My new book has a much more comprehensive rotator cuff program that guides you through three phases of rehab. In addition to this program, my book has programs for the 50 most common injuries and pain issues and each body region has its own chapter. Click the Amazon link below to learn more about my book. Rehab Science: How to Overcome Pain and Heal from Injury a.co/d/0rw9tWd
Thank you so much for ordering a copy of my book! It is incredibly comprehensive and has programs for the entire body, so I think you will find it to be helpful.
@@RehabScience hello dear i'm from pakistan,i'm 24 years old boy, i got shoulder dislocation 4th time in 2 years, according my MRI report "shoulder part supraspinatus instrusubstance tear" so what should I do , and prevent future injury ? Thanks Regards Faisal
MRI :-Bulky supraspintius tendinosis . i was wearing shoulder immobilizer for 2.5months, now i hve started physio but still burning sensation, these exercises would help in moderate tendinosis?? Bcz also i have pain in neck and down the collar bone
Thanks for the video ! Can we do these exercices everydays or is it better to do it only a few days a week ? Also can I do it the same day when i am going to the gym to warm up ?
Hi sir,, The doctor that I went to go see said that I had bursitis and arthritis in my joints of my left shoulder I'm having some pain when I turn my arm around 😞 he also said that I had a small tear but I can work it out with physical therapy I'm not sure if you can help me with this thank you so much for your time in this video..
Question: I have biceps tendinitis and a partial tear of the supraspinatus. I have done many of the exercises shown in your video. I also lift weights. My question is: does your book explain the weightlifting exercises to avoid if you have supraspinatus tear..?
My book doesn't explain which exercises to avoid as this varies from person to person. The key is to test exercises one by one to determine which ones are irritating your shoulder. My book has comprehensive programs for the most common injuries and pain issues (including supraspinatus and biceps tendon injuries). Here is an Amazon link, if you want to learn more about my book: amzn.to/4a3JGVP
Hello, thank you for the great content. I highly value your videos. I'm 28 and experienced a partial supraspinatus tear seven months ago while doing pull-ups. Despite two months of physical therapy improving my range of motion and shoulder strength, the pain persists. Your insights would be invaluable. I have a few questions: 1. How can I alleviate this pain? 2. Is returning to the gym advisable now, or should I wait until the discomfort is completely gone? 3. Does gaming have any negative impact on my recovery? Your response means a lot to me. Thanks in advance for your guidance!
Hey, thanks for the video. I'm searching for a rehab for my mum's supraspinatus pain and I'm more than happy I've found your channel. One question. You've a similarly named video filmed a year ago. Is there any difference?
Hi thanks for the video. I have what I believe to be this issue with my shoulder! Is some popping or clicking normal with this issue with the exercises? Thank you👍
Yes, many people experience clicking and popping when their rotator cuff is irritated. As that irritation reduces, you should notice a reduction in joint noises.
I get a stiff neck doing a lot of these ,I had neck surgery and wondered if I should do these to repair the supraspinatus tear in both ... I'll be buying your book as don't want more surgery
These can cause some neck stiffness in people when their supraspinatus is injured as it is common to compensate with other shoulder girdle muscles (upper trapezius especially) that connect to the neck and skull. Thank you for considering getting a copy of my book! I really think you will find the book to be a valuable lifelong resource. The rotator cuff and neck pain programs will be especially helpful right now. Here is an Amazon link, if you need one. a.co/d/85XQ6Gr
Really appreciate all your replies too my many questions but as you can gather I have a lot going on....bursitis and tendinopathy in both shoulders and hips now which is causing weak knees bad back etc....some tears in supraspinatus and glute med so where do I start....side lying is almost impossible so does your book give options for all scenarios...or do you have a site I can contact you on personally to discuss my issues
Hello, i have supraspinatus inflamation when i overdo overhead work. How can i know if i should strenghten or stretch the supraspinatus. Or does it need any stretching at all, can that be a problem? Great video, gonna try Full can exercise for sure to see if it helps.
Stretching is usually not necessary for this muscle. Because it is the most commonly torn rotator cuff muscle, it is most important to strengthen the muscle and tendon with exercises like shown in this video. If you need a more comprehensive rotator cuff program, my book has one that guides you through three phases of rehab. Here is an Amazon link for my book, if you want to learn more about it. Rehab Science: How to Overcome Pain and Heal from Injury a.co/d/jbdfwtt
Found your book and channel thanks to the Ready State Podcast (great episode by the way). Will these exercises help if pain occurs with internal rotation while the arm is lifted to the side? Going overhead there is no pain or dysfunction.
Awesome, thanks for checking out my channel and my book! Yes, these exercises could help with those symptoms. I would give them a try and see how your body responds.
great vid as always. quick question, the last exercise is actually a lateral raises most do for delts. any advatdages holding the dumbell like "hammer" rather than regular grip (pronated) being done in most lateral raises exercises?
