This is the video that has actually helped me after spending alot of money on physio. Like many other i have a desk job which has long sitting hours. I could feel the burn in each exercise and gradually the pain is no more. Thanks.
I have mild shoulder subscrpmial bursitis and iam doing exercise and it's been 10 days I'm feeling good, there is no pain anything but how many day so I have to rest?there is no pain I feel like I'm ok it's healing I want to start my construction job asap so can I?
If a patient has supraspinatus impingement with infraspinatus tendinosis, are these ex still working ? As it is extremely painful to raise patient arm to 90 degree abduction
Sir there is problem due to less space at caroacoacromial vault ,so why we working on rotator cuff ,if we stop all overhead activity and work to relieve information then no need to strengthen them.
Please can you answer my questions I am confused 1- Is the acute, sub acute, chronic is the same as tissue healing process ?? And how to choose exercise depending on the phases? And How do we apply exercises according to gravity like Gravity eliminated Against gravity Gravity assisted ? How to choose an open or close kinetic chain? I know everything but I am bad in choosing or knowing how and when to apply these concepts ??
Choose exercises depending on the reactivity of the patient's shoulder: - More pain after the exercises that doesn't settle within 24 hours or more pain than 4/10 on the NPRS scale--> regress - No improvement --> increase volume We use close kinetic chain exercises mainly in the unstable schoulder.
Physiotutors no I mean how to apply these concepts in general . I am studying photograph master and I don’t get how to apply these concepts when treating patients. So can u make a video about these concepts and how the physio can apply it in treatment ? Thanks for replying back :)
Hi! I have irritated bursa. Seen by ultra-sound scanner and confirmed with feeling pain relief when treated with injection of corticosteroids directly in bursa. Since first treatment, it got irritated two more times with same treatment in between... I really do not want to get any more injections and want to solve this problem the real way. Do you think that these exercises are proper way to deal with the problem and start right away even though I still have pain? Looking forward hearing from you! Regards
Yes definitely. Take away the problem load (things or movements in your general day that cause pain) and start on these. Don’t let pain exceed 4/10 however.
Thank you very much. I have pain in my left shoulder after I made a quick move with my left hand while it was 90° bended. Hope this will help. I will reply the progress.
Hi Physiotutors, Lets say you have some schoulder bursitis in combination with SAPS, would you immediately progress with early rehab, or would you advice some rest first? Thanks!
Hi Aernoud, SAPS means that anything in the subacromial space can get irritated - rotator cuff, bursa, long biceps tendon etc. NSAIDs can help, but we'd start with isometric exercises to reduce pain levels in case of high irritability. Good load management (including rest from provocative activities) is always necessary in the management of all pathologies and stages.
Hi Physiotutors, If patients with shoulder tendinopathy or tendinitis, whether these exercises are applicable. Actually, exercise in this video may not helpful for pain decrease. Why no try to use isometric exercise training as advised exercises for SAPS in the early phase. It's more safety. I was confused about the timing of intervention. Thanks!
Isometrics can work well for pain and we've made a video on them as well. They are no magic bullet whatsoever and these exercises will very probably reduce pain as well and increase function. No reason to think they are unsafe
you can help us to translate the videos into your own language. Just click on the little cogwheel symbol in the bottom right corner and click on "Add translation" and add a translation for the video and title+description for your fellow colleagues.
At 2.22 you shou flexion with slipping. Im scolding ours instructors for this. Its not for erly stages. This exercises cant resolve conrtracture, becaouse we cant stretch capsule with active contraction cuff and other shoulder muscles. When we working whith early stages - we olways have lost of abduction, rotation end flexion. In this situation right moovihg shoulder head is impissible, and we provoke quite a few impingement, becouse in this position we cant exclude grate muscles contraction, wich aggravate impingement. In erly stages absolutly necessary is jently stretching of capsule, wich is possible with minimum of harm only whith relaxed muscles whith fixed bodie (suppine position fore example) and if possible - fixed stretched hand. PS: with grate respect to yours team working!!
Weeks of pain after one bout of light isometric exercise is unusual. Would assume that there are other factors at play and would get it evaluated by a local physio.
