I love how this therapist is so focused on stages and progressions of therapy and exercises. So many on RUclips and in the real world just throw exercises out there without appropriate staging.... So many injuries have been caused by this indifference.
This channel is amazing! Ive watched soo many videos after recently discovering this channel. Sadly their videos dont pop on youtube when you search for any sports related injury.
This channel is absolutely Godsent. Can't thank you enough, Doc. Shoulder and hip joints are so complicated just getting the right diagnosis can be a nightmare and here you are putting out all this information and explaining things so patiently. Thank you so much!!
Hi, awesome video - i've watched plenty about labral lesions and this is one of the most clear and comprehensive! 😊 In my case I have developped a small yet annoying tear playing badminton. I got two small questions i hope you could answer: - does the treatment change depending on how i got the lesion (traumatic or degenerative)? - does rehab keep me safe for life, or will i have to constantly care about muscle balance and strength? Thank you!
The rehab is the same regardless of how it happened. Your second question is a bit too wide to answer - one is always at risk of injuries if you become deconditioned and then do activities that you don't have the correct control or strength for. So it really depends on your situation and what you are doing.
I had a fall onto my shoulder (corner of low level heavy table). I am an otherwise very fit 80+. Do I get any competent help from Hampshire NHS Trust - what a joke! Apparently according to Government guidelines my injuries can be solved by steam telephone conversations from both a consultant and his 'very fine' physio team. Seen nobody - had no proper diagnosis. Maybe I should already have died of something! Good thing I am a bit smarter than they are and found this wonderful site. Even little professional asides like the influence on the biceps. I lost one half of my biceps due to GP incompetence, so stuff like that was invaluable. Great site, we want more like this. Maybe I will get to play County Badminton at 90! Yes agree, sensible. professional and very well presented.
@@HeyIntegrity Lifting out a double glazed sliding door, probably - that caused the original trauma that went un-diagnosed for too long. Go find a 'man' to help with this sort of DIY.
Hi there Maryke, fab videos, sent you an email requesting if possible that you make a Rotator Cuff rehaba (treatment) at various phases of recovery... that would be really great! cheers, Anthony
@sports injury physio . Can you tell me doctor that if a person has grade 1 slap lesion so is there is any time period to heal the labrum then start exercises or you just take rest and simultaneously along with do exercises ?
2nd option - you start with gentle exercise quite soon after the injury. If the exercise is pitched at the correct level, it helps the shoulder heal.
4 месяца назад
Hi mareika, I think a frozen shoulder,pain doing down from inside the top of my shoulder ton upper arm with a bit of knots in the muscle There is movement but sometimes very painful .
What you are describing can be any type of injury to the shoulder - a physiotherapist or orthopedic doctor will be able to assess it and give a diagnosis
Hi nice to see you respond. The question at hand is what are the protocols for rehab right after anterior humeral luxation and what are the progression phases protocols and the excersises for each phase. In my case I am 3 weeks out of my first ever shoulder luxation and x-ray diagnosis confirms have a bankart lesion (Dr told me it is not a big one and we can take a conservative route) I am still waiting for an ultrasound to get diagnose on the ligaments (universal health care backs everything up here in Aruba lol). I am a judo player 42 years old male and fit. I am aware that redislocation of my shoulder is a big probability now. I have always done injury preventive training so I considered my shoulders to be strong and it was very difficult for my shoulder to be reduced back into place 2 fysio therapist at judo practice than two doctors at emergency room. So I am very curios to see how you would help someone like me (I couldn't find a complete guide for or step by step protocol and phases and corresponding training). I understand the function of the four muscles of the rotator cuff and I am very much motivated to train my shoulder as much as possible to reduce the risk of redislocating and want resume training of judo back. Hope this can clarify and give you some context to work with.
hey thank you for such a great video i loved it, i had a question does a partial slap tear heals or only the surrounding muscles become strong so we dont fell that much pain later ? does it actually attaches back to the bone in partial tear ?