Due to fall i have a tear of 2.5 cm on supraspinetus so i can not take above my right hand ...pls advise me what to do ...is it recover with phyjio exercise or opration is compulsory i have no more pain in sholder pls give good sujeshion
Hi doc I just have a quick question I was diagnosed with mild supraspinatus tendonitis 10months ago My doctor says its not that serious So no reason to worry But i am experiencing pain in the whole upper body (even tho the tendonitis is in my right shoulder)specially after waking up I have tried physiotherapy too Now i dont know what else to do What do u think i should do now? I would really appreciate the help
These exercises often help with subacromial bursitis as well. The key is to only perform exercises that can be done with mild or less discomfort. The rotator cuff and shoulder impingement program in my book is more comprehensive and would very much help with bursitis. Here is an Amazon link for my book. Rehab Science: How to Overcome Pain and Heal from Injury a.co/d/6lAlLUV
MRI :-Bulky supraspintius tendonosis . i was wearing shoulder immobilizer for 2.5months, now i hve started physio but still burning sensation, these exercises would help in moderate tendinosis??
How long after the injury can we start doing this? My shoulder hurt before the injury, but the ultrasound said my supraspinatus is inflamed, maybe small tear, but definitely stretched. And can I workout the rest of my body after the sling comes off?
Cortisone (steroid) injections can definitely help reduce pain. We try to avoid them if we can as they weaken connective tissue structures, including tendons.
Yes, the empty can test is meant to test the supraspinatus muscle and its tendon. The full can exercise will strengthen the supraspinatus muscle and tendon.
Sir, can you tell a difference between supraspinatus tendonitis and pain in shoulder & posterior head of triceps ? Latter is usually described as cervical radiculopathy. May painful zone goes trough posterior deltoid to triceps yet virtually all therapists describe pain in frontal & lateral deltoideus. I've got my pain from repetitive movements ( pushups and dips).
You may be able to find it in some bookstores, but online is usually easier. Here is a direct link for my book on Amazon. Rehab Science: How to Overcome Pain and Heal from Injury a.co/d/6gXXKXI
Hi, I'm looking for some advice on this topic I get since months a painful click, mostly in the front of my shoulder, like in connection with the bicep where the pain also first started. But sometimes it also seems to click on the side, behind or maybe just around the shoulder elsewhere. Also many times it feels as though the ache came from the very inside/center of the shoulder, where massage I believe can't reach, and also I sometimes just feel muscle tightness or soreness around the area This appeared just a day or two after doing some chest push ups, and the following day working on biceps and many variants of shoulder with an elastic, a pretty mid weight one. At first I just felt a little chest pain, just like the normal common ache you feel sometimes after exercise, mostly when not having exercised in a while and then going back to it. But then and still now, the clicking and pain has been mostly around the shoulder/bicep So since it's continued for so long without success, I'm reaching out to see if I can get some answers/advice Also I've tried: massage, stretching, mobilizing, strengthening.. And I also know of others that I tried, am trying or considering to try like ice, resting, using an arm holder.. Sometimes I think whether I may have done just too much self massage or stretch to the point it may've been counter productive.. like irritating instead of helping recover Other than that, the only other thing that I'm trying to see if works, is trying to have my shoulders more to the back (posture). This one I heard many times so I thought to give it a try. Just a few days trying it, seems to be doing some effect...but the painful clicking is still there...we will see I heard the explanation is that shoulders to the front posture can irritate or inflame the area of the shoulder and produce or worsen this kind of thing sometimes But, honestly, so far I feel like I've tried many things as you can see, and none have worked...so I would just like to listen to suggestions on what might be the key point to understand why it is still clicking, and how to solve it. So far the rough idea or notion I can say to have about this is that it's basically just an inflammation that causes the clicking. Would like to confirm this, or at least have some more explanation to understand how this works/confirm this would be why my shoulder clicks, or what else could be. Btw, the clicking happens in different movements, like circular movements or just perhaps any movement...reaching the arm to the front, etc, not necessarily upwards Hope I can get some info/advice, I'd really appreciate it. Many thanks! Greetings
These exercises will still strengthen your other shoulder muscles. If the supraspinatus is fully torn and retracted, you won’t be able to strengthen it.
I'm soon turning 80 years old and I'm dealing with a full tear in the supra. I'm going to therapy right now, last month and a half. I feel I can get by without surgery, what do you think considering my age? Not much strenght in that arm but it's my left and I'm right handed.
Yes, I would encourage you to avoid surgery if you can. If we look at the research, approximately 80% of individuals who are 80 years old have a supraspinatus tear.
There is a patient with full ROM in flexion and abduction but she is reluctant to move her arm, with reduced scapula rhythm and loss of muscle bulk in supraspinatus and deltoid. Which stage would be good to start at. She is moderately irritable, any overhead movement sets off pain
Okay, saved the book to my Amazon wish list, same with the loop band. You're like the Doctor Mike of rehab. lol Those overhead exercises you mentioned maybe eliminating altogether, like tennis, you mean during rehab, not forever, right? My goal is after the rehab to get back into everything. It's incredibly hard to not just do stuff anyway. Like my head is saying, "You can handle it". I probably can't, or if I could it would probably feel much worse after. I know when I move my injured arm (shoulder) it feels better for a little bit. When I don't move it, it hurts when I try. It's a weird feeling when you make it to 50 and have never broken a bone, and the worst injury ever are sprains (which I walk on, probably shouldn't, but they go away eventually). And it's not like I've gone easy on my body, my friends and I used to tear around the woods, I once fell out of a second story window playing in a construction house, got hit by a motorcycle head-on as a teen riding a moped, I've been into full-contact sports most of my younger life, and semi-high-impact things like mountain biking, although, tbh I avoid the single track most of the time. It's just not fun any more. My wife is 36 and her sister who's 24 lives with us and she has us doing all sorts of stuff, Last winter I went ice skating, my first time in hockey skates. My parents made me do figure skating as a kid. And ballroom dancing. And gymnastics. But not karate, so I got beat up a LOT. lol. My wife wouldn't skate because she's like "I'm 36, what if I fall?" To which I said, "You get up and keep going." I fell twice. hockey skates are harder to use. But I kept going. I don't want to not do stuff any more, fully-intend to get back into tennis, back into riding, and hopefully do some skiing this year, or maybe try snowboarding. I never have, but how hard could it be? It looks like fun. Rollerblading, too, I want to try that. I know how to roller skate and ice skate, so it has to be in the middle there. I will take it easy while I do the rehab, though. One of my other long-term goals is to try to get a job with UPS hopefully as a driver, which is incredibly competitive to get hired permanently as, but great pay and benefits. So I need to be in peak shape if that can ever happen. Thanks for the videos!
