Rotator Cuff Tear: Everything You Need To Know [FULL 2024 GUIDE]

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  • Опубліковано 29 гру 2024

КОМЕНТАРІ • 74

  • @yesithinkiam
    @yesithinkiam 8 місяців тому +12

    You give the calmest, best organized, and most thorough explanations available for physical therapy issues. You provide genuine public service. Thank you.

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  8 місяців тому

      Hi Yes I Think I Can!
      Thank you very much, we appreciate your support! 🧡🙌
      Yes We Can! 🌟

  • @ShirleyChang-d9h
    @ShirleyChang-d9h 9 місяців тому +2

    I’m so glad finally someone fully explained the anatomy and what a rotator cuff tear involves!! Dr never explains any of this!! Thank you!!

  • @jaznjen9876
    @jaznjen9876 11 місяців тому +5

    I had JUST posted on another one of your videos when I got the notification for this one. I posted that a nurse took my blood pressure at an appointment to have my shoulder checked when she agitated something on the arm I had injured. According to this video, she may have hit that radial nerve. That's the exact place I've had problems since that day.

  • @favoritsvarmor
    @favoritsvarmor 11 місяців тому +7

    I am so glad, I 've found you.
    It is so good advise, to help yourself, and stay away from the knife😊

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  11 місяців тому +2

      Hey @favoritsvarmor, we are glad you found us! Stay safe and healthy!

  • @bencotton544
    @bencotton544 11 місяців тому +17

    Never get surgery I used the pulleys on the door and after 3 months I almost have full range of motion.

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  11 місяців тому +4

      Hey Ben, excellent point! Surgery should be the absolute last option. We are thrilled to hear that the pulley exercises you performed for 3 months have helped you recover. It's all about consistency and addressing the root cause which in most cases is a muscle imbalance. Keep up the great work! 🎉

    • @TheUmbowa
      @TheUmbowa 7 місяців тому +1

      Full width tears?

  • @laurae3187
    @laurae3187 7 місяців тому +6

    You are amazing Dr. David Middaugh…You came into my life as I was researching an MRI, I have to wonder why after a week of researching the internet for Full Thickness Rotator Cuff Tear…I never came across your philosophy. No surgery for Me. I am doing quite well, trying to keep up with the exercises. Shrug, Shrug…..Thanks again……

  • @karenpetersensainas6889
    @karenpetersensainas6889 7 місяців тому +1

    End February 2024 I experienced a full tear. Today my ultrasound confirmed this. I started your program immediately end February plus yoga therapy, physiotherapy and PRP. I’m doing great!! Thank you.

    • @sanjaykhujneri6596
      @sanjaykhujneri6596 6 місяців тому

      Can you please share the physiotherapt & yoga excercises you practiced. Regards,Sanjay

  • @blt3479
    @blt3479 11 місяців тому +3

    This is an Excellent and very thorough explanation of what's actually going on, and how to begin to fix the problem. Thanks so much for posting this!! So helpful...

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  11 місяців тому +1

      Hey Blt, you're welcome! Thanks for the kind words.🙌 Just in case you're interested we have a rotator cuff help playlist. You can check it out here: "Sciatica Pain Exercises and Stretches"
      ua-cam.com/play/PLJVIPiFvv1maZPQPPtirn4oxj8oCPuIMR.html
      We'd love to hear how you are doing as you progress.🌟 Please take care!

  • @AnnaG121
    @AnnaG121 4 місяці тому +1

    I could relate to every single comment you made. Reg doc visit, x-rays, going through 12 sessions of PT doing all the exercises you recommended NOT doing, and then an MRI. Pain has worsened over the last 4 months. Will meet with surgeon to discuss MRI results in 3 days. Thank you for educating me better than anyone has thus far!

  • @outdoorsman1140
    @outdoorsman1140 11 місяців тому +5

    Thanks, exellent video. It would be great to see a variant for post-trauma injuries.

  • @melissasmess2773
    @melissasmess2773 11 місяців тому +2

    Thanks!

  • @ShirleyChang-d9h
    @ShirleyChang-d9h 8 місяців тому +1

    Thank for being so honest and letting us know about this!’

  • @Watchdog2023
    @Watchdog2023 8 місяців тому +1

    I really appreciate your knowledge and manner of teaching-you have helped me with my shoulder pain a lot!

