SIMPLE tests for Biceps LONG HEAD tendon vs Rotator Cuff
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- Опубликовано: 6 сен 2024
- There are two simple tests that can help you determine if the Biceps LONG HEAD TENDON is injured. Learn these two tests PLUS the rotator cuff resistance tests in this informative video.
Burke Selbst PT OCS is a licensed physical therapist and educator and is the owner of Focus Physical Therapy in Bend Oregon, a multispecialty and multidisciplinary sports, spine and orthopedic clinic serving all ages with one-on-one care.
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Interested in working with Burke or one of his team? Contact him here: focusptbend.co...
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Thank you! I was able to isolate it to the subscapularis pain which is what I was suspecting , a rotator cuff/shoulder issue. Your video was very succinct, to the point, with practical tips.
your upper cut test just saved me! thank you so much!
After 6 months couch potato and jacuzzi rest, all tests negative.. but I can feel painless clicking and squishing of tendon doing those tests. Stiffness in that area when waking up in morning. Power, strength, explosion seem to be there. However a minor bump on upper outside of arm, it was large 6 months ago and now small. Really weird, annoying problem to have.
supraspinatus or longhead, could be either. But I've got distal bicep pain as well. Definitely happened when I started doing hammer curls. Cut those completely. Doing lightweight supinating stretches. Cannot hold arm to shave on opposite side of face for more than a minute or two or the arm will feel pain when straightened (must straighten slowly) -- assuming this is some form of tenosynovitis (began several years ago with that one). Shoulders not quite at even heights when standing, likely the result of overdevelopment of front delts vs rear lats. Minor weakness in shoulder during presses and differential in lifting motions between right and left sides -- likely adaptive compensation to avoid the painful ranges of motion (used to be worse).
I can see why this stuff is hard to diagnose.
Thank you for the information. I had no pain when performing these test. I do have pain when I bend my are along my body up to my chest then raise my armwhile bent and don’t get very far without pain but the pain passes when I raise high enough. Not sure I described that very well.
Love this video! I couldn't see the link for the exercises 😢
Where is the link to the RC strengthening exercises mentioned in the video? Thanks!
My bicep is loose at the Longmeadow, and it moves when I use my arm, also 2 full ruptured tendons in superspermatus and ruptured rotate cuff, had three surgical treatments for tennis and golfers elbow with ulnar nerve surgery
Thanks for the video which is super helpful. Uppercut test is for me really painful. Should ı do foam rolling to biceps or massage gun to my shoulder ? Are these can be helpful? How ı can implement these for rehab? Or some massage techniques something to relieve the pain. İts been a week pain is still there.
Ah thank you! I'm an older female shoveling snow 3 weeks ago in Vancouver! We never get snow, plus there was ice stuck to the ground that I was scaping off with shovel. It didn't hurt at the time! But wow so painful. I watched a lot of videos before yours but couldn't figure it out. This video is so clear and to the point. Thank you!
Thank you for this, I have been struggling with this low grain pain for at least two months. I am having trouble accessing the exercises (referenced in your video) that you recommend to fix this? Please advise and THANK YOU.
Thank you for the video. My long head at attachment hurt during movement. Surgeon said i needed SLAP surgery, had it, 5 mnths later, still cant move shoulder and long head still hurts just the same. At my wits end. Now surgeon says i need another surgery. No, i never needed surgery on shoulder. Not sure where to go from here. I rested, cortisone three times. Still hurts for various movements throughout the day. Maddening
How is it and does it hurt at front?
This injury is no joke I’m dealing with it right now I can’t even sleep it’s getting worse as the days goin on
thanks
I got the pain in the distal bicep doing the hand behind the hips is it normal ?
Thanks … so if the lift off test is painful then it’s rotator cuff problem? My upper arm hurts too, which is why I thought it might be bicep but the tests don’t trigger it. Sorry I found it a little difficult to follow even with the transcript
thx for watching! in general if the uppercut and palpation tests are negative AND the lift off is painful, a rotator cuff injury can be suspected while the biceps long tendon seems uninvolved. good luck!
@@focusrehab thank you SO much for your guidance.
Could you tell me what kind of movement I should avoid to prevent LHB tendon injuries? I know I shouldn't reach back far while spiking a volleyball (sometimes feel painful) but I need a more specific instruction.
often the motion of pushing your arm forward (like sawing wood) activates the biceps tendon, alternatively repetitive motion overhead at the extreme ends of range can compress the tendon, so both mechanisms can be at play with this problem and should be considered. good luck!
My left biceps tendon to my shoulder ripped and 5 docs missed it after I told them I got shoulder pain 8 years ago
Im sad
Hello sir, what problem do i have if the uppercut test is a bit painful the second i let go of the resistence?
What if everything hurts.. Upper cut and pushing into my stomach the most..
