♪ Bob and Brad ♪
♪ The two most famous ♪
♪ Physical therapists ♪
♪ On the internet ♪
- Hi Folks, I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- And we are the most famous
physical therapists on the internet.
- In our own opinion, of course, Bob.
- Today we're gonna talk about top three signs
you have a frozen shoulder.
These are three self-tests you can do yourself,
and they're easy to do, and you'll be able to understand
whether or not you have one or not.
- There you go.
- By the way, if you're new to our channel,
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We provide videos, how to stay healthy, fit, pain-free,
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(Brad laughs)
We'll show it in just a minute.
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if you want a 60-second version of our program.
The product that we're giving away
is the Renfo Massage Gun.
It's kind of an adjustable one.
It's kind of a little bit different.
Yeah, see how that works?
So you can hit different spots
a little bit easier. (massager beeping)
This thing really penetrates quite well.
It's got a good, what do you call that range, Brad?
- Displacement. - Displacement, yeah.
So-- - Ooh.
- It really takes care of what ails ya.
All right, might even be good for your
adhesive capsulitis, right?
- There you go, Bob.
- And speaking of which, that's another name
for frozen shoulder: adhesive capsulitis.
In that case, what's going on, you're seeing an inflammation
or thickening or scarring of the capsule
that goes around the shoulder.
Let's show you that real quick.
I think that might be helpful.
- Yup, good old Sam will,
this is a really nice model of this, Bob.
- Yeah, why don't we show this side first, Brad--
- Oh, real-- - so we have--
- Oh, I thought you wanted to introduce him.
- Yeah, there we go.
We got the ball, basically, of the humerus,
and then we have kind of the socket
formed by a couple bones here.
Now around all of this is a tough, fibrous material
that helps hold it in place.
And it's called the capsule.
You can see a little bit of the capsule right here.
So this is the thing that gets thick.
It scars down, it becomes like glue,
it holds the shoulder in place,
and it doesn't, it isn't able to move.
- Right, that capsule should be
like a really elastic, elastic--
- Like a band. - Right, like a band.
It should flex, but it gets tight
and then it just does not allow mobility.
- Yeah, we'll talk about the phases of that
in just a minute, but once that gets tightened down,
you're gonna find out it gets tightened in every direction,
and that's gonna be part of the test that we'll show today.
- Right.
- So, two to five percent of the population gets this.
It's more women than men.
It's increased among people who have diabetes.
It's also, you have increased likelihood
if it happened to one shoulder,
it's more likely to happen to the other shoulder.
- You know, that's with other diagnoses, too,
but that's another story.
- It's triggered often by mild trauma,
or surgery on the shoulder.
So the reason I just recently wanted to do this now
is because one of the people that works with us,
one of our physical therapist assistants, he has it.
And what's interesting to me is that he went to a doctor
and got a cortisone shot for it.
- Yep, the injection? - Yep, injection.
But the doctor didn't, y'know, I said,
"Did he diagnose you with frozen shoulder?"
He goes, "No."
So, it was interesting there.
It's very clear when you have a frozen shoulder.
And you'll see from the tests.
So with a frozen shoulder, there's three phases,
there's a freezing phase, and during that phase,
the pain is probably, that's the worst painful phase.
'cause, it's painful at night quite often.
So you can't get to sleep.
The second phase, is that it's frozen.
- Yup.
- Stiff or frozen. - It's tight, tight,
you're not moving it much.
- And the third phase is unfreeze.
But the whole thing, this can take months or years
to go through all phases.
- Right, I don't know if years is very common,
but months-- - It's common.
- It is? - It's common.
Yeah, from what I read it's, can take--
- Well, I've never run into it, but, yeah.
- So, top three signs:
Okay, first off, you want to make sure, y'know,
that you haven't dislocated the shoulder,
especially posterior, unlikely.
You're gonna probably know it if your bone
went out of the socket.
- Pretty painful, and it's-- - Yeah, pretty painful--
- In specific directions.
- The other thing that could be similar to this
would be severe arthritis,
but severe arthritis doesn't come on suddenly.
