The TRUTH About Shoulder Impingement
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- čas přidán 28. 05. 2024
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In this video, I tell you the TRUTH about shoulder impingement!
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What is Shoulder Impingement? (0:00)
The History of Shoulder Impingement (1:05)
Does Subacromial Decompression Fix Shoulder Impingement? (2:13)
Does That Mean Shoulder Impingement Doesn’t Exist? (5:26)
Short Recap (6:52)
Why Does Any Of This Even Matter? (8:25)
Are There Bad Exercises? (9:28)
Why Does My Shoulder Hurt Then? (13:08)
What Should We Call Shoulder Impingement Instead? (15:19)
Final Thoughts About Shoulder Impingement (17:26)
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Disclaimer: The information presented is not intended as medical advice or to be a substitute for medical counseling but intended for entertainment purposes only. If you are experiencing pain, please seek the appropriate healthcare professional. - Jak na to + styl
Thank you so much for watching! Be sure to check out the blog for references: e3rehab.com/blog/the-truth-about-shoulder-impingement/
This is the BEST video I've ever seen on shoulder impingement. E3 Rehab is #1!!!
We appreciate you!
After 20 minutes talking about the fact that there is no impingement in the shoulder, yet you have Not come to the conclusion to give us informations about injurys in the rotator cuff instead.@@E3Rehab
@@Milo-Mikehe has other videos on that
@@danteghazizadeh1656 i'll search🤝
Jeff Cavaliere punching the air rn
Fake weights motherf...
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS.
www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/
What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
As a PT myself, this was one of my favorite videos you have presented. I have been waiting for a follow up to your upright row video which completely changed my thinking back then and this was excellent. I also appreciated Sam’s demonstrations as well. I knew the source materials immediately and it frustrates me for those uniformed viewers. Keep up the great work.
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS.
www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/
What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS.
www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/
What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
Can you please share the link or title of that upright row video?
BigUprightRow™ here, can confirm this man isn't on our payroll
Bald Omni Man in the video?! The E3 Rehab team are fellow Renaissance Periodization enjoyers
I can't believe how good this video is. Thank you a million times !
The depth and the angle you provided was awesome. Thank you.
Thank you for taking the time to make this incredible video.
Absolutely phenomenal video. Your use of research to back your claims while giving relevant history behind the condition is great teaching. Thank you for this!
One of the most useful sources online!❤ keep up the great work
Revolutionary, hopefully this reaches many people
As a PTA, I love watching your content. I have learned so much (and unlearned so much) about how best to help my patients. I will be sharing this with my colleagues. Thank you guys
Always so impressed with the content! Been following Eric and Nicole for 2 years, and it's made me such a better clinician!
Always making the good point. You are a real gem in YT. Thanks you!
Thanks for this video. As a provider I really enjoy your videos and recommend them to my patients. Keep it up!
Incredibly well researched and presented
Love the evidence base presented here. Much appreciate the professionalism and unbiased approach. Thank you guys.
Fantastic in depth video. I'm currently doing my dissertation in the area of shoulder pathologies and this has really helped, thanks!
This will quickly become a highly shared video with all my students. Great content as always!
Such a well researched and well presented, informative video that is underlined with a deep layer of empathy for the patient. Cheers!
You're videos deserve more attention, such high effort, thanks for sharing the knowledge :)
Well done sir. Had some pinching, stop me in my tracks shoulder pain, start around fall of last year. Orthopedist said I seems to be an overused bicep tension. I’m a mechanic, mountain bike a lot, and play darts.
Just being mindful of what movements made it hurt and in the beginning, a little bit of band work, I now have been feeling it less and less. Still there, but I would rather keep it moving, make sure when carrying or moving any weight during work or elsewhere, to engage any muscles around that can aid in the work to do so. Usually helps much like a brace of the forearm for tendinitis.
Ortho didn’t recommend surgery and we just keep an eye on it for some time. This video was great and I agree with a lot of what you said. Thank you
I remember listening to your podcast with Jared Powell about a year ago on this topic. And now this marvelous, comprehensive presentation. Awesome! Well deserved appreciation and respect!👏 👍
Awesome channel. Best production on YT for physiotherapy.
Best video I’ve seen on this topic so far!
