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Vitamin D testing is vital for tailoring doses to optimize health—but regulators are conducting a campaign to deny coverage; Can magnesium be taken simultaneously with blood pressure meds? Lifelong learning delays Alzheimer's onset by 5 years; Your MRI says you have a bum shoulder—but 99% of people show abnormalities even when they have no discomfort; Saunas can help stave off dementia.
What does it mean if you have a rotator cuff tear on your MRI? Listen to our latest podcast as we break down the latest JAMA Internal Medicine article, "Incidental Rotator Cuff Abnormalities on Magnetic Resonance Imaging."
Highlights from the ANH conference in PhoenixWhat do you think of the supplements I'm taking for borderline osteoporosis?After years of vegetarianism, wouldn't eating meat cause adverse reactions like headaches or nausea?
Interview with Thomas Ibounig, MD, author of Incidental Rotator Cuff Abnormalities on Magnetic Resonance Imaging and Brian T. Feeley, MD, author of Magnetic Resonance Imaging Abnormalities and Incidental Age-Related Changes. Hosted by Eve Rittenberg, MD. Related Content: Incidental Rotator Cuff Abnormalities on Magnetic Resonance Imaging Magnetic Resonance Imaging Abnormalities and Incidental Age-Related Changes
Interview with Thomas Ibounig, MD, author of Incidental Rotator Cuff Abnormalities on Magnetic Resonance Imaging and Brian T. Feeley, MD, author of Magnetic Resonance Imaging Abnormalities and Incidental Age-Related Changes. Hosted by Eve Rittenberg, MD. Related Content: Incidental Rotator Cuff Abnormalities on Magnetic Resonance Imaging Magnetic Resonance Imaging Abnormalities and Incidental Age-Related Changes
Welcome to Season 2 of the Orthobullets Podcast.In this episode, we review the high-yield topic of Rotator Cuff Arthropathy from the Shoulder & Elbow section.Follow Orthobullets on Social Media:FacebookInstagramTwitterLinkedInYouTube
In this episode of PodMD, Orthopaedic Surgeon Dr Shivan Jassim will be discussing the topic of rotator cuff repairs. We discuss what a rotator cuff tear is, how it usually presents, potential treatment options, and more.
Dr. Peter Rippey covers the No. 10 article of 2024, titled “Effect of Extracorporeal Shockwave Therapy for Rotator Cuff Tendinopathy: A Systematic Review and Meta-Analysis,” which was originally published in BMC Musculoskeletal Disorders in May 2024. Dr. Jeremy Schroeder serves as the series host. Dr. Rippey is a member of the Top Articles Subcommittee, and this episode is part of an ongoing mini journal club series highlighting each of the Top Articles in Sports Medicine from 2024, as selected for the 2025 AMSSM Annual Meeting. Effect of Extracorporeal Shockwave Therapy for Rotator Cuff Tendinopathy: A Systematic Review and Meta-Analysis: https://link.springer.com/article/10.1186/s12891-024-07445-7
In this episode we discussed the anatomy of the rotator cuff and related structures, possible risk factors for rotator cuff tendonopathy and the evaluation process for suspected rotator cuff tendonopathy, and the management of rotator cuff tendonopathy--ARTICLE CITATIONS used for this episode: https://atcornerds.wixsite.com/home/blogAT CORNER FACEBOOK GROUP: https://www.facebook.com/groups/atcornerpodcastInstagram, Website, YouTube, and other links: atcornerds.wixsite.com/home/linksEMAIL US: atcornerds@gmail.comSAVE on Medbridge: Use code ATCORNER to get $101 off your subscriptionMusic: Jahzzar (betterwithmusic.com) CC BY-SA—TO GET CATEGORY A CEUs for listening to this episode, enroll in this course: https://clinicallypressed.org/courses-home/Take the quiz and course evaluation and your certificate will be generated for you! We have no financial disclosures or conflict of interests.---Sandy & Randy
Rotator Cuff Tendinopathy explained, including a review of what is the rotator cuff and muscles involved, Rotator Cuff Tendinopathy pathophysiology, as well as symptoms and diagnosis. We look at the Rotator Cuff physical exam, as well as Rotator Cuff Tendinopathy diagnosis and treatment. PDFs available here: https://rhesusmedicine.com/pages/orthopaedicsConsider subscribing (if you found any of the info useful!): https://www.youtube.com/channel/UCRks8wB6vgz0E7buP0L_5RQ?sub_confirmation=1Patreon: https://www.patreon.com/rhesusmedicineBuy Us A Coffee!: https://www.buymeacoffee.com/rhesusmedicineTimestamps: 0:00 What is the Rotator Cuff?1:05 What is Rotator Cuff Tendinopathy?1:36 Rotator Cuff Tendinopathy