Shoulder Impingement: Everything You Need To Know To Get Healthy Again
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- Опубликовано: 27 июн 2024
- Shoulder impingement is the first step toward worse problems like a rotator cuff tear that might need surgery.
But no need to worry about surgery at this point if all you have is shoulder impingement! It’s nearly always curable in this stage, as long as you take care of your shoulder pain properly.
In this video, Dr. David explains everything you need to know to get healthy again if you’re suffering from shoulder impingement syndrome.
👉Looking for more help with shoulder problems? Check out these helpful playlists:
[shoulder impingement help playlist]
"Rotator Cuff Tear Help"
• Rotator Cuff Tear Help
"Shoulder Pain Help"
• Shoulder Pain Help
"Hanging For Shoulder Pain"
• Hanging For Shoulder Pain
"Neck & Shoulder Pain Help"
• Neck & Shoulder Pain Help
00:00 Shoulder Impingement: Everything You Need To Know To Get Healthy Again
00:38 What is Shoulder Impingement?
01:35 What Causes Shoulder Impingement?
05:00 How To Diagnose Shoulder Impingement
09:15 What Happens If Shoulder Impingement Goes Untreated?
10:54 Common Treatments For Shoulder Impingement
15:53 Root Problem Of Shoulder Impingement
#elpasomanualphysicaltherapy #drdavidmiddaugh
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DISCLAIMER:
Any information available at this channel is intended for general guidance only and must never be considered a substitute for advice provided by a physician, medical provider or physical therapist. El Paso Manual Physical Therapy will not be liable for any injuries that happened due to performing any exercises or advice on this channel.
Always seek the advice of your physician or other qualified health care professional with questions about your medical condition or to diagnose any conditions.
I wish this guy would train a bunch of people and send them across the country. We Need people to be taught like this to actually help people.
Hey Michelle, we would love that!! Thank you for your support!! 🧡
@@epmanualphysicaltherapythank you! I went down a 2 mos long dead end with physical therapy and doctors in my town. But it didn’t help. I am going to follow dr David’s advice and stop the pt here.
The best PT on the internet hands down. This is exactly what I have. Perfect explanation of everything. Thnaks!!!!
I wish I lived closer to you. Thanks so much for sharing your knowledge.
Hey Lori, you are so welcome! If you are interested we are available for a virtual consultation to discuss your condition. Here is the link:
www.epmanualphysicaltherapy.com/virtual-visit/
@@epmanualphysicaltherapydamn 400 dollars for a 30 minute consult … I wish I had that money lol .. do you accept insurance for video calls ?
I've studied a variety of videos like this, but what you've offered here,
has worked the best. I'm actually making progress....Significant pro-
gress, in fact!
I am now more confident that surgery will not be necessary.
Just what I needed.
Great explanation. Thank you.
Excellent advice
Fantastic vid.
Years, I have been looking into this, and this has been the best!!! Have only began to address my subscapular strength. Has corrected the issue immensely.
Best explanation ever. ❤
Doing the shoulder shrug with arms on the wall makes both shoulders and my neck feel better. It's very effective.
I’m so thankful I found this channel
Hey there, we are so glad you found our channel as well! We appreciate your support!
Excellent advice and explanation.
Hi Lisa! 👋 Thank you so much for the kind words.🧡 In case you are interested we do have additional information and exercises in a playlist we have compiled for shoulder impingement. You can check it out here:
“Shoulder Impingement Pain Help”
ruclips.net/p/PLJVIPiFvv1mYGRrMuW9YtI9XIkxvxAgkb
You’re information is extremely informative in all of your videos- thank you so much!
You are very welcome! 😊
Thank you. Your content is one of the most valuable.
Hey Hussein! Your comment means a lot to us, it brightens our day! We hope that you have been able to benefit from our videos 🙌
thank you for this video. i read that book. i've been dealing w a bad impingement for several months. pain is at the rear delt. ever since i started dead hanging my range of motion has increased but am still experiencing pain when my arm is internally rotated. i will try the other exercises you demonstrated in another video.