- Right, and it's typically with older people.
- Right. - So--
- You can rule that out, too, but--
- Did you see a common age that this happens?
You said--
- From about age 50 on, 40, 50,
is for a frozen shoulder. - Okay.
- So it could be arthritis. - Sure.
- But arthritis again doesn't come on quickly.
This can come on very quickly. - Sure.
- Arthritis comes on very slowly,
and you pretty much know when you have arthritis.
So, all right, so the first thing you're gonna do
is you want to check what we call
active range of motion of the shoulder,
so the three signs are gonna go
three different directions.
The first one, Brad's gonna show it from the side, is,
we're gonna do flexion,
and, you know, if you can only go up like this high
and if you're having trouble raising it,
that might be something else, then,
but-- - Yeah, usually
frozen shoulder from my experience,
it goes up and it just wants to stop.
It's not real painful going though there,
but it doesn't go-- - Right.
It doesn't want to come up.
- And then if you try and push it or help it
with the other hand, it still doesn't want to go.
- Well you're giving it away! - I'm sorry, Bob!
- You're jumping ahead here!
- I jumped the gun, I jumped the gun.
- So the next one is abduction.
So, it's gonna be limited in this way
when you lift it up.
When you lift it up on your own
it's gonna be limited this way,
and then when you put your arm at a right angle, the elbow,
and then you try to go out, this is the one that tends
to really be limited, Brad.
So like this is average, going way out here.
You might only be able to go to here.
- Sure.
- You can't get, you know, any movement, hardly at all.
This is the key, though, 'cause there are other things
that can cause you to be limited this way.
Y'know, a torn rotator cuff.
But, if you now take a stick or a yardstick or a broomstick
or a Booyah stick. - Sure.
- And you're gonna use the one arm to help the other.
So now you're gonna check flexion again,
and in this case, if it's a frozen shoulder,
you still won't be able to go any further
than you did before.
If it's not frozen, you're gonna be able to lift it.
- Right, like impingement, which is a very common--
That kind of hurts when you get through here, but once you
get so far, then it's not so bad anymore, is typical.
- Same with a torn rotator cuff.
If it's torn and it's not frozen along with it,
you're gonna be able to go beyond the original.
So, the next one, we did abduction before,
we only got this high, remember?
So we tried again, now if you go this high on this one,
it's not frozen.
You were only gonna go that high again.
- So, just to make it clear,
so the good arm is doing all the work.
- Yeah, this arm is helping it, making it go up.
- Because obviously, you wouldn't be able to lift it
like this. - Right.
In the clinic, I don't use a Booyah--
- Yeah, you just do it with your arm.
- I do it manually, and I get a good feel for it,
but obviously you can't do that by yourself at home.
- Right, you could do it with a pulley.
- Sure. - A pulley system.
The last one, okay, again, we went out like this, remember,
and this one only went this far, now I'm gonna grab on
and again I only go this far,
that's a good sign that it's possibly a frozen shoulder.
If you can go like this, unlikely to be a frozen shoulder,
'cause you've got good passive range of motion.
So that's really it, you just want to do, check out
those three, you know, directions, and make sure that
they do it actively and passively,
and see if they're limited.
If you're limited, we're gonna do another video this week.
I don't want to leave people hanging, Brad.
We gotta help them out, right?
- Well, yeah, they're saying,
"Now what do I do if I have it?"
- So, we're gonna show a frozen shoulder pain,
this is the title of it, it's gonna be later this week,
"Frozen Shoulder Pain:
"12 of the Best Healing Home Stretch Exercises."
- A dozen!?
- A dozen!
- That's a good-- - Not "The Dirty Dozen,"
these are the good dozen.
- Yeah, that's a good option, Brad.
You'll find at least three of them
that'll work well for you.
- Exactly, and they're good, actually,
depending on what phase you're in,
like if you're in the freezing phase,
or the frozen phase--
- Right, and with this, you can get
frozen shoulder in the summer.
- Yes, you can get it anytime, unfortunately.
It's a lot easier to do it in the winter, that's for sure.
All right, thanks everybody for watching.
(upbeat music)