Bob and Brad, the two most famous
physical therapists on the internet
Hi folks, I'm Bob Schrupp, physical therapist, and I'm Brad Heineck physical therapist
Together we are the most famous physical therapists on the internet, in our opinion of course, Bob. Today
we're gonna talk about what is causing your shoulder pain. You're getting this shoulder pain. You're upset about it
We're going to show you some tests you can try on your own,
This is a little self assessment here, eventually and then probably need to see the doctor
But this maybe gives you a little leeway into it so that you can say to your doctor
I wonder if it's this? They love that don't they brad. Oh, yeah
another one of those patients, all right we have ten and
Most important is number seven so you better stick around till number seven right because it's in our opinion the most
common, all right number one is a
??. Bob, these big words. It's ridiculous!
It means that you're getting some pain down your arm, from your neck, probably a pinched nerve in your neck
One of the easy tests you can do for that
First off, you may get numbness and tingling, these are some of the symptoms, all the way down into the fingers
Especially all the way down the fingers, that's when you start to think that it might be
This sort of thing. So what you're going to do is you're going to turn your neck
To the side that you're having pain, turn and extend and then you're going to push down
Or, even better if somebody else would actually do it. So I turn, extend and then push down gently
Now if that recreates your symptoms that means you're pinching that nerve
and that means you could possibly have a problem with your neck that's giving you shoulder pain, and
Then you better probably go in and have it looked at for sure
Yeah, you can do the other side too. Rotate, extend, and then push down, and it doesn't take much pressure
And if this is it it usually triggers it, it's pretty clear that. Oh no. It's getting worse.
Nerve pain hurts. Yeah nerve pain is some of the worst pain you're going to get
Second one is Thoracic Outlet Syndrome and in this case you're getting
some pinching up here in the neck and the shoulder in here, some of the muscles or
Maybe over the first rib here. Simple tests called roos tests, you're going to bring your arms up
90 degrees here, 90 at the elbow, stop, and you should bring it back a little bit, too
but just back and then you're going to just
There's people that don't really know what they're talking about. The chicken dance, you know this song right?
Anyway, I've seen different amounts, what you're looking to see if it starts recreating your symptoms
They say to do it up for three minutes, some say a couple minutes
I'm thinking three minutes is going to get anybody.
So if they start showing up after about twenty seconds to a minute
I think there's a good possibility that that's playing a role, all right number three
Rotator cuff tear, okay a rotator cuff could even be a rotator cuff
Tendonitis or kind of a
injury of the muscles of the rotator cuff too
I just want to say one thing on this if you try to lift your shoulder, and you're going like this
This is all the higher you can get it
That's making me think maybe it's a tear. Oh by the way Brad if you haven't already
If you're new to our channel, please take a second just to subscribe, we got a button right over here
He was wondering where I was pointing
I was pointing at them and we provide videos on how to stay healthy, fit, pain-free,
And we upload every day right, so there's a variety a lot, head to toe we work, alright next one
So we're talking about the rotator cuff tear Brad
There's a couple ways to test that, because the rotator cuff is four muscles
So we want to make sure we're testing them to see what their strength is
You actually tore the tendon of the muscle, not the muscle
You tore the tendon and one of the ways to test that is if you're facing there Brad, you're going to bring the arm out
to the
a little bit forward about 30 degrees, up about eighty degrees
And then you can turn the thumb down and you should get a little push here. If it's tore
It's going to just give away.
You may not even be able to put it up in this position right or it's painful there you can test yourself
like that, now a lot of these rotator cuff muscles
they take some experience, but you could try them here and get a feel. The other one is you could test the
Infraspinatus and the teres minor, and I'm just saying that to impress you, you put your hands like this
And you can actually put both of them like this brad and I can push them both in and if one gives way
that might be a sign that you have a tear
This one I see a lot in the clinic
I'll do this or you could do it on yourself
If you can pull here and that one's strong and this one's like oh, it hurts it goes right in yeah
It's a pretty good sign something's going on in that rotator cuff
osteoarthritis, or just plain old arthritis of the shoulder. Now generally this could be for people who are older and it tends to be and if
It's catching or clicking, grinding. That's kind of a sign.
generally with osteoarthritis you start to lose motion in the shoulder too
especially with external rotation Brad
So if you kind of put your arms like this and like this one can go way back here
And this one only can go this far, now
I'm keeping the arm at a right angle, the elbow. It's rotating like this
So this one only goes this far, but this one goes all the way there
Could be a sign of a little bit of arthritis, that's a nice thing with all these tests is you got two shoulders
If they were both reasonably healthy before the injury,
You test from one to the other and say I'm not sure if that's a good sign or bad sign. Test the good
shoulder and see what happens on that. You certainly could get arthritis of both shoulders though. Well that is right.
