Rotator Cuff Tendinopathy | Expert Explains Mechanism Of Injury and Rehab Plan

In this tutorial, we guide you through the causes of Rotator Cuff Tendinopathy, explore common symptoms and signs, discuss the evidence of Rotator Cuff Tendinopathy treatment and go through rehab in terms of early, middle and late stages, showing exercise plans and techniques.
References:
CSAW trial, Beard et al., 2018
Link: doi.org/10.1016/S0140-6736(17...
Lewis et al., 2015
Link: doi.org/10.2519/jospt.2015.5941
GRASP trial, Hopewell et al., 2021
Link: doi.org/10.1016/S0140-6736(21...
Clifford et al., 2020
Link: doi.org/10.1136/bmjsem-2020-0...
Example of Research for Lower Limb Strengthening
Link: bmjopensem.bmj.com/content/6/...
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[@nic2387]

Love these short little clips that are so full of good information!! 🙏 Great for us busy uni students!

[@ClinicalPhysio]

Thank you so much for your kind words Nic! Very pleased to hear it 😊

[@juanmartin2655]

Hello and thanks for taking the time on this video. I love the way you explain all of the reasons treatment and exercises. Fantastic!!! Thanks you once more and take care.

[@ClinicalPhysio]

Thank you so much Juan!

[@Nat-mk7gb]

As always, thank you for these great tips! Concise and informative 👍🏻

[@ClinicalPhysio]

Thank you so much! Really glad you have enjoying our videos 😊

[@devonchejameson6231]

What a wonderful resource, thank you so much!

[@ClinicalPhysio]

Glad it was helpful! Thank you for your kind words!

[@GordonLF]

Excellent video, Khalid.

[@ClinicalPhysio]

Thank you so much!

[@julieallen1787]

I appreciate the information. Found your video because I've been experiencing shoulder pain for 3-4 months. Just got MRI & results show: partial-thickness bursal-sided tear, supraspinatus tendinosis, subacromial-subdeltoid bursitis, & osteoarthrosis of the glenohumeral joint. I'm being referred to a sports medicine dr for injections & therapy. Would really appreciate hearing your thoughts & opinions regarding this specific combination of injuries.

[@nazeemapahad4325]

Thank you for these concise clips ..its helping me revise my physio notes .i am going back to working as a physio after 22 years

[@ClinicalPhysio]

You can do it! Thank you so much for watching!

[@asafistuk]

Loved this video. very educational. thanks

[@ClinicalPhysio]

Thank you so much for watching!

[@zamirafroio2225]

Great video. It helps me a lot with my preparation for my NPTE….

[@ClinicalPhysio]

Thank you so much! Really hope it helped!

[@shanewilson5988]

Hi thanks for the video! What have you used to justify your exercise prescription?

[@Usertfders]

I've been dealing with pain and mobility issues for a year after my arm was pulled up by someone while I was sitting on the ground. My doctor finally ordered an MRI and discovered this diagnosis.

[@ClinicalPhysio]

Wishing you all the best in your recovery!

[@mohammednadhimrasool9485]

Great explanation and accent, I’m Medical student I appreciate your explanation thank you sir ❤.

[@ClinicalPhysio]

Thank you so much very kind of you!

[@PhantaseaTV]

You are one amazing dude kind of like Superman. I am not kidding you are a real inspiration, and your wife if you have one is very lucky! Thaks for the video it is very useful.

[@ClinicalPhysio]

🙏🏼🙏🏼🙏🏼 thank you so much for your incredibly kind words! It’s a pleasure to be able to do Clinical Physio and we are very grateful to have people like you as our followers! 😊

[@adnanbakhtawar4020]

Very informative thank you

[@ClinicalPhysio]

Very welcome!

[@twelvepetaledlotus1721]

Great info thank you

[@ClinicalPhysio]

Thank YOU for watching!

[@timothyvanpelt_cyclist]

Super useful Khalid, thank you so much for putting up all this wonderful content for us (learning) physios.

[@ClinicalPhysio]

Very welcome Tim! Thank you for watching!

[@justinmoore598]

Solid info thank you

[@ClinicalPhysio]

Thank you so much!

