How to fix "Rotator Cuff Tendinosis" (supraspinatus and infraspinatus)

[@nishantmoghe3705]

I am a 22 year old guy and was diagnosed with supraspinatus tendinosis recently in an MRI. I have been trying to search for info online but the results constantly pop up about tendonitis and not tendinosis. You are a gem! Thanks :)

[@GordonPhysicalTherapy]

Glad this is helpful! Best of luck with your recovery!

[@DerBoss-hr3ts]

Same here. Got my supraspinatus tendinosis diagnosed in november 23 and now im 23 and its februrary. I tried cooling, stopped working out and did some physio workout or whatever u wanna call it. But its not turning any better... idk what to do, im pretty exhausted. Doctor said my shoulders are nurned inwards a bit which might be the cause of the tendinosis. Im hitting the gym for about 7 years now. Did some heavy lateral raises for the shoulders for about 2 months and then it started hurting. I really dont know what to do against this shit, it destorys my whole life tbh. Working out is my life, i cannot stop it

[@dad4378]

​Man, you're literally speaking my life, you're a weight lifter, I'm a kickboxer and I'm going through the exact same thing! It's really disheartening, how are you doing? Would you like to share contact information, so we can share remedies ?​@@DerBoss-hr3ts

[@ruelshakya15]

@@DerBoss-hr3ts any better?

[@DerBoss-hr3ts]

@@ruelshakya15 Hi bud, thanks for asking. Yes a bit. So its still a cracking sound of flipping tendonds and a bit of a pinching pain in the front of the shoulder. But i try to fix my posture as often as possible and it kinda works.. But its not gone and still very annoying.

[@aaao3859]

Earth are much better with more genuine knowledgeable and helpful people like. Respect!!

[@marcbutler3981]

I have suffered from shoulder pain every night... I sleep on my side(s). Just recently I bought a redlight therapy pad, what a game-changer! No more pain!

[@GordonPhysicalTherapy]

That's great to hear! Redlight therapy is great for improved blood circulation, which is very important.

[@raygsbrelcik5578]

​​​@@GordonPhysicalTherapyI've been going through the rigors of Personal rehab for about 8 months. I still have some "pinching," and soreness issues. Would you suggest a Cortisone shot at this point? The good news, however, I've come a long way, and can lift Weights, and even punch my speed bag, and punching bag. But I still can't do pushups! It's quite puzzling!

[@Blackfeather7777]

This channel is absolute gold. Thanks a lot doc!

[@GordonPhysicalTherapy]

Glad you enjoy it! Thank you for watching :-)

[@mohamedshaalan2566]

I think we can use cupping therapy to blood supply and flow I make it and it was very helpful

[@GordonPhysicalTherapy]

Certainly!

[@RB-gt8bf]

thank you I just rec'd my MRI and I have supraspinatus tendinosis. I will watch and subscribe to your channel.

[@GordonPhysicalTherapy]

You're welcome! I hope this helps!

[@shawn1869]

Hi, do you have any videos that address subscapularis tendon tear with labral tear... MRI came back and i have both

[@AmerikkkaGuitars]

Thanks! Sleep positions are super helpful also. Which I find to be the hardest thing to deal with shoulder pain. Some tips I found. Sleeping on side with bad shoulder should be avoided at all costs. Hard to keep neck straight and weight off shoulder even if you put pillow on side. Always wake up with pain. Sleeping on opposite side of bad shoulder. Learn to sleep without tilting the shoulder forward, if possible slightly back. Hard to keep neck straight. Sometimes wake up with pain. Sleeping on your back is the best method IMO, but some might not be used to it. Keep affected shoulder straight down to bed, bend affected arm over torso and put pillow underneath to support. Make sure neck isn't tilted forward. Keep posture straight. Sometimes not using pillow behind head can help. Thanks again, your videos on this topic are the best on KZbin. Understanding the cause has given me so much confidence. Today my shoulder feels a lot better after your help!

[@leenab8480]

My mri says supraspinus tendons shows critical zone. It associated with mild atrophy of supraspinus muscles in supra spinatus fossa. What i need to do here.

[@ajaykarthick9842]

sir, what about mild tendinosis in subscapularis tendon ? do I need a surgery ? or it can be treated w/o surgery ? it's been two and half months, and still I cant get rid of this pain..