Is it normal to experience a little bit more pain after doing impingement rehabs's exercises ? In other words, does an impingement/bursiti rehab implies to "get worse" a few days/weeks before it get better ? Thank you again for your thougts
Hey, When addressing painful movements, there can be slight discomfort. think of it as „i gotta feel it to heel it“ but don‘t confuse it with „no pain no gain“ because we don‘t want to irritate it too much. As a rule of thumb. Imagine a pain scale from 0 to 10. 0= no pain and 10= the worst pain imaginable. Discomfort post exercise is allowed to go as high as a 3-4/10 but not more and should settle within 24 hours post exercise. If it doesn‘t it means that we asked too much of the shoulder. If you need personal guidance we can recommend to consult with our partner at yourphysio.online for a personal consultation
I have pain in supraspinatus from past 1.5 years. It hurts 10/10 when i try to reach out my back with affected arm(internal rotation). It's now causing pain in neck as well as in posterior upper arm and radiating down to hand. Can i follow this series ?
I love your content, but I have to say, what's the go with using male only pronouns when referring to a client? It makes even less sense because the person performing these exercises is presumably female.
![I.N "HALLUCINATION" | [Stray Kids : SKZ-PLAYER]](http://i.ytimg.com/vi/n5B5q1Hwt_U/mqdefault.jpg)
This is the video that has actually helped me after spending alot of money on physio. Like many other i have a desk job which has long sitting hours. I could feel the burn in each exercise and gradually the pain is no more. Thanks.
You are saving my life with this video :) thanks!
Bester Physiotherapiekanal auf YT!vielen dank!
Vielen Dank Vinni - freut uns!
Great stuff!
Thx Jason!
Great stuff
thanks!
1:49 I see what you did there master.
We call this “Balintawak Shoulder” in the martial art I practice. Thanks for the help. Looking for ways to prevent this in future students
How are you choosing these exercises, are they based on research?
I have pain when i do all of this exercise
Hello Physiotutors, When do we know to move to intermediate stage rehab? Or how long should the early phase be done?
I have mild shoulder subscrpmial bursitis and iam doing exercise and it's been 10 days I'm feeling good, there is no pain anything but how many day so I have to rest?there is no pain I feel like I'm ok it's healing I want to start my construction job asap so can I?
what if the SAPS is due to tight lats or tight pecs, video doe not address this possibility
Cheers! Thank you for your amazing work!
Why Cable adduction exercises?
Here's the explanation: ruclips.net/video/Uux66b4MKM0/видео.html
If a patient has supraspinatus impingement with infraspinatus tendinosis, are these ex still working ? As it is extremely painful to raise patient arm to 90 degree abduction
Sir there is problem due to less space at caroacoacromial vault ,so why we working on rotator cuff ,if we stop all overhead activity and work to relieve information then no need to strengthen them.
Please can you answer my questions
I am confused
1- Is the acute, sub acute, chronic is the same as tissue healing process ?? And how to choose exercise depending on the phases?
And
How do we apply exercises according to gravity like
Gravity eliminated
Against gravity
Gravity assisted ?
How to choose an open or close kinetic chain?
I know everything but I am bad in choosing or knowing how and when to apply these concepts ??
Choose exercises depending on the reactivity of the patient's shoulder:
- More pain after the exercises that doesn't settle within 24 hours or more pain than 4/10 on the NPRS scale--> regress
- No improvement --> increase volume
We use close kinetic chain exercises mainly in the unstable schoulder.
Physiotutors no I mean how to apply these concepts in general . I am studying photograph master and I don’t get how to apply these concepts when treating patients. So can u make a video about these concepts and how the physio can apply it in treatment ? Thanks for replying back :)
Don't get too hung up on the tissue healing phases. We apply what we described above without considering the tissue healing phases in tendinopathy.
Hi!
I have irritated bursa. Seen by ultra-sound scanner and confirmed with feeling pain relief when treated with injection of corticosteroids directly in bursa.
Since first treatment, it got irritated two more times with same treatment in between...
I really do not want to get any more injections and want to solve this problem the real way.
Do you think that these exercises are proper way to deal with the problem and start right away even though I still have pain?
Looking forward hearing from you!
Regards
Yes definitely. Take away the problem load (things or movements in your general day that cause pain) and start on these. Don’t let pain exceed 4/10 however.
Thank you very much. I have pain in my left shoulder after I made a quick move with my left hand while it was 90° bended. Hope this will help. I will reply the progress.
?