Thank you for considering getting my book! It’s extremely comprehensive, and I know it will be a helpful resource to you. In terms of modifying or eliminating activities, this would be a temporary change. You can definitely go back to tennis and other activities once your tissues have healed have you have strengthened them.
Hi, I have bursitis, Supraspinatus tendinosis & Infraspinatus tendinosis. Could I just check these exercises are all fine for tendinosis (and not just tendonitis)?
Is this the worst situation for the shoulder? Or is there the possibility of doing new shoulder weights such as lateral raises or shoulder overheads? Or even go up to the bar?
These exercises only for very weak old patients. What about younger stronger patients that have good strength and mobility but can't pick heavy weights because of tendinitis.
@sujalsingh514 I have carried out one method. Say you can bench120kgs for 1 rep max. Don't bench it but keep benching 80kgs for 10 to 12 reps keeping your pain threshold to about max 4 out of 10. Gradually increase the weight after about a week or two by around 5kgs per side. You will find your pain Gradually reducing. Never stop doing the exercises, cause if you do you will never get back. Keep at it with lower weights and Gradually increase. Don't be in too much of a hurry to increase the weight. Approach it Gradually. I have done this and I am much better. Almost back to my original form. Also keep your diet and supplements on. Don't stop them. Believe me the body adapts. Tendons become stronger, recovery period shortens. Best of luck.
l had such a strong inflammation that it was unbelievable. I trained like a mule, and in the end I stopped training and lost 35 kg. That was my biggest mistake. After much struggle I managed to regain my old strength almost without pain. Only progressive weight gain. FORGET ABOUT EGO AND ALL GOALS! Reduce to the limit of pain (it almost always hurt at least a little in rehabilitation) and eventually you will be able to return. My advice is to do up to 5 repetitions in the bench, plus one or two hypertrophy exercises. And a slow and gradual increase, just no rush please.
@@sujalsingh514try the last exercise with a 10lb weight. If there's still pain picking up heavy stuff you need to rest 2+ weeks. I was in this position and it got worse because it didn't fully heal even tho it felt strong
Its laundry and house cleaning. I have autoimmune disease causes inflammation in all organs and muscles. I can not take n.s.a.i.d.s anymore due to kidney and liver disease caused by the inflammation. A tear occurred when I carried a bag of groceries. Its 2 years since and my shoulder blade, cuff and under arm pit swelling. My neck is in agony, biceps as well. I have appointments with rheumatologist to get a cortisol shot try control inflammation there. It is very hard to control inflammation as I am limited in medication I can take. The tear was small but not healing. I do what I can to stretch and movment without excessively causing flare ups but its difficult. When day to day normal movements causes injury, what can be done?
Hello, ive got a question if you wouldnt mind answering please. I apparently tore my rotatir cuff approximately 10 years ago. Not sure which part and had physio on it. In the last few years I've been powerlifting and my shoulder hurts when i bench press or overhead press. I know its impossible to duagnose this from my comment, but theres a weird thing i have that happens. The exercise you use in this video with the band, well when i do this, firstly my shoulder cracks (though its more like a "clunk" sound) and when i get just before vertical my shoulder rotates itself and repositions. I cant do anything about it, it's automatic. Also if i lay on the floor on my back and put my arms over my head straight, my good arm lays flat on the floor, my bad arm hovers above it. I can push it down but get some pain doing so and even if im fully relaxed, it still springs back up to hovering just off the floor. Have you got any ideas whats going on please as im stumped. Thank you in advance
Many people with long-standing rotator cuff issues develop tightness in the joint and changes in their mechanics. I would be willing to bet that you would benefit greatly from specific shoulder joint mobilizations. These often restore normal joint range of motion, reduce pain and help correct irregular movements. The key is to find a physio who specializes in orthopedic manual therapy.