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  8 місяців тому

      Hi Watchdog, you're welcome! We are thrilled to hear you have been able to feel some relief from our content.🙌 Just in case you're interested or if you haven't seen it yet, we do have a rotator cuff tear help playlist. You can access it here: "Rotator Cuff Tear Help"
      ua-cam.com/play/PLJVIPiFvv1mbQ_-1YFfEePnrcxfwwf9_k.html
      Also, we have a more progressive way to approach rotator cuff tear recovery with our Rotator Cuff Tear Recovery Program.
      The Rotator Cuff Tear Recovery Program is a comprehensive program designed to get your shoulder pain under control to allow the rotator cuff tendons to heal. Then it guides you to correct the underlying root muscle imbalances so that you can fix the source of the problem (rather than just treat the symptoms) and get long-term relief from shoulder pain. This program works even if you've had rotator cuff surgery in the past but continue to have rotator cuff problems. To learn more please click this link: www.epmanualphysicaltherapy.com/rotator-cuff-tear-recovery-program/
      We wish you all the best in your road to recovery. We'd love to hear how you are doing as you progress.🙌 Please take care!

  • @lencobb1177
    @lencobb1177 11 місяців тому +2

    Great informative video, thank you

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  11 місяців тому +1

      Hey Len, you are welcome!! Here is the Rotator Cuff Cuff Tear Help playlist in case you need it:
      "Rotator Cuff Tear Help"
      ua-cam.com/play/PLJVIPiFvv1mbQ_-1YFfEePnrcxfwwf9_k.html

  • @jackcattell4932
    @jackcattell4932 7 місяців тому +2

    Feels so hard to get some good help great videos though 🙏

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  7 місяців тому +1

      Hey Jack, we have a rotator cuff tear help playlist that has additional exercises and information to help with rotator cuff tear issues. There is a lot of helpful information there. You can access it here:
      "Rotator Cuff Tear Help"
      ua-cam.com/play/PLJVIPiFvv1mbQ_-1YFfEePnrcxfwwf9_k.html
      If you would like a progressive approach to your recovery we have a Rotator Cuff Tear Recovery program. The program is similar to our in-person treatments minus the manual manipulation.
      The Rotator Cuff Tear Recovery Program is a comprehensive program designed to get your shoulder pain under control to allow the rotator cuff tendons to heal.
      Then it guides you to correct the underlying root muscle imbalances so that you can fix the source of the problem (rather than just treat the symptoms) and get long-term relief from shoulder pain. This program works even if you've had rotator cuff surgery in the past but continue to have rotator cuff problems. To learn more please click this link: www.epmanualphysicaltherapy.com/rotator-cuff-tear-recovery-program/
      We hope you found this information beneficial. We wish you all the best in your road to recovery!

  • @powell4661
    @powell4661 10 місяців тому +2

    What I thought was whiplash because i had pain and was unable to turn my head to the right was recognized by my physical therapist to be rotor cuff damage and nerve damage in mid back. Two therapists working on my shoulder for an hour had my neck mobile again. They say they can fix without surgery. I have been going twice a week for 2 or 1 hour sessions for 6 week. Nearly have full mobility in my neck now, but not without pain.

    • @midasspider530
      @midasspider530 11 днів тому

      Where are you located to have good pt's?

  • @faymoosa5064
    @faymoosa5064 7 місяців тому +1

    Best explanation ❤

  • @bradlot5104
    @bradlot5104 8 місяців тому +1

    You're the man bro 🙌

  • @katashley1031
    @katashley1031 10 місяців тому +1

    Your prior video about this saved me. Using my homemade sling and just letting it heal has made a huge difference within days of my stupid injury.

  • @cwinsa
    @cwinsa 2 місяці тому

    Thank you for an excellent explanation about tears!
    I’m 65 and have SIS. I’ve been in PT for over a year and have been diligent with my home exercises. I’ve also received two steroid injections. A recent MRI showed:
    - A full thickness tear of the supraspinatus tendon
    - A full thickness tear of the biceps long head tendon
    - A high grade, 80% tear of the subscapularis tendon
    - A degenerative tear in the posterior labrum
    - Moderate arthrosis of the AC and glenohumeral joints and
    - A type 2 acromion
    Based on the above, is it possible to heal without surgery as you’ve described?

