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Hi. Sorry to hear about your injury. It's sounds like you are in quite a dilemma. Not, wanting to do sporting things, is very different that being able to push, pull, reach, and carry during your activities of daily living (ADLs). We hope you can find more compassionate health care providers. What they are failing to understand that you face an increased likelihood for a total shoulder arthroplasty (replacement) based on your injury. This surgery, and rehab, will cost more money, and will involve more health risks for you, when you need it 5-10 years from now. With regards to the best exercises, it is really individually dependent. There basics of restoring pain-free range of motion and shoulder girdle strength and stability must occur to improve your independence with ADLs. The exercises you mentioned should be fine to begin with, in addition to rowing and pulldown movements. There are other exercises to help with shoulder stability that involve quadruped positioning (your physio can help you with these). We would also encourage you to do exercises for the uninjured side. There is enough good research for "cross-education" for rehab. It means to continue working on the uninjured side, and there will be cross-over. Be patient and advocate for your health!

@@EvolvePhysicalTherapy Thank you for your considered reply. Very kind of you to take the time. I will look to adding some rowing and pull down movements and find out about those quadruped stability exercises. I've heard about "cross education" but have occasionally found I've managed to hurt the other arm. In some ways that's a good bit of learning as it indicates that exercise will also be aggravating the right injured arm. Mostly what I've learnt from these experiences is that as a hypermobile person I really can't do any strength exercises in an eccentric or arm elongated position. It's either isometric or concentric for me. My poor tendons just aren't up to many standard exercises. I appreciate that "cross education" is more about nerves and brain connections, but trying it has also helped my conscious brain consider and re-consider. None of the physios I've seen fully appreciate the hypermobility angle (and I'm not laying blame here as it's a new-ish thing not fully understood by anyone) and so I have to work it out for myself ...... which has added to the stress and recovery time as I learn from re-injuries. 😊

Hi. It might be in your best interest to find a PT who specializes in hypermobility, possibly Ehlers-Danlos Syndrome. These physios have extra skill and knowledge. There should be a national database that you can find an appropriate practitioner. Don't give up!

@@EvolvePhysicalTherapy Thank you. An excellent suggestion. Years ago I looked for such a physio but at the time there was one unit in London (UK) but completely the other end of it from me ... a 2 hour trip one way when I was in considerable pain. I've just re-looked and there appear to be a lot more now that are centrally based and much easier for me to get to. I will be exploring various websites over the next few days. Thanks again.

Hi. Thanks for the question. There is a skill that's involved with the hand held dynamometer. The patient performs a "make test", which means they push or pull with maximum effort without the body moving. It's a full effort isometric. If the patient is too strong, bracing is used.

Hi. Thanks for the comment. No need to worry about him. It was a struggle at the beginning of his rehab, which is common after ACLR surgery. He did make a full recovery , and went back to playing football.

@ i literally stopped playing soccer because it was one of the worst pain I’ve felt and it kinda bummed me out and never went to get it checked out this is like almost 6 year injury

Sorry to hear about your recovery from the surgery. Don’t give up hope.

Hi. Thanks for your question. He is using a Neuromuscular Electrical Stimulator (NMES) on his quadriceps. This device helps him achieve a stronger quadriceps contraction and is very useful in early ACLR rehab.

Hi. Thank you for your question. For the surgery, a quadriceps tendon graft was used.

@@EvolvePhysicalTherapy Thanks for your fast reply and tips! I hope your holiday is going well over there! I appreciate you!

Our pleasure! If there’s anything we can do to help you in the future, don’t hesitate to let us know.

Hi. Thank you for your question. Sorry to hear about your injury. We typically find that after a tibial fracture, people start physical therapy/physiotherapy on an average of 4 to 8 weeks following the injury. It depends on the severity of the injury and if surgery was involved. Best of luck with your recovery.

Hi. We are unsure what you are asking. Can you please clarify your question. Are you asking about exercises or the surgical procedure?

Hi. Thanks for your comment and sorry to hear about your injury. You’ve got a long road of recovery ahead of you, but it sounds like you’ve got a plan. The knee and ankle stiffness will subside, and you should look for improvement every 2 to 4 weeks. Stay positive and you’ll achieve your goals.

Hi. To receive the maximum benefit, the whole-body vibration (WBV) machine is needed.

Hi. We are not sure what you are asking. Are you asking if there is a change in height after the surgery? If yes, the answer is no.

Hi. At the time of the video, he was 10 months out of surgery.

Hi. Thank you for your question. Exercises must be performed to restore full function. Rehab is based on a criterion-based system and involves 4 phases. Exercises are focused on the stages of healing and length of time needed to restore strength, dynamic stability, and power. Risk will never be zero, rather it’s mitigated to maximize function and prevent the likelihood of re-injury.

Hi. Thank you for your question. He is landing on his toes because it is the preferred way to land, in an athletic position. Landing this way will allow more dynamic counter movements, either laterally, forward, or backward. Learning how to land this way is critical for ACL rehab. One should never land flat footed.

Hi. Thanks for the comment. We are based in the USA. The BlazePods are a lot of fun for our patients. If you ever have the opportunity to use, they are a great training and rehab tool.