[@GordonPhysicalTherapy]

The subscap muscle is different than the other 3 rotator cuff muscles in that we call it an "internal rotator" and not an "external rotator". The same principles apply when you want to try to heal it, but instead of doing external rotation exercises, you want to switch to internal rotation exercises.

[@ajaykarthick9842]

Thanks sir.. but it still havent healed.. the pain and clicking sound comes as soon as start exercising like pushups and pullups.. what should i do about that ?

[@srinivasvb2388]

​@@ajaykarthick9842how are you feeling now buddy?

[@ravinair88]

i am 74 and do swimming almost regularly. now i have roatator tendenoisis and not swimmg any more. Can i swim with painful tendinosis. is so which swim posture is better?

[@Amys_Crafts-N-Things]

An MRI shows Moderate grade articular surface and interstitial tearing in the supraspinatus tendon extending into the anterior margin of the infraspinatus tendon. Superimposed mild supraspinatus tendinosis. Mild subscapularis tendinosis with low-grade linear tearing at its insertion. And a slap type tear of the superior labrum. Chiropractic care has helped with pain, is surgery the only option filor the tearing?

[@ELCHDA]

Thanks in part to incompetent doctors my scar tissue is probably to old to break because tendinosis was discovered after a few years , can strengthening restore normal function and make the pain go away? Can strenghtening of the rotator cuff break said scar tissue?

[@GordonPhysicalTherapy]

Strengthening of the muscles can help realign the scar tissue, although it won't really break it up. You'd want to do some type of friction massage to break up the scar tissue.

[@ELCHDA]

@@GordonPhysicalTherapy First of all, thank you for answering, my past physical therapist did not know how to treat tendinosis. Does the procedure to treat involve 10-15 min friction massage to the supraspinatus tendon, eccentric strengthening immediately after, repeated every other day or daily? God bless you sir.

[@BU1BrownBear]

Very informative. I have this diagnosis for my lft shldr. Thank you for your help.

[@GordonPhysicalTherapy]

You're quite welcome!

[@harolddasynth795]

Hi Gordon sir,i was diagnosed with simple tendinopathy on my left shoulder,i am a bit confused,is tendinopathy and tendonitis are the same?thanks

[@GordonPhysicalTherapy]

"Tendinopathy" is a very general and vague term. Most of the time, it probably means "tendinosis" but you need the person interpreting the imaging to be more specific.

[@hassana220]

what About PRP and prolotherapy, can that help with blood flow?

[@GordonPhysicalTherapy]

I'm not an expert when it comes to PRP and prolotherapy, but I believe they're both intended to improve tissue healing.

[@FeCyndiW]

Thanks for doing this video. I have done years of physical therapy and am feeling stuck. I had shoulder surgery over a decade ago after a bike accident. Torn rotator cuff, labrum tear, etc. They put in a plastic screw to fix the labrum and fixed the rotator cuff. Shoulder was still never great (unstable, but not as unstable as pre-surgery) and it still hurt to roll over on it or use it overhead. My swimming never got back to normal but I could swim if I didn't push my shoulder too hard and was careful about increasing distance slowly. (I am an Ironman-distance triathlete.) Then, I had another bike crash where I partially tore my bicep tendon and tore my labrum (about 3 years ago). The surgeon wanted to move the bicep tendon out of the joint, but I thought I would get to the same place with PT. I opted for no surgery. Did PT for a year and it was kind of okay. Back to my "normal" painful with use. I always have to lift with my elbow at my side. Then, last summer, it suddenly got worse. Not even sure what set it off other than life. Even keeping my elbow at my side, just rotating my hand would unexpectedly cause such bad pain in my shoulder that I would involuntarily jump and scream. Did PT again. I always have had good mobility, just no stability. Have done a ton of rotator cuff exercises. Now, I am having bad ulnar nerve neuropathy down the same arm and my shoulder is painful again. Not sure where to go from here! Wondering where the nerve impingement is happening. My last MRI (during the exacerbation) noted that "Progression of an anterior-posterior tear of the superior glenoid labrum with increased number and size of para labral cyst, most prominent in the posterior aspect. Supraspinatus and subscapularis tendinopathy without full-thickness tearing. Biceps tenosynovitis." All I know is my shoulder is angry and it would be lovely to use my shoulder without constant pain and not feel like my hand is on a hot plate 24/7. I have a lot of weakness with my pinky and ring finger (and my thumb- dropping things). I have never done injections. Maybe try that at this point? EMGs to try to figure out where the nerve problem is? From watching videos, it seems like ulnar nerve problems are not often through the shoulder. But, when my shoulder is worse, my neuropathy is worse. You probably cannot comment on my specific case, but do you have any videos or suggestions for neuropathies that might be coming from the shoulder? Like I said, feeling stuck! I live in a small town with limited medical care/PT options.