Unfortunately, my publisher does not sell PDF versions of my book. It is available in e-book and paper (hardcover) formats. The Amazon bookstore sells both formats. Here is a link you can use to order either copy. Rehab Science: How to Overcome Pain and Heal from Injury a.co/d/fDvEWkX
Dr i have supraspintus tendonitis and biceps tendonitis , which exercises to perform for rehab, i have burning sensation in my bicep and upper trap and crackling sound from the shoulder joints
The exercises in the videos below typically help. ua-cam.com/video/GEH6Y-_1X84/v-deo.htmlsi=uBP129dIQSsYBw03 ua-cam.com/video/JtOWSWRa8Qk/v-deo.htmlsi=H1dRv4o_RZUUrDex
You are not obligated to even do a video, so let me start by saying thank you. I have supraspinatus and infraspinatus severe tendonosis and I am only 49. I’m just here to give you a tip in return for your tips. I went to a personal trainer who noticed that I was rotating my shoulder forward during my exercises and , also, pushing my butt out. Maybe also mention, first, before you demonstrate arm exercises that one should hold shoulder back using lats and rotate pelvis forward. Someone who naturally does this might not know that is ladies rotate out shoulders forward because of our heavy breasts and push our butts up because of the fat rolls underneath our butt. I was just hurting myself worse with my incorrect core posture. Thank you for reading.
Hey Doc, So i’ve been diagnosed with minor calcific supraspinatus, but i have pain somewhere around ac joint when working out. It’s minor pain but still bothers me. And i also have painless clicking behind my shoulder when i rotate my arm. X-ray showed my ac joint is fine so my question is.. can supraspinatus really hurt at that spot around ac joint or it could be something else? And why do i have clicking in the back. Thank you in advance! 🙏🏽
Hello, my book comes in hardcover and e-book options. Here is a link you can use to learn more about it. Rehab Science: How to Overcome Pain and Heal from Injury a.co/d/7CCuDpd
I sustained a minor injury to my supraspinatus muscle while playing badminton, exacerbated by an acromion type 2 bone structure. It pains alot As per medical advice, I've been advised to refrain from engaging in overhead exercises. To strengthen supraspintanus shall I still do mentiond exercises to strengthen the supraspinatus muscles while adhering to these restrictions?
Hi sir,i was diagnosed witha mild supraspinatus tendonitis,while it says that it needs to avoid over the shoulder movements,one of your exercise here (lifting arm on front and side) is literally over the shoulder movements and i feel a little discomfort when i did this,LOOKs like it can irritate the nerve more?
If you feel more than mild pain with that exercise, I would suggest only moving through a partial range of motion, or eliminating it from your program and retesting in a few weeks.
@@TheTaei Usually the scapula is mostly fixed in place mainly so that it doesn't elevate during the exercise. However, it does need to rotate some, so don't hold it in place too firmly.
@rehabscience : My MRI scan report says 'Supraspinatous Tendinosis with full thickness rim rent tear' would these exercise help in recovery ? i don't wanna go for surgery
Yes, these exercises apply to tendinosis and tears as well. My book has a much more comprehensive rotator cuff rehab program, if you are interested. Here is a link for my book. a.co/d/8C6dXXh
When doing these and other stretches, my shoulder is popping and clicking. Is that ok? If I continue doing these exercises, as the shoulder gets stronger, will those noises go away?
Those types of noises are very common when rehabbing from this issue. As long as they don’t cause more than mild pain, it is OK to keep doing exercises. In many cases, when the area heals, clicking and popping sensations will lessen.
My book is sold with all major bookstores, but Amazon is usually the cheapest option. Here is an Amazon link for the book. Rehab Science: How to Overcome Pain and Heal from Injury a.co/d/8LdYaF0
My new book has a much more comprehensive rotator cuff program that guides you through three phases of rehab. In addition to this program, my book has programs for the 50 most common injuries and pain issues and each body region has its own chapter. Click the Amazon link below to learn more about my book.
Rehab Science: How to Overcome Pain and Heal from Injury a.co/d/0rw9tWd
Thanks for adding this Dr. Tom! just in time...i developed tendinitis that i started to feel last weekend and now trying to treat it.
just bought the book. video is great, but it's nice to have all the details on the page. thx!
Thank you so much for ordering a copy of my book! It is incredibly comprehensive and has programs for the entire body, so I think you will find it to be helpful.
Just placed request for my public library to buy it AKA will be multiple copies for the library system of 40+ locations.
Amazing! Thank you!
@@RehabScienceman wants a piece of the pie
@@RehabScienceThanks 🙏🙏
2:35 please confirm Me Do i need to bend the Elbow and Do it or keeping elbow very straight all way going up abd Down
you're the man dude..buying the book soon! can't wait to learn all about this in more depth!
Thank you so much for considering getting my book! I really think you will find it to be a helpful resource.
@@RehabScience hello dear i'm from pakistan,i'm 24 years old boy, i got shoulder dislocation 4th time in 2 years, according my MRI report "shoulder part supraspinatus instrusubstance tear"
so what should I do , and prevent future injury ?
Thanks
Regards Faisal
Thank you for this video!
You’re welcome!
Love this. Will definitely check the book out for this section for more. I absolutely LOVE your book. So grateful for this resource!
Thank you! I’m so glad to hear that you are enjoying the book!
MRI :-Bulky supraspintius tendinosis . i was wearing shoulder immobilizer for 2.5months, now i hve started physio but still burning sensation, these exercises would help in moderate tendinosis?? Bcz also i have pain in neck and down the collar bone
Thanks for the video ! Can we do these exercices everydays or is it better to do it only a few days a week ? Also can I do it the same day when i am going to the gym to warm up ?
Hi sir,, The doctor that I went to go see said that I had bursitis and arthritis in my joints of my left shoulder I'm having some pain when I turn my arm around 😞 he also said that I had a small tear but I can work it out with physical therapy I'm not sure if you can help me with this thank you so much for your time in this video..
