Shoulder Impingement vs Rotator Cuff Tendonitis vs Rotator Cuff Tear l Shoulder Pain

[@michaeldocherty2325]

Is there a difference in treatment between rotator cuff tendonitis and tendonosis?

[@PerformanceSportSpine]

Some. Tendonitis is usually more acute, so just letting the tendon calm down bymodifying the load management. With tendinosis, usually more chronic with structural changes to the tendon, require exercises with progressive intensity increases to improve the capacity of the tendon.

[@harrisond8132]

Excellent video. No sound effects. No bs. Just good information. Thanks!

[@PerformanceSportSpine]

Glad you liked it! We try to make concise and helpful content!

[@EloMichalo]

​@@PerformanceSportSpine I can only hear you in my left ear ;D

[@DontActFaceFacts]

Lot of stuff packed in a 6min video. Thank you Doctor!

[@PerformanceSportSpine]

Thank you! Happy to hear you found it helpful

[@robyn1509]

THIS IS AWESOME. i have been watching / reading so much about this... How to fix, how to diagnose, etc. This is such a well made useful video. Thank you!!!

[@PerformanceSportSpine]

Thank you! Glad you found it beneficial.

[@nitish-1994]

This video is a gem, thanks doctor for this amazing video it helped alot.

[@PerformanceSportSpine]

That's great to hear it was beneficial.

[@danokane2299]

Watched literally hundreds of these videos on how to sort shoulder problems. I was always struck by how many of the comments after each video suggested immediate relief due to whatever new exercise was used .... in fact , often , multiple commenters praising the therapist and thanking them for the new miracle approach. I thought to myself that this would be rather unlikely that multiple different injuries suddenly got " immediate relief" . Instead , I thought that this was probably " exercise induced algaesia"....not sure if this is the specific term...but anyway , it is the possible pain relief brought about by hard exercise in the injured region. This fools the patient ,on the spot, that the exercise is a miracle cure. I'm sure that next day it would be a different story. They would have suddenly experienced extra pain/discomfort once the endorphin effect has worn off. This therapist, at 3-20 mentioned this effect....the majority of other therapists conveniently forgot to make any mention of it. Just my sixpence.....tell me if I'm not wrong.....

[@PerformanceSportSpine]

This is a very insightful and astute comment. We completely agree, no long term issue has a magic fix, and any short-term pain relief is due exercise induced algaesia among other things. And unfortunately this creates dependency on the person to "fix you", which very often makes the person worse long-tern. Thank you for watching!

[@danokane2299]

@@PerformanceSportSpine Thank you very much for your reply. It suggests a high degree of sincerity and care for the reader. Many people are pretty desperate to get rid of what is often a chronic condition that impedes their daily activities. That's my situation. I am certain that some combination of exercises, timing of the exercises and adherence to the exercises over an extended period of time will get me better. Your video has been as helpful as possible. I thank you and all the others for giving some hope to many desperate cases. Thank you.

[@craighowell7888]

I have suffered for two years with shoulder impingement and a bursa , sleep is an absolute nightmare soon as I lay down the pain is there and it’s constant it never goes away , I struggle taking off and putting on clothes or reaching behind me . I had tried everything watched thousands of videos hoping for the magic bullet but this never happened. I ended up having a subacromial decompression surgery. Months after and I’m still in pain it’s worse now than before !! I’m two weeks in now to a new shoulder rehab and I’m doing it every day I’m strengthening all the muscles at the back of the shoulder and so far I’ve noticed I’m not in as much pain when lifting my arm and sleeping the pain is still there but it’s definitely less . I will sick with this routine now and gradually I know I can fix this problem , for the first time in years I can feel my shoulder blades move . These videos definitely do help but only if you work hard at them and make them part of your daily routine .

[@BryonLee]

I would feel relief from some of these videos like sometimes the pain would go completely away. The pain would return but it progressively got better. So I felt like a miracle cure for 5 or 10 minutes, but after that I still had hope that I was doing something to open up the area and that I was on the right track. It's been 4 and a half months. Once I started doing what the video suggested the pain decreased rapidly and progressively.