  • @123axel123
    @123axel123 3 місяці тому

    My shoulder is almost healed after some seven months. Five months of (useless?) rest and two months of youtube physio. The El Paso videos have been the best of the lot on youtube. Definitely need to do your exercises, but I complemented with some additional exercises with a stretching band. It is not easy because there are so many "experts" online. I'm back in the gym since last week. No pain, but the mobility of the joint is only 90%. Hopefully that is a small problem that will be sorted with stretching. What I don't know is how much weight training I should get back to. Off course go slowly, but the question is how slowly. Reaching the hands behind the back. Is it time to do that kind of stretch? Would be nice with a video of what to do when you are 80% healed.

  • @arphaksad01
    @arphaksad01 11 місяців тому +1

    I had surgery to fix infraspinatus tear about 6 years ago. Recently, the I re-tore it due to weight lifting. I think it was tricep dips. Doing therapy focusing on teres major and rear deltoid strenghtening.

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  11 місяців тому +1

      Sorry to hear that you retore your rotator cuff tendon @arphaksad01! It is unfortunately a common problem after a tendon repair.

  • @shellybrooks3620
    @shellybrooks3620 10 місяців тому +2

    Bless you! Very easy to follow and understand.

  • @John-tz2hy
    @John-tz2hy 8 місяців тому

    Love your videos. Can you do one on what to do to repair teres muscles? Thanks!

  • @shibibiju3794
    @shibibiju3794 3 місяці тому

    Is rotator cuff and bicep tendinitis are same. I have biceps tendinitis and I’m following your instructions.

  • @obikenobi783
    @obikenobi783 11 місяців тому +2

    what if the elbow of the injured rotator cuff tendon is also hurting, do i have bicep tendonitis then? is it the same treatment as for the rotator cuff tear? Thanks

  • @SteveMack
    @SteveMack 11 місяців тому +1

    @epmanualphysicaltherapy Thanks so much for your sound advice on these topics! Cheers from Australia

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  11 місяців тому +2

      You are very welcome Steve! Howdy from El Paso, Texas!

    • @SteveMack
      @SteveMack 11 місяців тому +1

      @@epmanualphysicaltherapy Thanks mate! I've also shared your channel links around. Have a great weekend!

  • @Kris-ge5sw
    @Kris-ge5sw 4 місяці тому

    I found your videos after I fell and injured my shoulder. I’ve got to say I agree with a lot of the other commenters that you make more sense than most videos I’ve seen. I’m still in a lot of pain 4 days out. I’ve always believed surgery is a very last resort. I’m trying to do small movements, but it’s still very painful. Should I still keep trying to do light exercise through the pain or wait until the pain subsides?
    Thanks

  • @amithagamage1824
    @amithagamage1824 9 місяців тому

    Good job ❤

  • @TheUmbowa
    @TheUmbowa 7 місяців тому

    My mom is 73 years old and has a rotator cuff injury. Is there any way I can share her results with you, to get an opinion on whether or not she should go ahead with the total shoulder replacement surgery or if your rotator cuff program would help?

  • @JJ-oi4jf
    @JJ-oi4jf 11 місяців тому +3

    What's the best way to sleep with a tear?

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  11 місяців тому +2

      Great question JJ! Generally speaking the best way to sleep for a rotator cuff tear would be on the back to avoid pressure on the rotator cuff muscles.

    • @katashley1031
      @katashley1031 10 місяців тому +1

      Been sleeping on my back or the other side, using a sling. Working well.

  • @eventualrealityproductions5448
    @eventualrealityproductions5448 8 місяців тому

    Just got diagnosed with a slight rotator cuff tear. Love your holistic attitude and approach. Would a shoulder compression sleeve be advantageous? Blessings and peace!

