My left shoulder went in 2017. Fully recovered in 18 months. Was very stiff at first. My right one went July 2021 and is now defrosting! However, this side kept a little more range of motion but was a lot more painful. I am now 55 and had no problems with shoulders before. I'm not diabetic or hypothyroid but these conditions run in my family on my father's side.
1:10 "significant and equal loss of both active and passive shoulder movements but has minimal pain on resisted testing." Dr., you just saved my case presentation. I was struggling because my sttt test on my patient showed active pain but no resisted pain. I was so confused so I tested multiple times. thx again!
Tk u doc for this info watching frm india. Im snr citizen n diabetic got frozen shoulder since 2 mths maybe 2nd stage been doing physiotherapy n 75% better in right hand n an abt 85% better in left hand. I also do exercises at home can i massage on shoulders with pure mustard oil
The idea of the channel is very beautiful & it helps me a lot as a physical therapy student in the physical assessment .... but I think that it should be organized more .... like to talk about regions of body in the form of series .... Like shoulder region .... a brief anatomical introduction ... then scapulo-humeral rhythm ... then the normal range of motion of each joint of the complex ... and the dysfunction of each joint & the illustration of that dysfunction ... & then the assessment That may make the channel pure educational channel .. in my opinion ..... i hope so & thank you a lot
Hey Ahmed Thanks for the comment If our Check the playlist section or our website you’ll find all videos organized by body region and from basic to special testing We are currently working more on videos on describing different pathologies and give more background info So we believe it is pretty organized If you want the whole package we recommend our assessment ebook which is organized this way. You’ll find it at the first link in the video description
Thanks a lot .... I didn't check the playlist ... & I didn't know that you have a website .... as I follow you from a short time & I am sorry ... but forgive me as I am having exam in my college of physiotherapy in Egypt Tank you again
Hey sir. I'm a physiotherapy student(about to get graduate).I watch almost all your videos and they are very helpful to get practical knowledge and literally i learnt all the special tests for my practical exams from your channel. I wanna know how did you started your channel? I wanna start my channel on the same kinda physiotherapy assesment and treatment techniques. Please suggest something. I'm just a beginner for this video kinda stuff. About how much views did you get on your videos in beginning? It would be great if you suggest me how to make and grow my channel on physiotherapy techniques and such stuff. Thanks.
Post 8 weeks rotator cuff labrum and muscle tear repair. Feeling like I making progress but feel I may have frozen shoulder. I find massage is helping me by relaxing so I can move ❤. Scares to think I may not get full range of motion. Seeing physical therapist as well. Has me doing exercises and doing some hard manipulation
Another finding is changed humero/scapular rythm. If you palpate the tip of of scapulae and at the same time perform an passiv abduction of the arm, you will find that scapulae starts to rotate already at about 30 degrees abduction when the normal is about 80-80 degrees, due to capsular thightness.
This finding you will only find in shoulders with joint disseases (severe arthrosis, capsulitis). We´re not talking subtle differenses compared to normal. Movement of scapulae already at 20-40 degrees. It´s one pieace of the puzzle that´s often overlooked.
Hello again, Thank you for another good video. I have some questions though. Can you only perform this test passively? Do you have to look at active motion for the three planes as well? Why did you test abduction at 90 degrees? Is this to test the supraspinatus? Did you have your hands placed there to test end-feel also? What about flexion too, at 90 degrees as well? Apologies for the questions, I’m a new student. Thank you Physiotutors.
I am suffering with a frozen shoulder. It’s my dominant side. This is my second time going through this. I didn’t understand everything you were saying. So I read through some comments, and now realize this is a teaching channel, and not really for patients.
On MRI yes, but in the shoulder signs of inflammation are usually hard to see. Pain can be indeed constant and excruciating when moved suddenly and is often widespread and diffuse.
I have limitation in abduction also. When im at about 45 degrees angle my humerus starts to tilt towards my neck. And my scapula tilts with my humerus from about 25 degrees. So u can clearly see a lump on my shoulder when im at almost 90 degrees. Cant lift it any higher. Doctors did several tests even Fysiotherapists. They all told me i dont have a frozen shoulder but i dont agree with them. I had an athroscopie in my right shoulder where they removed my inflammated bursa. After operation pain stayed for almost 4 months while shoulder started to freeze up. Had fysio from almost the beginning btw. Now pain in restmode is gone. Only sharp pain when i reach out or try to go across a certain angle. Docters are to stubborn to admit they are wrong its rly a shame.