[@Johar512]

Thank you very much for your comment. You said exactly what I suffered from for almost 6 months now after I almost recovered from a thoracic injury. I did few stretching exercises after watching a youtube video. they were supposed to help me, felt good for one day then quickly regretted it the next. It worsened my injury and I have been miserable ever since. I wouldn't have said it clearer than you have. Thank you!

[@tobywebb6452]

Best explanation I've seen so far, thank you 👍

[@PerformanceSportSpine]

Awesome, thank you! Thanks for watching!

[@KungFoo1]

Thanks the video. Very useful indeed. I had to laugh at your tendinitis outline, as it completely described me and my situation 100%. That’s exactly what I needed.

[@PerformanceSportSpine]

Wonderful! That's awesome it helped describe your situation. Thanks for the comment!

[@danallan4860]

Excellent presentation!

[@PerformanceSportSpine]

Thank you kindly!

[@tomtenthij5676]

I liked this video, really helpful!!

[@PerformanceSportSpine]

Glad you liked it!!

[@JohnathanMoralesTercero]

Amazing video

[@PerformanceSportSpine]

Thanks for the visit

[@JphreshOfficial]

Pull ups, rows, & closing shut doors really triggers pain behind shoulder blade / armpit

[@PerformanceSportSpine]

Could you tell us more, unfortunately those are specific to one conditon

[@tomtenthij5676]

Could be lattisimus dorsi or teres minor!

[@SoldierMarine]

Shoulder pain started at 36 years while using mouse, Now mid 40's. Pain radiates all way from wrist up to shoulder. Also feels painful doing lat-pulldowns with wide grips. Also hurts like crazy when doing barbell bench presses but ok with dumbbell presses. Can't use mouse (not even ergonomic mouse) so have trained myself to use left hand for mouse. Even hurts when using keyboard. Right rotator cuff hurts also when holding barbells while doing squats. Can't figure out if I have impingement or tear or tendinopathy along with mouse shoulder. Thank you for your advice.

[@PerformanceSportSpine]

You're welcome! There is a fair amount of crossover with these conditions. Hope it improves over time

[@tomtenthij5676]

Can't this have a neurological origin?

[@lotusriche4505]

Great video. Thank you.

[@PerformanceSportSpine]

You're welcome, thanks for watching!

[@AngelekaL]

What should you do if you have been diagnosed with all of these?? I have surgery next week

[@PerformanceSportSpine]

Best to have the surgery and listen to the doctor about the best post-op rehab/PT

[@ozzy6162]

I seem to have aspects of all of them. I need a shoulder transplant!

[@PerformanceSportSpine]

hahaha, there is some overlapping unfortunately. Hope this video gave you a little bit more clarity

[@datboyjayy]

I am a 28 year old male and seem to be experiencing all of these symptoms. They kind of overlap to be honest. The shoulder pain is deep underneath my shoulder blade on the right side, it’s a sharp pain and seems to get stuck in-place unexpectedly. When this happens the muscle hurts so bad. I’ve gotten an X-ray and haven’t seen a tear, and i go to physical therapy but nothing seems to be working. At this point i need a new shoulder

[@PerformanceSportSpine]

See if this video better explains your pain kzbin.info/www/bejne/haatm2mont91r8Usi=xbyGFVKhkjZlr2N9 Let me know if you have any questions We also do online consultations if you’re interested

[@andreacasella5341]

As someone who has a partial tear, please get an MRI of the shoulder, Xrays usually arent going to show.

[@sokleangKhun]

My right shoulder has hard thing on it and is easily painful when write something or ride motor long , what symptom most fit this thanks you

[@PerformanceSportSpine]

Those are not specific to any one condition

[@michalmcquaite4698]

what if you have a combination of all of these? where in the world do you start?

[@PerformanceSportSpine]

Probably best to start with the isometrics in the rotator cuff video, if it is medical safe for you to perform rehab exercises

[@johndailey2323]

Any suggestions on pain only after lots of repetition. After about six laps swimming i have pain. I dont have pain when lifting heavy weights like dumbbells

[@PerformanceSportSpine]

Are you rehabing your shoulder/rotator cuff, specific for repetitive motions of swimming?

