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Depression and Heart Disease

What is Causing Your Shoulder Pain? Tests You Can Do Yourself.

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.

100 thoughts on “What is Causing Your Shoulder Pain? Tests You Can Do Yourself.

  1. Two much jabbering, no time to absorb the meaning of what they are saying. Trying to follow the text takes your eye off the physical demos too. Just slow down guys, eh?

  2. Sir i have pain in right nack and back shoulder of upper area of kidny ..and when i turn to left side nack it was not moments good .the lower area of ear of left side to much pain .so kindly please any guide lines

  3. I have been troubled by shoulder pain for weeks and still was negative on all of these tests.? :/ What exactly could that mean?

  4. At 9:15, this is me. Incredible pain that makes me dizzy, just in that range. Thought it went away before. But it's back….

  5. upper outer arm pain like terrible headache goes up neck …not heart related…days oy resting pain killers and now slowly regaining full strength as i had no strength when i lifted my hand above my shoulder .Tingling started after the arm started to get better. I didn’t hear anything like this.

  6. i have some kind of shoulder pain,l rate it between a 3 and a 5 but one night i was sleeping on that shoulder i woke up it hurt like hell,i dont think its a muscle its a tendon issuie,,i went down to the rehab at my hospital talked to the head therapist he gave me a theraband to do exercises,if i drop my arm straight down and sort of twist my arm thats where i feel the slight pain,not on the top,slightly below.what do you think?

  7. I injured my shoulder 8 years ago and now the injury is back. None of the tests in this video brought pain. But yet my shoulder hurts very badly. I dont know what to do for it since I can't seem to diagnose it. If I put my arm straight up but behind my ear, then lower it down out to the side, that hurts. Or if I put my arm straight out in front of me then slowly pull back with my elbow out to the side, that hurts. (I am Aryn Elizabeth's mom).

  8. These guys are good. I love how they get into detail that way it's easier for me (or the other viewers) to pinpoint the problem. Must say that the both of them can sure as hell fancy a knot, along with their sharp ties. Really helped me out, thank you

  9. Number 9 got me. Thanks guys now I know why me shoulder dislocates literally everyday. It’s pretty hard as a gymnast to have to pop it back in after every turn I take.

  10. I’m stuck between an old injury of either my rotator cuff or AC joint.

    Happened about about 3 years ago. Was in the full sprint and tripped so I had to do a tuck and roll over my left shoulder.

    My first mistake was never going to a doctor, still to this day. Had the symptoms of the rotator cuff injury (in able to lift my arm above my waist for about 2 weeks) but now I have pain where my AC joint is (similar location?) I have have pain if I relax my arms and shoulders to my side and take a deep breath and also when I lift my arm above my head to reach down between my shoulder blades as if I’m trying to scratch my back. It’s not unbearable pain but I can tell something isn’t right. I wish I had got it checked out when it first happened because maybe it could have been fixed, but instead I had to be stubborn and play the “tough guy”.

  11. Waow very good stuff there. I wish someone knew what I have, my shoulders have been hurting for about a year now and doctors have just run an ultrasound test and nothing more, it was clean.
    I'm desperate.

  12. I have arthritis, fibromyalgia and a bone spur in the left shoulder and small rotator cuff tear in right per X-Rays. Knees are full of arthritis. Had a meniscus tear cleaned up in the left knee. High uric acid. Was getting laser treatments on shoulders and knees from a friend, but he killed himself. Do self-Reiki daily. Am 80. My plan is to live to 114 and I'd like to stay home.

  13. I am entirely positive on the impingement. I can barely even get my hand on my other shoulder and cannot move it at all once I finally get it there lol.
    Also. If I extend both arms out straight in front on me. One shoulder is higher than the other- any one else notice this with themselves?

  14. I wanted to let you know that after going to a chiropractor for a dozen times and two different physiotherapists, these exercises are the ones that helped me the most. It has been 6 months without shoulder pain now. Thanks!

  15. if and when my arm is at 90 90 the left one i can take back like a wing motion but the other one feels like something is pulling and clicking and stings realy bad aswell as certainparts of the arc hurts like you said its all very weird the pain isnt alwayse able to touch accept in the front but the part that stoo out to me most was pushing the elbow up when holding the shoulder that hurts realy bad imediatly

  16. My pt told me the pain in my shoulder was calcium , because I don’t move it enough because I had a stroke. My pt broke it

  17. some dumbass nigga punched my shoulder in as a “birthday punch” not on my birthday. Now my shoulder feels fucked up and i can’t sleep

  18. Can you guys clone yourselves and send the copies over here to the UK? I am so chuffed to have found you. I walk with crutches, and can get about with one if necessary. The post op restrictions after a rotator cuff repair would be serious to say the least. After trying some of your tests I feel more positive that there may be alternatives. Thanks a bunch!!

  19. None of these causing my shoulder pain, phewww. But when I try to do a shoulder press motion, then my right shoulder is in pain, not much pain, but pain enough to make me feel uncomfortable.

  20. Wow, ya'll are great! Pretty sure I have #8 and/or #9.

    I am hypermobile but don't have EDS. A couple months ago I raised my arm straight out to the side and then straight up over my head about 5-10 times while doing the motions of a children's song about owls sitting on the branch of a tree. (I think somewhere around the seventh time I got a sharp pain when I lifted my arm to the side and had to stop.) I thought surely the pain would have ceased after a week or two but it continues to go on. It's not super bad and I can still lift things but like you said, there is a certain place when I raise it that it still hurts. If I make a paddling/ swimming motion with my arm, it will surely go through that painful spot, or just raising it up.