[@GordonPhysicalTherapy]

Hi, Cyndi. You have a complex shoulder and ulnar nerve issue, but I'll do my best to help! First, it sounds like you still have some rotator cuff tendinopathy, which means it's still important for you to focus on healing the tendons and strengthening the muscles as much as possible. This video should help you with that: kzbin.info/www/bejne/emSUq4h8arikppI Second, I'm wondering if your ulnar nerve is irritated because you've been keeping your arm at your side for so long. If so, a simple ulnar nerve padding might be really helpful. You should be able to find a sleeve with an ulnar padding online fairly easily. I'd also want to make sure your neck isn't contributing to your nerve pain. Third, have you seen my video about TMR arm raises? This one might really help you regain some comfortable reaching movement of your arm. Check it out and let me know how it goes! Here's the link: kzbin.info/www/bejne/jqK6ZX6mprmoh6M I hope this helps!

[@danemyburgh]

Just wondering if one will heal completely from Tendinosis where they can feel normal again and not think about it. Feels like it'll never come right and I'll have this pain and niggliness forever...

[@GordonPhysicalTherapy]

Yes, most people can get to the point where they've healed to the point where they feel normal again and don't have to keep thinking about it. Not everyone, but most people. Are you getting any help or treatment or trying to do things on your own?

[@danemyburgh]

@@GordonPhysicalTherapy Things on my own at the moment, but I'll likely seek some physical therapy for it. Appreciate your help as yea I just want to heal and feel normal again. It's so frustrating!

[@abhidroid5135]

Hi I am from India, my MRI report saying I am having Supraspinatous Tendinosis.. Mild effusion is there in left shoulder.. I am feeling pain from more than 3-4 months.. how to treat it without any surgery... & how many months it will take to cure.. Is it 100% treatable?? Should I go for Mildly Hot oil massage.. Please suggest sir.. I am feeling so much pain continuously.. I am not feeling energetic due to this pain..

[@GordonPhysicalTherapy]

Overall, yes most of the time supraspinatus tendinosis can be fixed without surgery, especially if you follow the approach I outline in the video. This approach includes various types of hands-on therapy for pain relief and improved healing, as well as gentle strengthening (progressing to eccentric strengthening). The massage you mentioned should help, as should the heat. Are you able to work on the exercise aspect yourself? Or do you have access to a physical therapist where you live in India?

[@abhidroid5135]

Hi Sir, thanks for your concern, Yes I am able to do ur exercises suggested by you in a video, and I went through with proper check up.. but my physician is not physiotherapist, I feel unusual and irritating pain all the time, but I am able to move my left hand and shoulder properly, Hand is working properly but with pain.. I feel pain when I lift my left hand upside sideways and second I feel pain when I lift my hand backside diagonally.. Please suggest any recommendations.. thanks a lot 🙏🌻

[@ariz8346]

How r u now bro can u update I have the same issue as you but

[@ariz8346]

My shoulder only pains when I do shoulder workout

[@fredericchauveau3011]

Thank you so much for your insight - I was recently prescribed shock wave therapy by an Orthopedic practitioner after an ultrasound and various resistance tests, to treat superspinatus and biceps tendinitis. I had shockwave therapy treatment for my quadriceps a few years ago and it seemed to have done the trick but, it was painful and had some drawbacks, including weakening the tendons during the treatment window ( 4 sessions). What are your thoughts on the subject of shockwave therapy?

[@GordonPhysicalTherapy]

You know, I'm not super familiar with shockwave therapy for tendon issues. I'm going to have to do some research and get back to you...

[@AkingBones1]

Great video...I've got a 3cm supraspinatus tear, is that likely to heal with this technique....TIA

[@GordonPhysicalTherapy]

While the tear might not heal, you might still be able to strengthen the rest of the muscle fibers and reduce your pain. Just make sure you exercise in a pain-free fashion so you don't make it worse.