Thank you for your information! Videos like this helps me a lot. I really like your exercises as well. Keep up the good work, even though you might not get compensated for this, I find it priceless!
Hey Rune, thank you so much for your kind words. 🧡We are thrilled to hear that our information and exercises have been helpful to you. Your words truly motivate us to continue creating valuable content.
We are passionate about sharing knowledge and providing exercises that can make a positive impact on people's lives. Knowing that our videos are invaluable to viewers like you is truly priceless to us.
Your support and encouragement mean a lot, and we are committed to continuing our work in helping others through our videos.
In case you are interested we do have additional information and exercises in a playlist we have compiled for shoulder impingement help. You can check it out here:
“Shoulder Impingement Pain Help”
ruclips.net/p/PLJVIPiFvv1mYGRrMuW9YtI9XIkxvxAgkb
We wish you all the best in your road to recovery! We'd love to hear how you are doing as you progress.🙌 Please take care!🌟
very informative thank you.
You are very welcome Das! We are glad you found this informative!
God bless. I tried some of your exersizes and actually felt intimidate relief in my shoulder.
Thanks! This is super helpful video to understand given problematic.
Hey there, you are very welcome! We appreciate your support!
This is very helpful
Hi Gift! 👋 We are thrilled you have found the information in this video so helpful! 🙌 We are sorry to hear you might be suffering from Shoulder Impingement! In case you are interested we have created a playlist on Shoulder Impingement Pain Help! You can check it out here:
“Shoulder Impingement Pain Help”
ruclips.net/p/PLJVIPiFvv1mYGRrMuW9YtI9XIkxvxAgkb
We wish you the best on your recovery journey! Please take care! 🧡
Good Morning Dr David, thanks for taking the time to explain this and the other conditions associated with shoulder impingement, this is THE best explanation I have seen and heard! I injured my left shoulder just by sitting up using my left arm more than the right while reading at the time and 'crack' something went and instant pain! I saw your channel, followed your guidance re sling etc and I do have full rotation now, but there is one exact spot seems it's just behind and on the edge of the Acromion you described and my shoulder is sore in that spot, so I don't lie on it and starts to ache if I am on my mobile/ holding a book reading for a while, so try not to do that. I read about AC joint injury, looked at some pictures and it looks like what I could be experiencing. Been fit all my life, love reformer pilates, and just bought an Areopilates reformer, can you recommend any specific excercise I can do to heal this? Thank you so much for all your time, you are fabulous, please keep up the great work you are helping many people with, even me in England 🏴 UK! Kind regards, Mary. ❤️
great video...mahalo
Dr.David thankyou! This clip & the one where I managed to work out I have nerve pain & it's coming from my neck have crystallised that I've been misdiagnosed & prescribed the wrong exercises! I have scalene issues, neck issues & shoulder impingement (although ultasound guided cortisone showed subcromial bursitis so it's progressed obviously). Thankyou! I have maxxed out my health insurance for the year but your exercises have eliminated my pain in days
Wow, this is exactly what I am going through. Thanks so much
Hey Jozette! So sorry to hear you've been dealing with a shoulder impingement problem! :-( We have a playlist with all of our content on shoulder impingements you can study to begin fixing your issue:
“Shoulder Impingement Pain Help”
ruclips.net/p/PLJVIPiFvv1mYGRrMuW9YtI9XIkxvxAgkb
Thanks!
You are very welcome Heather! We appreciate your support!
You talk sense about the shoulders, I have been swimming for 10 years now, lifting a heavy objects or carry any heavy shopping bags give me pain on my shoulder ( right). I was diagnosed with RCRSP, I shall follow-up your exercises that you recommend will let you know the results afterwards.
Thank you kindly 🙏 😊😊😊
You are the best. Absolutely fantastic explanations for us lay people. The fact that you are doing your utmost for us to avoid surgery is simply amazing. Thank you very much indeed.
