The Exam for Shoulder Pain - Stanford Medicine 25

This video is brought to you by the Stanford Medicine 25 to teach you the common causes of shoulder pain and how to diagnose them by the physical exam.
The Stanford Medicine 25 program for bedside medicine at the Stanford School of Medicine aims to promote the culture of bedside medicine to make current and future clinicians and other healthcare provides better at the art of physical diagnosis and more confident at the bedside of their patients.
Visit us:
Website: stanfordmedicine25.stanford.edu/
Blog: stanfordmedicine25.stanford.ed...
Facebook: / stanfordmedicine25
Twitter: / stanfordmed25
Diagnoses covered in this video:
Rotator Cuff Pathology
Impingement Syndrome
Biceps Tendinopathy
Adhesive Capsulitis (Frozen Shoulder)
Acromioclavicular (AC) Joint Disease
Shoulder Instability
Labral Tears (SLAP Lesions)

[@vegardbell]

The ASMR is strong in this one...

[@Scottishman50]

😆 lol

[@MrGriff305]

Does she give you tinglies? People are weird.

[@vegardbell]

@@MrGriff305 weird because I'm not like you?

[@MrGriff305]

@@vegardbell No. Just weird.

[@vegardbell]

@@MrGriff305 that's mature...

[@RaySiow_MD]

0:57 Range of motion 4:12 Rotator cuff pathology 5:45 Bicep tendinopathy (long head) 6:18 Adhesive Capsulitis (Frozen Shoulder) 7:01 Acromioclavicular (AC) joint disease 8:44 Labral tears (SLAP lesions)

[@vistulacooper6802]

I HURT IN EVERYTHING SHE HAS SHOWN & DONE😢

[@DrPeterVenkman383]

Good to see Nick Cave taking his health and mobility seriously.. 👍

[@karockgrok]

HA! I thought Morgan Krantz was doing a cameo.

[@AL-jo2vp]

Got rid of that red right hand

[@interludo]

Gold medal for informative content, clarity, communication, presentation. thank you.

[@milljh711]

And concise!

[@juanlopezexposito]

This lady is very interesting. So serious.

[@MaxSachs]

These tests made me realize I need to see a physiotherapist immediately, tenderness and pain during at least half of the tests. Thanks for posting!

[@scotthowieson1191]

Follow up time, did the Physiotherapist find anything 😁

[@MaxSachs]

@@scotthowieson1191 Good evening! Yes indeed sir they did. Evidence of torn ligaments throughout the trapezius, old fractures in both hand bones (x-ray), my right leg was 1/4" shorter than the left, lower back pain cause by weakened abdominal muscles. I didn't realize how torn up I've been, still am actually, currently nursing yet another swollen lower back muscle. Was instructed to see massage therapist in addition to some unusual but effective exercises to be done daily. I see a massage therapist every 3 weeks now. The worst was when the therapist asked me to resist his ONE arm with both my legs and my legs lost! He just casually subdued them didn't even feel like he was trying, said my abdominals had "turned off" and my lower back was doing most of the work. A bunch of other technical notes but following the exercises put me in a far less painful state.

[@adpeter5082]

@@MaxSachs Geez man! That's harsh. Make sure you drink plenty of water and I hope you had a wonderful response.

[@EliHank]

Absolutely beautiful Doctor. I'd be very anxious if I was that patient

[@kevp2856]

Beautiful and well spoken for a minute I forgot about my shoulder.

[@tl4340]

I love her accent. She could cuss someone out using language that would make a drunken sailor blanch, and she'd still sound like a stateman.

[@luisaguilar5343]

I've faced this man on the first level of every medieval rpg ever.

[@k-asmr4248]

So you're the cause of his shoulder pain...

[@uvekolarz]

he was an adventurer like you, but then he took an arrow to the.. shoulder

[@hadinataroslan]

@@uvekolarz hahah damnit

[@Iamav15]

I think he’s a character in Dragon Age

[@Lemonz1989]

He’s definitely a part time actor in Skyrim.

[@alexandremello6913]

Thorough and systematic shoulder examination presented by an acknowledged and beautiful doctor with a marvelous british accent and soothing voice. Doesn't get any better than this. Thank you.