[@johndailey2323]

@PerformanceSportSpine not specific to swimming. Just started doing exercises for rotator cuff tendonitis and shoulder impingements. Not really sure which one it is but was leaning towards tendonitis due to the fact it takes a lot of repetition for pain to occur

[@PerformanceSportSpine]

@@johndailey2323 If there is a 20% plus difference in strength between the painful side and the nonpainful side, you should see improvement within 3-6 weeks. You may also want to try some of these supraspinatus exercises at some point. kzbin.info/www/bejne/jHmxfomsq81kaqMsi=T-yl3FVdffgnfbw9

[@johndailey2323]

@@PerformanceSportSpine thank you

[@musawerstanikzai1569]

I’ve been dealing with a shoulder issue for the past four years. Whenever I rotate my left shoulder, it makes a clicking sound, which is usually painless. However, during workouts, especially exercises like lateral raises, chest presses, and shoulder exercises, I experience sharp, intense pain, preventing me from completing my workouts. This happens consistently across various exercises. I can also voluntarily produce the clicking sound without pain. Despite years of rest, the issue persists. Can someone help with this please? I am in misery

[@PerformanceSportSpine]

Those are not specific to one of these conditon, so unfortunately can't give you any advice

[@MonkeyKing3333]

I still got no idea. I did it in my 20's doing an overhead press. Now I'm mid 40's and it's still there. It gets worse when I go to gym. I've had ultrasound and he didn't say much. Maybe I live with it forever.

[@PerformanceSportSpine]

Do certain movements at the gym hurt more or less?

[@robertomaligni]

Sir if the shoulder pain is on the external rotations, during the bench press, and not during overhead presses, could it be impingement or tendonitis?

[@PerformanceSportSpine]

Does the pain get better or worse as you warm-up? Also, does the pain get more intense as the weight increases

[@robertomaligni]

@ not sure about warming up because i always do. And yes, it does get more intense as the weight increases

[@PerformanceSportSpine]

That sounds more like tendinopathy, but can't say for certain

[@MarkMendez-u7v]

i dont got shoulder pain but when i do a movement with my shoulder like the brazilian funk dank or doing consecutive punches I hear and feel like a sweeping sensation in the upper middle part of my body, like perhaps in the rib cage. It sounds like im breathing but im not.

[@PerformanceSportSpine]

You would need medical exam and possible imaging

[@fredpaton1085]

Im showing all those symptoms for every exercise? Please advise getting no where with doctors or physio

[@PerformanceSportSpine]

We would have to do a online sessison to offer any specific advise

[@anuragnoddy6527]

I can do my regular work and gym without much of a problem .. but i can not reach my back with my right hand (but i can perfectly reach with my left hand though) and it pains intensely on top front of the shoulder and feels like right shoulder is rotated more forward than left shoulder when i reach my back with both hands. Can you please suggest what do you think it is and any exercises to solve this

[@PerformanceSportSpine]

You would need to get the shoulder assessed to see what is going on medical. Then if cleared to do so, do stretches and exercises gradually to increase the range of motion for the limited movements

[@golestan981]

Hello dr. Does this help in the case of tear on the shoulder ?

[@PerformanceSportSpine]

Yes we cover rotator cuff tears. Here is the specific video for them: kzbin.info/www/bejne/fV6anq2Kl5anqposi=_qaY40D-7mjLQ3yH

[@g0_ldenXX]

I have pain in both shoulders for three years, but the pain decreases with rest and exercise, especially stretching exercises. Exercises reduce the pain, but the pain is still there. Please, I want a solution. I did all the exercises and took all the medications, even injections in the joint, but to no avail. Yes, the pain has decreased, but it is still there.

[@PerformanceSportSpine]

Unfortunately what you are describing doesn't indicate one or the another of the conditions

[@g0_ldenXX]

@@PerformanceSportSpine 😓 What should I do? The pain decreases a lot when I stand at the corner of the door and push myself forward. In your opinion, this problem can be treated with exercises or medications? Because I saw the effect of the stretching is very clear, more than that of medications

[@masoudbj8649]

When I raise my arms from the sides, or perform movements like punching, I hear sounds like tick and feel clicking and pain. Is it Shoulder Impingement or Rotator Cuff Tendonitis? I can move my arms to my back with little pain and clicking. at rest there is no pain. I sit on the chair and work with the computer most times of day.