Aw thank you Helena! You are very welcome. We are sooooo thrilled every time we have some positive impact! 🧡
Hi Dr David. Your videos are so awesome. Can you make a video for calcific tendinosis in the rotator cuff? Or shall I just do the rotator cuff tear video/exercises?
From all the videos I found here in you tube you are the best. Your videos are really helpful and the way you explain everything is great. Wish I was near by you so to visit you and help me.
Hey Vikalmas! We appreciate your kind words and support! We are so glad to hear that you enjoy our videos and find them helpful!
Bob and Brad had a video today about hanging.
Heading to surgery on the 15th of April for the rt. shoulder. The orthopedic surgeon said he wants to cut a good sized incision into my shoulder on the end of the rt.collarbone, trim 1/4" off and clean up the bone spurs. I had a shoulder surgery on my left shoulder which was done laparoscopically. They cleaned it up less aggressively and I had good results with three very small cuts to accommodate the scope..20 years since then. I am 68 and the arthritis has set in on the rt. shoulder, had two steroid injections with little results. I do weight training and cardio classes 3-4 times a week but wondering if I really should be doing such an aggressive surgery. They called it clavicle resection to free up the joint. I don't know the surgeon but he seems nice. I felt the laparoscopic approach may be better so it isn't such a long recovery. Probably less chance of infection. The MRI report also said there is a slight tear to the rotator cuff also said there's bone edema. I asked him if he would smooth out the slight tear laparoscopically and he said he won't do that. hmmmm...It's hard when you are listening to a professional hoping for the best. Everyone has their own opinions but I certainly am feeling anxious about my dominant arm and surgery. I don't know anyone else in California to go to. Thanks for your explanation..I am searching.
Not only does hanging from a bar improved shoulder health it also increases your strength in all the activities involving the shoulder, forearms, and hand grip.
I feel that chronic shoulder impingement never goes away. If it is not so severe, I think these exercises work. Doctors never had me get an MRI done and went to many in El Paso. Luckily was able to get my hands on some medication from Mexico. Hoping it relieves the inflammation in my forearm. Don't have the best health insurance so we shall see how this medication works.
Hi Dr. David. Your videos are very helpful. I’m about 62-year-old male and fell while jogging on my elbow. That was three months ago. I have mild pain occasionally during the day, but I sleep well at night as long as I lay the right way.
I’m hesitant to go to my doctor, because I think he’s going to immediately say that I need an MRI and all these expensive tests. What are your thoughts?
Question... if a person has a arthritic condition... such as PMR, does that condition magnify the impingement? Or maybe even help the bursitis or tendinitis to form quicker?
Btw, FANTASTIC information. Thx
I’m not sure if I have something co-occurring going on or what but… I had what started as just a pinched nerve feeling in my shoulder or arm. It was just uncomfortable.
I rested and it went away. Then one night I slept longer than usual and woke up & the pain was unbearable. I did tons of stretching and rested my arm and neck w heat for about a week or so and it got better. Walking helped also.
Now it’s been over 4 weeks since that first day. My whole right side of my body gets tight, my neck tmj area feels swollen or numb, it goes down my neck to where it meets my shoulder and is tender there, then I can find pain below or behind that and over a little. Kind of where the hump is. Sometimes it feels like a knot. Crazy pressure and pan on shoulder blade or next to it. Like I can’t reach it. Now it’s going past it, and pain and pressure below that in the mid back. It’s going down to my hip on the same side and wraps around to the front.
When I lie down I’ll get spasms in the front of my shoulder on my upper chest, I can feel my back shaking/spasm sometimes. When I close my eye on this side of my body and try to focus with the other eye, my face muscles around the eye that’s closed twitch. Same with smiling.
That’s when it’s bad. It’s like the whole right side of my body is effected. The pain in my arm and shoulder back is the worst. Is this related?