When could i start if i have a fracture • Closed fracture of head of right humerus with routine healing, subsequent encounter • Superior glenoid labrum lesion of right shoulder, subsequent encounter Contusion of right shoulder, subsequent encounter Fall on same level due to impact against object
@@SportsInjuryPhysio tthank you..8 start with therapy the 14th..good sports place..teasing me that I had a football injury..I really tackled that floor good..😆 🤣 😂 😹 😆 🤣
It depends a bit on the extent of the slap lesion - In the UK doctors usually tend to send patients for rehab first if it is not a too extensive lesion and they then often don't need surgery. If the rehab fails or the person is an overhead athlete etc., then surgery may be considered.
Lost most my pain only dose a weird popping when my shoulder is up and bicep is loaded getting better but so annoying like when doing pull up or lat pull down
What will u do if the physical therapy reduces the pain and you are good at all day to day activities ! But can hit the gym hard ? Is it time to get a surgery ?
I had the surgery 8 weeks ago. Pretty annoying recovery. Your range of motion is very limited. I get random pains at different stages of recovery too. It makes me think I could of re injured the area during pt. For me, the hardest part is mental. I hope it’s just overall recovery pain. I got the surgery because working out, and physical activity is something I love and it was suffering.
I have quick question for you. I do workout too, tore my Labrum SLAP and my doctor told me that it can heal by itself through some physical therapy. My should has improved a lot, but still not fully recovered yet. It's been five months since June 4th. I am working out now but cannot lift as heavily as I was before. Wanted to ask you that what makes you to do surgery and are doing good now with working out?
@@asafselevanay1330 pt only builds muscle around the injury and supports it. In my case.. I was still in pain. Couldn’t work out properly. Couldn’t do flys without pain. Cartalidge won’t repair itself on its own. I was depressed and now I’m happy. I was back to working out 4-6 months! I have some clicking, but feel great. If you can live the injury, might not be a bad idea. But I could not.. I found a great surgeon I trust and couldn’t be happier. Just find a good surgeon you trust. Do lots of physical therapy. Trust the process and take your time. I won’t do bench pressing anymore. It’s dangerous and put lots of stress on the shoulders.
Also interested in what asaf is asking. I'm still waiting for my mri to confirm i have a labrum SLAP (very likely tho) and would like to eventually return to doing bouldering. Seems like quite some people are saying that for intense exercise like that just pt is not enough
Thanks. Is there a followup for this for post surgery rehab? I don't really want to rely on the hospital rehab since it's very seldom sufficient for me. They simply do not understand my workout regimen. Amateur powerlifter with slap lesion here. Surgery in about 3 weeks. I have been trying to perform rehab for this problem for nearly a full year. Had some progress and some setbacks. This is a chronic shoulder problem going back years and probably related to a left bicep injury about 5 years ago that took 2 years to fully get past.
@@Boyley I ended up skipping surgery and doing prolotherapy instead. It worked for my torn superspinatus, so far it has not been effective for the SLAP and there's another issue in the back somewhere that is too deep for the ultrasound to see, so I'm up for another MRI to evaluate. I think the surgery ultimately will not be necessary, but I do need to be patient. I'd rather wait a bit longer and just do some fat cutting with eventually reaching full healing without surgery than take surgery with the risks involved. It is proving to be challenging, but I am fortunate that I have a doctor that is tenacious and curious enough that he's looking to find a proper solution.
![SLAP Tear Rehab Explained [WORKOUT INCLUDED]](http://i.ytimg.com/vi/Z2agRYd6FFE/mqdefault.jpg)
![[4K] Watch SpaceX Catch A Starship Rocket From Space!!! #IFT5](http://i.ytimg.com/vi/pIKI7y3DTXk/mqdefault.jpg)
I love how this therapist is so focused on stages and progressions of therapy and exercises.
So many on RUclips and in the real world just throw exercises out there without appropriate staging....
So many injuries have been caused by this indifference.
This channel is amazing! Ive watched soo many videos after recently discovering this channel. Sadly their videos dont pop on youtube when you search for any sports related injury.
This channel is absolutely Godsent. Can't thank you enough, Doc. Shoulder and hip joints are so complicated just getting the right diagnosis can be a nightmare and here you are putting out all this information and explaining things so patiently. Thank you so much!!
This channel has helped me so much. I love how you show the rehab progression.
Hi, awesome video - i've watched plenty about labral lesions and this is one of the most clear and comprehensive! 😊
In my case I have developped a small yet annoying tear playing badminton. I got two small questions i hope you could answer:
- does the treatment change depending on how i got the lesion (traumatic or degenerative)?