@@anthonybacha2521 he didn't make it
Hi Physiotutors,
Lets say you have some schoulder bursitis in combination with SAPS, would you immediately progress with early rehab, or would you advice some rest first?
Thanks!
Hi Aernoud, SAPS means that anything in the subacromial space can get irritated - rotator cuff, bursa, long biceps tendon etc.
NSAIDs can help, but we'd start with isometric exercises to reduce pain levels in case of high irritability.
Good load management (including rest from provocative activities) is always necessary in the management of all pathologies and stages.
I have a trapezius muscle spasm which exercises work best for this condition?
Have a look at our trapezius exercise video
Do you think it is ok to train hurling ( an irish sport similar to lacrosse , hockey ) with subacromial pain syndrome?
Depends on if it makes SAPS progressively worse. In this case we'd suggest to take a break
Hi Physiotutors,
If patients with shoulder tendinopathy or tendinitis, whether these exercises are applicable.
Actually, exercise in this video may not helpful for pain decrease.
Why no try to use isometric exercise training as advised exercises for SAPS in the early phase. It's more safety.
I was confused about the timing of intervention.
Thanks!
Isometrics can work well for pain and we've made a video on them as well. They are no magic bullet whatsoever and these exercises will very probably reduce pain as well and increase function. No reason to think they are unsafe
@@Physiotutors thank you very much
Can you place a translation with the video?
you can help us to translate the videos into your own language. Just click on the little cogwheel symbol in the bottom right corner and click on "Add translation" and add a translation for the video and title+description for your fellow colleagues.
I will try .. thank you
Do you want me to translate? I do not know English very well so I asked you to translate it into Arabic if you can
At 2.22 you shou flexion with slipping. Im scolding ours instructors for this. Its not for erly stages. This exercises cant resolve conrtracture, becaouse we cant stretch capsule with active contraction cuff and other shoulder muscles. When we working whith early stages - we olways have lost of abduction, rotation end flexion. In this situation right moovihg shoulder head is impissible, and we provoke quite a few impingement, becouse in this position we cant exclude grate muscles contraction, wich aggravate impingement. In erly stages absolutly necessary is jently stretching of capsule, wich is possible with minimum of harm only whith relaxed muscles whith fixed bodie (suppine position fore example) and if possible - fixed stretched hand.
PS: with grate respect to yours team working!!
The so called Porn Star exercise hahaha! I love how you tried to say it with such professionalism lol!
Why would even light isometric rotator cuff work cause more subacromial pain for weeks after?
Weeks of pain after one bout of light isometric exercise is unusual. Would assume that there are other factors at play and would get it evaluated by a local physio.
Is it normal to experience a little bit more pain after doing impingement rehabs's exercises ? In other words, does an impingement/bursiti rehab implies to "get worse" a few days/weeks before it get better ?
Thank you again for your thougts
Hey,
When addressing painful movements, there can be slight discomfort. think of it as „i gotta feel it to heel it“ but don‘t confuse it with „no pain no gain“ because we don‘t want to irritate it too much.
As a rule of thumb. Imagine a pain scale from 0 to 10. 0= no pain and 10= the worst pain imaginable.
Discomfort post exercise is allowed to go as high as a 3-4/10 but not more and should settle within 24 hours post exercise. If it doesn‘t it means that we asked too much of the shoulder.
If you need personal guidance we can recommend to consult with our partner at yourphysio.online for a personal consultation
I have pain in supraspinatus from past 1.5 years. It hurts 10/10 when i try to reach out my back with affected arm(internal rotation). It's now causing pain in neck as well as in posterior upper arm and radiating down to hand. Can i follow this series ?
You have lateral pelvic tilt
Normal variation, no problem.
@@Physiotutors based and physiopilled
Could I ask why you start at 90 degrees for external rotation and whether less shoulder elevation is easier if 90 degrees is too hard? Thanks
I guess its because the supra tendon at this position has less compression loading
Different patient to patient. Some patients might find 90dg too much to start so maybe 45 would be a good starting point.
Did you say "porn star exercise"? 👀
"Pornstar exercise"
Credits to Adam Meakins
@@Physiotutors *Anju Jaggi
I love your content, but I have to say, what's the go with using male only pronouns when referring to a client? It makes even less sense because the person performing these exercises is presumably female.
I don't think it matters...