What a great video. So well done in every way
You guys are awesome! The best physical therapy channel on CZcams in my eyes! I am always growing as a PT watching your content, applying it to my evaluation and treatment skills, and seeing the research you review for my own sake. Nobody comes close, in my opinion, to what you keep doing.
HOLY @$R#! Ive been struggling with shoulder impingement for a year. Always avoided upper rows. I just did a few as I watched this video. Immediately my shoulder felt stronger and more mobile with less pain. WTH???!!! I cant believe the studies showing the same issues in people with AND without symptoms! WHAT??
I have so much hope and excitement knowing our bodies are more capable than our science gives credit and excited to share your channel with all my friends in the profession.
THANK YOU
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS.
www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/
What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
Another great video as usual. Congratulations!
Really good video and very well explained the concept of Shoulder Impingement! Thank you!!
Good investigative work and open mind explanation. Well done
Fabulous. Such high quality content
“Big up right row” lol!! That was funny! Great video as always!!!
Wow, thank you for making this video. So informative.
Always great content!
Always good stuff - Thank you
That was an excellent video, thanks for this content!
Brilliant video!
Thank you very much for putting together so much information about this subject. I have been suffering from this for the last almost one year and tried so many different treatments but to no help. Now I understand very clearly how to deal with this.
Great video. Thank you!
Mind blown and quite possibly life changed 💛
I've been replacing my normal upper body routine by mostly rotator cuff and scap mobilization work for more than a year now because of a shoulder niggle. Can't wait to slowly reintroduce pull-ups and dips 🤘
Great video, thanks. As PT it is important to keep up the knowledge with the times
Excellent video 👏
Brilliant. Can’t thank you enough for this video. 🙏
Thank you. Very informative and educational
Really, really solid video!!
Thanks for a wonderful video... 🙏🏻
Thank you so much! I really appreciate the level of research you have done and present.
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS.
www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/
What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
As an NMT Physical Therapist, I'm enjoying your videos!
Thank you!!This channel helps me a lot to understand better what rehab means.
wow, great content! Not sure whether I have impingement, but it has definitely been clicking and burning more in the past year.
Never had any problems with my shoulder in my life, even when I was benching +300lb. Then did a 150lb warmup rep on the bench and something twinged very subtly. That was 6 months ago and my shoulder has gradually become super painful.
That's probably because you were doing 300 lb bench presses. The pain probably came on gradually until one day it became obvious.
don't lie bro! e3 rehab says that there is no impingement and there shouldn't. Your shoulder doesn't have any pain!
I literally don't do lifting, I'm a girl. I woke up one day and my arm hurt and now it hurts a ton, i can't even lift my arm above my chest. Life has become very difficult.
@@WomanTakenBytheWindthat sucks. Are you side sleeper, out of curiousity?
You should probably lighten the load and focus on rotator cuff functional exercises. There are plenty here on YT to try out in the gym. Squat University has several; this channel probably has some as well.
It's all about too much weight without being ready, poor form, no control etc. Trying to run before learning to walk
Good work. Need to be shared because so many people swear about shoulder impingement now, exactly like during many years people thought spinach was a very important source of iron just because a researcher made a typo about iron proportion in spinach!
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS.
www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/
What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
As I pt thad does a masters on this subject I have to say that this video is amazing. And the evidence is in high standard! Thanks so much.
12:59 “I’m not getting paid by Big Upright Row”
😂😂😂
Thank you for this
This video is so great and I feel like it should be taught in school. Thank you so much for making things simple for us.
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS.
www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/
What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
I love these videos so much. As a young dpt I feel very little identity commitment to some of the diagnoses and treatments taught during school; I hope I can remain open minded and constantly looking to research into the future. Appreciate your reference list as always!
"Identity commitment"....
I can't imagine my quality of life improving by having a section of my shoulder removed. I've recently discovered the light on going easy with my shoulders due to pain while lifting, and incorporating more rotator cuff strengthening/stability exercises.
Great video
Thanks for the info it is appreciated.
Excellent perspectives, thanks!
I've been dealing with impingement in my right shoulder since I tore a rotator cuff 11 years ago.
It's been limiting my exercise selections greatly ever since. I can't do pullups, pushups or dips without a bad flare up. And lateral shoulder raises is out of the question too. Planks are iffy, especially right side planks.