- does rehab keep me safe for life, or will i have to constantly care about muscle balance and strength?
Thank you!
The rehab is the same regardless of how it happened. Your second question is a bit too wide to answer - one is always at risk of injuries if you become deconditioned and then do activities that you don't have the correct control or strength for. So it really depends on your situation and what you are doing.
I had a fall onto my shoulder (corner of low level heavy table). I am an otherwise very fit 80+. Do I get any competent help from Hampshire NHS Trust - what a joke! Apparently according to Government guidelines my injuries can be solved by steam telephone conversations from both a consultant and his 'very fine' physio team. Seen nobody - had no proper diagnosis. Maybe I should already have died of something!
Good thing I am a bit smarter than they are and found this wonderful site. Even little professional asides like the influence on the biceps. I lost one half of my biceps due to GP incompetence, so stuff like that was invaluable. Great site, we want more like this. Maybe I will get to play County Badminton at 90!
Yes agree, sensible. professional and very well presented.
How'd you lose half the biiceps?
@@HeyIntegrity Lifting out a double glazed sliding door, probably - that caused the original trauma that went un-diagnosed for too long. Go find a 'man' to help with this sort of DIY.
Excellent video. Truly excellent.
Thank you!
Thanks, well done, especially about the posterior capsule pushing the glenoid forward in overhead athletes.
Thank you. I really like how you talked about all stages
You are welcome!
Such a sensible and beautifully compiled video. Thank you.
Incredible I love this
much love, thank you ❤
You are welcome!
Thanks a lot for your great efforts
Our pleasure!
Can you please make a video for post surgery rehab
Hi there Maryke,
fab videos, sent you an email requesting if possible that you make a Rotator Cuff rehaba (treatment) at various phases of recovery... that would be really great!
cheers, Anthony
@sports injury physio .
Can you tell me doctor that if a person has grade 1 slap lesion so is there is any time period to heal the labrum then start exercises or you just take rest and simultaneously along with do exercises ?
2nd option - you start with gentle exercise quite soon after the injury. If the exercise is pitched at the correct level, it helps the shoulder heal.
Hi mareika, I think a frozen shoulder,pain doing down from inside the top of my shoulder ton upper arm with a bit of knots in the muscle
There is movement but sometimes very painful .
What you are describing can be any type of injury to the shoulder - a physiotherapist or orthopedic doctor will be able to assess it and give a diagnosis
Can you do a video on Bankart Lesion after dislocated shoulder?
What specifically are you interested in with regards to that? Do you have specific questions? It helps to know how to make the video.
Hi nice to see you respond. The question at hand is what are the protocols for rehab right after anterior humeral luxation and what are the progression phases protocols and the excersises for each phase. In my case I am 3 weeks out of my first ever shoulder luxation and x-ray diagnosis confirms have a bankart lesion (Dr told me it is not a big one and we can take a conservative route) I am still waiting for an ultrasound to get diagnose on the ligaments (universal health care backs everything up here in Aruba lol). I am a judo player 42 years old male and fit. I am aware that redislocation of my shoulder is a big probability now. I have always done injury preventive training so I considered my shoulders to be strong and it was very difficult for my shoulder to be reduced back into place 2 fysio therapist at judo practice than two doctors at emergency room. So I am very curios to see how you would help someone like me (I couldn't find a complete guide for or step by step protocol and phases and corresponding training). I understand the function of the four muscles of the rotator cuff and I am very much motivated to train my shoulder as much as possible to reduce the risk of redislocating and want resume training of judo back. Hope this can clarify and give you some context to work with.
Thank you. I'll keep this in mind when making the video.
hey thank you for such a great video i loved it, i had a question does a partial slap tear heals or only the surrounding muscles become strong so we dont fell that much pain later ? does it actually attaches back to the bone in partial tear ?
I'm not sure -perhaps ask your doctor this.
When could i start if i have a fracture
• Closed fracture of head of right humerus with routine healing, subsequent encounter
• Superior glenoid labrum lesion of right
shoulder, subsequent encounter Contusion of right shoulder, subsequent encounter
Fall on same level due to impact against object
Your physio and/or doctor should guide you one this - we cannot safely advise without knowing all the details around your situation and assessing you.
