Shoulder Evaluation- Supraspinatus, Infraspinatus & Subscapularis Tears

[@briansundayatc]

I love watching your flow - you make it look so simple and easy!

[@JadaCooper-bt9rp]

thanks! I'm in my clinicals and these videos are super helpful to prep for incoming patients the night before!

[@mrbenn4385]

Great demo of shoulder assessment. Made even better by using a model who actually has shoulder pain 👍

[@austinblankenship9437]

In OT school and this helped tremendously! Great explanations!

[@WordMedTranscriptions]

Thank you both of you. very informative

[@OrthoEvalPal]

You are very welcome!

[@damjankumer5603]

Thank you, Paul and Dave. Good and valuable content, as always!

[@얄랑이-e4e]

It was a helpful video for me. Thank you so much🙂

[@snugglylola0805]

Thanks for both of you!

[@greensky01]

Thank you! Very informative!

[@liadbarhava8575]

Thank you for your video They helps a lot 😃

[@kathyh2733]

Great process for eval. I am following the same flow to run through a Rotator Cuff Tear eval.

[@donjohnson8952]

You explain things really well

[@RT-bz3mr]

The text of what you are saying is covering the video. I can't see the exercises

[@terrielliott3429]

Great video! Can you share the exercises prescribed to prepare for surgery?

[@OrthoEvalPal]

This may help orthoevalpal.com/blog/f/shoulder-prehab-5-reasons-patients-need-it

[@Add_Account485]

@@OrthoEvalPal thankyou.. I was wondering this too

[@bowerbird1196]

Many thanks to you both. Dave, you're a trooper!

[@OrthoEvalPal]

Thank you! Dave is doing great! He works out in our gym 3 days a week

[@НекрузРахимов-щ2ф]

what exercise would you recommend after removing the spokes AC injury?

[@GreySox]

Poor guy. I hope he's doing better now.

[@OrthoEvalPal]

Yes Greg, much better. Very functional and now working out independently in our fitness center.

[@William14094]

@@OrthoEvalPal Did he get surgery? If so, shoulder replacement?

[@OrthoEvalPal]

@@William14094 yes. Reverse Total Shoulder Replacement. Doing excellent!

[@НекрузРахимов-щ2ф]

dislocation of the acromioclavicular end

[@davidkids77]

Great stuff can u do a shoulder labral video and also what’s speed test?

[@OrthoEvalPal]

How about one of each? Speed's- kzbin.info/www/bejne/bKPdmpKwd759hLc SLAP tear eval- kzbin.info/www/bejne/o6LLc2eIj7Zgb9k

[@НекрузРахимов-щ2ф]

hello, there was an injury, dislocation of the acromioclavicular end. what exercise do you recommend to start the knitting needles removed 20 days ago 🙏🙏🙏🙏

[@Wellcaptured]

What treatment would you recommend?

[@OrthoEvalPal]

Surgery. kzbin.info/www/bejne/bXzCXqyfl7iGqtk

[@Wellcaptured]

Do you do virtual appointments?

[@AbdulAziz-yy3bt]

i love watching your videos but sir kindly arrange a mic 🎤 for clear voice

[@joebest6864]

Ok so im strungling ultra sound says bursitis but i have my shoulder poping out of the socket at 90 degress and popping on the way down with massive pinch.any suggestions?.i need to no with everything going on with him surely thats all showing on ultra sounds?.im 36.have been beging for an mri.after 9munths of waiting the specalist wont see me says its an impingement.please help with next step 😢 suggestion i did ur tests and im very sore after the poping and pinch

[@bradwest4821]

I hurt my shoulder on a bad fall about 4 months ago. Left shoulder issues. Now constant pain. Been to 2 doctors now, and I think I'm dealing with Subscapularis tear issues. Had x-ray to confirm I have arthritis and probably messed up some tendons. It's all new to me. SIGH. The caregiver was thoughtful and professional to me when I asked for options. Physical therapy perhaps, but now I'm thinking I might as well go ahead to do an MRI and get over the guessing game. Help, anybody?

[@rednas195]

I might be dealing with something similarly. Did you end up taking the mri? And has pt helped heal the shoulder?

[@Dayman98]

My one bit of advice is that you can never spend too much money on your health

[@SanjaB007]

Yes so many doctors have no clue about these simple tests they just require expensive MRIs not even that but the reports! which may be even partially correct and things missed with it, as they have no idea what they are looking at or how to assess it without technology having to tell them anyway what i wonder is - are these tests dangerous in case you have tears in your tendons? can these tests make the tears worse? thank you

[@drsinghtastic]

Well, we cannot totally rely on clinical bed side tests, as these are only helpful in screening. I do perform most of these tests in my office on every single patient of mine. However in order to get a confirmation of partial tears vs complete tears. MRI is still the best imaging technology we have today

[@Add_Account485]

I went to a physio with one sore shoulder and left with two. She pushed down on my blades and told me this should feel alot of relief. And it wasn't feeling anything. Since then my other shoulder has become so loose I do not know what the hell she's done and am scared to go again.. this video is so complicated but seriously thorough I just don't know where to begin or what to do . I've started exercising to try healing myself but even doing sit-ups on the ground sometimes hurts my shoulders.. sleeping hurts in the morning.. etc etc. What can I do?.

[@popmetalprints8871]

I'd look for a therapist that perhaps has some better communication. It's unlikely that your shoulders would become loose after she pushed down on your shoulder blades. Find a good physio or sports therapist that will get a full history from you and can diagnose you. It's likely not just your shoulder, but also other external things in your life that are also contributing. Eg. stress, poor sleep, poor nutrition and poor hydration. The therapist should be asking you a lot of questions. Also, in terms of exercises, start withe very simple things. Look up some isometric exercises and low resistance band rotator cuff exercises for shoulder instability.

[@hashemsalimi5890]

❤

[@maniselvakumar7930]

Any chance for conservative management for this patient

[@OrthoEvalPal]

No. He had no rotator cuff left and significant GH arthritis. Here is his "after" video and that is at 10 weeks. Doing way better now. kzbin.info/www/bejne/bXzCXqyfl7iGqtk

[@grumpyguss]

What I don't understand is why you don't just send him off to get an MRI to know once and for all what's happening. All these tests are simple and easy, I get it, but the reality is that you might as well know exactly what's happening and how bad it is.

[@OrthoEvalPal]

You can present this way, and simply have a frozen shoulder which does not require any diagnostic imaging whatsoever and just conservative treatment. That is the problem with the medical system. Too much over utilization of imaging and other tests were not necessary.

[@mrbenn4385]

Not easy to refer for MRI in UK unless you have already done these tests.

[@Wellcaptured]

Did he get the vaccine in that arm??

[@OrthoEvalPal]

No. He had a complete Supra, infra and subscap tear with severe AR