[@mistyrain2532]

I wish Dr. Christopher had more videos. Soothing and knowledgeable.

[@leah8613]

This has put everything into context when practicing for my OSCEs. Thank you very much!

[@elisahenriques1639]

Great job! Thanks from Brazil

[@maricelbagnall3832]

I really appreciate your effort and comprehensive examination! It helps me a lot as a new medical practitioner here in US . More power and God speed! 😊

[@alexcombe58]

The best shoulder examination I have ever seen. Dr. Christopher really is a super specialist. Great work

[@nadaamr7365]

Is it enough for end_round exam 🥲 am in crazy time now 😪

[@alexandrasundell5463]

Very informative, keep coming back to this video. Helps me in my clinical work in primary care:)

[@sgtrock2821]

I used to watch this for ASMR... Then I injured my left shoulder 3 months ago. The speeds test for me was severe biceps tendinitis for a long time. Very frustrating. I'm still waiting for an Ortho appt with the VA. Meanwhile I bought Dr John Kirsch's book about the shoulder. I've followed his book to a T. Now I have no pain in any of these movements and my rotator cuff is stronger than it's ever been. I'm 60. I work out for 2 hours daily again with no shoulder pain. .

[@sunitamay123]

Thank you for the tip. Did you perform any of the imaging tests?

[@smohammed2821]

Did you take any medication for pain, how did you fix the issue, my pain is serve and I'm on pain killers and I'm really scared the pain doesn't allow me to use my arms at all ans any tiny moment really pain full

[@sgtrock2821]

No imaging tests. Still working out but I stopped doing military presses out of caution. I hang from a bar for 10 minutes a day and do external rotations. I do upright rows, lateral and front raises along with rear felt work.

[@sgtrock2821]

I suggest you see your orthopedic specialist. Sound like you have significant damage. Best of luck

[@krane15]

Try not to sound so much like a commercial next time. BTW, each doctor looks as an ailment for the perspective of his specialty. Ex. A neurologist will say one thing, and an orthopedic will say something else. Then there's the chiropractors who can fix everything with an adjustment. All can be right, or wrong.

[@blumoonification]

Such a good concise educational video thanks!

[@tombryant52jumpscoach]

I had a diagnosis by an orthopedist with an x-ray, an MRI and 2 months of physical therapy. My initial examination wasn't nearly this detailed and now I wish it were just to satisfy my interest in learning about it. Diagnosis was supraspinatus tendonitis, two small tears in the supraspinatus muscle, impingement of a bursa and osteoarthritis. Probably an anomaly (round shoulders). Still have some pain due to my stubborn refusal to stop working out and playing sports. I did have a good doctor .

[@swisstrader]

Surgery or something else?

[@sanafatima2330]

Summarised notes. You're welcome😊 Supraspinatu: Empy can test, forward flexion and 30 degree flexion then check power for supraspinatus, External rotation with power (IS n TM), Internal rotation lag sign, gebers lift off test (subscapularis), ROTATOR CUFF PATHOLOGY: Supraspinatus impingement: neer's test, Empty can test, Hawkins Kennedy test. Patients with supraspinatus impingement can have scapular movement asymmetry. Palpate the anterior joint line and internally rotate the shoulder and palpate subacromial/subdeltoid space. SPECIAL TESTS: FOR BICEPS: Speed's test ( resisted flexion), Yergason's test (resisted supination), papate the biceps tendon while doing this. ADHESIVE CAPSULITIS: painful ROM. Reduction in ROM both actively and passively. ER is the first movement to be affected in adhesive capsulitis. There's scapular motion asymmetry due to limited mobility of glenohumeral joint. AC JOINT DISEASE: Localised pain over AC joint, might pain when rolling over that joint to sleep. Palpate the joint for any pain, crepitus, step off deformity. Scarf test (cross body adduction) and palpate the AC joint. Painful arc in last 30 degrees of abduction. SHOULDER INSTABILITY: sulcus sign: pull down on humerus and notice for any sulcus on lateral side of shoulder. Apprehension and relocation test. LABRAL TEARS: Common in athletes. Speed's test. O'brien's test. Crank's test (internal and external rotation whilst palpating for pain and clunks) Acute lesions: anterior joint line fullness. Loss of power on resisted movements.

