time after the three days was hard. So these I plan to try tonight.
@rotatorcuffexpert6 күн бұрын
@ImJCyo, Glad this video helped. Good luck in your recovery!
@James-pu4vs19 күн бұрын
Does the tendon actually grow back to the bone or does it just hang from the suture strings? Another question do you get phantom pains from having the tendon removed?
@rotatorcuffexpert6 күн бұрын
Hi James, The tendon has to heal down to the bone or the sutures will break eventually. I have never heard of phantom pains after removing the tendon.
@James-pu4vs2 күн бұрын
@@rotatorcuffexpert thanks it is nice to have a doctor that will take the time to answer your questions
@davidolsen909819 күн бұрын
I was diagnosed 11 1/2 months after shoulder replacement with C Acnes infection. Going to see infectious disease doctor this week. Was already told by my surgeon that he will have to chip out all the hardware and replace with spacer for 3 months. Then do a reverse total shoulder replacement. Really not looking forward for all that extra pain. But in constant pain now so hopefully it will all end.
@rotatorcuffexpert6 күн бұрын
So Sorry David, It is rare but unfortunately these types of infections do happen. Good luck in your recovery
@kristymrodz804820 күн бұрын
I have a concern. I am 10 weeks post-op ( rotator cuff surgery ) and I developed adhesive capsulitis, still suffering from constant pain that seems to be unmanageable by any means. 8 days ago, I received a steroid shot behind my shoulder. I felt almost instant relief during day one, but the day after my pain came back worse than prior receiving the shot and one week later I still feeling pain. The pain isn’t in the injection site, it takes my entire shoulder and it increases with every movement ( Having PT is a nightmare! ) and this is making anxious since I had steroid injections in the past, prior to surgery, and I never had this reaction before. I had this shot hoping it would relief my pain and help with my physical therapy,”. Doctor, could you please tell me if having this is normal? I’ll appreciate your response. 😢
@rotatorcuffexpert6 күн бұрын
Pls see my comment
@kristymrodz804820 күн бұрын
I have a concern. I am 10 weeks post-op ( rotator cuff surgery ) and I developed adhesive capsulitis, still suffering from constant pain that seems to be unmanageable by any means. 8 days ago, I received a steroid shot behind my shoulder. I felt almost instant relief during day one, but the day after my pain came back worse than prior receiving the shot and one week later I still feeling pain. The pain isn’t in the injection site, it takes my entire shoulder and it increases with every movement ( Having PT is a nightmare! ) and this is making anxious since I had steroid injections in the past, prior to surgery, and I never had this reaction before. I had this shot hoping it would relief my pain and help with my physical therapy,”. Doctor, could you please tell me if having this is normal? I’ll appreciate your response. 😢
@rotatorcuffexpert6 күн бұрын
Hi Kristy, Unfortunately Stiffness (adhesive capsulitis) after surgery can happen. One way of trying to improve this is a steroid shot. If it didnt work make sure you communicate that to your surgeon. There are other options that you should discuss with your doc. Good Luck Kristy!
@caroldawson319320 күн бұрын
When yr a first time patient it's important specialist surgeons explain what it is where in the shoulder is damage yr fixing so we understand what will happen or be happening thank for explaining this.
@rotatorcuffexpert6 күн бұрын
I agree 100%!
@roslyndsmith959720 күн бұрын
Thanks for the info!
@rotatorcuffexpert6 күн бұрын
Of course!
@caroldawson319321 күн бұрын
I have a salt lamp on in my loungeroom at night to help with light & one in my bedroom so I don't struggle with dark through the night when getting up to go to the toilet or get a drink.
@rotatorcuffexpert6 күн бұрын
Hey Carol, what i s a salt lamp?
@caroldawson31935 күн бұрын
@rotatorcuffexpert it's a lamp with a light n lamp itself is salt its meant to help with damp areas I think? If u can google it it may tell u I use mine more for low light as I have balance probs n get up during the night helps guide me.
@caroldawson319321 күн бұрын
Will my surgoen explain all this to hubby too as he'll be looking after me or will heor I get paperwork explaining do's & don't's. after my surgery I'll be soo anxious n scared. I'm having 3 things done to shoulder now.
@rotatorcuffexpert6 күн бұрын
Your surgeon should, but also watching these videos will help you both to prepare. At least to know what questions to ask, Good Luck Carol!
@caroldawson31935 күн бұрын
@rotatorcuffexpert thank u he maybe briefed b4 I go in I just want it over n done with as the pain after I won't enjoy the pt won't be easy with my low pain threshold.
@hariraveendran308121 күн бұрын
Thank you for your informative video. Watching 8 weeks after my biceps tenodesis for a full tear of long head. Currently following Brigham rehabilitation and recovering well. Very thankful to my surgeon Dr. Harish
@rotatorcuffexpert6 күн бұрын
Hari, Best of luck!
@markperrault388621 күн бұрын
How long you wait for surgery is not up to you - at least not where I live - I had to wait 14 weeks after an injury.
@rotatorcuffexpert6 күн бұрын
Hey Mark, that is true. In some parts of the world the timing is not always up to the patient. Thank you for the comment
@Trumpsterfire10123 күн бұрын
Mine is coming up on the 30th. NHL surgeon will perform the operation. It will be my second by such a surgeon (different body part)Here’s hoping I get the same care and attention as the Jillion dollar players do!!
@rotatorcuffexpert23 күн бұрын
Good Luck, I hope you do well! Please consider joining our newsletter. Just email me at [email protected] and put yes in the subject line and we will get you set up with a few tip sheets as well!
@caroldawson319323 күн бұрын
Thank u for speaking slower I can understand what u r saying.
@rotatorcuffexpert23 күн бұрын
You’re welcome 😊
@RoxanneFoster7924 күн бұрын
I've been waiting 4 months now Dr had me go for a month of physical therapy before scheduling a MRI
@rotatorcuffexpert23 күн бұрын
Hey Roxanne, I hope you get some relief soon! Please consider joining our newsletter. Just email me at [email protected] and put yes in the subject line and we will get you set up with a few tip sheets as well!
@myalaynaangel24 күн бұрын
Hey, take a dry erase marker and trace the area that you made the mistake on... then wipe it with a wet cloth. Repete process... It will come right off.. I cannot take pain meds due to my digestive issues...🫤😕
@rotatorcuffexpert23 күн бұрын
Hey @myalaynaangel, Thanks for the tip, are you having surgery soon?
@arowana009425 күн бұрын
Hi Doctor, now it's the 3rd week after the surgery. Physiotherapy exercises cause serve pain and muscle swelling. I am taking opiad pain killers but no relief. Should I stop the exercises ?
@rotatorcuffexpert23 күн бұрын
Shabir, check with your doctor. PT can be painful after surgery, but its best to check with your surgeon and have an evaluation.