[@ggdailygame]

Thanks, Love It. Subscribed. Keep up the good work!

[@GordonPhysicalTherapy]

Thank you very much!!!

[@ligiasalas7652]

I have Supraspinatus stenosis and I would like to know what type of exercises I should be doing to start the healing. I noticed that my hand start to shake when I do certain tasks.

[@GordonPhysicalTherapy]

Have you seen my video on rotator cuff strength progression? That's a good place to start.

[@ChiragBatsa]

Can you please make a video on the exercises on all three stages

[@GordonPhysicalTherapy]

Yes, coming soon! Hopefully next week...

[@magnuserikkeenrobot1117]

@@GordonPhysicalTherapy is it out?

[@letrasimmons7853]

Great video...so my MRI show tendinosis in all 4 tendons. I’ve done rounds of physical therapy. Had steroid shots with no resolve. I’m having constant pain throughout my entire shoulder. Do you have any recommendations??

[@GordonPhysicalTherapy]

I'm sorry to hear that you're still having pain in your shoulder, despite doing PT and having steroid injections. I have one question for you, and then I have some advice as well. Question: did the PT you worked with do any hands-on therapy and/or taping? Advice: one of my favorite techniques for shoulder pain, which most PTs don't know about, is using TMR or "Total Motion Release" exercises. Have you come across these yet? Here's a link to one of my videos where I explain it: kzbin.info/www/bejne/eZfKnad7erdnp6s

[@desifit127]

Hi, has it improved

[@ErinM-2024]

I don’t understand. I thought it was chronic. So, won’t the pain come back.

[@GordonPhysicalTherapy]

Yes, it is chronic. But that doesn't mean the pain will come back. It all comes down to improving healing as much as possible, improving strength and ROM, and then controlling inflammation. If you can strike that balance, you should be able to make a solid recovery.

[@loydlondon3205]

Please tell me what I’m the world is the difference between tendonosis and tendonopathy my mri shows tendonopathy

[@GordonPhysicalTherapy]

"tendinopathy" is just a generic term... it doesn't tell you if it's tendinosis or small tears.

[@ATLfalcons808]

I was told that I just overused my elbow and shoulder….. no tear or nothing…. A few days ago I could barley use my right arm……now it’s almost as if I never had an injury????? Do you know hat I should do ???

[@GordonPhysicalTherapy]

Sounds like you had a pretty bad flare up. I would proceed with caution and try to focus on activities that don't aggravate your pain. If your pain continues to be unpredictable, I'd recommend working with a PT who can help you figure out a long-term plan. Best of luck!

[@ATLfalcons808]

Thanks bro appreciate your response 🤙🏼🤙🏼

[@Emefur1]

Great explanation thank you

[@mdemartino71]

Thanks for posting. Stupid question. Is tendonosis same as tendinitis??

[@GordonPhysicalTherapy]

You're welcome! No the two are different. Here's a good explanation: kzbin.info/www/bejne/bGjPpYt3i6p-fcU

[@jaybee1891]

Hi Gordon. Thanks for the explanation. I am diagnosed with mild tendinosis near the insertion site of suprasupinatus and no partial or full thickness tear is seen and other tendons also show normal morphology and fibrillar echotexture. But the problem is i occasionally experience pain and i am not recovering properly. What should I do to recover properly so that i can resume my bowling activity. Another question is which activities should i avoid?

[@GordonPhysicalTherapy]

Have you tried the treatment approach I outlined in the video? If so, and you're not getting the results you'd like, I'd recommend working with a skilled PT if you have one in your area. Any other specific questions?

[@jaybee1891]

@@GordonPhysicalTherapy thanks for the reply doctor. Can you please tell me generally which activities can cause further demage and what activities will help me recover because in my area i am not able to find any skilled PT.