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  8 місяців тому

      Hi Eventual Reality Productions,
      We are sorry to hear that you have been diagnosed with a rotator cuff tear, we know how painful and uncomfortable this can be. A sling would be our recommendation!
      "The BEST Home Remedy for a Torn Rotator Cuff"
      ua-cam.com/video/5gQ9YBEP1ck/v-deo.html
      This is the sling that is noted in the video:
      www.amazon.com/BraceUP-Adjustable-Support-Broken-Fractured/dp/B07L8X5343?crid=38DO4PXQOJQ20&keywords=brace+up+sling&qid=1703512479&sprefix=brace+up+sling,aps,137&sr=8-1-spons&sp_csd=d2lkZ2V0TmFtZT1zcF9hdGY&psc=1&linkCode=sl1&tag=epmpt-20&linkId=5cc26a04e7d71c697ca4f789cc000cc9&language=en_US&ref_=as_li_ss_tl
      We also want to share with you our playlist of Rotator Cuff Help here that will contain numerous videos that may also help!
      "Rotator Cuff Tear Help"
      ua-cam.com/play/PLJVIPiFvv1mbQ_-1YFfEePnrcxfwwf9_k.html
      We appreciate your support and hope you find this information helpful! Please let us know how you are doing as you progress 🙌🌟

  • @NyiNyiTun
    @NyiNyiTun 11 місяців тому +2

    I would like to know the difference between frozen shoulder and rotator cuff tear. I don't know which one I have it.

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  11 місяців тому +3

      Hey Nyi! To put it simply, frozen shoulder is a progressive issue where the shoulder begins to slowly lose range of motion for a while. This is commonly accompanied by pain and stiffness. A rotator cuff tear commonly just experiences pain but range of motion is available. If you can raise your arm all the way up, even if you assist it with your other arm, then you likely do not have frozen shoulder. Hope this helps!

    • @NyiNyiTun
      @NyiNyiTun 11 місяців тому +2

      @@epmanualphysicaltherapy Thank you! I think I have a frozen shoulder. I am experiencing the exact things you said about the frozen shoulder. I cannot raise my one arm up completely no matter how I try. There is pain and stiffness too. Thanks so much!

    • @katashley1031
      @katashley1031 10 місяців тому

      ​@@NyiNyiTunI had that due to always sleeping on one side and my shoulder collapsing under my body at night. The chiro I worked for had me do daily stretches for the pectorals on that side and stop sleeping on that side while it healed. Even after one day of those stretches, improvement started, and it was gone within a week. I hope that helps.

  • @christynegerbasi4775
    @christynegerbasi4775 11 місяців тому +2

    What if it is a full tear? How does that heal if it is torn off and retracted?

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  11 місяців тому +4

      Great question Christy! A full tear does not necessarily need to heal. The rotator cuff is a group of 4 muscles that are all useful in maintaining stability in the shoulders. If one of these muscles is completely torn, it is still very possible for the other muscles to pick up the slack and still provide the necessary stability to the shoulder. Hope this helps!

  • @mariehughey5390
    @mariehughey5390 3 місяці тому

    I would like to try PrP injection in my left shoulder. Can you recommend anyone?

  • @sharonglowa4432
    @sharonglowa4432 8 місяців тому

    If it’s painful in front of shoulder do I still do these exercises? I had a cortisone shot 2 months ago it was better for about 2 weeks Wondering if should get an MRI? X-rays showed nothing

  • @marlenekerrmarlene1259
    @marlenekerrmarlene1259 Місяць тому

    what do you think of a inflamation pill like meloxecam ????????????????

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  Місяць тому

      Hi Marlene, It’s okay to use anti-inflammatory medications like meloxicam temporarily, especially if pain is making it hard to move around. However, we generally prefer avoiding long-term medication use since it doesn’t address the root cause of the issue. For a rotator cuff problem, the root cause is often a muscle imbalance in the traps. Focusing on therapy exercises to correct this imbalance can be a much more effective and lasting solution.
      We have a Rotator Cuff Tear Help Playlist that might be helpful for you-you can access it here:
      "Rotator Cuff Tear Help"
      ua-cam.com/play/PLJVIPiFvv1mbQ_-1YFfEePnrcxfwwf9_k.html
      Start with one or two exercises, beginning with the smallest range of motion and the lowest intensity. As you feel stronger, you can gradually increase both the range of motion and intensity. It’s best to do these exercises every day throughout the day. Aim to tire out the muscle without losing form or control. Consistency is key. Always avoid working through pain; soreness and mild discomfort are normal, but pain is not.
      If you find that you have seen an improvement in your situation from using the playlist we would encourage you to look into the Rotator Cuff Tear. The Rotator Cuff Tear Recovery Program is a comprehensive program designed to get your shoulder pain under control to allow the rotator cuff tendons to heal. Then it guides you to correct the underlying root muscle imbalances so that you can fix the source of the problem (rather than just treat the symptoms) and get long-term relief from shoulder pain. This program works even if you've had rotator cuff surgery in the past but continue to have rotator cuff problems. To learn more please click this link: www.epmanualphysicaltherapy.com/rotator-cuff-tear-recovery-program/
      We hope you found this information helpful to you. We'd love to hear how you are doing as you progress.🙌 Please take care!