[@PerformanceSportSpine]

Unfortunately, clicking is not specific to one condition. We can't determine which one you have the the description that was stated

[@juanaguilarjr3864]

Goodmorning. For the past year I've been experiencing pain in the front of my right shoulder, I am right handed. I am unable to throw, push up or bench press and throw a punch without sharp pain. I also get sharp pain pushing up from chair or sofa so I've been using my elbows to push off. The pain is right where upper arm meets shoulder. Thank you for your response.

[@User75314]

i can pretty much do all movements, when I do pressing movements for chest my left shoulder starts to pain.

[@PerformanceSportSpine]

That is not specific to one condition. Would take an assessment to be able to tell you more

[@gaztambo139]

I sort of have a bit of everything. It is less painful now than it was, I don’t get sudden pains anymore, it’s more of an ache if I try to push my arm beyond the restriction. My arm just stops at 100° in front, about 85° to my side (basically beyond this, my whole shoulder starts lifting) and if I put my arm behind my back, It’s painful to bend at the elbow to reach my belt, but in front, I can bend my elbow, no problem. I think it might be frozen shoulder, is that to do with the flexibility of the material that keeps fluid around the ball and cup joint, as opposed to the rotator cuff tendons ?

[@PerformanceSportSpine]

From what you are describing, especially if that range of motion is restricted, both actively and passively. The best working definition of frozen shoulder is 50% reduction in external rotation compared to the other shoulder and at least 25% reduction in one over plane (. i.e flexion, abduction). Also depending on your age, it my just be a "stiff shoulder", d/t arthritis. If you haven't yet, I would recommend get an x-ray. Here is our video link for Frozen Shoulder, hope it helps. kzbin.info/www/bejne/sHKaZKOgr52dopYsi=MO2cVXGE0vxIv-ee

[@gaztambo139]

@@PerformanceSportSpine Thanks a lot ! Have checked out the other video,and it’s very helpful. 🙂

[@PerformanceSportSpine]

@@gaztambo139 You're most welcome. Cheers!!

[@qull3840]

Even after watching the vid, I am still unsure of what I have. I cannot put my hand on my lower back. Trying to do so, my arm is shakily locked in the motion, while I feel tremendous pain on my shoulder tip. If I force it a little more, I can feel an aching sharp pain from tip of shoulder down to elbow joint (some sort of underneath bicep). I also feel nagging pain (not sharp) when sleeping on the side as well as when raising arm at about 170 degree.

[@PerformanceSportSpine]

From what you are describing it is more likely to be one of the first two, but can not say for certain

[@Vicky-Louisee]

So what would it be if I can feel something drop my shoulder isn’t dislocating it’s a slight drop and I have to lift my shoulder up to not be in pain?

[@PerformanceSportSpine]

That sounds like instability, but can't say for certain. We do have online consultations if you are interested

[@jessicajet5788]

I'm trying to find videos that best explains the pain I've been going through. Its located on the shoulder blade on the very corner on the back not the actual shoulder. I recently injured myself lifting a 30 pack of water. I was in severe pain for 2 days and have been seeing doctors and taking meds to manage the pain since then. I've seen 3 doctors and finally got a referral for an orthopedic. They suspect it's torn tendon but I don't think it's on the shoulder. I feel like it's literally on the rhumboid muscle. Either way I'm in extreme pain and at the end of the day it's unbearable and I don't get much sleep.

[@PerformanceSportSpine]

That would need a MRI or ultrasound to determine the specific structure

[@gadgetcrafty7767]

Which scan is to identify it is a impingement or tear(partial)????

[@PerformanceSportSpine]

X-ray for impingment, ultrasound or MRI for tear

[@sakthijeganathan9573]

@@PerformanceSportSpine i did mri, ultrasound and they are saying mechincal impingement. is inflammation and impingement are same?