@@SportsInjuryPhysio tthank you..8 start with therapy the 14th..good sports place..teasing me that I had a football injury..I really tackled that floor good..😆 🤣 😂 😹 😆 🤣
Love it! Thanks for sharing
Should I keep my shoulder completely immobile in the beginning to develop stability?
I was recently diagnosed with slap lesion. doctor said surgery can only fix it. is that true? would giving it a try to physio first be wiser?
It depends a bit on the extent of the slap lesion - In the UK doctors usually tend to send patients for rehab first if it is not a too extensive lesion and they then often don't need surgery. If the rehab fails or the person is an overhead athlete etc., then surgery may be considered.
Kudos!
Thnx for that :) much appreciated
Lost most my pain only dose a weird popping when my shoulder is up and bicep is loaded getting better but so annoying like when doing pull up or lat pull down
What will u do if the physical therapy reduces the pain and you are good at all day to day activities ! But can hit the gym hard ? Is it time to get a surgery ?
@@Rohit-ij6eh i am actually still improving and able to lift heavier and harder id wait on surgery
I had the surgery 8 weeks ago. Pretty annoying recovery. Your range of motion is very limited. I get random pains at different stages of recovery too. It makes me think I could of re injured the area during pt. For me, the hardest part is mental. I hope it’s just overall recovery pain. I got the surgery because working out, and physical activity is something I love and it was suffering.
I have quick question for you. I do workout too, tore my Labrum SLAP and my doctor told me that it can heal by itself through some physical therapy. My should has improved a lot, but still not fully recovered yet. It's been five months since June 4th. I am working out now but cannot lift as heavily as I was before. Wanted to ask you that what makes you to do surgery and are doing good now with working out?
@@asafselevanay1330 pt only builds muscle around the injury and supports it. In my case.. I was still in pain. Couldn’t work out properly. Couldn’t do flys without pain. Cartalidge won’t repair itself on its own. I was depressed and now I’m happy. I was back to working out 4-6 months! I have some clicking, but feel great. If you can live the injury, might not be a bad idea. But I could not.. I found a great surgeon I trust and couldn’t be happier. Just find a good surgeon you trust. Do lots of physical therapy. Trust the process and take your time. I won’t do bench pressing anymore. It’s dangerous and put lots of stress on the shoulders.
Also interested in what asaf is asking. I'm still waiting for my mri to confirm i have a labrum SLAP (very likely tho) and would like to eventually return to doing bouldering. Seems like quite some people are saying that for intense exercise like that just pt is not enough
@@rednas195 pt is never enough if you’re an active person. I’m my opinion
@@KELOC1 that sucks, how bad was your pain? Because my pain has never been worse than some dull pain
Thank you
Welcome!
Can I do biceps exc with low weight (bicep curls etc) with a torn labrum ?
Thanks. Is there a followup for this for post surgery rehab?
I don't really want to rely on the hospital rehab since it's very seldom sufficient for me. They simply do not understand my workout regimen.
Amateur powerlifter with slap lesion here. Surgery in about 3 weeks.
I have been trying to perform rehab for this problem for nearly a full year. Had some progress and some setbacks.
This is a chronic shoulder problem going back years and probably related to a left bicep injury about 5 years ago that took 2 years to fully get past.
Did the surgery help? I have a similar background/issue to what you describe
@@Boyley I ended up skipping surgery and doing prolotherapy instead. It worked for my torn superspinatus, so far it has not been effective for the SLAP and there's another issue in the back somewhere that is too deep for the ultrasound to see, so I'm up for another MRI to evaluate.
I think the surgery ultimately will not be necessary, but I do need to be patient.
I'd rather wait a bit longer and just do some fat cutting with eventually reaching full healing without surgery than take surgery with the risks involved.
It is proving to be challenging, but I am fortunate that I have a doctor that is tenacious and curious enough that he's looking to find a proper solution.
@@eschelar Hi man, hope it got better! Could you give me an update on what you decided to do?
Hi doctor
So this is what BTS SUGA experience while doing rehabilitation 💜💜 get well hubby
what accent is this?
Dutch or afrikaans 🤷🏽♂️