SIR, what is the reason , that we have considered diabetic patients and thyroid dysfunction patients under the epidemiologic category of frozen shoulder?
@@Physiotutors yes it is sir, but what's the actual pathophysiology in the system of patients with DM, and thyroid dysfunction, that makes them more prone to FS than any other human?
@@Yakshimist I know for diabetes it's that the high glucose level in the blood can speed up collagen glycosing and cross-linking in the glenohumeral capsule, also an abnormal recovery of collagen. Bunker et al. 2000 Hope it didn't come to late..
Long Term frozen Shoulder Treatment Success case A 42-year-old Ms. Kerr, with a history of diabetes, has been suffering from shoulder pain for many years, and her right shoulder hurts when she rotates her hair out of the comb. There have been clinic visits for acupuncture, small knife needles, glucosamine injections, high energy lasers, Prolotherapy therapy, platelet injections, ultrasound, but none have worked. After a referral from a friend, she came to the SHie Shang Te Clinic. She had a hunchback in her cervical spine after being examined by Dr. Shie. 1. Cervical nerve compression is relieved by cervical injection with an epidural injection. 2. Autonomic dysregulation, release of autonomic nerve adhesions with astrocystic nerve block. 3. The adhesion of the shallow fascia of the right shoulder joint is loosened by extracorporeal shock waves. 4. Deep shoulder joint adhesions are relieved by dilation of the shoulder joint capsule. 5. Distal fascial adhesion with acupuncture and qi therapy. After one session, she was immediately able to comb her hair and resolve her years of shoulder pain. Name:Tainan SHie Shang Te Clinic Address: No. 343, Sec. 1, Health Road, Tainan City Taiwan Phone: 06-2615055 +886 6-2615055 0928717387 Time: 8-12am,2-5.30pm,7.30pm-9pm
Great teaching thank you. I prayed for 2 people with frozen shoulder in the name of Jesus they were completely healed instantly by Jesus Christ glory to god. They were very happy, do try it.
@@Physiotutors thanks can i ask another question I a studient in physiotherapy in first year and I have a patient with frozen shoulder l will use laser therapy for him What frequency l can use for the patient?
@@mahakamal4454 no laser does not have any evidence based for treating adhesive capsulitis go for manual therapy or capsular stretching for better results..
Thanks Dr. It's ironic, I workout for the body to be healthy and illness free but it also caused the shoulder pain (and probably not doing advanced exercises when the muscles aren't ready for it) , probably all of the above: bursitis, bicep tendonitis, apprehension, frozen shoulder, labral tear (SLAP), impingement and capsulitiss. God bless, Rev. 21:4
I have a question: I had not been exercising much during Covid pandemic period, then I thought to start doing my normal (to Me) backwards push ups on the side of my tub. To strengthen my triceps and shoulders. Usually I would do 20 rep’s 2-3 times in the morning or evening. After not doing any of these backwards push-ups for 6-8 months I started again sparingly, I wouldn’t do as many times a week. I would do more rep’s about 35-45 at a time, but only once and a few times I would slow them down or extend my body closer to the bottom/floor. I felt pain and knew I should stop. And I have been experiencing pain and limited range of motion ever since; with weakness. Thank You for any information or comment.
Thanks for the video. It would be more helpful to have the participant be a middle aged woman who actually has a frozen shoulder than a buff 20 something male so you can see the actual findings.
Understand James - it's not cheap for a student but quality has its price. This is how we as part-time students try to pay our rent - especially when you consider that Apple+Google take 30% and there's another 20% of taxes plus we have to pay off the costs of the App! You'll be fine with all of our free videos on RUclips - the App "just" offers you comfort, overview, fast access and a beautiful design...and let's be honest - $41.99 AUD is about a night out with the friends! Btw. Apple and Google both offer 50% discount for educational institutions when they buy 20+ items. So maybe something to suggest at your school?
You haven't diagnosed a thing!! Give examples!! You can't!! What?? Do you rely on secretiveness to sustain your business?? What you have said is absolute RUBBISH!! In our opinion!!
We do not, this is a channel for health care professionals and not intended for self-diagnosis- We plan to produce more content for lay people in the future
my wife's 2-3 years of frozen shoulder was fixed by fixing her sitting ergonomics. she had gone thru tons of therapy/tcm/massage, but her pain recurs. until one day i noticed how she 'leans forward' sitting style(supporting her head with her hand and elbow) while having hours of meetings thru her laptops.