[@tyreesebrown1300]

I have a problem with my right shoulder especially when I’m sleeping and I really feel the pain. The words on my right shoulder cannot move it sometimes. I feel like a pinch.

[@PerformanceSportSpine]

Those symptoms are not specific to one condition

[@tyreesebrown1300]

Is Harry to lift up stuff? Boxes, weights, furniture. I just want my arm back. Everyday pain.

[@PerformanceSportSpine]

Sorry to hear that, hope this video provides some clarity

[@Marvinviljoen]

I have problem with my shoulder,the muscles behind my shoulder,when i turn my arm around my back i have a sharp pain behind my shoulder,the shoulder in whole

[@PerformanceSportSpine]

Hard to know exactly from that description. Is there anything else you can tell us?

[@christopherwilliams4418]

My left shoulder giving me problems 😢

[@PerformanceSportSpine]

Hope this helps

[@bryanstanley4295]

Tough to tell if it's tear or tendinitis for me

[@PerformanceSportSpine]

It can be, as long as there isn't a major/full tear, there is a fair amount of overlap with the rehab. So you should find progress either way

[@JohnNeedham-zk5ms]

I don’t feel anything just numb I can’t lift my arm vertical and I can’t find a video that matches on youtube

[@PerformanceSportSpine]

Best of luck!

[@nirmalkumaran]

My shoulder hurts . Sharp pain in a particular region close to body side

[@PerformanceSportSpine]

Unfortunately, that is not specific to give any direction

[@tbasshandyman7610]

I got an ex Ray that shows impingement always hurts. But I do have full range of motion

[@PerformanceSportSpine]

How did the x-ray show impingement?

[@tbasshandyman7610]

@@PerformanceSportSpine something about that top bone pushing down which made sense cause ive been carrying heavy things on my shoulders since childhood. but he offered NO treatment im finding a new dr, ill try and get report today and copy of films. my bicep is in constant pain also

[@AYSHKAL-l7t]

Idk sir i have no pain raising my arm and no pain in most of the positions but when touching the shoulder(with same arm) and moving it ,it feels like hell. And if i move my hand ahead and then bend it 90° (towards me) and move it to the opposite side it just fells down . My hand fells in many positions . I am not able to relate to any of these . I play baminton (not proffesionally but as a hobby ) and the pain comes back many times. Many times my shoulder is just kinda stuck and it fells . It sucks Can you give me some information pls

[@PerformanceSportSpine]

Have you had any imaging? You definitely want to determine why the hand is falling and what is cauing the shoulder to get "stuck."?

[@AG-im3dz]

No audio?

[@PerformanceSportSpine]

There is sound

[@AG-im3dz]

@@PerformanceSportSpine It is working now. Thanks

[@СевдаШахмедова]

❤

[@PerformanceSportSpine]

Cheers!

[@fredrickoyunge7409]

My shoulder hurts so much

[@PerformanceSportSpine]

Sorry to hear that, hope this video gives you some direction on what is causing your pain

[@tebone3573]

What about a labrum tear?🤷‍♂️🤷‍♂️🤷‍♂️

[@PerformanceSportSpine]

That would need clinical symptoms and confirmation with MRI

[@tebone3573]

@ already have it I have multiple tears in my left and a single tear in my right all the things I see on the Internet talk about rotator cuff and shoulder impingement nothing about the labrum tears

[@bruceparker3139]

Any video on lower shoulderblade pain. Trigger point is area of shoulder blade which comes to the side of body. at 2:18 animated human back figure ,there are 2 line at bottom of right shoulder, that is the point I am talking about. Happens during overhead press and lateral raise. I have pain on my left side. Hope I am able to explain it

[@PerformanceSportSpine]

The only video we have for that area is a lower trap video. kzbin.info/www/bejne/d6PYpn2Oi7Smfbssi=ihXL3hZYsbm2VInP

[@bruceparker3139]

@@PerformanceSportSpine thanks!

[@dalethompson6101]

I messed up mine while trying to start a weed wacker ....hurts!!

[@PerformanceSportSpine]

Sorry to hear that. Hope the video gives you some clarification on how to proceed