And as a martial artist, over head blocks and internal parry, hooks, uppercuts and backfists are significantly limited and painful.
As i get older, it only gets worse and I'm finding myself cutting out entire movement patterns. This is true for other chronic injuries I'm dealing with. I try to train around them, but am running out of parts i can train around with.
Been to a doctor? Check for autoimmune conditions. Been there. That's what I have.
Current upright row 140lbs for 11. A couple of set done after benching and over head pressing.
I won't stop because it also makes my shoulders feel better and they have become stronger.
Thanks for the video… very interesting and informative. I have been struggling with shoulder pain for the last 18 months or so that was diagnosed as SIS. I am an active 58 year old male who loves weight training. Through the help of PT that targeted scapular mobility problems, core strength and postural strength I was able to return to and progress with manageable symptoms. About 6 months ago I had a setback. I had to stop all upper body loading for a while and returned only by stopping all pressing movements as they seriously flared up pain. Over time I have been slowly able to add limited pressing movements back-currently dumbbell incline presses and recently seated overhead dumbbell presses. I have limited discomfort with these movements. I am very conservative of load, volume and frequency. I have not pain in pulling movements. My biggest complaint is pain during sleep. Every night the pain flares up regardless of sleep position and/shoulder support. The pain is generally in the 6-7 of 10 range and either wakes me or makes it difficult to fall back to sleep. I had an MRI done this week and they report “mild to moderate hypertrophic changes in left AC joint causing mild to moderate compression” of the supraspinatus-“there is mild lateral downsloping acromion process”. No tear is seen. I’m at a loss. I’m fine with my progress in the gym. Overtime I am gaining functionality with not increase in symptoms. But, the plain at night is intolerable. Is getting a steroid injection a good next step? Am I foolish to keep pressing given my nighttime pain? What about surgery that doesn’t remove bone, but just burrs down the “spur”? You only talked about the extreme version of decompression surgery. Thanks for any thoughts you have.
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS.
www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/
What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
Me encanta vuestro trabajo. Entre todos corregiremos los errores de la juventud de la evidencia. Cualquier error reconocido siempre supondrá un avance.
Really interesting video. I developed quite bad pain in my right shoulder and was diagnosed with shoulder impingement... I suspect it was being caused by very poor posture... I did all the pysio work that was recommended by my Physiotherapist and added a bunch of additional exercises to work on my posture and over time it all went away. The reason i found out posture was likely the cause is that i was still able to train my shoulders (with some pain) but it hurt a hell of a lot less when i was strict with putting my shoulders back... it was then i realised how useful a mirror is when you're training!!
I benefit from posture cues too. But it's v individual.
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS.
www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/
What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
I also am a similar case to yours! This video seems really meaningfull.
Which exercises did you do Brother?🙏
me ?
This video is amazing! I wish every patient could understand all of this!
I like to rehab shoulders based on:
Stiff & painful
Weak & painful
Unstable
Acute traumatic etc
But at the end of the day, the rehab is nearly the same for all!
Agreed, I'm in self-imposed rehab on my right shoulder after some throbbing following a heavy push day. I've lightened the load for both push and pull days while also having specific days for shoulder functionality improvement - strength, flexibility, mobility, stability. Better to focus on my rotators now versus a severe injury later when I can't do anything. I'm also looking to get better at swimming - can't do that with a busted rotator!
Great video. I have been working on a push heavy muscular program while having a poor lean-forward dayly posture. I believe I even press my shoulders forward think it improved my posture… wrong wrong wrong. I will work on my posture and reduce the pushing loads. Thank you for this video!
Same here! As much as I want to continue doing push-ups / shoulder presses etc, I have to tell myself to be patient and strengthen my back muscles before I continue pushing. Good luck with improving your posture : )
"I'm not getting paid by Big Uprightrow" - this is when I have smashed the like button and knew that I LOVE this channel. 🤣 And of course, the content is invaluable!!!!
If the sub-acromial space doesn’t matter that much, why does doing long axis traction to the humerus get rid of pain for patients with sub-acromial pain syndrome?
This is an excellent question to be asking, the answer to which may be unknown. However, just because we don't fully understand why it works doesn't necessarily mean it's a bad treatment. If it provides some sort of short-term pain relief that allows patients to move more freely and better perform their exercises, I would sure think it still holds some clinical value regardless of knowledge of specific mechanisms.