I also have had a dent in that side of the neck before it reaches the arm for years. I’m not sure if it’s from when I broke my clavicle or what but I always thought it was a little odd & could be related. It’s a pronounced indentation and you can see it. My neck cracks very easily and grinds when I do rotation stretches.
Sorry for the long comment I just had to verbalize since no one has seemed to be able to help.
Ugh... I'm a CNA and also have terrible posture and over the last few months my shoulder has really started to hurt I noticed it hurts when I raise my arm up over my head and I can only raise it up so far before it really hurts and I can't reach to scratch my back anymore like I used to and I'm pretty sure that I have this and I'm sure it's from my posture plus my job and the constant repetitive motion of pushing and pulling and lifting but I hope to find some exercises to help thanks to you!
Hi Katelyn! We're so sorry that you shoulder hurts when you raise your arm over your head, but we're so glad to have provided you with some exercises to help!!! :) Here are some more exercises to help shoulder pain:
“Shoulder Pain Help”
ruclips.net/p/PLJVIPiFvv1mYePz9-6wfN8O6PUl_8zFjZ
Thankyou Thankyou
I have been in terrible pain for several months with shoulder pain. I start physical therapy In 2 weeks
Pt said get an xray b4 starting pt since it’s been months of pain. I get black and blue marks on bicep area. And I feel a lump there after icing. Any suggestions? Thankyou
Diagnosed with SSN after MRI. Nerve pain & hand numbness and pins & needles esp at night. How can physio help with nerve damage
I have impingement/tendinitis in my left shoulder for years. Pulled a muscle in my shoulder at 18 doing bench press, this led to an “Anterior capsular repair” surgery at 25. Shoulder has always been weak since. Have had impingement/tendinitis ever since due to weakness and I’m 50 now. Which exercises would be best to help with this? Flared up recently and I’ve REALLY had enough now. Thanks.
David, I have marked subacromial bursal thickening with bursal calcification consistent with calcific bursitis and extensive supraspinatus calcific tendinosis. Can I heal without surgery? I am female, 40s.
I have disc buldge and shoulder impingement combo.. will it affect disc?
After two months of my shoulder starting to hurt (I thought it was shoulder impingement), Im starting to get aches and pains everywhere in my arm. Sometimes it feels like some of the bones in my hand are broken, sometimes it feels like my hand is about to separate from my wrist.
I workout at the gym plus I was using trekking poles while hiking then I did some trees removal and my shoulders started hurting so I backed off for 2 weeks and they're better. I wonder if the labrum gets inflamed? I can't figure it out. Stretching didn't help but it didn't hurt.
I have pain in my bicep. I also have popping, cracking and snapping. The ct arthrogram confirms a superior labral tear. One surgeon agrees and the second surgeon said he doesn’t know how to read a ct arthrogram and he was guessing as to if he was reading it correctly. He still says no, that I have impingement. My pain has been in the same place for 3 years I had a subacromial injection a week ago. It has made my shoulder worse. I was in p t and they had me doing hanging and it made my shoulder worse. That’s why I wonder if the first surgeon is right and I have a labral tear and not impingement
Is rest and PT alone enough? If so how does the SI cure itself or how long does it take to heal on average?
Is it okay to continue exercises that dont cause any pain? For me, deadlifts dont cause pain. Is that okay to do with an impingement or rest from all exercises that uses the arm at all?
Is it normal to have sharp pain in the upper arm with an impingement, or is this a result of tendonitis?
the strange part is i got full strength and range of motion with my shoulder like raising up no issues, raising to the side, only when i internally rotate thumbs down will the pain trigger on the supraspinatus / acromion, the only range of motion i’ve lost is picking things heavy in-front of me (single handed) putting my arm behind me and as stated earlier twisting my arm internally thumbs down. is this normal for an impingement or can it be deeper than that?
Just wondering because I have shoulder impingement issues but I'm a climber, so I spend a lot of time with arms overhead and yet the issue is still there
Which video is for shoulder impingement exercises thanks
Hey Bridegett, here is a great video for shoulder impingement exercises! Hope they help and we would love to hear an update!