@EvolvePhysicalTherapy Ooh okay that's okay i'm trying to know things to do after 2 months 3 weeks recovery from tibia Rehab for a soccer player

@@PerishonNgezimani Sorry to hear about your injury. We have many video clips with college and professional soccer/football players.

Hi. We are story to hear about the lack of knee extension. What manual (hands on) techniques and exercise exercises is your physiotherapist/physical therapist doing? As we are sure you know, it’s critical that you restore full knee extension.

@@EvolvePhysicalTherapy he puts my leg on he’s solder and he puts he’s hands on my knee and pushes and the other exercise is I lay down on my stomach my leg with the problem doesn’t go down and he pushes the leg very hard I scream from the pain he does those two exercises for 15 minutes only that he didn’t tell me to do any exercises at home..

There might be a need to address hamstring restriction. If one doesn’t achieve full knee extension after an injury/surgery, the hamstrings will shorten in length. Soft tissue mobilization of the hamstrings and mobilizations of the knee (tibiofemoral) joint might help.

Hi. We are sorry to hear about your injury. Are you currently in physical therapy/physiotherapy? You will not be able to rehabilitate fully without one-on-one treatment. Initially, the therapy consists of hands-on (manual) treatment to restore range of motion (ROM). This is a very critical stage, and failure to have this treatment will impact your full recovery. Recovery time will be 4 to 12 months, depending on the fracture type and surgery. The rehabilitation team determines clearance for driving and returning to work, factors in hand dominance, and the kind of job(s) you perform. The exercise in the video is after many months of rehabilitation.

Hi. Sorry to hear about your hip pain. There are many reasons why your hips may be hurting. The first step is to get a detailed assessment and evaluation by a skilled physical therapist/physiotherapist. They will be able to determine not only the symptoms but the cause. We hope this explanation helps.

Hi. This exercise is for strengthening the quadriceps.

Hi. We are a little confused by your question. He had surgery and this exercise must be performed to help with his rehabilitation. With ulnar collateral ligament reconstruction the rehab involves progressive loading to allow him to return to elite throwing.

@@EvolvePhysicalTherapy oh that makes more sense. Usually I would think you want to train your rotator cuff in external rotation

Need both. ​@@C_los_lifts

Very true!

Nice that you appreciate the music!

@EvolvePhysicalTherapy Nice resistance training as well. However, I only needed to hear one second of this bass solo to know who it was instantly. When I was fifteen, I would spend hours trying to learn this bass solo after school.

Hi. He’s using the Keiser Functional Trainer which is pneumatic resistance. He’s also later in his rehab, allowing for increased tempo of movement.

Hi. Are you wondering if the exercise or the blood flow restriction bands would help?

Hi. Thanks for the question. She's performing the exercise on the Shuttle MVP by Shuttle Systems (www.shuttlesystems.com/collections/shuttle-mvp).

Hi. She had surgery and is back playing at the professional level.

Hi. We appreciate your comment!

Hi. Sorry to hear about your injury. Are you currently going to physiotherapy? You will need to be properly assessed before beginning the exercises. That said, are you able to contract your quadriceps muscle when the leg is straight?

Hi. The Shuttle Ultimate is a highly comfortable exercise machine. There is 3 inches (8 cm) of padding. This exercise, when performed on the Shuttle Ultimate is not uncomfortable.

Hi. How long ago did you have your surgery? Are you using an NMES unit? ruclips.net/user/shortsP_SyZC5k0QY. This video shows the isometric quadriceps which must be mastered before the straight leg raise (SLR). Make sure you perform these exercises in tall sitting.

@EvolvePhysicalTherapy no I'm not using NMES or TENS

@@EvolvePhysicalTherapy Will NMES or TENS be helpful

Hi. The NMES can really help to achieve a stronger quadriceps contraction.

Yes. Talk to your physiotherapist/physical therapist about getting you a NMES unit. If used properly, NMES can make a significant difference!

Hi. We are glad you love the content of our RUclips channel.

Hi. The song is by Metallica - Seek & Destroy.

@@EvolvePhysicalTherapyno it isn’t, it’s from the Beatles. lol everyone knows that.

We can sense the sarcasm. We wonder, what Beatles album did this song appear on?

Hi. At the time of this video, she was seven months out from surgery.

@@EvolvePhysicalTherapy dakujem ♥️

Hi. His dedication and commitment will produce results!

Hi. Walking should be normalized within 3 months following surgery. Has your leg strength (compared to your other side) been measured? Are you still in physical therapy/physiotherapy? What is your knee range of motion (ROM)? What exercises are you still doing? What exercises have you done?

I have tibia+fibula fracture grade III, having implant. Strength is not as good as compared to the other one No I'm not in physiotherapy Knee motion is normal but issue in ankle movement.

@@AbhishekSahu-fi8wp Hi. Sounds like you should go back to physiotherapy. You will need to restore ankle ROM and improve your strength. Have them revisit the basic strengthening exercises, which are the foundation of your recover. More advanced exercises should not be performed before you have mastered the basics (restoring ROM and basic strength for the lower body muscle groups).