God bless you man..... there's definitely a solution. Try a surgery. God bless you again 🙏
Its off and on pain which comes and sometimes goes please let me know
Thanks for your video!
You’re welcome!
Question: I have biceps tendinitis and a partial tear of the supraspinatus. I have done many of the exercises shown in your video. I also lift weights. My question is: does your book explain the weightlifting exercises to avoid if you have supraspinatus tear..?
My book doesn't explain which exercises to avoid as this varies from person to person. The key is to test exercises one by one to determine which ones are irritating your shoulder. My book has comprehensive programs for the most common injuries and pain issues (including supraspinatus and biceps tendon injuries). Here is an Amazon link, if you want to learn more about my book: amzn.to/4a3JGVP
Hello, thank you for the great content. I highly value your videos. I'm 28 and experienced a partial supraspinatus tear seven months ago while doing pull-ups. Despite two months of physical therapy improving my range of motion and shoulder strength, the pain persists.
Your insights would be invaluable. I have a few questions:
1. How can I alleviate this pain?
2. Is returning to the gym advisable now, or should I wait until the discomfort is completely gone?
3. Does gaming have any negative impact on my recovery?
Your response means a lot to me. Thanks in advance for your guidance!
hey, what happened now?
Hey, thanks for the video. I'm searching for a rehab for my mum's supraspinatus pain and I'm more than happy I've found your channel. One question. You've a similarly named video filmed a year ago. Is there any difference?
Hi thanks for the video. I have what I believe to be this issue with my shoulder!
Is some popping or clicking normal with this issue with the exercises?
Thank you👍
Yes, many people experience clicking and popping when their rotator cuff is irritated. As that irritation reduces, you should notice a reduction in joint noises.
Ok thank you
I’m continuing with the exercises 👍
I get a stiff neck doing a lot of these ,I had neck surgery and wondered if I should do these to repair the supraspinatus tear in both ... I'll be buying your book as don't want more surgery
These can cause some neck stiffness in people when their supraspinatus is injured as it is common to compensate with other shoulder girdle muscles (upper trapezius especially) that connect to the neck and skull. Thank you for considering getting a copy of my book! I really think you will find the book to be a valuable lifelong resource. The rotator cuff and neck pain programs will be especially helpful right now. Here is an Amazon link, if you need one. a.co/d/85XQ6Gr
Does the book include massage tips for the knots
@@newts1964 Yes, it teaches self-mobilization or self-massage techniques that you can do with a ball or foam roller in each program.
Really appreciate all your replies too my many questions but as you can gather I have a lot going on....bursitis and tendinopathy in both shoulders and hips now which is causing weak knees bad back etc....some tears in supraspinatus and glute med so where do I start....side lying is almost impossible so does your book give options for all scenarios...or do you have a site I can contact you on personally to discuss my issues
@@newts1964 The programs in my book are very comprehensive and offer many exercise options.
Hello, i have supraspinatus inflamation when i overdo overhead work. How can i know if i should strenghten or stretch the supraspinatus. Or does it need any stretching at all, can that be a problem? Great video, gonna try Full can exercise for sure to see if it helps.
Stretching is usually not necessary for this muscle. Because it is the most commonly torn rotator cuff muscle, it is most important to strengthen the muscle and tendon with exercises like shown in this video.
If you need a more comprehensive rotator cuff program, my book has one that guides you through three phases of rehab. Here is an Amazon link for my book, if you want to learn more about it.
Rehab Science: How to Overcome Pain and Heal from Injury a.co/d/jbdfwtt
Found your book and channel thanks to the Ready State Podcast (great episode by the way). Will these exercises help if pain occurs with internal rotation while the arm is lifted to the side? Going overhead there is no pain or dysfunction.
Awesome, thanks for checking out my channel and my book! Yes, these exercises could help with those symptoms. I would give them a try and see how your body responds.
great vid as always. quick question, the last exercise is actually a lateral raises most do for delts. any advatdages holding the dumbell like "hammer" rather than regular grip (pronated) being done in most lateral raises exercises?
Yes, the thumb up position helps target the supraspinatus muscle and tendon rather than the deltoid.
thank you!!
Due to fall i have a tear of 2.5 cm on supraspinetus so i can not take above my right hand ...pls advise me what to do ...is it recover with phyjio exercise or opration is compulsory i have no more pain in sholder pls give good sujeshion
@RehabScience, i'm able to do the last exercise pretty much painless, does that mean my supraspinatus tendon is nearly cured condition now?
Hi doc
I just have a quick question
I was diagnosed with mild supraspinatus tendonitis 10months ago
My doctor says its not that serious
So no reason to worry
But i am experiencing pain in the whole upper body (even tho the tendonitis is in my right shoulder)specially after waking up
I have tried physiotherapy too
Now i dont know what else to do
What do u think i should do now?
I would really appreciate the help
Should i "heat" up area before exercises? Should I "ice" area after exercises? (Like they do at PT?)
Would this be suitable for shoulder bursitis? and would your book also cover injuries related to shoulder bursitis?
These exercises often help with subacromial bursitis as well. The key is to only perform exercises that can be done with mild or less discomfort. The rotator cuff and shoulder impingement program in my book is more comprehensive and would very much help with bursitis. Here is an Amazon link for my book.
Rehab Science: How to Overcome Pain and Heal from Injury a.co/d/6lAlLUV
MRI :-Bulky supraspintius tendonosis . i was wearing shoulder immobilizer for 2.5months, now i hve started physio but still burning sensation, these exercises would help in moderate tendinosis??