“Top 5 Shoulder Impingement Exercises to Help Get Healthy Again”
ruclips.net/video/mi0xBgv4dbw/видео.html
Thanks for the link this is what the results showed on my shoulder do you think these exercises will help the pain
CONCLUSION:
Subacromial impingement with mild supraspinatus and
infraspinatus tendinosis and overlying subacromial bursitis.
I actually have impingement on one side and a small tear of supraspinatus on the other, and the impingement is more painful and bothersome
I feel a bump and my shoulder as I raise my arm It used to have pain there's no pain but as I raise my right arm up there's like a click in my shoulder
???
I have shoulder imbalance and the right shoulder is lower.Can this be the reason I have shoulder impingement in my right shoulder?
First question: So when would it be appropriate to do external and internal rotation exercises to strengthen the rotator cuff muscles?
If there is no eccentric movement then the muscles can't get much stronger which is needed to keep from getting the muscle imbalance in the first place?
I understand pushing like exercises initially because it's a more baseline stability exercises. You have one exercise (the windshield wiper) that's compressing the numerous into the socket and getting external and internal rotation in there.
Second question: My thoughts are the exercises you mention, some hanging, then addressing the shoulder shrug, lats, teres major, and pecs by doing lat and front raises, face pulls, rows, lat pull downs, and pushups.
Then do the accessory exercises of internal/external rotations. Is that correct?
My third question: if you are doing pre hab work to ward off any shoulder impingement for a overuse over the head athlete (swimming). Do you do internal/external rotations as accessory exercises to big shoulder complex movements?
Hopefully you are able to answer this for me!! I've watched a lot of your videos and your comments about stability makes sense but it's hard to let go of some of these core shoulder exercises every single PT I've known until I've come across you have done.
I only mentioned external and internal rotation because they are most popular, but there are a lot of others to that I can think of that involve bringing the arm away from the body to put the rotator cuff muscles through light eccentric moment to build strength. Really looking forward to your response!!! I'm learning a lot.
My shoulders don't round forward, I walk with my hands at my side. The orthopedic surgeon told me it's from repetitive over head exercises?
What is a Manual physical therapist?
Hi Danette, A manual physical therapist is a physical therapist with specialized training in hands-on techniques like joint manipulation and soft tissue mobilization to treat pain and improve function. Regular physical therapists use a variety of methods, including exercise and modalities like heat and electrical stimulation, to help patients move better and manage pain.
@@epmanualphysicaltherapy
Thank you so very much. I wish I could find one, I am getting P T for a rotator cuff . The MR I said I have two tears but the P T said she did not need it because she could tell by her tests. Then why did I take X-rays and MRI? The orthopedic doctor referred me for P T. First. No one seems concerned about my pain. They just want to give me a shot which I do not want for so many reasons. The pain has affected my
Nerves all the way down my arm and through my hand are so painful . Especially at night. I ham trying some of your exercises . I live in. Fort Worth. Wish I could go to you.
It damn hurts that's all I know.
I have a Rotated cuff, I've tried the exercises but IM in too much pain. Can you give me any advice?
Hey Elaine, sorry to hear that! Maybe you are trying to do too much. It may be a good idea to start exercises at a lower intensity. The key is to start small and work your way up trying to avoid making the pain worse. Here is a playlist of videos that may be able to help you:
"Rotator Cuff Tear Help"
ruclips.net/p/PLJVIPiFvv1mbQ_-1YFfEePnrcxfwwf9_k
What do you teach about a knee injury? I’ve been using a massage gun on my quad.
Hey Tom, our biggest advice for knee pain is to work on your glutes while resting your quads. Here is a playlist of videos that should help:
“Knee Arthritis Pain Help”
ruclips.net/p/PLJVIPiFvv1maa9YF-WmKLF7oI4VoczH8i
What type of injury? Just asking---ACL OR MCL OR MENISCUS OR...? Has it been diagnosed by a doc?
my pain is at the middle of my left shoulder and biceps area. its been 3mos tried to rest it but i still feel pain specially when putting clothes.
