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)

[@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😢

[@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...

[@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!

[@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.

[@mistyrain2532]

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

[@juanlopezexposito]

This lady is very interesting. So serious.

[@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! 😊

[@EliHank]

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

[@leah8613]

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

[@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 😪

[@Mahadevan760]

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

[@elisahenriques1639]

Great job! Thanks from Brazil

[@themulti-coloredcanary5795]

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

[@alexandrasundell5463]

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

[@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.

[@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.

[@ulysse892]

Mr Christopher, you have my respects ! Congratulations !

[@user-cu2lr8eb2d]

Beautiful Teacher

[@danipl9529]

Thank you. You explain it very clearly👍🏻

[@blumoonification]

Such a good concise educational video thanks!

[@harveygoldberg5730]

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

[@sollazarus4496]

Thank you for this fantastic educational video!

[@angelbravo781]

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

[@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

[@drankurdoshiorthopedicsurg3135]

Beautiful demonstrated Thank you

[@freecheese4143]

By far the best video on the subject.

[@lettieyoung2791]

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

[@amolchaudhari8822]

Thank you very much Doctor ....

[@juanloprada]

Doctor is a very cool lady. Clear and quiet.

[@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

[@2cmrinhfx]

Excellent, thank you!

[@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.

[@BD091959]

Excellent!!! Presentation!

[@fazeelalaher6250]

Very well explained n informative

[@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?

[@bettycarreno5028]

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

[@user-sp6st6ih111l]

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

[@harrycalvino7422]

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

[@ShiroiMeganeInu]

It’s really helpful to comprehend shoulder examination.

[@Alexander-dt8sk]

superb clinical examination! Thorough and thoughtful.

[@sunving]

Thank you very much Doctor !

[@mantra4ia]

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

[@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

[@haiderspainmanagementcente4590]

Wonderful explanation..Thankfull.

[@dogwink]

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

[@VF092]

Thank you.

[@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

[@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.

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

[@sureshkumar-cu5pe]

Very well explained mam. Thanks for info

[@urwamunawar7612]

Please upload more videos. Very informative, loved it.

[@dryedlapalli]

Very comprehensive and excellent demo

[@vijeeshalibin9114]

Very informative..thanku

[@sumanthkumarambati6869]

excellent demonstration madam. thank you

[@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?

[@justinutube]

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

[@adityasharma-qo4lm]

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

[@x1roman]

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

[@chansenauto1179]

Thanks for knowledge

[@pushpins7140]

Great Job, Chad!

[@mindcurve9464]

Excellent to the point presentation...thanks mam.

[@Volleyball_Sports_RDP]

impressive, thanks for the information.

[@AdvSantoshCZalteSillodDistAura]

Thanks a lot Doctor 🙏😊🙏

[@nazrulislam-ol8wt]

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

[@MattHobsonDrummer]

excellent video. thank you

[@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.

[@drSJV]

Thank you so much!

[@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.

[@inaamulhassanjaffer8238]

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

[@dr.husameddinalaila6725]

Absolutely amazing video

[@frodobeutlin4368]

this man needs a glass of water goddammit!!

[@nedrog]

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

[@mohank8558]

very nice explanation with so much clarity even to a layman

[@kitionesikivou6849]

Superb. Really enjoyed. Very informative. Stupendous.

[@o3gl498]

I love the way she annunciate her words

[@andreavillalobos6334]

Very helpful. Thank you

[@nityanandgorenka8073]

thank you very good explaination

[@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?

[@aliaaabdulhakeem7081]

The examination is very thorough

[@hariom-vy2kz]

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

[@jojoscoulos]

Excellent

[@stephengibson7709]

Excellent video. Very helpful.

[@nann755]

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

[@prasadgolatkar7961]

Very good presentation,and informative.

[@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.

[@bonesboshoff]

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

[@AMRPhysiotherapy]

Great video. Thanks for sharing

[@sunflowerdancecom]

very cool and sane explanations thanks.

[@ahababkhan6803]

Excellent explanation thans dr

[@unamsanctam5967]

Thanks, this will help.

[@ytharper66]

Excellent.

[@romanbykov3529]

Спасибо огромное. Очень грамотно.

[@ritwickdas7901]

Wow and thank you madam

[@jesuschrist6714]

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

[@arankalle4354]

Extremely useful video 🙏

[@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.

[@jazldazl9193]

Most excellent

[@user-hq5nm4sp3m]

thanks alot