How long after the injury can we start doing this? My shoulder hurt before the injury, but the ultrasound said my supraspinatus is inflamed, maybe small tear, but definitely stretched. And can I workout the rest of my body after the sling comes off?
My pain is so intense. My doctor said I need some type of injection into my shoulder. What do you think about that?
Cortisone (steroid) injections can definitely help reduce pain. We try to avoid them if we can as they weaken connective tissue structures, including tendons.
I only have pain during the empty can test. So will the full can exercise help me?
Yes, the empty can test is meant to test the supraspinatus muscle and its tendon. The full can exercise will strengthen the supraspinatus muscle and tendon.
Hi sir,
My Shoulder MRI report shows that I have a partial tear of the supraspinatus tendon! Can I start do these exsercises?
Does this book also cover partial labrum tears?
Yes, the shoulder instability program addressed labral tears. Here is a link for my book, if you want to learn more. a.co/d/9k4FW5D
Sir,
can you tell a difference between supraspinatus tendonitis and pain in shoulder & posterior head of triceps ? Latter is usually described as cervical radiculopathy.
May painful zone goes trough posterior deltoid to triceps yet virtually all therapists describe pain in frontal & lateral deltoideus.
I've got my pain from repetitive movements ( pushups and dips).
Hiiii! What injury would present when you have pain with shoulder flexion?
Can I get the book in the store or does it have to be online?
You may be able to find it in some bookstores, but online is usually easier. Here is a direct link for my book on Amazon.
Rehab Science: How to Overcome Pain and Heal from Injury a.co/d/6gXXKXI
Hi, I'm looking for some advice on this topic
I get since months a painful click, mostly in the front of my shoulder, like in connection with the bicep where the pain also first started. But sometimes it also seems to click on the side, behind or maybe just around the shoulder elsewhere. Also many times it feels as though the ache came from the very inside/center of the shoulder, where massage I believe can't reach, and also I sometimes just feel muscle tightness or soreness around the area
This appeared just a day or two after doing some chest push ups, and the following day working on biceps and many variants of shoulder with an elastic, a pretty mid weight one.
At first I just felt a little chest pain, just like the normal common ache you feel sometimes after exercise, mostly when not having exercised in a while and then going back to it. But then and still now, the clicking and pain has been mostly around the shoulder/bicep
So since it's continued for so long without success, I'm reaching out to see if I can get some answers/advice
Also I've tried: massage, stretching, mobilizing, strengthening..
And I also know of others that I tried, am trying or considering to try like ice, resting, using an arm holder..
Sometimes I think whether I may have done just too much self massage or stretch to the point it may've been counter productive.. like irritating instead of helping recover
Other than that, the only other thing that I'm trying to see if works, is trying to have my shoulders more to the back (posture). This one I heard many times so I thought to give it a try. Just a few days trying it, seems to be doing some effect...but the painful clicking is still there...we will see
I heard the explanation is that shoulders to the front posture can irritate or inflame the area of the shoulder and produce or worsen this kind of thing sometimes
But, honestly, so far I feel like I've tried many things as you can see, and none have worked...so I would just like to listen to suggestions on what might be the key point to understand why it is still clicking, and how to solve it.
So far the rough idea or notion I can say to have about this is that it's basically just an inflammation that causes the clicking. Would like to confirm this, or at least have some more explanation to understand how this works/confirm this would be why my shoulder clicks, or what else could be.
Btw, the clicking happens in different movements, like circular movements or just perhaps any movement...reaching the arm to the front, etc, not necessarily upwards
Hope I can get some info/advice, I'd really appreciate it. Many thanks! Greetings
My MRI says Complete tear of supraspinatus tendon with retraction. Do these exercises help? Kindly indicate.
These exercises will still strengthen your other shoulder muscles. If the supraspinatus is fully torn and retracted, you won’t be able to strengthen it.
I'm soon turning 80 years old and I'm dealing with a full tear in the supra. I'm going to therapy right now, last month and a half. I feel I can get by without surgery, what do you think considering my age? Not much strenght in that arm but it's my left and I'm right handed.
Yes, I would encourage you to avoid surgery if you can. If we look at the research, approximately 80% of individuals who are 80 years old have a supraspinatus tear.
There is a patient with full ROM in flexion and abduction but she is reluctant to move her arm, with reduced scapula rhythm and loss of muscle bulk in supraspinatus and deltoid. Which stage would be good to start at. She is moderately irritable, any overhead movement sets off pain
Okay, saved the book to my Amazon wish list, same with the loop band. You're like the Doctor Mike of rehab. lol
Those overhead exercises you mentioned maybe eliminating altogether, like tennis, you mean during rehab, not forever, right? My goal is after the rehab to get back into everything. It's incredibly hard to not just do stuff anyway. Like my head is saying, "You can handle it". I probably can't, or if I could it would probably feel much worse after. I know when I move my injured arm (shoulder) it feels better for a little bit. When I don't move it, it hurts when I try.
