I dunno about this. I was in severe pain in my left shoulder from impingement as well as adhesive capsulitis. I had the surgery and it changed my life! now I have developed the same issue on my right shoulder and am waiting to see the surgeon now. As I understand it on the Left shoulder he cut the adhesives, reshaped the bone, and did a bursectomy. I can not recoment this procedure enough. Turned my life right around. I tried Physio and it was a joke. did nothing.
@@colinsmith1288 You should be about there. I did some stretches I had learned in physio for a couple more weeks and was good to go. I mean I still took it easy but was fully functional.
@ThunderPantz01 Thankyou. I am due to see the physio next week. I was shown some gentle exercises to do in the meantime. I had my bursa removed. Acrimion bone shaved. Just feeling tightness in the shoulder blade. Hopefully physio will help.
Thanks for the great informative video! I'm going through first year of physciotheraphy school and really wondered what sub-acromial impingement actually was, and why we were doing tons of tests for it in class.
I think like much of the underlying theories for pathology in physical therapy it’s not shown in the research. There is an epidemic in our profession in healthcare in general of creating theories that sound nice and pretty from a mechanical POV, but it’s not based on any substantiated information and sometimes they go directly against the research. See sacral torsions, subacromial impingement, innominate positions/corrections, lumbar positional faults. The list goes on and on. The worst part is that people refuse to challenge these ideas in a lot of cases and as a consequence they are what is taught in schools and some of them are on the licensure exams so we educate students on these things and expect them to know them but there is also an underlying expectation that you need to unlearn some of those things and take them with a grain of salt when you actually start practicing. It’s insane how many things you learn in school and then when you get out and do clinical/start working you get exposed to the reality of how you treat and how a lot of times the specific mechanism underlying the pathology isn’t as important as just progressive joint loading and proper regression/progression of exercise based on tissue irritability and individual needs of the patient in front of you.
Hey Josh! Very insightful words my friend… I think as you said, the major issue is when people feel threatened that those terms are being challenged. The way to progress as a profession is for us to work out these things and spread the word and without being rude and abrupt, slowly change the narrative!
This is not what a person with sub acromion impingement wants to here! He wants to here what is the way to get rid of this problem/pain FOR EVER? Unfortunately, no reply on this obvious expectation was given what-so-ever!
I like these thoughts. I have some reservations though: why would a decompression by surgery absolutely mean that there is nothing impinging? I would accept this statement if something like am ultrasound shoes that when pain is provoked nothing was compressed under the acromion in any way in the first place. For me it seems plausible that the pain stems from some irritated structure being overly sensitive to mechanical stimuli and thus causing pain in moving. On the other hand is there a need for actual proof of something being mechanically compressed to rightfully consider it "impingement syndrome". Maybe in the end it does not even matter what you actually call it or what mystical lore your build around it since rotator cuff training, in whatever way it may be delivered, seems to help very well. This will leave me thinking for a while
Hey Michael! To be honest you are absolutely right… it is very plausible to suggest that something somewhere might be being compressed or impinged…. But our current level of thinking as a profession is that this compression or impingement is NOT the cause of our patients pain. If it was, removing the compression would remove symptoms, but unfortunately it doesn’t seem to do so. As you said, RC rehab seems to be one of key features of management in any case 👍🏼
Always here to watch this amazing content. Thanks ClinicalPhysio!
🙏🏼🙏🏼🙏🏼
I dunno about this. I was in severe pain in my left shoulder from impingement as well as adhesive capsulitis. I had the surgery and it changed my life! now I have developed the same issue on my right shoulder and am waiting to see the surgeon now. As I understand it on the Left shoulder he cut the adhesives, reshaped the bone, and did a bursectomy. I can not recoment this procedure enough. Turned my life right around. I tried Physio and it was a joke. did nothing.
Wait until it reoccurs and then we can laugh at the joke in isometrics.
How long was the recovery time. I had tha same surgery three weeks ago.
@@colinsmith1288 You should be about there. I did some stretches I had learned in physio for a couple more weeks and was good to go. I mean I still took it easy but was fully functional.
@@too602 what do you mean ?
@ThunderPantz01 Thankyou. I am due to see the physio next week. I was shown some gentle exercises to do in the meantime. I had my bursa removed. Acrimion bone shaved. Just feeling tightness in the shoulder blade. Hopefully physio will help.
Thanks for the great informative video! I'm going through first year of physciotheraphy school and really wondered what sub-acromial impingement actually was, and why we were doing tons of tests for it in class.
Super informative, thanks a lot sir, god bless you
Thank you so much!
Thanks a lot for the great explanation! I have my first ISPE exam in 10 days and couldn't really get my head around it.
You’re very welcome Lucy!
Excellent, nice and succinct and strong production values
🙏🏼
I think like much of the underlying theories for pathology in physical therapy it’s not shown in the research. There is an epidemic in our profession in healthcare in general of creating theories that sound nice and pretty from a mechanical POV, but it’s not based on any substantiated information and sometimes they go directly against the research. See sacral torsions, subacromial impingement, innominate positions/corrections, lumbar positional faults. The list goes on and on. The worst part is that people refuse to challenge these ideas in a lot of cases and as a consequence they are what is taught in schools and some of them are on the licensure exams so we educate students on these things and expect them to know them but there is also an underlying expectation that you need to unlearn some of those things and take them with a grain of salt when you actually start practicing. It’s insane how many things you learn in school and then when you get out and do clinical/start working you get exposed to the reality of how you treat and how a lot of times the specific mechanism underlying the pathology isn’t as important as just progressive joint loading and proper regression/progression of exercise based on tissue irritability and individual needs of the patient in front of you.
Hey Josh! Very insightful words my friend… I think as you said, the major issue is when people feel threatened that those terms are being challenged. The way to progress as a profession is for us to work out these things and spread the word and without being rude and abrupt, slowly change the narrative!
Great video! Thanks you sir! Euxaristo polu para polu
Efschiaristou file mou!
Thanks happy new year 2023
Thank you Vijay! Happy New Year to you!
Do you have a podcast by any chance?
Hi! Yes we do it’s part of our membership which you can check out at member.clinicalphysio.com
Super interesting! 😊
Thank you so much Nic!
This is not what a person with sub acromion impingement wants to here! He wants to here what is the way to get rid of this problem/pain FOR EVER? Unfortunately, no reply on this obvious expectation was given what-so-ever!
That’s because the video and our channel is aimed at physiotherapists, not at patients… but thank you!
Great video
Thank you so much! Glad you enjoyed it!
thank
You’re very welcome!
Thanks
Thank you for watching!
I like these thoughts. I have some reservations though: why would a decompression by surgery absolutely mean that there is nothing impinging? I would accept this statement if something like am ultrasound shoes that when pain is provoked nothing was compressed under the acromion in any way in the first place. For me it seems plausible that the pain stems from some irritated structure being overly sensitive to mechanical stimuli and thus causing pain in moving.
On the other hand is there a need for actual proof of something being mechanically compressed to rightfully consider it "impingement syndrome".
Maybe in the end it does not even matter what you actually call it or what mystical lore your build around it since rotator cuff training, in whatever way it may be delivered, seems to help very well.
This will leave me thinking for a while
Hey Michael! To be honest you are absolutely right… it is very plausible to suggest that something somewhere might be being compressed or impinged…. But our current level of thinking as a profession is that this compression or impingement is NOT the cause of our patients pain. If it was, removing the compression would remove symptoms, but unfortunately it doesn’t seem to do so. As you said, RC rehab seems to be one of key features of management in any case 👍🏼
GEM
Thank you so much!
Super interesting! 😊
Thank you so much!