The Exam for Shoulder Pain - Stanford Medicine 25

[@vegardbell]

The ASMR is strong in this one...

[@Scottishman50]

😆 lol

[@vegardbell]

@MrGriff305 weird because I'm not like you?

[@vegardbell]

@MrGriff305 that's mature...

[@vegardbell]

@MrGriff305 well, why are you replying then? Idiot...

[@rajvo7406]

ASMR amongst other things

[@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

[@MFLapin]

😂

[@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😢

[@interludo]

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

[@milljh711]

And concise!

[@EliHank]

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

[@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 😪

[@c.c.c.c27]

The doctor is a noble and very beautiful woman...

[@mistyrain2532]

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

[@w3luvyou.k1d]

We need her back

[@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.

[@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.

[@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.

[@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

[@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! 😊

[@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?

[@NoName-hq1xv]

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

[@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

[@Mahadevan760]

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

[@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?

[@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.

[@themulti-coloredcanary5795]

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

[@leah8613]

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

[@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.

[@dogwink]

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

[@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

[@ulysse892]

Mr Christopher, you have my respects ! Congratulations !

[@harveygoldberg5730]

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

[@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?

[@themadbadger2920]

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

[@imedchabchoub7293]

Probably the most complete shoulder examination video on the internet.

[@RezaKarimi-xz1xt]

You two are my heroes . ❤

[@danielladronrivera]

What a beautiful Dr.!!! her amazing big eyes so clear so tender, kills me!

[@juanloprada]

Doctor is a very cool lady. Clear and quiet.

[@nazrulislam-ol8wt]

Thanks for sharing the most expensive thing in the world ie; knowledge . Seriously thanks for such easy explanation and beautiful demonstration.

[@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?

[@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

[@mohank8558]

very nice explanation with so much clarity even to a layman

[@pushpins7140]

Great Job, Chad!

[@mantra4ia]

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

[@jesuschrist6714]

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

[@핑크플로이드-f6x]

Beautiful Teacher

[@kanma340]

The best video to understand shoulder pain causes. Could you make the related video for shoulder treatment exercises?

[@nadaamr7365]

She didnt bro 🥲🥲🥲🥲

[@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.

[@inaamulhassanjaffer8238]

Dr, please continue with more of these videos on physical examinations, really awesome stuff🐬

[@SondrioMusica]

I'd like to have a doctor like that! Really accurate

[@thomasponnan]

really really..

[@edithpruitt5058]

Me too! I have pain in my shoulder for over a yr and all my doctor told me was “I’ll get X-ray, I see nothing on X-ray.. u are getting older, getting older isn’t fun, it hurts.” I didn’t go back to her.. now I had a car accident and it seems a bit worse. But I don’t have a regular doctor yet

[@soggyrice02]

Riiiiiiiggghhttt......

[@freecheese4143]

By far the best video on the subject.

[@stephengibson7709]

Excellent video. Very helpful.

[@michaelangelo6947]

Excellent video. I wish she were my doctor, so I could know for sure what's wrong.

[@doctortube1083]

Really informative video. Would have been even better if along with examination of a normal patient you compared all the tests with an actual patient and showing the positive results. Keep up the great work!

[@Therealnyce1]

She is a Fine, looking Doctor... 🤩💯💪

[@o3gl498]

I love the way she annunciate her words

[@gourabchatterjee5011]

Drop arm test is missed here. Rest excellent and very precise 👍🏻

[@justinutube]

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

[@aliaaabdulhakeem7081]

The examination is very thorough

[@paulknowles9727]

Excellent demonstration. I have internal rotation issues on both shoulders. Who do I need to see? I went to the GP in 2013, and said i was fine, but referred me to a Physio. He never put a hand on me and sent me away within 5 minutes after waiting 6 weeks for an app. He gave me a sheet of exercises. I belive I have Historical trauma and need further investigation of my entire shoulder region. However, i do have very obvious pain coming from my Terez minor and front deltoid at the shoulder ball. Hope you can give me clear advice. Thank you.

[@blgmonster1631]

Brinda’s looking good🔥👌🏻

[@sunugaal7775]

I need to see doctor like her because I have a this problem in my left shoulder since many years I can't hold sometime in my left hand

[@خالداليافعي-ح8و]

اتمنى احد من العرب يشرح بهالطريقة الممتازه مع كل حركه في الشرح احس بالالم الي اعاني منه شكرا جزيلا على التوضيح ❤

[@AMRPhysiotherapy]

Great video. Thanks for sharing

[@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.