It's a weird feeling when you make it to 50 and have never broken a bone, and the worst injury ever are sprains (which I walk on, probably shouldn't, but they go away eventually). And it's not like I've gone easy on my body, my friends and I used to tear around the woods, I once fell out of a second story window playing in a construction house, got hit by a motorcycle head-on as a teen riding a moped, I've been into full-contact sports most of my younger life, and semi-high-impact things like mountain biking, although, tbh I avoid the single track most of the time. It's just not fun any more. My wife is 36 and her sister who's 24 lives with us and she has us doing all sorts of stuff, Last winter I went ice skating, my first time in hockey skates. My parents made me do figure skating as a kid. And ballroom dancing. And gymnastics. But not karate, so I got beat up a LOT. lol. My wife wouldn't skate because she's like "I'm 36, what if I fall?" To which I said, "You get up and keep going." I fell twice. hockey skates are harder to use. But I kept going.
I don't want to not do stuff any more, fully-intend to get back into tennis, back into riding, and hopefully do some skiing this year, or maybe try snowboarding. I never have, but how hard could it be? It looks like fun. Rollerblading, too, I want to try that. I know how to roller skate and ice skate, so it has to be in the middle there. I will take it easy while I do the rehab, though. One of my other long-term goals is to try to get a job with UPS hopefully as a driver, which is incredibly competitive to get hired permanently as, but great pay and benefits. So I need to be in peak shape if that can ever happen.
Thanks for the videos!
Thank you for considering getting my book! It’s extremely comprehensive, and I know it will be a helpful resource to you.
In terms of modifying or eliminating activities, this would be a temporary change. You can definitely go back to tennis and other activities once your tissues have healed have you have strengthened them.
Thanks. It's funny because I'm also a gamer and even using my right arm for the mouse hurts. @@RehabScience
Hi, I have bursitis, Supraspinatus tendinosis & Infraspinatus tendinosis. Could I just check these exercises are all fine for tendinosis (and not just tendonitis)?
Yes, these are fine to use. We use the same exercises for tendinopathy in general, which includes both tendonitis and tendinosis.
@ many thanks!
is this similar to impingement injury of the shoulder?
Yes, shoulder impingement pain is typically due to supraspinatus tendon dysfunction.
Is this the worst situation for the shoulder? Or is there the possibility of doing new shoulder weights such as lateral raises or shoulder overheads? Or even go up to the bar?
These exercises only for very weak old patients. What about younger stronger patients that have good strength and mobility but can't pick heavy weights because of tendinitis.
Same question bro I also have my strength and mobility but whenever I try to lift heavy weight it's hurts did you find something bro ?
@sujalsingh514 I have carried out one method. Say you can bench120kgs for 1 rep max. Don't bench it but keep benching 80kgs for 10 to 12 reps keeping your pain threshold to about max 4 out of 10. Gradually increase the weight after about a week or two by around 5kgs per side. You will find your pain Gradually reducing. Never stop doing the exercises, cause if you do you will never get back. Keep at it with lower weights and Gradually increase. Don't be in too much of a hurry to increase the weight. Approach it Gradually. I have done this and I am much better. Almost back to my original form. Also keep your diet and supplements on. Don't stop them. Believe me the body adapts. Tendons become stronger, recovery period shortens. Best of luck.
@@grattanvaz1614 fck already took 1 year break from gym 😢 now I'm starting again
l had such a strong inflammation that it was unbelievable. I trained like a mule, and in the end I stopped training and lost 35 kg. That was my biggest mistake. After much struggle I managed to regain my old strength almost without pain. Only progressive weight gain. FORGET ABOUT EGO AND ALL GOALS! Reduce to the limit of pain (it almost always hurt at least a little in rehabilitation) and eventually you will be able to return. My advice is to do up to 5 repetitions in the bench, plus one or two hypertrophy exercises. And a slow and gradual increase, just no rush please.
@@sujalsingh514try the last exercise with a 10lb weight.
If there's still pain picking up heavy stuff you need to rest 2+ weeks.
I was in this position and it got worse because it didn't fully heal even tho it felt strong
Its laundry and house cleaning. I have autoimmune disease causes inflammation in all organs and muscles. I can not take n.s.a.i.d.s anymore due to kidney and liver disease caused by the inflammation. A tear occurred when I carried a bag of groceries. Its 2 years since and my shoulder blade, cuff and under arm pit swelling. My neck is in agony, biceps as well. I have appointments with rheumatologist to get a cortisol shot try control inflammation there. It is very hard to control inflammation as I am limited in medication I can take. The tear was small but not healing. I do what I can to stretch and movment without excessively causing flare ups but its difficult. When day to day normal movements causes injury, what can be done?
Can a person having acromion type 2 bone structure follow these exercise? Please reply it would be very helpful
Hello, ive got a question if you wouldnt mind answering please. I apparently tore my rotatir cuff approximately 10 years ago. Not sure which part and had physio on it. In the last few years I've been powerlifting and my shoulder hurts when i bench press or overhead press. I know its impossible to duagnose this from my comment, but theres a weird thing i have that happens. The exercise you use in this video with the band, well when i do this, firstly my shoulder cracks (though its more like a "clunk" sound) and when i get just before vertical my shoulder rotates itself and repositions. I cant do anything about it, it's automatic. Also if i lay on the floor on my back and put my arms over my head straight, my good arm lays flat on the floor, my bad arm hovers above it. I can push it down but get some pain doing so and even if im fully relaxed, it still springs back up to hovering just off the floor. Have you got any ideas whats going on please as im stumped. Thank you in advance
Many people with long-standing rotator cuff issues develop tightness in the joint and changes in their mechanics. I would be willing to bet that you would benefit greatly from specific shoulder joint mobilizations. These often restore normal joint range of motion, reduce pain and help correct irregular movements. The key is to find a physio who specializes in orthopedic manual therapy.