I am starting a new chapter in researching shoulder impingement
Lol, big up right Row…. That’s low key funny.
Thank you🙏
Thank you!
I've taught philosophy, and formal logic and reason specifically, for decades, so I am qualified to say, 'You, Sir, make 'good' sense!', as opposed to the more 'common' variety' (a very low bar) touted and practiced by those driven by the prevailing winds of a 'shiftless' paradigm. You've validated my problem with modern 'old-school' physiotherapists, regardless of age, who hide behind a Latin narrative to propose greater expertise for themselves than their actual knowledge warrants and greater respect than they've a right to claim due to their lack of success in rehabilitating their clients; though for that lack of success they are parasitically good at generating perpetual clients.
thank you so much for such a thorough EVIDENCE BASED video on shoulder pain. can you tell me what exercises I can do to help with non-traumatic shoulder pain?? thanks!
Thanks!
Thank you!
I had this surgery years ago and have never noticed any benefit from it. I’d definitely recommend people do physio before considering it.
I'm a 61 year young male in above average physical condition. I have regularly attended HIIT classes and strength training classes over the years and continue to this day. I'm not into body building or pumping iron. About 3 months ago I developed pain in my left shoulder. There wasn't any "event" that happened. This may sound strange but I attribute it to trying to train myself to sleep on my side to keep from snoring so much. Everything was fine until I started that regimen. I even felt some pain in my right shoulder but that went away. I didn't have any shoulder issues previously. I took a break from the strength training the class 13 days ago and the pain has decreased. Big surprise, right? I have also avoided sleeping on my left side. 3 1/2 weeks ago I saw my ortho and he gave me a cortisone shot. He's a specialist who focuses from the shoulder down. I've seen him over the past 10 years for various arm issues and trust him. The shot didn't seem to do anything. The pain i've been experiencing is a pinching pain. It's not a constant pain. Certain movements catch and pinch. At its worst I had constant pain going up my shoulder to my neck. My follow up is February 9th. Any feedback or suggestions would be much appreciated! Thank You!
And this piece of art video has only 14k views 🤯🤯🤯
Many thanks for this ❤❤❤, very educational, informative, clear. Warm hugs from Ukraine 🇺🇦 🤗. It's hard to find here quality qualified PT help, so this video and your channel are very important for a guyz like me.
Thanks
Impingement is still an accurate term because it’s not just pain, it’s some kind of actual restriction. In a completely relaxed state where my shoulder can move through a specific range of motion, it literally can’t without the use of extra force. Ease of range of motion is physically and actually limited. So why? It’s not just pain.
Thank you for this video. I was told I have shoulder impingement and it was recommended to go to PT. My doctor told me that I could try some stretching before going to PT which I did but it didn’t really help. So I stopped doing everything no exercising, no stretching, and within a few days it started to feel better. But I exercise regularly so I went back to exercising, and now my shoulder hurts again. I’m going to try resting again and if it doesn’t heal I will go to PT. My reluctance to PT is simply cost.
I love critical thinkers, people who question things and don't believe something just because an authority figure or "expert" says it. Studies are fine but have to be examined as to who is funding it. In this case that may not be much of an issue, but in other cases (I think we all know what the last few years have made us question) it's really the only issue. I am a big fan of trying what someone recommends like exercises. If it works great, if not, well It may work better for others but not for me.
Bottom line on upright rows is if they bother your shoulders, find another exercise that doesn't.
Informative video and I believe you nailed it. Way too many people will just believe what a doctor tells them, they want a pill that will fix the problem & do not want to hear that it's gonna take work & lifestyle changes to get the desired result, it's human nature. I believe the more research you do the more informed an opinion you will make. Buyers remorse comes from not doing the research to know what it is you are buying, don't buy a pig in a poke as they say.
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS.
www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/
What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
Shout-out to Bald Omni-Man for making an appearance!
Awesome video because I had “frozen shoulder” surgery 10 years ago and it did nothing. I wish I’d not agreed to have it. I’m still frozen, but at least it doesn’t hurt anymore because I exercise regularly, including push-ups and weight lifting. I’m 63 😅
excellent
Geez. Im realizing that the more time my shoulder spends in these positions, the better it feels overall.