Pain during the test means it’s positive?
Yes
Gotta ask: Does ice/heat treatment even do anything long term? Ive had a lot of issues with supraspinatus, biceps, brachioradialis, subscaularis, plantar fasciitis, etc etc with sport injuries, and the number one thing that has always worked is the corrent type & intensity of rehabilitation exercises for the phase of recovery you find yourself in. I think that provides the blood flow and movement needed for tendon recovery just as well as alternating hot/cold treatment. Apart from using ice during the intial phase of injury to calm the inflammation, is there any point at all to ice/heat after the first week or so? using RICE, long-term, I would say that rest is the worst thing you can do after the first few weeks, because it will not get better for a very long time (years) if you only rest. Sorry for the rant, just got back from the orthopedic who was clueless about my ongoing bicep long-headed tendon injury.
i'm in 100% agreement here; the right balance of loading/unloading with forces is key for recovery. I do recommend hot/cold but as an analgesic and nothing more.Some patients find it helps ease the spiciness so they can stay on their exercise program. good luck!
both tests are painful :-( ,please could you kindly advise?
Pls help i got pain in every test in the video
Uppercut test causes no pain in the shoulder. My pain is more in the forearm/elbow, and the lower part of the biceps. In the transition to the forearm. Only my right arm. Limits me in biceps curl, Lat raises, rows and flyes. Pressing exercises is fine, when the dumbbells are in position. But it hurts to get them there. So I guess that’s not a biceps tendon issue.
this is exactly where i also had pain , i fixed it in 2 days with following video recomandations...
Nr.1 Biceps Tendonitis - Stretches and Fascial Release from OcraMed Health
Nr.2 How to Fix Elbow Pain (ONE SIMPLE EXERCISE!) from Athlean-X
had the pain for months
If i have pain in my shoulder doing any of these movements what do i do then?
although not specific to the biceps tendon or rotator cuff, i have a great set of AC joint exercises that have a lot of carryover and would be worth trying. I'd start with those ruclips.net/video/cHqZyYmrENk/видео.html
What if all of these work and the upper cut test is also painful?
bursitis/swelling can complicate the picture, and there can also be more than one injury. Usually a few days of acute care/tlc to let swelling go down can help get a clearer picture. Good luck!
I have no pain with any of these tests but the same spot gets achy
Hi, thank you for the video. I have an acute shoulder injury caused by excessively propping myself up on my shoulder without engaging my shoulder (I only realised in retrospect unfortunately). My symptoms are numbness in my index and middle finger (previously my ring finger also but that's come back now). I also get pins and needles in my hand if I exert force up through the shoulder (press up, commando crawl or leaning on a table with my elbows) but can climb with no issues. Im not normally getting any pain. I have been diagnosed with tendonitis in the long head bicep tendon and a rotator cuff which has caused inflammation which is putting pressure on the nerve. I'm doing some exercises but making no progress after 5 weeks. Can you offer any advice please?
sometimes when the shoulder is very mobile it can glide excessively when loaded like you describe causing pinching of the nerves where they pass around the coracoid or under the pec minor. In general a stability program and extra time does the trick but they can be slow if the nerves are involved because the nerves are so sensitive. good luck!
@@focusrehab thank you for the advice. I will keep at it.
none of these increase my pain, a constant chronic dull ache on the outside of the shoulder, cant figure it out
what if it's painful with both tests?
It may be the patient has RC tendonitis ( or up to tear) associated with long head of biceps tendon overuse and that's common in many patients
Seems to me that you squeezed 10 minutes into 4 minutes video.
😊
haha so true! i was experimenting with super tight cuts to keep it as short as possible, maybe too short. thx for watching
This video does not make enough sense. I wish you would completely explain what it means when pain is experienced in some of these positions. I ended up with more questions than answers.
Maybe try to actually listen to what he says? It’s a great video, short but packed with useful information.
almost every test was at least a bit painful...i also developed pain in the ellbow but luckily i figured this out and fixed the pain in 2 days , seems like it was a biceps tendinitis ,but the pain in the shoulder remain...it started after heavy lateral raises in june 2023 ,now its december and still pain, i cant train upperbody anymore , i was so well developed , now im losing all my gains because my shoulder...
Same. You found any cure
@@PookieNarc119 yes it seems like it is a internal impingment in my case
im doing deadhangs and it helps alot , after 2 minutes usually my pain is away , but better do it for 5 to 10 minutes each day
and it also hurts if i hang for the first 1 minute , but you can feel how the pain go away while you hang
deadhangs are a fix for over 90% of shoulder issues , give it a try
goodluck!
How mutch time until it heals. I am loosing my shit over this. Never had anything like this in my life.
Does your pain spread to front chest?
@@Ana-rh6qk nah, it didnt. It heal in about 6-8 weeks.