    Sometimes it feels like it's not all the way in its socket but I'm pretty sure it is. It has popped/ cracked several times upon rotating but that doesn't really help it. I'm waiting for my new benefits to kick in and if it's still hurting then I will see a doctor, but for now it's more of just an annoyance and not really an emergency. At least now I feel like I have some idea of what is probably going on with it. Thank you!

    Any chance you have the link to the treating impingement video you mentioned?

  21. For years surgeons were eagerly telling me that nothing would help but surgery. Glad I waited! A PT adjusted my ELBOW and it was ULNAR NERVE impingement. Immediate relief that cured the symptoms and pain! I've had friends have shoulder surgery and it didn't help, but made things worse. Aren't these surgeons trained to find the cause of pain and problems? Or do they just gue$$ and hope for the be$t?

  22. Did not help me with my pain. back shoulder pain especially when I writing, I lose power and my shoulder start throbbing with so much pain and tingling. Apply pressure on the pain spot temporarily relieve pain but oddly Message makes worse. Please help .

  23. I hope you guys replies or somebody smarter than me in this situation. I’m pretty I have a ac injury but I did the 3 test and only felt it on the pull apart one. It didn’t even feel like anything big at all tho. Pretty sure I got it from bench pressing too heavy as well. It irritates me so much not knowing what’s going on Bc I can’t get X-rays Bc of no health insurance at the moment so I’m really jus trying to diagnose this by myself. But I mostly don’t feel any serious pains or restricted movements, only when I apply force in pushing something I feel a weird feeling. It almost feels like a bone bruise on top of my shoulder blade. That’s the closest way I can describe it. Somebody reply please lol.

  24. Painful arc was the only one that might apply. I took a week off of upper body lifting because it was kind of sore at the beginning, but is getting more painful everyday. When I was moving it around during my leg workout it completely stopped hurting. So I'm going to try putting some weight on it today, hoping it will move around some things and get everything back in place

  25. Hey guys! I didn't test positive with any of these tests, but my right shoulder snaps, crackles & pops all the time and a few times a year I will have inflammation and pain in my shoulder & neck on that right side that is so bad I can't move my neck. My chiropractor told me not to get any more adjustments because they won't hold with as much inflammation as I have…what in the world might this be and how can I treat it?

  26. Thank you for providing help to the public!!
    I am a soon to be R.N. I think I currently have pain associated with tendonitis at the young age of my mid-20s, from lifitng and shifting patients and clients. I may want to pursue a masters in P.T. before pursing my M.D. career, because I would like to help myself and the public/my patients and help decrease muscle and joint pain.
    Thank you for all the knowledge you share!

  27. Hello I am a volleyball player and was just wondering what if my there’s a sharp pain every time I spike the ball that I can’t even put any strength if not it’ll hurt like mad and numbness will appear for a minute or 2.

  28. so what is the fix for #8….???
    My Doc says biscep…but I didn't hurt it the way it is normally done. No fall, just overextension backwards after a golf shot???

  29. The first online diagnosis that relived me if you google anything then you most like to probably find that you have the exact same injury or disease.Its better consult dr or these 2 online drs are there to help .I repeat never Google your symptoms

  30. I have psoriatic arthritis and have had several random issues with tendons, bursa, and joints. Thanks I have tendonitis in my should now.

  31. I have Cervical Dystonia and have have had intermittent pain in my shoulder for years but later it doesn't want to go away. Would exercise help or make it worse?

  32. Not one of these tests addressed the excruciating pain I’m in.
    My pain happens most severely when I lift my arm straight out from my body (like a bird flapping its wings). Forward and backward is fine. Straight up is fine. But moving outward and up is very painful. Thoughts?
    Thanks in advance for any input.

  33. Okay so I did each exercise for each one and the most pain I got was 3,5,7,8
    So I was little confused
    Then I did 9 n the pain went away sooo fast I was like YAY!! but then as soon i put my arm back in a resting position and did 5 all the pain came back
    So I will be talking to a Dr. Ty u guys r truly helpful

  34. Everytime I do the one at 9:12 it doesn't hurt at any part of the arch but a pop comes from my shoulder every single time I do the arch. Have a sharp pain in the shoulder but just sometimes and the opposite side of my elbow has been hurting alot

  35. I didnt test positive on any of these tests. I got my pain after a heavy set on pull down machine with wide grip. It felt terrible right after. Few weeks later I still feel it especially if I try wide pullups.

  36. I was in the gym picking up dunbells when out of no where my should pulled and it shocked the hell out of me wasn't really painful but was some pain. I quickly tested my shoulder out and was able to move it. The pain came from my rear delt. When I moved my arm back like I was doing a row it would be pain full. The pain only lasted a few days so by time I seen a surgeon they told me it was a high possibility that I popped my shoulder out and it popped back in. I really thought I tore. What do u think

  37. not sure if its "shoulder pain" but i feel a sense of pain on my top left back near my shoulder. it hurts a lot when i wake up from bed. can someone tell me how to get rid of the pain or atleast, how to ease it? it hurts a lot and i find it hard moving after i wake up.

  38. The 2 rotator cuffs exercises hurt but it's not weak, partial tear maybe ? What's the treatment for that ? Been stuck with this for years (well over 5).

  39. I have impingement for sure, however I don't have issues with range of motion until I put a dumbbell in my hand. Especially when I perform a lateral raise, overhead presses I feel it but nothing like a lateral raise, but again only with dumbbells. I tend to find myself in poor posture. My right shoulder is typically close to my ear when I am sitting on the sofa, I think it's stress. I have to tell myself to lower my shoulder down..ugh! But I have had this pain for at least 3 months. It comes and goes with degrees of pain. Some days its 3/4 some days it is 7/8. Never so painful I cannot perform a movement but I definitely feel it!

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