[@AliAli-dv7mn]

Left side feroz sholder pain Use iodum 30 And right shoulder Use pulsatila 30 Homeopathic medicine

[@danipl9529]

Thank you. You explain it very clearly👍🏻

[@leanncollier9948]

This has helped me SO much in learning these different tests. I appreciate the anatomy pics, on-screen labels and the unhurried explainations! Studying for my PA summative exams.

[@sollazarus4496]

Thank you for this fantastic educational video!

[@angelbravo781]

Thank you Doctor!!.... Very helpful video 👍🏽

[@user-cu2lr8eb2d]

Beautiful Teacher

[@ulysse892]

Mr Christopher, you have my respects ! Congratulations !

[@freecheese4143]

By far the best video on the subject.

[@lettieyoung2791]

Loved your total examination of the shoulder. Lots to learn and loved your demonstrations.

[@2cmrinhfx]

Excellent, thank you!

[@themulti-coloredcanary5795]

Thank you so much for this! This is exactly what I have been scouring the internet for.

[@harveygoldberg5730]

You are really good brilliant clinician. I should know I have suffered with rotator cuff for 30 years....no easy way forward.

[@playnvanilla5176]

3:07 This is how we greet our brethren on our home planet Uranus.

[@BD091959]

Excellent!!! Presentation!

[@drankurdoshiorthopedicsurg3135]

Beautiful demonstrated Thank you

[@Mahadevan760]

Brinda, your examination,was very comprehensive,and all including. Thank you,for your efforts

[@MattHobsonDrummer]

excellent video. thank you

[@amolchaudhari8822]

Thank you very much Doctor ....

[@NoName-hq1xv]

The tone of her voice is even and smooth. Helps to fall asleep. Thank you for my lovely nap Dr Brinda.

[@Alexander-dt8sk]

superb clinical examination! Thorough and thoughtful.

[@dogwink]

The best video so far (saw about 5 of these) on diagnosing shoulder pain.

[@fazeelalaher6250]

Very well explained n informative

[@juanloprada]

Doctor is a very cool lady. Clear and quiet.

[@mantra4ia]

Thanks. I'm absolutely going to go over some of this with my PCP for my shoulder pain.

[@sunving]

Thank you very much Doctor !

[@urwamunawar7612]

Please upload more videos. Very informative, loved it.

[@jesuschrist6714]

I can listen to you speak for the rest of my life

[@pushpins7140]

Great Job, Chad!

[@haiderspainmanagementcente4590]

Wonderful explanation..Thankfull.

[@bettycarreno5028]

Really good video. Well anatomy points explained. Professional voice. Thank you. It does help me as a P.T.

[@abumahmoud9845]

Much appreciated your video because of its combination of demonstrations and words followed by images indicating the anatomy of concerned parts thanks a bunch

[@dryedlapalli]

Very comprehensive and excellent demo

[@wonderbeauty10]

most helpful video!!!!!

[@spellaroma6998]

This is the most clear and simple education and knowledge to understand, she is amazing , she dont talk too much and make the subject complicated like other videos , she go to the point directly, i would say on you tube she is a teacher number one. her charisma get your attention with that confident and voice level. been watching her video many times a day for one week. Can you post new video about all lower back pain cases upper back , middle back and lover back examination please? silent and calm atmosphere like this one?

[@blgmonster1631]

Brinda’s looking good🔥👌🏻

[@harrycalvino7422]

Well done! ER doc/shoulder pain pt/chronic 50 yr hball player

[@miguelyaez]

Amazing video. Im a Primary Care Physician, almost everyday patients arrive complaining Of painful shoulder pathology. It will be very useful to take better decisions. Thanks a lot.

[@shalamonea1858]

١١

[@ShiroiMeganeInu]

It’s really helpful to comprehend shoulder examination.

[@user-sp6st6ih111l]

this is the best proff explanation I ever see in my life really👍👍👍👍🆒🆒🆒

[@AdvSantoshCZalteSillodDistAura]

Thanks a lot Doctor 🙏😊🙏

[@vijeeshalibin9114]

Very informative..thanku

[@stephengibson7709]

Excellent video. Very helpful.