My left shoulder went in 2017. Fully recovered in 18 months. Was very stiff at first. My right one went July 2021 and is now defrosting! However, this side kept a little more range of motion but was a lot more painful. I am now 55 and had no problems with shoulders before. I'm not diabetic or hypothyroid but these conditions run in my family on my father's side.
1:10 "significant and equal loss of both active and passive shoulder movements but has minimal pain on resisted testing."
Dr., you just saved my case presentation. I was struggling because my sttt test on my patient showed active pain but no resisted pain. I was so confused so I tested multiple times. thx again!
I'm just now graduated if i hv any doubt i go through ur video it ll help me more keep going ❤️
My 4th year in physiotherapy ❤️
Tk u doc for this info watching frm india. Im snr citizen n diabetic got frozen shoulder since 2 mths maybe 2nd stage been doing physiotherapy n 75% better in right hand n an abt 85% better in left hand. I also do exercises at home can i massage on shoulders with pure mustard oil
The idea of the channel is very beautiful & it helps me a lot as a physical therapy student in the physical assessment .... but I think that it should be organized more .... like to talk about regions of body in the form of series ....
Like shoulder region .... a brief anatomical introduction ... then scapulo-humeral rhythm ... then the normal range of motion of each joint of the complex ... and the dysfunction of each joint & the illustration of that dysfunction ... & then the assessment
That may make the channel pure educational channel .. in my opinion ..... i hope so & thank you a lot
Hey Ahmed
Thanks for the comment
If our Check the playlist section or our website you’ll find all videos organized by body region and from basic to special testing
We are currently working more on videos on describing different pathologies and give more background info
So we believe it is pretty organized
If you want the whole package we recommend our assessment ebook which is organized this way. You’ll find it at the first link in the video description
Thanks a lot .... I didn't check the playlist ... & I didn't know that you have a website .... as I follow you from a short time & I am sorry ... but forgive me as I am having exam in my college of physiotherapy in Egypt
Tank you again
Hey sir. I'm a physiotherapy student(about to get graduate).I watch almost all your videos and they are very helpful to get practical knowledge and literally i learnt all the special tests for my practical exams from your channel. I wanna know how did you started your channel? I wanna start my channel on the same kinda physiotherapy assesment and treatment techniques. Please suggest something. I'm just a beginner for this video kinda stuff. About how much views did you get on your videos in beginning? It would be great if you suggest me how to make and grow my channel on physiotherapy techniques and such stuff. Thanks.
listen to our podcasts here on the channel. We talk a lot about this topic
1:31
Post 8 weeks rotator cuff labrum and muscle tear repair. Feeling like I making progress but feel I may have frozen shoulder. I find massage is helping me by relaxing so I can move ❤. Scares to think I may not get full range of motion. Seeing physical therapist as well. Has me doing exercises and doing some hard manipulation
Another finding is changed humero/scapular rythm. If you palpate the tip of of scapulae and at the same time perform an passiv abduction of the arm, you will find that scapulae starts to rotate already at about 30 degrees abduction when the normal is about 80-80 degrees, due to capsular thightness.
Makes sense. The only question is how reliable this is given that almost everyone has a different scapulohumeral rhythm.
This finding you will only find in shoulders with joint disseases (severe arthrosis, capsulitis). We´re not talking subtle differenses compared to normal. Movement of scapulae already at 20-40 degrees. It´s one pieace of the puzzle that´s often overlooked.
@@Physiotutors can i post these videos on my fb and instagram?
Wie immer großartig!
Danke maya!
Amazing+Amazing+Amazing👍👍👍👍
Hello again,
Thank you for another good video. I have some questions though.
Can you only perform this test passively? Do you have to look at active motion for the three planes as well?
Why did you test abduction at 90 degrees? Is this to test the supraspinatus? Did you have your hands placed there to test end-feel also?
What about flexion too, at 90 degrees as well?
Apologies for the questions, I’m a new student.
Thank you Physiotutors.
Can I use electric Orthopaedic heat belt for frozen shoulder?
Thank dr. Abod love u.
Thank you teacher.
Thanks for the video. It's very helpful.
Thanks 🙏🏼
I am suffering with a frozen shoulder. It’s my dominant side. This is my second time going through this. I didn’t understand everything you were saying. So I read through some comments, and now realize this is a teaching channel, and not really for patients.