Okay, acromioclavicular joint. That's the ac joint. That's this joint right here
If you look at the collarbone as it goes along and right as it attaches to this other bone
Should we go a little closer Brad?
Okay going along the bone right as it attaches to this other bone. That's the joint right here
Very common injury there if you fall on your elbow, a lot of football players have injuries in here
Well if you fall on the point of your shoulder
Weight lifters get this a lot. A lot of people who do a heavy bench press
This is very common and they wear out the end of their clavicle. Very easy tests you can do
One let's do the most simple one you just bring your arm across like this and pull it across like this
I call it the crossover test. Point pain right here
That could be the acromioclavicular, it could be other things, too
But we're just giving you a couple tests to do
Another one put your hand here and now you're going to push up like this
yep, that'd be another one that could bring it on, the last one is a pull apart test. Pull your
arms apart, and I actually feel that a little bit on this one
So you're going to, one shoulder will be painful or hit the problem. I'm a little bit positive on here. Just a slight ac, which is a good point
you may be positive on some of these tests
And it may not be a problem. Positive means that you actually found a result. Positive's not good.
Bursitis number six
This is kind of a tough one to test for, it tends to be very localized
It's not spreading out going down. The bursa is a fluid-filled sac here
So you might have a little inflammation here, it might feel warm
it might even be swollen
And you can push on it. I used to test it by kind of bringing the arm back like that, that exposes the bursa a little bit
and then I
press on it
And again you could have tendonitis, bursitis
They present similar, you can have both, very common to have both actually
impingement now
This is number seven this is the one that's the most
Important because we see this the most often by far and basically what's happening is your shoulder's
forward a little bit and it's pinching on the tendons in there
which can lead to tendinitis
Which can lead to a rotator cuff tear. So this is the one that, by the way I'll have to
maybe link up to one of our videos on how to treat impingement, because
if I were to take a guess if you're having shoulder pain this probably is playing a role
So just one simple test that you can do on your own is you put the arm here again
But this time just bring the elbow up like this, and if that hurts and gives you a little bit of pinching,
So you're lifting with the other arm? Yep. Keep this one planted on.
So you're getting the chromium and the humerus to come in and pinch
And that's where it gets the name impingement because you're internally rotating it so it's pinching those tendons.
So again that's the most important one. Number eight which leads to tendinitis which we taught. This can lead to tendonitis, the impingement
So usually what we see with this is like a painful arc we call it. We see this a lot.
Yeah, like from here to here
It doesn't hurt
but from here to here ow ow because it's pinching and
It's pinching on that tendon and sometimes it's kind of interesting where here to here
it's fine, and then ow it hurts and then they get through that and then up here
it's fine again. Right, it's because the tendon clears. The part of the tendon that has the tendonitis actually cleared
That's a really good sign of tendonitis is if it hurts in a painful arch, and then doesn't
It's one of a few things that does that
Yeah, it's kind of interesting, but we don't want to get in the mechanics of it now
But you know maybe we will in another video. Number nine
if you have an unstable
shoulder, now if you tend to be
double-jointed in other joints like let's say you can take your thumb and put it down to your forearm
Elbows hyper extend or your knees are hyper-extended
There's a good chance that you might have an unstable shoulder because that means your shoulder is not stable either
and we do the
apprehensive tests which
not a really easy one to do on your own, but we bring it like this and we go like this
So if I do it on Brad, and I would push it this way
He gets apprehensive about it because he's worried It's going to even pop out of the joint. So in other words
there's no pain, but it's like just really afraid of letting go, you don't like it being up in this position
You can have an unstable shoulder without that being the problem, but
It's moving around too much, it's sloshing around and giving you problems
Number ten is
fibromyalgia. Difficult one to
diagnose, even doctors have trouble diagnosing this. Really often go by symptoms
You know are you tired?
Do you have a lot of trigger points, that's probably the main thing. We have specific ones mapped out for people that are consistent with
Fibromyalgia
We're not going to get into that
It's something that could be a possibility if you're having pain in other areas besides your shoulder
That's something to think about so
We hope that was helpful and remember, Brad and I can fix just about anything
except that broken heart. I like the way you make that come in Bob, on the video
I think I'll put it over your face so they can't see ya. Right down, I'll open it up. Thanks for watching.