Thank you for going against Big Upright Row, brother! Preach!
In all seriousness, thank you for this.
i have pain with up right row but i feel better when i do behind the neck shoulder press and it has been on and off for me for 10 years now. It really isn't that big of a deal i do what i can and i stop what heart what your saying make perfect seance,
Excellent overview of the current literature, debunking the impingement theory, and providing a positive view on movement and exercise. There are still too many beliefs about specific exercises causing specific problems, thus being "wrong", or people overly focusing on the 1 right technique and viewing others / variations as bad.
After this video I'm left with a question: how can the painful arc be explained? Especially if this is not due to a decrease in the subacromial space..
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS.
www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/
What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
Well said!!!!!! Thank you. I am doing acupuncture every 3 days for shoulder. Monday will be my 4th time but.I can't keep paying.
I have been training at F45, doing bandwork at home.
Its getting better. I want to do strong glute bridges to buildup the shoulder.
What are your thoughts on acupuncture for shoulder mobility?
Awesome video, thank you. Still don't know how to get rid of the pain. It's chronic and has been with me for the last 9-10 years (anniversary yeeey :))
Anyways thank you for explaining I don't need surgery but probably physiotherapy ❤
Why in the world would debilitating surgery be your first conclusion to rule out versus trying physiotherapy to see if that improves the pain? Seems backward af
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS.
www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/
What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
you know someone is being paid by big upright row, when they actually say that they are not being paid by big upright row. gives it away every time.
Awesome video. Super interesting.
"Bursa, and bursas or bursae for the plural form, is an important lubricated fluid-filled thin sac located between bone and surrounding soft tissue, bones and tendons, and/or muscles around joints, and are useful to the human body by reducing tension and negative effects of wear-and-tear at points of friction and" bla bla bla HOW INTERESTING. I didn't know about these things before now.
thanks for the video, very interesting to watch, but still have a question, if impingement doesnt exist, how do i cure my pain which has been diagnosed as inpingement and bursitis (and doesnt want to go away)?
"The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS."
www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/
What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research E3 Rehab has cited disagrees with them.
They're using what's called an argument from fallacy.
So, just do what Athlean-X suggests. Face pulls, external rotation progression, exercise modifications.
I've faced the pain you're facing, so has my father, because of inflammatory arthritis, mine way more aggressive than my father, and we've both made excellent gains in the past few months, gaining a lot of function, reducing pain, using Athlean-X's content. Watch all his videos on shoulder pain and popping. Try working with resistance bands and slowly strengthen your shoulders before adding free weights.
Very good breakdown of what we think we know we know...but, if we don't know the cause of the dysfunction and pain, aren't we just doing guess work and programs are just guess work without knowing? Now hook up to an Arpwave neurotherapy device and be shown exactly where your neuromuscular system is "misfiring" or causing the dysfunction. Please take a look at that therapy because my experience with myself and my athletes proves that the Arpwave "knows" where your electrical system "short" is and only with a device like this can you "know" what the cause of the dysfunction is.
If your neuromuscular system is sending not enough signal to a muscle that needs to perform an exercise and sending a compensatory signal to another muscle to perform the exercise, proper technique and guess work will not correct the incorrect neuromuscular signal...and the patient will not be able to withstand load properly and prevent future injury. I truly would like your input on how you propose correcting neuromuscular dysfunctions if you do cannot KNOW what the dysfunction is.
The overall findings of this systematic review suggest that clinicians and researchers need to focus on other biopsychological factors that may be more pertinent to symptoms in SAPS. For example, weakness of the rotator cuff and scapular muscles has been observed in multiple studies in participants with SAPS. In addition, systematic reviews have found rotator cuff and scapular muscle strengthening exercises to provide benefits to pain and function in participants with SAPS.
www.ncbi.nlm.nih.gov/pmc/articles/PMC7693267/
What strengthens both rotator cuff and scapular muscles? High pulls and not upright rows. Research they've cited disagrees with them.
You can just feel its wrong. Yet studies are always good to substantiate it.
I do agree with you 99.999999 % because at least I have 0.0000001 % brain to understand what you presented. Kidding aside, wonderful presentation. Hats off to you!