[@SidThe5]

Very informative! Frm India ( Sports Physio)

[@ClinicalPhysio]

Thank you!

[@prathameshrana9964]

Exactly what i am experiencing

[@ClinicalPhysio]

Hope you see progress 🙏🏼

[@rasikarane02]

Thank you 🙏🏻

[@ClinicalPhysio]

Thank YOU Rasika!

[@Akhilash-on1ht]

Hi , I have a question uk for an case what physiotherapy specific management strategies could we use as a treatment for rotator cuff tear (subscapularis tear) , especially with tear being 1.2 cm in the US finding and spurling test 2b and ULNT 2a is showing positive and the person have normal myotome and demotone. Other special test couldn’t be done due to pain , how would this diagnosis match up could u explain please if u could

[@joehoffrage]

What are your thoughts on PRP injections to assist with healing in addition to/or in lieu of steroid injection? I know insurance doesn’t cover, but have you heard there’s any efficacy with them?

[@ClinicalPhysio]

To be honest my personal opinion on PRP is low , just personal opinion

[@sayadmaharjan3382]

Can you provide some literature links please about the shoulder exercises with chain exercises and in the video about bridges with shoulder exercises or squating with shoulder exercises

[@ClinicalPhysio]

Sure! Here you go: bmjopensem.bmj.com/content/bmjosem/6/1/e000683.full.pdf

[@miutf2]

Amazing content! Is there any research support the corporation with the lower limb exercise helps in rotator cuff tendinopathy?

[@ClinicalPhysio]

Yes lots and lots of research!

[@miutf2]

@@ClinicalPhysio Any examples that we can refer? Much appreciated

[@ClinicalPhysio]

@@miutf2 Absolutely! Will put link in description of the video now!

[@miutf2]

@@ClinicalPhysio thats brilliant, thank you so much!

[@JaaronOP]

Would you recommend unstable resistance even though the joint is unstable due to lack of support by the rotator cuff?

[@ClinicalPhysio]

I wouldn’t suggest that a cuff tendinopathy makes the joint unstable

[@ErinM-2024]

So, I fell on my shoulder back in 1999. I was 19. I was told then that I have rotator cuff tendonitis. It hadn’t bothered me much till 2015/2016. I was in a different state and I had p t and that helped tremendously. Then in 2020/2021 I was in a different state and my shoulder started bothering me. I tried p t and this time it didn’t help. I went to a surgeon and they said I need the distal clavicle excision. I had that done and that helped but nothing done with rotator cuff. So, I have been hurting again. I did have an injection and that helped for 3 months. Im hurting again. I had an MRI and report said tendinosis. I’m in pain though. I have popping/cracking. Went to another surgeon recently. He said mri shows that everything looks great structurally. He said no surgery. His suggestions were 1 be thankful I don’t need surgery 2 modify activities 3 rest 4 ice/heat So, I asked, I live in pain? He said he wouldn’t say it that way. He said the way he would say it is be thankful I don’t need surgery and hope that the pain goes away. I have been told to find a new surgeon

[@ClinicalPhysio]

Wishing you all the very best Erin and hope you are able to make progress!

[@Alelluyah144]

I wish you a fast recovery ❤️‍🩹

[@ricardoferreira2038]

What you think about the peptide tb500 to a faster healing?

[@ClinicalPhysio]

I have very little experience with this I’m afraid

[@bluestripes1]

what do i do when my tendinopathy doesnt respond to therapy after a year

[@Ibz87]

Great video brother. I have a question. I have rotator cuff tendinopathy on both shoulders as well as a small supraspinatous tendon tear. Both have bursitis. Just been to the specialist and he suggested cortisone injections which I’m not a fan of. I do weight training, bjj and a active manual labour job. He told me to stop lifting weights. I’m confused am I supposed to be resting to let the inflammation calm down or do exercises that you mentioned to strengthen the muscles and tendons ??