[@juanmiguelorbe]

Is there anyone here also feel the pain when trying to pull ups or any overhead activties? And sometimes clicking or popping sounds

[@ungabunga6736]

I have supra and infra spinatus tendonosis, I accepted the shot and was able to sleep without pain "most of the night" not all of the night... Why do you say stay away from the injection? does it cause cancer or something? I hate letting anyone inject anything into me, but with the pain at night, im like GIVE IT TO ME.... anyways, I dont know how I got this condition, was doing side posture adjusting and felt a little pain, nothing significant, then weeks later ROM is reduced and any kind of fast movements with my right arm would cause a sharp pain (like I hit my finger with a hamer, but the pain was in my shoulder) where i had to run around holding my shoulder, where my body locked my arm against my body, cursing and yelling for 5-10 min then the pain would go away.... had to figure out how to not use my right arm for anything, 1 arm driving, cant pull the covers at night with my right, cant sleep on right side, cant shower with both arms, go to the bathroom with my left and so on... was difficult to try to rehab this....

[@mayank7825]

I had injured my shoulder in January probably during working out. MRI scan showed that there is some fluid in my shoulder and doctor diagnosed me with rotator cuff tendinosis. I have been taking therapy for about 2 months. I've gained some strength back in my shoulder but it still hurts. It's been around 6 months since my injury. I'm still unable to lift weights😢

[@vimaldhobale4425]

Will using ice everyday increase the pain because I prefer ice over heat but that isn't helping

[@GordonPhysicalTherapy]

Check out my other response about using heat AND ice during the same day.

[@elchugilito]

Thank you very much for this info. I've been diagnosed with Supraspinatus and subscapularis tears which includes tendinosis of the Supraspinatus as well. I'm kinda struggling though in strengthening and mobility as I belive the 2 muscles run opposite so one is giving pain to the other while trying to avoid pain with strengthening exercises. Any good tips? Thank you.

[@haydenguzenski3094]

Hey Gordan, quick question. I got diagnosed with supraspinatus tendinosis on my right shoulder but I have very similar pain on my left shoulder. Is it safe to assume I have it on both shoulders. I do a lot of Barbell overhead press and lat Pulldowns I’m assuming it’s from that.

[@471169]

About 4 months same pain.. ! I have shoulder injure ( right side) at moment of bad arm extension in position lateral twist to the back.. ( sport injures), in that monent it felt little sound crapitation without pain. No night pain, no negative effect on movement of shoulder, no tear cuff muscles( possible??) ( negative test), just pain in point lateral and posterior deltoid and long head triceps with bad nerv. sensation and little hypotonia of triceps.. Lateral horizontal elevation of hand I can feel little pain and strong pain when rotate palm to above in same static horizontal position of arm and forcing rear extension or strong contraction arms and delts in position " rear double biceps pose" I have good form, body muscularity and condition, strong arms, back, pects, shoulders, traps...etc.. In this case it is better( home treatment) use strong isolation training for cuff muscles and stretching of stop all activities just ice or heat or...? Help. Please, what is your advise and recommendation? With regard

[@GordonPhysicalTherapy]

Hi, Wissell. This is a tough one... I'm thinking you might have some type of impingement going on, but it's hard to say. Is there anyone locally you can consult with?

[@471169]

@@GordonPhysicalTherapy Thank you very much. 1. the first day after the awkward pressure during the wrong movement of the hand a painless crackling sound was felt. 2. there was no pain, no night pain. 3. rotators show good function. 4. You often feel a jump or click in the shoulder (possibility of biceps tendon) crapitation. 5. flexion without problems but lateral abduction discomfort in the horizontal position of the hand ESPECIALLY WHEN THE PALM TURN, ROTATE UP. 6. Pain is present which can be endured but is reduced if the palm is rotated inwards, the thumb downwards. 7. after training or light exercises for delt, trap, lat, muscle rotator, biceps, triceps, I use ice on the shoulder for 10 minutes and day two I feel better, after that the same thing comes back. 8. supraspin inpigment test. shows slightly positive, pain in the known arch of lateral abduction of the arm. and the scapula has a slightly altered state, aiding the elevation of the arm. 9. I use warm compresses for the last ten days for 30 min. twice a day, sometimes I feel better sometimes not question: 1. For home treatment, is it better to rest and reduce shoulder movements or, conversely, intense light exercise every day? if the distal biceps tendon is inflamed, is it better to use biceps exercises more intensely or to completely unload the biceps with arm fixation or more frequent stretching? 2. if the impigent is m.supraspin. is it theoretically possible to fix it with home treatment or is a doctor's intervention necessary? thank you very much.

[@richardbouchard5568]

Wow, you really clarify and break it down for us I’m enjoying my therapy and the clear picture of what I’m doing. 🙏

[@L0ND0NMAN]

I thought that you can't get back the tissue to the state before the tendonosis...