    • @marlenekerrmarlene1259
      @marlenekerrmarlene1259 Місяць тому

      @@epmanualphysicaltherapy thanks you are most kind to answer - will tell others

  • @evadiva2217
    @evadiva2217 22 дні тому

    Can you get tear, by picking up a box that was too heavy ?

  • @suzannecamp1777
    @suzannecamp1777 11 місяців тому +1

    I am very left handed. I have pain in my right but not continual only if l forget and reach up or back for something then l have a terrible pain. I can’t take my bra off as normal and have to be careful taking off clothes jackets the pain is in my upper arm Is that a tear my PA gave me exercises for a frozen should

  • @jackcattell4932
    @jackcattell4932 7 місяців тому

    My therapist was just like you can move your arm still your okay it will just take time, but he doesn't even know the cause yet..feels like he doesn't want to.

  • @fitforlife95
    @fitforlife95 11 місяців тому

    El Paso!!! Is there an arm sling for office workers who need to use the right hand to type and click a mouse?

  • @joandavis3789
    @joandavis3789 28 днів тому

    What happend to Mei feel pain at night I feels no pain when ì hold up my hand in the night I feel pain

  • @erickaarias1288
    @erickaarias1288 7 місяців тому

    Thank you I can see you love your career, God bless, because you are really helping us

  • @janicegunn9616
    @janicegunn9616 10 місяців тому

    I have none of the symptoms except upper arm pain. No tenderness in the shoulder. No shoulder pain. Only my arm hurts. I had an MRI and it shows a tear. I don't want to get surgery.

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  10 місяців тому

      Hi Janice, We would highly recommend a Virtual Consultation. By opting for a Virtual Consultation, you'll have the opportunity to have a one-on-one conversation with our doctors, where they can delve into the details of your condition and provide you with tailored guidance and coaching. This personalized approach ensures that you receive the individualized support and direction you need to make informed decisions about your health. To learn more about our Virtual Consultations including cost please click here:
      www.epmanualphysicaltherapy.com/virtual-visit/
      If you have a tear try some of the exercises in the rotator cuff playlist to see if you are feeling a difference but only if you aren't having any pain. Here is the playlist: "Rotator Cuff Tear Help"
      ua-cam.com/play/PLJVIPiFvv1mbQ_-1YFfEePnrcxfwwf9_k.html
      We'd love to hear how you are doing as you progress.🙌 Please take care!

    • @preetimittal2123
      @preetimittal2123 2 місяці тому

      Your pain symtom is off and on or continuous pain .because my father has same kind of pain which you describe left arm or shoulder joint pain

  • @faymoosa5064
    @faymoosa5064 7 місяців тому

    I have a partial tear .

    • @epmanualphysicaltherapy
      @epmanualphysicaltherapy  7 місяців тому

      Hi Faymossa, we are so sorry to hear that you are dealing with a partial tear of the rotator cuff. This information can be very helpful for it. We also have a rotator cuff help playlist that would also be beneficial. You can access it here: "Rotator Cuff Tear Help"
      ua-cam.com/play/PLJVIPiFvv1mbQ_-1YFfEePnrcxfwwf9_k.html
      if you are looking for a more progressive approach to your recovery we have a Rotator Cuff Tear Recovery Program. The program is similar to our in-person treatments minus the manual manipulation. The Rotator Cuff Tear Recovery Program is a comprehensive program designed to get your shoulder pain under control to allow the rotator cuff tendons to heal. Then it guides you to correct the underlying root muscle imbalances so that you can fix the source of the problem (rather than just treat the symptoms) and get long-term relief from shoulder pain. This program works even if you've had rotator cuff surgery in the past but continue to have rotator cuff problems. To learn more please click this link: www.epmanualphysicaltherapy.com/rotator-cuff-tear-recovery-program/
      We wish you all the best in your road to recovery. We'd love to hear how you are doing as you progress.🙌 Please take care!