[@Alelluyah144]

I’m suffering from The same pain , don’t lift anything you will damage more your tendons , rest your arms and use heating pads to helps the tendons heal faster , physical therapy will be helpful as longer you don’t get pain or worse from it , I wish you fast recovery ❤️‍🩹

[@Ibz87]

@@Alelluyah144 thank you so much. You too. I can’t rest then cause my job is very physical. I recently got cortisone injections cause the pain was unbearable. Feel a lot better but still tender

[@Alelluyah144]

@@Ibz87 wow , I just can’t believe you have what I have in both shoulder and you have to work , I just can’t believe it , I only have one shoulder and I’m so depressed from this pain like right now I’m waking up which is when the pain is the worse , I don’t have to work thanks G-d , I’m disabled in my back but the shoulder is even making me more disabled, I can’t barely get dress or shave my armpit 😞

[@Ibz87]

@@Alelluyah144 that’s terrible. I hope it gets better for you soon. Have you considered cortisone injections ?

[@Alelluyah144]

@@Ibz87 no , No really , I believe that if I kill the pain then I would damage more the shoulder by doing movement that maybe will damage more the tendon , I will wait a little longer to see if it heals by his own .

[@ruckersaito596]

Do you recommend NSAIDs to combat inflammation and pain?

[@acousticmahi6660]

Can push ups and pullups make our shoulder joint better in strength?

[@ClinicalPhysio]

Absolutely they can certainly help strengthen your shoulder muscle s

[@lovelyunicorn610]

I was lying on my shoulder side and samthing nerve cut i heard after that my shoulder pain and arm

[@barbaragdisis4606]

Arm pit bruising from fall..they said on mri rotator cuff not damaged • Closed fracture of head of right humerus with routine healing, subsequent encounter • Superior glenoid labrum lesion of right..slap tare shoulder, subsequent encounter Contusion of right shoulder, subsequent encounter Fall on same level due to impact against object

[@ClinicalPhysio]

Wishing you all the very best with your injury 🙏🏼

[@AmiraHaque]

If I start doing these exercises, how do I know that I am not making my initial injury worse?

[@ClinicalPhysio]

I would suggest doing them under the supervision of a physiotherapist

[@inquistive]

Do you treat patients, can I make an appt please?

[@ClinicalPhysio]

I’m very sorry - we don’t have a treating service 🙏🏼

[@potatofriendimprovement]

I got bicep tendonitis a few months ago,now I feel pain in my shoulder when I move back my arm

[@ClinicalPhysio]

Wishing you all the very best - please do get it checked out if you are concerned

[@syedaaqsaabbas8869]

How much do you earn monthly?

[@jinglelingle26]

I do a form of the wall sit with the band but I bend down like im touching my toes with legs almost straight..I have some light dumbbells that I grab and I basically do a upside down lat pulldown...it kinda looks like a swimming motion ...hopefully this makes sense but either way it feels like its kinda tightening up some and having less pain

[@ClinicalPhysio]

Hope it helps you! Good luck!

[@samsamsamsam717]

👍🏻👍🏻🌹🌹🌹

[@Agreatdayneverends]

These are different exercises from what every other therapist recommends....I've never heard lifting/ chest presses etc or lower body exercises recommended.... Why don't you recommend the traditional exercises... ?

[@ClinicalPhysio]

Just because they are traditional… does it make them better?

[@Alelluyah144]

There is not way in hell having frozen shoulder you can lift your arms up .

[@ErinM-2024]

So, I fell on my shoulder back in 1999. I was 19. I was told then that I have rotator cuff tendonitis. It hadn’t bothered me much till 2015/2016. I was in a different state and I had p t and that helped tremendously. Then in 2020/2021 I was in a different state and my shoulder started bothering me. I tried p t and this time it didn’t help. I went to a surgeon and they said I need the distal clavicle excision. I had that done and that helped but nothing done with rotator cuff. So, I have been hurting again. I did have an injection and that helped for 3 months. Im hurting again. I had an MRI and report said tendinosis. I’m in pain though. I have popping/cracking. Went to another surgeon recently. He said mri shows that everything looks great structurally. He said no surgery. His suggestions were 1 be thankful I don’t need surgery 2 modify activities 3 rest 4 ice/heat So, I asked, I live in pain? He said he wouldn’t say it that way. He said the way he would say it is be thankful I don’t need surgery and hope that the pain goes away. I have been told to find a new surgeon

[@ClinicalPhysio]

Wishing you all the very best Erin and hope you are able to make progress!