It depends on how systematically you applied your palpating approach. Cadaveric anatomy is different from live surface anatomy. If you follow these easy steps, and use the suggested landmarks and helper's lines you will improve your ability to palpate it. Which approach do you follow? Would you share your experience? Thanks!
So far there are mixed results with the use of PRP - some patients will do well, others won't experience any changes. Key for a successful clinical outcome is to have a precise diagnosis.... make sure to be assessed by a certified IAOM-US clinician!
is is possible to heal the supraspinatus tear with delamination? here is my diagnosis from MRI scanning: "There is a partial thickness bursal surface tear involving the posterior supraspinatus and anterior leading edge of the infraspinatus with delamination into tendon substance as far as the musculotendionus junction of infraspinatus where there is focal cyst formation, delamination measures approximately 36mm No full-thickness component identified. The tear affects up to 30% of the tendon thickness. Subscapularis and the long head of biceps tendon are normal. " thank you
Tendon healing can be an intermittent and partial phenomenon. Due to its own structural properties, tendons (like the supraspinatus) can take long time to heal (if it happens at all). The important point is to be able to become functional. There are other muscles in your rotator cuff that can compensate for the lack of function in the supraspinatus. By performing this type of approach, the are becomes less painful thereby allowing for better function and neuromuscular reeducation of the other musculature.
It's 8 year later, but thank you for this video.
INCREDIBLE, THANK YOU!
Wow very well explained
Thanks!
The supraspinatus is a bit superior to where you are palpating. It is at the very top, and slightly toward the posterior side
It depends on how systematically you applied your palpating approach. Cadaveric anatomy is different from live surface anatomy. If you follow these easy steps, and use the suggested landmarks and helper's lines you will improve your ability to palpate it. Which approach do you follow? Would you share your experience? Thanks!
How often should you do this
Every day! (once or twice should work just fine)
Very helpful thanks .
Any views on prp for supraspinatus tendinopathy ?
So far there are mixed results with the use of PRP - some patients will do well, others won't experience any changes. Key for a successful clinical outcome is to have a precise diagnosis.... make sure to be assessed by a certified IAOM-US clinician!
@@IAOMUSVIDEO thank you. That's fair
is is possible to heal the supraspinatus tear with delamination? here is my diagnosis from MRI scanning: "There is a partial thickness bursal surface tear involving the posterior supraspinatus and anterior leading edge of the infraspinatus with delamination into tendon substance as far as the musculotendionus junction of infraspinatus where there is focal cyst formation, delamination measures approximately 36mm
No full-thickness component identified. The tear affects up to 30% of the tendon thickness. Subscapularis and the long head of biceps tendon are normal. " thank you
Tendon healing can be an intermittent and partial phenomenon. Due to its own structural properties, tendons (like the supraspinatus) can take long time to heal (if it happens at all). The important point is to be able to become functional. There are other muscles in your rotator cuff that can compensate for the lack of function in the supraspinatus. By performing this type of approach, the are becomes less painful thereby allowing for better function and neuromuscular reeducation of the other musculature.
Perfect English accent for a French!