[@GordonPhysicalTherapy]

You can heal and repair tissue. It might not be as good of quality tissue as before the injury, but you can still heal and remodel tissue.

[@agnesmuani]

really helpful ❤

[@ahmadkhawaja7853]

Does tight subscapularis causes scapula winging or forward shoulder?????

[@GordonPhysicalTherapy]

That's a good question, Ahmad. A tight subscapularis muscle could certainly contribute to a forward shoulder position. But when it comes to winging, that primarily has to do with the serratus anterior muscle. Does that help?

[@andrewstephenson4534]

Hi Gordon, Appreciate the explanation. Recent CT scan shows chronic tendinosis with calcific deposits, plus moderate ankle osteophytes plus other ankle degeneration. Achilles was released years ago in surgery and I thought the thickening was some scar tissue from the release...however to the touch the achilles is alarmingly thicker and more pronounced than the other. I will be looking for surgical relief for the ankle (again - almost every 4 years for the last 20 or so), and wondering if surgical intervention will be required for the achilles.

[@GordonPhysicalTherapy]

I would recommend hands-on therapy, as well as stretching, for your Achilles thickening. Specifically, I like IASTM techniques for Achilles thickening. I have a video on that somewhere... let me know if you want me to find it for you.

[@andrewstephenson4534]

@@GordonPhysicalTherapy Thanks. Appreciate the advice. Only issue with that is that I've had an osteophyte removed on 4 occasions from the front of the anke, it has grown back again (moderately), and dorsiflexion does irritate the area. However will try. Thanks again

[@bellacormie]

Can you do another video on this! Not enough people cover tendonosis! 😊

[@GordonPhysicalTherapy]

Yes I can! What would you like me to cover? Anything specific?

[@whatsyourexcuse927]

Can I ever be back to normal? Diagnosed with Rotator cuff tendinosis. No rotator cuff tear identified. Mild-to-moderate acromioclavicular degenerative changes. Supraspinatus, infraspinatus and subscapularis tendinosis. I’ve been in PT for 4 weeks and still having lots of pain, not so much when I’m doing PT but in my day to day. They want to give me the shot but I’m refusing.

[@tennisace40]

What are your thoughts on prp injections?

[@GordonPhysicalTherapy]

I don't have a lot of direct experience with PRP injections. Based on other medical professionals I've talked to the results are pretty mixed and difficult to predict. Sorry I can't tell you more than that...

[@mahdihashemi362]

Thanks man...

[@GordonPhysicalTherapy]

Happy to help!

[@ArunV32]

Hi Gordon Thank-you very much for your video. I had MRI recently as described below kindly help me. Supraspinatous tendon is mildly bulky with patchy intrasubstance T2 hyperintensities beyond myotendinous junction prominent at insertion with tiny subtendinous degenerative cysts in the greater tuberosity of Humerus - Partial intrasubstance tear with Tendinosis.

[@soullight2932]

Amazing vid thanks for the info!

[@GordonPhysicalTherapy]

Happy to help!

[@lillasutera6881]

Great video...so my ultrasound shows in tendinosis in the rotator cuff along with a few minor tears in the surrounding area. I’ve done rounds of physical therapy and just had a steroid shot. Can I use a TENs machine to stimulate the blood flow in the shoulder muscles as well as incorporate the eccentric strength training? Do you have any recommendations??

[@ariz8346]

I have supraspinatus tendonosis and mild joint effusion do u think I should stop training or drop the load nd train light till m recovering from my physio

[@Alelluyah144]

Thank you so much for the positive info

[@GordonPhysicalTherapy]

You are so welcome!

[@bindhupaul6105]

Is it ever heal fully

[@GordonPhysicalTherapy]

You'll always have scar tissue, so no you don't ever fully heal. But that how all soft tissue healing occurs.

[@bindhupaul6105]

Is it a small tear or degeneration

[@bindhupaul6105]

I had MRI both shoulder shows infraspinatus and supraspinous and byseps tendonosis. How long should I wait for start exercising

[@monn3t440]

Very useful information, thank you.

[@GordonPhysicalTherapy]

Glad it was helpful!

[@Zeuse36]

Hi. I was told by my ortho surgeon that i need to remove the shoulder bursa. Will it grow back. He said it might..