Hello. Is there a way to buy pdf file of book?
Unfortunately, my publisher does not sell PDF versions of my book. It is available in e-book and paper (hardcover) formats. The Amazon bookstore sells both formats. Here is a link you can use to order either copy.
Rehab Science: How to Overcome Pain and Heal from Injury a.co/d/fDvEWkX
Thank you, very helpful.
Glad it was helpful!
Dr i have supraspintus tendonitis and biceps tendonitis , which exercises to perform for rehab, i have burning sensation in my bicep and upper trap and crackling sound from the shoulder joints
The exercises in the videos below typically help.
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You are not obligated to even do a video, so let me start by saying thank you. I have supraspinatus and infraspinatus severe tendonosis and I am only 49. I’m just here to give you a tip in return for your tips. I went to a personal trainer who noticed that I was rotating my shoulder forward during my exercises and , also, pushing my butt out. Maybe also mention, first, before you demonstrate arm exercises that one should hold shoulder back using lats and rotate pelvis forward. Someone who naturally does this might not know that is ladies rotate out shoulders forward because of our heavy breasts and push our butts up because of the fat rolls underneath our butt. I was just hurting myself worse with my incorrect core posture. Thank you for reading.
Thank you for the comment! Posture when performing exercises is important to consider, especially when performing exercises with heavier loads.
Thanks 🙏🙏
2:35 please confirm Me Do i need to bend the Elbow and Do it or keeping elbow very straight all way going up abd Down
The walk crawl; The Itsy Bitsy Spider crawled up the Water Spout
Came to mind
Hey Doc,
So i’ve been diagnosed with minor calcific supraspinatus, but i have pain somewhere around ac joint when working out. It’s minor pain but still bothers me. And i also have painless clicking behind my shoulder when i rotate my arm. X-ray showed my ac joint is fine so my question is.. can supraspinatus really hurt at that spot around ac joint or it could be something else? And why do i have clicking in the back.
Thank you in advance! 🙏🏽
Yes, it is common for supraspinatus to hurt near the AC joint since it runs directly underneath the acromion. The acromion is part of the AC joint.
@@RehabScience so what is the rehab for calcific supraspinatus? Same as you showed in this video?
Hello teacher, Do you have PDF this book?
Hello, my book comes in hardcover and e-book options. Here is a link you can use to learn more about it.
Rehab Science: How to Overcome Pain and Heal from Injury a.co/d/7CCuDpd
I'm so thankful this video popped up on my reels this morning and have subscribed. Dr said I have torn rotator cuff. Happy i found you.
I sustained a minor injury to my supraspinatus muscle while playing badminton, exacerbated by an acromion type 2 bone structure. It pains alot As per medical advice, I've been advised to refrain from engaging in overhead exercises. To strengthen supraspintanus shall I still do mentiond exercises to strengthen the supraspinatus muscles while adhering to these restrictions?
I had over cortisone shot, ruptured driveing home. Complet tear, longhead released
Sorry to hear that!
Thank you so so much from Thailand, your vdo just came up and it really What I need..🙏👍already subscibed😊
My pain happens when I lift my arm to the side but with my palm facing back. Is it still supraspinatus?
Hi sir,i was diagnosed witha mild supraspinatus tendonitis,while it says that it needs to avoid over the shoulder movements,one of your exercise here (lifting arm on front and side) is literally over the shoulder movements and i feel a little discomfort when i did this,LOOKs like it can irritate the nerve more?
If you feel more than mild pain with that exercise, I would suggest only moving through a partial range of motion, or eliminating it from your program and retesting in a few weeks.
@@RehabScience got it sir,thanks a lot
"full can" hurt me a bit on supraspinatus . It's good for cure or should I changed to do other exercises instead ?
I would drop the weight and potentially start with arm weight only. If more than mild pain still occurs, then I would remove that exercise for now.
@@RehabScience does full can need to fixed scapular protraction / retraction ?
@@TheTaei Usually the scapula is mostly fixed in place mainly so that it doesn't elevate during the exercise. However, it does need to rotate some, so don't hold it in place too firmly.
@rehabscience : My MRI scan report says 'Supraspinatous Tendinosis with full thickness rim rent tear' would these exercise help in recovery ? i don't wanna go for surgery
Yes, these exercises apply to tendinosis and tears as well. My book has a much more comprehensive rotator cuff rehab program, if you are interested. Here is a link for my book. a.co/d/8C6dXXh
When doing these and other stretches, my shoulder is popping and clicking. Is that ok? If I continue doing these exercises, as the shoulder gets stronger, will those noises go away?
Those types of noises are very common when rehabbing from this issue. As long as they don’t cause more than mild pain, it is OK to keep doing exercises. In many cases, when the area heals, clicking and popping sensations will lessen.
@@RehabScience Awesome, thank you!
Where do I get the book?
My book is sold with all major bookstores, but Amazon is usually the cheapest option. Here is an Amazon link for the book.
Rehab Science: How to Overcome Pain and Heal from Injury a.co/d/8LdYaF0
Mine injured everytime I do lateral raise pain instantly the last exercise I can do but if I go out to the side it's no go