[@sureshkumar-cu5pe]

Very well explained mam. Thanks for info

[@Doug-tp1jp]

2:00 Shows all rotator cuff muscles/tendons 2:30 Supraspinatus tests 3:15 Infranaspinatus & Teres Minor tests 3:30 Subscapularis 4:30 Impingement-Subscapularis

[@angelbravo781]

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

[@GLOKD]

As someone trying to self-diagnose shoulder pain from over-training in the gym, it is staggering to learn how complex the shoulder and its various pathologies are. My symptoms are as follows: dull pain which gets worse on exertion/stretching, crunching/snapping sound when performing over-head exercises, no loss of range of movement in any direction, no loss of strength. I think it could just be mild tendon inflammation, but I think I need to book myself in with an expert :)

[@GLOKD]

My shoulder pain has gone- and I don't see many follow up comments, so thought I would do one. If anyone has the above symptoms, I did the following: 1) Shoulder/rotator cuff stretches everyday 2) 1 week abstinence of upper-body gym work outs 3) 1 week upper-body re-load (slowly reintroducing arm, chest, and then finally shoulder exercises) 4) Occasionally taking naproxen before work outs

[@jameshopkins9353]

Similar story with me, injured both my shoulder and hip at some point in the gym and got a dull pain which flared up and clunking and catching in the shoulder and hip. Started studying Sports Therapy and got diagnosed with Labral Tears in my shoulder and hip, so is likely you have a labral tear too. Hope this helps!

[@rohithkumar3480]

My problem is similar,with mild pain and clicking sound from right shoulder during abduction (150°-180°). It's been one week since I started physiotherapy, it's a little better now.Lets see what will happen.I would recommend bob and brad channel for shoulder pain exercises.I am following those in addition to the ones physiotherapist gave me.

[@Alexander-dt8sk]

superb clinical examination! Thorough and thoughtful.

[@urwairshad8482]

This is bestest video ever ❤

[@animeshnot8]

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

[@MTechnikM]

Gerbers test got me real good... time to see a doctor

[@keeandchee]

Look at this guy's face. He's so happy that he's getting extra credit for appearing in the video.

[@harrycalvino7422]

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

[@BD091959]

Excellent!!! Presentation!

[@alexandrasundell5463]

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

[@BERNARDOALBERGARIA1969]

Nice video, what about Kim's and Gagey's, Fukuda and Hornblower's tests?

Thank you for sharing your knowledge and wish you and your family always healthy and happy

[@mdsloads]

Wish I had a doctor as yourself in my area. I’m sure I do but you are very well versed in the muscles. I’ve had similar issues with my shoulder for a few years without any success in stretching to relieve any pain.

[@blumoonification]

Such a good concise educational video thanks!

[@andreavillalobos6334]

Very helpful. Thank you

[@drankurdoshiorthopedicsurg3135]

Beautiful demonstrated Thank you

[@arankalle4354]

Extremely useful video 🙏

[@iBFP.]

OMG i need this , my left shoulder is no joke 😢💔

[@mcqcjc8409]

She's surely an eye catcher

[@larrywheeler9917]

2 shoulder surgeries on my left shoulder in last 14 months. Be careful with whose grabbing your repaired shoulder. I had a young physical therapist who thought he could get my last 10% range of motion by jerking my shoulder aggressively. It popped the tendon and I had to have it repaired the second time.

[@kipponi]

No they don't do that. When pain occurs no more streching, no full movement to that direction.

[@bettycarreno5028]

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

[@elisahenriques1639]

Great job! Thanks from Brazil

[@user-sp6st6ih111l]

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

[@urwamunawar7612]

Please upload more videos. Very informative, loved it.

[@sannidhanam]

Thnq but no doctor examine like this. Simply depend on Scanning MRI OR XREY. YOU ARE GREAT TO EDUCATE WHO SUFFER SHOLDER PAIN. I HAVE PROBLEM SHOLDER DISLOCATION. PLS HELP ME HOW TO CURE

[@HeschilLewin]

this is an excellent video ,

[@physiosp4109]

Very good explanation

[@MEGATestberichte]

Found a knowledge gold nugget!

[@lettieyoung2791]

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

[@hippophile]

So many things that can go wrong... I have shoulder pain (probably from swimming) but none of these was hitting the pain spot exactly (AC joint was possibly closest). Guess it is time to see my physio and have an expert check it out! Really good to know what they are doing with those tests, though, thanks for the video.

[@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

[@officiallyKage]

Very informative. So pretty sure my pain is a result of impingement.

[@playnvanilla5176]

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

[@kitionesikivou6849]

Superb. Really enjoyed. Very informative. Stupendous.

[@ahababkhan6803]

Excellent explanation thans dr

[@muruganarjunan1513]

Pls post a similar video for elbow hand and wrist joint.....

[@hariom-vy2kz]

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

[@sollazarus4496]

Thank you for this fantastic educational video!