Excellent video for Orthopaedic Surgeons
great content boys
Thanks Till! Appreciate it
THANKS FOR good exercises shoulder pain disappeared within minutes
Thanks🌹
You’re welcome 😊
Would there also be inflammatory signs in frozen shoulder? I. E. Pain at night or pain at rest?
On MRI yes, but in the shoulder signs of inflammation are usually hard to see. Pain can be indeed constant and excruciating when moved suddenly and is often widespread and diffuse.
@@Physiotutors i see...im curious to know if you would make a video on treating frozen shoulder as i dont come across it often in my clinic.
Already on the list of videos we want to shoot!
whether the patient have pain on limited range of motion?
My mom has frozen shoulder and severe pain in shoulder. She has been doing exercises for months but nothing work on her.Kindly give me suggestion
What if you cant do those movements due to your are won't shoulder can't move up all the way.
I have limitation in abduction also. When im at about 45 degrees angle my humerus starts to tilt towards my neck. And my scapula tilts with my humerus from about 25 degrees. So u can clearly see a lump on my shoulder when im at almost 90 degrees. Cant lift it any higher. Doctors did several tests even Fysiotherapists. They all told me i dont have a frozen shoulder but i dont agree with them.
I had an athroscopie in my right shoulder where they removed my inflammated bursa. After operation pain stayed for almost 4 months while shoulder started to freeze up. Had fysio from almost the beginning btw.
Now pain in restmode is gone. Only sharp pain when i reach out or try to go across a certain angle. Docters are to stubborn to admit they are wrong its rly a shame.
For any personal health or rehab questions we recommend to consult with our partners at yourphysio.online for a remote physiotherapy consultation.
Please can you give me the names of the authors of the research you mentioned? Thank you.
Useful thanku
You're welcome!
New subscriber here.
For frozen shoulder capsular pattern should be present ?
Capsular patterns are not reliable, but in FS external rotation is mainly limited.
Ok, great. Thank you
The external rotation movement is passive or resisted movement here?
SIR, what is the reason , that we have considered diabetic patients and thyroid dysfunction patients under the epidemiologic category of frozen shoulder?
Frozen shoulder is more prevalent patients with DM and thyroid dysfunction. Recovery might be slower due to systemic disease
@@Physiotutors yes it is sir, but what's the actual pathophysiology in the system of patients with DM, and thyroid dysfunction, that makes them more prone to FS than any other human?
@@Yakshimist I know for diabetes it's that the high glucose level in the blood can speed up collagen glycosing and cross-linking in the glenohumeral capsule, also an abnormal recovery of collagen.
Bunker et al. 2000
Hope it didn't come to late..
Long Term frozen Shoulder Treatment Success case
A 42-year-old Ms. Kerr, with a history of diabetes, has been suffering from shoulder pain for many years, and her right shoulder hurts when she rotates her hair out of the comb. There have been clinic visits for acupuncture, small knife needles, glucosamine injections, high energy lasers, Prolotherapy therapy, platelet injections, ultrasound, but none have worked. After a referral from a friend, she came to the SHie Shang Te Clinic. She had a hunchback in her cervical spine after being examined by Dr. Shie.
1. Cervical nerve compression is relieved by cervical injection with an epidural injection.
2. Autonomic dysregulation, release of autonomic nerve adhesions with astrocystic nerve block.
3. The adhesion of the shallow fascia of the right shoulder joint is loosened by extracorporeal shock waves.
4. Deep shoulder joint adhesions are relieved by dilation of the shoulder joint capsule.
5. Distal fascial adhesion with acupuncture and qi therapy.
After one session, she was immediately able to comb her hair and resolve her years of shoulder pain.
Name:Tainan SHie Shang Te Clinic
Address: No. 343, Sec. 1, Health Road, Tainan City Taiwan
Phone: 06-2615055 +886 6-2615055 0928717387
Time: 8-12am,2-5.30pm,7.30pm-9pm
Tell us about muscle releasing techniques if possible
We will cover manual therapy techniques and exercises for Frozen Shoulder in the near future
I want vedio on how to treat upper back spasm by physiotherapy
so Passive motion only to assess the frozen shlouder
Can you tell the name of this special test?
There is no name, its a cluster of tests indicative of FS
Great teaching thank you. I prayed for 2 people with frozen shoulder in the name of Jesus they were completely healed instantly by Jesus Christ glory to god. They were very happy, do try it.