Hi. Sorry to hear about your injury. It is not uncommon to have considerable swelling following surgery involving ORIF. You should send pictures to the surgeon and their team. The first phase of rehab focuses on pain and swelling control. Were you giving compression socks/leggings? Are you elevating your leg? Are you icing your leg?

@EvolvePhysicalTherapy no compression socks, but I am getting some. Leg alway elevated. Not much pain but still get some.

Hi. It’s a tough recovery. Be patient and develop short term in long-term goals for real. You’ll be back!

@EvolvePhysicalTherapy thanks yea I have alot of goals I setting out just making sure to heal

Hi. Thank you for your question. The exercise's purpose is to build her explosive leg power. This is not a beginner exercise, especially for rehabilitation of hamstring strain (tear).

Hi. Thank you for the question. We will answer your other version.

Hi. You’ve asked a great question. You will be able to do bench press again. It may take 9 to 18 months before you feel comfortable with the movement. It is crucial that you follow a criterion based rehab system to achieve your goals. Do not be in a rush and focus on restoring girdle stability before strength. Also, you will need to have shoulder strength measured, objectively, using a handheld dynamometer, at approximately 4 to 5 months out from surgery. You will then need to have shoulder strength tested every 6 to 8 weeks to measure your progress. Make sure you measure both sides, the surgical and non-surgical side.

Hi. Thank you for your question. At the time of this video, he was 14 weeks postop.

@EvolvePhysicalTherapy thanks for replying. I'm scheduled to have surgery tomorrow on mine

Hi. Best of luck with your surgery! Please look at our videos talking about cross education. This is a vital concept that you should utilize in your recovery. It involves using the non-surgical leg doing exercises. Research has shown that it facilitates a faster, safer, And more functional recovery, following injury or surgery. The exercises for the nonsurgical leg can begin when you’re comfortable, which typically is a week or two following surgery. Make sure you follow a proper timeline for the surgical lag.

Hi. Sorry to hear about your injury. Have you been seen by a doctor? Are you currently in Physical Therapy?

@@EvolvePhysicalTherapy hey i have seen the doctor he just gave me medicine and told me to wear a brace i have also get my xray done it was normal but I live in remote location so there are not any phisiotherpist.

Hi, thanks for getting back to us. It is crucial that you start restoring function for your quadriceps muscle. Doing a static isometric hold for your quadriceps, and holding it for five seconds is the best exercise to start with. There should be no pain when you perform the exercise. If you’re still having pain, it is likely that there is swelling, still underneath your knee and in the knee joint. Do you have access to a stationary bicycle?

@@EvolvePhysicalTherapy can you share me any video of this exercise for better understanding.i really appreciate you And i don't have bicycle

Hi. This exercise involves engaging the quadricep muscle and maintaining that contraction as you lift the leg up and down. It’s critical to return quadricep function, which means strength and endurance, as safely and as efficiently as possible. The quadriceps is the main muscle group in the lower body that’s directly related towards function, this includes walking, squatting, and negotiating stairs.

Hi. We are not sure what you are asking or stating. Did you read the video description? How can we help?

@@EvolvePhysicalTherapyhe said the exercise is a method of doing microfractures. He not really saying much or asking question. He just saying that it’s a exercise for microfractures

Hi. Thank you for your help. We would add that it's an exercise progression and should not be attempted until cleared by the surgeon for weight-bearing (WBing) exercises.

Hi again. What would you like to know? Please make sure you read the video description first.

Stepping in place is not burning alot of calories😂

Hi. Thank you for comment. This drill is best utilized at the beginning or end of a treatment session. The focus is on the speed of reaction to the BlazePod. However, if one were to do it for 15-30 minutes it would be an experience.

Hi. I think you missed the meaning of the above comment. While it is not jumping rope, quick and dynamic movements are great for improving reaction time. Stay positive and stay Active For Life.

Hi Charlie. The BlazePods are so much more than DDR. If you ever have the opportunity to try them - do it!

@@EvolvePhysicalTherapyddr pad more fun

Hi. Thank you for your comment. BlazePods are great. Have you tried them?

Hi. Is your comment related to her mask? If so, are you aware that the video is several years old? Also, there was a mask mandate in the State of Oregon?

Hi. We are not sure if you’re asking a question. Have you had this surgery? Are you currently in Physical Therapy? If so, where are you in your recovery?

​@@EvolvePhysicalTherapymy surgery is done with 4 month ago currently doing PT

Do not attempt pull ups until you are in late phase 3 or phase 4.

Hi and thank you for your question. You will need to start with the basics of strengthening and stabilization for the shoulder girdle before attempting to throw. You would be best served going to a well-skilled physical therapist who will guide you through the phases of rehab. Remember, the patient in this video is a former-collegiate athlete and was 8.5 months out from surgery.

Hi. Thanks for your input. Did you read the exercise description? The description includes step by step instructions on how to perform the exercise. The longer form videos do have narration.

Hi. She has worked exceptionally hard to achieve her goals. Remaining strong mentally is tough for many with the extended absence from sport, however, she handled it incredibly well!

Hi. Are you currently in physical therapy ? Have you been in physical therapy since the surgery? What exercises are you currently doing?