[@ligiasalas7652]

Thank you your explanations are really good.

[@GordonPhysicalTherapy]

Thank you! I'm glad you like them!

[@danemyburgh]

I have subscapularis tendinosis. Any ideas for this?

[@GordonPhysicalTherapy]

Subcapularis tendinosis is a little different, since this muscle is an INTERNAL rotator and not an EXTERNAL rotator like the supraspinatus is. You can still follow the principles in this video, but you'll favor different exercises that focus on internal rotation strengthening (for healing and blood flow).

[@danemyburgh]

​@Gordon Physical Therapy Thanks for that. Just to confirm, a person would need to rest the tendon to the point of little to no pain before starting to exercise the tendon (eccentric exercises etc)? Or rest mostly with some strengthening work? Does mild, medium, or chronic pain change the 3 stage phases? I had an MRI scan recently showing mild tendinosis in my subscapularis, but I think it's now at the point of being chronic with how much pain I'm feeling.

[@srinivasvb2388]

​@@danemyburghhow are you feeling now buddy? Has it gotten any better? What steps did you follow?

[@mehmetyucelsartas5447]

Hello. First of all thank you for producing that kind of videos. I was diagnosed with this disease,but I could not get treatment due to covid-19. My shoulder is not so bad but since ı am athlete I need to do my best. Do you have any recomendation to do specific exercises for tendinosis and to avoid any certain movement during workout. Again thank you for your effort to inform people 🙏

[@faymoosa5064]

I hope a Tear in my rotator cuff..is it the same ?

[@SidewaysMaped]

Great stuff! very well explained

[@GordonPhysicalTherapy]

Thank you!

[@ahmadkhawaja7853]

My MRI shows mild supraspinatus tendinosis, and I went to my physio therapists and he just placed ice for 10 mins and did ultrasound and he told to place ice two times a day , is that enough and what I've to do???? I've weakness in supraspinatus and infraspinatus

[@GordonPhysicalTherapy]

No, ice and ultrasound will not do the trick in my opinion. Getting the pain level down is a great place to start, and I like to use heat and massage to improve blood flow. Ice is okay, but I tend to only recommend it if the should is really painful and flared up. Once you can get the pain level down, you'll want to start with gentle rotator cuff strengthening. Do you know if your PT plans to do any of that (hands-on treatment, then progression to strengthening)?

[@ahmadkhawaja7853]

@@GordonPhysicalTherapy I don't have pain that much , just tendinosis and weakness and I've scapula winging as well

[@GordonPhysicalTherapy]

If you don't have much pain, then I would progress to the strengthening phase of your recovery. Scapular winging isn't necessarily a bad thing, unless you didn't have it before your shoulder issue. Hopefully your PT can start helping you with your exercise progression. Let me know if you have questions on that!

[@ahmadkhawaja7853]

@@GordonPhysicalTherapy do you suggest any strengthening exercises for supraspinatus and infraspinatus

[@GordonPhysicalTherapy]

Yes, I do recommend strengthening for the supraspinatus and infraspinatus. I don't have many videos on this yet, but I do have this one: kzbin.info/www/bejne/jaaToYVmer2rd5Y

[@shaikhwaseem367]

please suggest exercise

[@GordonPhysicalTherapy]

I have a video called "rotator cuff strength progression" worth checking out.

[@karlah5324]

Hi Gordon. Thanks for this amazing and informative video. About 3 months ago I started with intense pain of both shoulders more the Right one than the left one. Had Ultrasound report saying I had tendinosis on supra and Infraspinatus. I have been visiting a PT but I also, like many people on these comments, have not felt confident on the way they have either assessed, treated, or approached my problem. I had not had any sport injury of any kind. I believe my injury came from a repetitive motion and still posture on both arms/shoulders. My question is...Do you think Ultrasound machine is a good device to use to promote that heat necessary to improve blood flow to the areas?? If so, what's your opinion on at home ultrasound machine? Is it safe to use if following instructions and recommendations, and how often....let's say per week?? I will appreciate your suggestions and advice. I am suffering with pain which with the exercises given at Physio has only decreased 40%, can't sleep at night on my sides since shoulders and arms get numbed. God Bless.