Nothing short of a miracle huh. Now try praying in the name of jesus for an amputated limb to regrow and you might convince me if it regrows...
@@johnocallaghan7830 wow 🤣🤣
Praise God
Frozen shoulder resolves by itself after sometime
That's awesome! Praise the Lord!
What physical agent I can use for frozen shoulder insted of manual therapy?
Eccentric strengthening, stretching
@@Physiotutors thanks
can i ask another question
I a studient in physiotherapy in first year and I have a patient with frozen shoulder l will use laser therapy for him
What frequency l can use for the patient?
@@mahakamal4454 no laser does not have any evidence based for treating adhesive capsulitis go for manual therapy or capsular stretching for better results..
@@neurocoast1148 thanks
Please Turkish subtitle
Get to da chopppaaa!!!
So you said that the ROM has to be decreased by 25% in 2 other planes, would endorotation or adduction also count?
Adduction yes, endorotation no as you already measure exorotation in the horizontal plane. In theory extension could be measured as well.
👍🏼👍🏼😃
Plz in new video
Can you use writing
What do you mean with writing Ahmed?
@@Physiotutors I think he is requesting for subtitles.
You can change settings from top right corner menu go to caption... you can get subtitles...though they are not 100% correct...they are good enough
Help me i have frozen shoulders now for more than a year 😭😭
Is it now solved ? How is your shoulder now? Thanks if you answer
@@pierobolognesi9975 yes, it was 3 yrs ago 😆
Aber all das ist doch bei einer FS gar nicht möglich. 🤷🏼♀️
Darum sind das ja die Kriterien um FS zu diagnostizieren.
Thanks Dr.
It's ironic, I workout for the body to be healthy and illness free but it also caused the shoulder pain (and probably not doing advanced exercises when the muscles aren't ready for it) , probably all of the above: bursitis, bicep tendonitis, apprehension, frozen shoulder, labral tear (SLAP), impingement and capsulitiss.
God bless, Rev. 21:4
The working out or exercises are not the problem, rather the workout your body is not prepared for
I have a question: I had not been exercising much during Covid pandemic period, then I thought to start doing my normal (to Me) backwards push ups on the side of my tub. To strengthen my triceps and shoulders. Usually I would do 20 rep’s 2-3 times in the morning or evening.
After not doing any of these backwards push-ups for 6-8 months I started again sparingly, I wouldn’t do as many times a week. I would do more rep’s about 35-45 at a time, but only once and a few times I would slow them down or extend my body closer to the bottom/floor.
I felt pain and knew I should stop. And I have been experiencing pain and limited range of motion ever since; with weakness.
Thank You for any information or comment.
John was here because i failed my practical
Good luck with the retake mate!
Beautiful men
Thanks for the video. It would be more helpful to have the participant be a middle aged woman who actually has a frozen shoulder than a buff 20 something male so you can see the actual findings.
$41.99 AUD? As an undergrad that pays rent, I definitely can't afford this :/
Understand James - it's not cheap for a student but quality has its price. This is how we as part-time students try to pay our rent - especially when you consider that Apple+Google take 30% and there's another 20% of taxes plus we have to pay off the costs of the App!
You'll be fine with all of our free videos on RUclips - the App "just" offers you comfort, overview, fast access and a beautiful design...and let's be honest - $41.99 AUD is about a night out with the friends!
Btw. Apple and Google both offer 50% discount for educational institutions when they buy 20+ items. So maybe something to suggest at your school?
You haven't diagnosed a thing!! Give examples!! You can't!! What?? Do you rely on secretiveness to sustain your business?? What you have said is absolute RUBBISH!! In our opinion!!
need to speak in lamens terms and stop using fancy terms
We do not, this is a channel for health care professionals and not intended for self-diagnosis- We plan to produce more content for lay people in the future
Bro speak English
What don't you understand? There are usually english subtitles for nearly all videos!
Whats this test is called?
I got frozen shoulder from falling from an accident not diabetes 🥲
you should do the same to the normal one. Now aday there are lots of people flexible
Hey Kai...
Did u demonstrate the Grind (Scouring) Test?
thanks
my wife's 2-3 years of frozen shoulder was fixed by fixing her sitting ergonomics. she had gone thru tons of therapy/tcm/massage, but her pain recurs. until one day i noticed how she 'leans forward' sitting style(supporting her head with her hand and elbow) while having hours of meetings thru her laptops.