[@AMRPhysiotherapy]

Great video. Thanks for sharing

[@themadbadger2920]

I would like HER to diagnose my shoulder pain! She is GORGEOUS!

[@sunflowerdancecom]

very cool and sane explanations thanks.

[@nedrog]

this is exactly what i needed. GReAT VIDEO!!!

[@dr.husameddinalaila6725]

Absolutely amazing video

[@x1roman]

i wish ti could be more test videos, i love it, so the best video what i found!

[@sumanthkumarambati6869]

excellent demonstration madam. thank you

[@imedchabchoub7293]

Probably the most complete shoulder examination video on the internet.

[@mindcurve9464]

Excellent to the point presentation...thanks mam.

[@prasadgolatkar7961]

Very good presentation,and informative.

[@andreavillalobos6334]

Very helpful. Thank you

[@dipendratripathi6852]

Beautiful information. Can you make videos on describing Range of Motions of different joints, Limitations, how to examine range of motion, and how overcome from them

[@nann755]

Watchs video: Very comprehensive and well explained, I feel more confident 😌 Next day, pt with shoulder pain: *spongebob panic meme*

[@Volleyball_Sports_RDP]

impressive, thanks for the information.

[@kitionesikivou6849]

Superb. Really enjoyed. Very informative. Stupendous.

[@drSJV]

Thank you so much!

[@chansenauto1179]

Thanks for knowledge

[@nityanandgorenka8073]

thank you very good explaination

[@mohank8558]

very nice explanation with so much clarity even to a layman

[@VF092]

Thank you.

[@adityasharma-qo4lm]

Thank u for d video Dis is a great help for osce exam

[@jojoscoulos]

Excellent

[@hariom-vy2kz]

Very nicely explained and very good learning. Thank you mam. INDIA

[@arankalle4354]

Extremely useful video 🙏

[@athenaathena77712]

Awesome description and exam ;) excellent job too bad most drs are not this thorough .. if only all exams were this trustworthy ...

[@bandosz3218]

If only we had time to be this thorough...

[@montero9490]

Time?It is up to you, choice... To be or not to be a good doctor. A doctor passionais about the profession and with empathy for all patients. You guys get paid more than any other professional. Please do not give me excuses... You are paid more them any other profesional.

[@easyeye1]

@@montero9490 unfortunately it's not up to the doctors nowadays...unless you're in cash only practice or concierge medicine

[@franciscrisp6245]

Right on! My “doctor” was pathetic, 1 abduction movement; arm at 90 degree then push down. Conclusion: “you have a weak arm.” Really doc? I knew that, tell me what the problem is. “Let’s do an MRI.” What a scam. I’ve heard others complain also, so it’s not just me. Seems too many doctors are lazy. I learned more about my shoulder & how to help myself with exercises. Like everything else in this country, medical profession is not what it should be.

[@strongDr]

​@@franciscrisp6245 Which Country?

[@justinutube]

This is an amazing self-diagnosis tool. Thank you so much.

[@dr.rahulbharat8210]

Great description ☺️👌

[@Therealnyce1]

She is a Fine, looking Doctor... 🤩💯💪

[@o3gl498]

I love the way she annunciate her words

[@animeshnot8]

great work, I am a great fan of standford series. wonderful resource for hospitalists, primary care as well as specialists

[@frodobeutlin4368]

this man needs a glass of water goddammit!!

[@drultrafocus1228]

I am in my last year for physiotherapist and this video is very helpfull to me, thank you very much!

[@Aceg13579]

Remember that any exam for “shoulder” pain should start with a cervical spine exam

[@ytharper66]

Excellent.

[@unamsanctam5967]

Thanks, this will help.

[@kevwilliams5647]

Been hurting for 15 years and i learned what my problem is. Thanks

[@Adderiandei]

did you get treatment?

[@kipponi]

15 and you not tell what problem?

[@MEGATestberichte]

Found a knowledge gold nugget!

[@physiosp4109]

Very good explanation

[@bonesboshoff]

very informative, very helpful video, the best shoulder exam I have ever seen of all video's

[@physiotherapymotivation4945]

💎💎💎👍👍👍 Proper assessment is key to any successful treatment If you are perfect in assessment of the patient there wil be no doctor better than you.