[@Alelluyah144]

I’m sorry 😞 to hear your misery . I completely understand you cause I’m suffering from the same misery, I can’t sleep at all , I woke up in terrible pain and I’m so scared thar PT makes it worse , so what I’m doing beside praying is using heating pads to help the blood to heal faster the damage tendons then I massage , I also take some Valium to helps me to relax my muscles so I can’t feel less the pain . I wish you a very fast recovery,❤️‍🩹 G-d bless you .

[@colbyjack5736]

So how often should I do massages a week. Is every other day to much

[@GordonPhysicalTherapy]

Every other day is perfect! Just make sure the massage isn't increasing your pain.

[@colbyjack5736]

@@GordonPhysicalTherapy I’ve been trying to figure out thus problem for a couple years. I’ve been to 3 chiropractors and a physical therapist and they didn’t know anything. My upper back was weak and my rear delt was hurting as well as pain under my clavicle. Recently I just started massaging my infraspinatus as teres muscles since that is where it is weak and painful when inflamed. Once I started massaging it with a massage ball I didn’t realize the muscles were that tender. Hopefully this will help me improve.

[@GordonPhysicalTherapy]

@@colbyjack5736 I'm glad to hear the massage has been helping so far. It's a been factor when it comes to tendon healing, as it helps improve blood flow and break up adhesions. Did your physical therapy do any type of hands-on work (like massage) for you?

[@colbyjack5736]

@@GordonPhysicalTherapy no they did not nor the chiropractors I went to. The pt just gave me exercises and at the end of each session a heating pad. I have spent a lot of money out of pocket trying going to them with no help. I have just been doing a lot of research online and paying attention to how my body reacts, just been trial and error. I don’t stretch because it seems to make it worst. At one time I was not able to massage the area either but the area look like it is responding well to the massaging. Also heat works good also.

[@GordonPhysicalTherapy]

@@colbyjack5736 that disappointing that neither your PT or your chiropractor did the hands-on work that they should've. Like you said: go with what works. The heat and massage should really help. Adding in some comfortable strengthening should also really help. Here's a video I just made on that topic of strengthening: kzbin.info/www/bejne/h6HWdWhooamse5o Let me know if you have any additional questions :-)

[@KJxxoo]

Would dry needling help?

[@davidvanwye8108]

Would an electrical muscle stimulator encourage recovery to tendons in this scenario?

[@charlesterrizzi8311]

I use microcurrent point stimulation (Dolphin neurostim) it really has helped. I believe it helps heal

[@RealTalk2000]

Thanks for this video. Just was diagnosed with "Moderate supraspinatus tendinosis and mild infraspinatus tendinosis." Felt pain after playing basketball a few months ago and just got my MRI results back.

[@GordonPhysicalTherapy]

You're welcome, Mike. I hope this video helps!

[@emilyroberts1053]

I have mild issues with the same but dr said it doesn’t cause pain. What treatments are you doing?

[@RealTalk2000]

@@emilyroberts1053 Hi Emily. It definitely caused pain for me. Primarily when I lifted my arm above my shoulder. I had physical therapy over a few months. Also had some exercises at home that I would do with bands. I've made good progress. Im close to 100% back. Unfortunately for me, I tore my achilles 5 months ago, so I'm going through another round of physical therapy :)

[@StrideX21]

@RealTalk2000 how bad was the pain? Mine is like a 3 or 4 out of 10. I'm hoping after 4 weeks of therapy I can toss baseball lightly again

[@RealTalk2000]

@Crimson6. For me it varies. Anywhere from 1 to 7. It still flares up if I work out too hard, sleep in the wrong position or if I block someone's shot in basketball. Basically anytime I internally rotate my shoulder and make some sharp movement, I feel the pain still.

[@radhikasarda5144]

Very nice explanation

[@GordonPhysicalTherapy]

Thank you, Radhika! I appreciate your comment :-)

[@kevinlawlor412]

TY

[@GordonPhysicalTherapy]

You're welcome!

[@nobleinexile4296]

My Pain has minimized and im working out again but I still have like 10-20% of the pain, I dont know if it will ever go away. Should I get professional PT? Edit: also thank you for the informative video, its hard to find info.

[@GordonPhysicalTherapy]

Yes, if you're struggling to get that last 10-20%, I'd recommend working with a PT or soft tissue expert.

[@nobleinexile4296]

@@GordonPhysicalTherapy Thank you, I've subscribed to show support.