Hey there, sorry to hear you are having shoulder and arm pain :( we have another video with some exercises that may be able to help if you are interested in learning more. Here is the link:
“Top 5 Shoulder Impingement Exercises to Help Get Healthy Again”
ruclips.net/video/mi0xBgv4dbw/видео.html
The shoulder shrug exercise and hanging exercise in this video have been very beneficial for many people! Hope this helps!
Hi Sir. i got my shoulder impingement from playing badminton. i followed your exercises and it was healed. but after playing again often my impingement came back. Can tell me what should i do to avoid this again. thank you!
Hey @midnightmusic46, we are so sorry to hear your impingement came back! Don't worry, most of the time these things come back from overdoing it, but if you take your time going back through the exercises and rehab you'll recover just like you did last time. What's important here is, making sure that you integrate back to your sport slowly. Regressing is pretty normal, but the best way to ensure you'll be healthy and able to play for a long time is to make sure you start slow after taking your time strengthening your shoulder. Make sure you are doing movements that require you to press (push-up position type of exercises) and shrug/elevate your scapula (shoulder presses or shrugs). Also, hanging! If you'd like to learn more about this topic, we spoke to Dr. John Kirsch, MD who explains in detail why this should be done and how. Here is the video:
"Breakthrough Treatment To Heal Chronic Shoulder Pain From Author Dr. John Kirsch, MD"
ruclips.net/video/VAtxO8HzvTk/видео.htmlfeature=shared
Thank you so much!!
@@epmanualphysicaltherapy
Supraspinatus tendon injured defo inpingment :/ i try to do internal rotation and it grinding on my bone if i try too do lateral raise my god even with 1kg weight ny tendon is catching everytime. Pyhsio has refered me too a specialist because the exercises hasnt worked for me what a way to say i cant be bothered to do my job
Hey Layton, sorry you are dealing with impingement. It's no fun that you can't even raise 1kg without catching every time :(
This might be the best thing to ever happen to you being referred because they obviously weren't the right person to help you and could have hurt you.
Try these exercises in this video:
“Top 5 Shoulder Impingement Exercises to Help Get Healthy Again”
ruclips.net/video/mi0xBgv4dbw/видео.html
In case you need more help for shoulder impingement, here is a playlist of all our videos:
“Shoulder Impingement Pain Help”
ruclips.net/p/PLJVIPiFvv1mYGRrMuW9YtI9XIkxvxAgkb
We hope this helps! Keep us updated on your progress! 🙌🏽
@epmanualphysicaltherapy much appreciated honestly been like this since February my bicep tendon in my shoulder was compromised at the same time but that's healed and strong again. Your completely right he clearly wasn't the right person for the job. I'll go check these exercises out thankyou also yea 1kg is crazy too think I was raising 12kg in February 😑. Madness 😂
Can impingement in the shoulder cause pain when your shoulder hits a 90 degree mark? Thats where i feel pain in my shoulder
Hi Shane, It can cause pain. We have a shoulder impingement playlist you might find helpful. You can access it here: “Shoulder Impingement Pain Help”
ruclips.net/p/PLJVIPiFvv1mYGRrMuW9YtI9XIkxvxAgkb
We'd love to hear how you are doing as you progress.🙌 Please take care!
Does sleeping on your side cause this?
Great question! Sleeping on your side can cause some shoulder problems especially depending on how rotated the person is. However, if that is the most comfortable position to sleep in, then it is still okay to sleep on your side. Then it becomes important to perform exercises/stretches that can help reverse these changes.
Thank you for this video. Just let me add the “guy’s” name: Semmelweis, and he wasn’t just “shunned”, he was sent to an asylum, where he was eventually beaten to death.
I find my shoulder doesn't hurt if I avoid vegetation, carnivore mostly. And it hurt for years!