Pathophysiology3:28 Rotator Cuff Tendinopathy Symptoms4:00 Rotator Cuff Tendinopathy Diagnosis6:11 Rotator Cuff Tendinopathy TreatmentLINK TO SOCIAL MEDIA: https://www.instagram.com/rhesusmedicine/Please remember this podcast and all content from Rhesus Medicine is meant for educational purposes only and should not be used as a guide to diagnose or to treat. Please consult a healthcare professional for medical advice. ReferencesBMJ Best Practice (2025) Rotator cuff injury – Symptoms, diagnosis and treatment. BMJ Best Practice. Available at: https://bestpractice.bmj.com/topics/en-gb/586 BMJ Best PracticeTeachMeAnatomy (2026) The intrinsic muscles of the shoulder. TeachMeAnatomy. Available at: https://teachmeanatomy.info/upper-limb/muscles/shoulder/intrinsic/ TeachMeAnatomyExploreAnatomy.com (n.d.) Rotator cuff muscles. ExploreAnatomy.com. Available at: https://exploreanatomy.com/musculoskeletal-system/rotator-cuff-musclesPhysio-Pedia (n.d.) Rotator Cuff Tendinopathy. Physio-Pedia. Available at: https://www.physio-pedia.com/Rotator_Cuff_Tendinopathy physio-pedia.comDesmeules, F., Roy, J-S., Lafrance, S. et al. (2025) Rotator Cuff Tendinopathy Diagnosis, Nonsurgical Medical Care, and Rehabilitation: A Clinical Practice Guideline, Journal of Orthopaedic & Sports Physical Therapy, 55(4), pp.235–274. DOI: 10.2519/jospt.2025.13182 PubMed+1
We test the rotator cuff muscles for their internal/external rotation and abduction strength but they have a very important Always-On function too. Just like the scapular stabilizers, the rotator cuff needs to dynamically stabilize so that other muscles like the deltoids and pectoralis muscles can have power. Online Courses: https://richardhazel.podia.com We are in the last days of the Black Friday double discount sale. Take 20% off any course or bundle of courses until the end of 2025 BLACKFRIDAY20 at checkout. Bundles of courses are already discounted at 20% so you can add another 20% on top of that until the sale ends. My courses don't expire.
In this episode, we review the high-yield topic of Rotator Cuff Injury from the MSK section.Follow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets
Program notes:0:35 Should surgery efficacy1:30 10-year follow of ASD surgery2:30 Exercise does relieve pain3:00 Association of pain with intrinsic capacity and inflammation4:00 Domains including locomotion and others5:01 Pain impacts a number of capacities6:01 Aspirational to figure out pain6:30 Scheduling birth at term to avoid preeclampsia7:30 High-risk pregnancy delivered at term8:35 Is there impact on the infants?9:18 AI decision support for large-vessel stroke10:20 71,000+ patients with ischemic stroke11:25 U.S. data also not impressive12:54 End
We are continuing our miniseries where we pay tribute to one of my favorite podcasts, Revisionist History, hosted by the well-known author Malcolm Gladwell. Gladwell describes Revisionist History as a podcast about things overlooked and misunderstood. There are many injuries or problems we see […]
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We are continuing our miniseries where we pay tribute to one of my favorite podcasts, Revisionist History, hosted by the well-known author Malcolm Gladwell. Gladwell describes Revisionist History as a podcast about things overlooked and misunderstood. There are many injuries or problems we see in the office or on the sidelines that patients, parents, coaches, and even health care professionals give a generic label or diagnosis. In some situations, it may be correct, but often things get lumped into a simple category which may lead to things not being treated or managed most effectively. This is episode 3 of this series I am affectionately calling “Revisionist Sports Medicine”, a series about things in Pediatric Sports Medicine overlooked or misunderstood. Connect with The Host! Subscribe to This Podcast Now! The ultimate success for every podcaster – is FEEDBACK! Be sure to take just a few minutes to tell the hosts of this podcast what YOU think over at Apple Podcasts! It takes only a few minutes but helps the hosts of this program pave the way to future greatness! Not an Apple Podcasts user? No problem! Be sure to check out any of the other many growing podcast directories online to find this and many other podcasts via The Podcaster Matrix! Housekeeping -- Get the whole story about Dr. Mark and his launch into this program, by listing to his "101" episode that'll get you educated, caught up and in tune with the Doctor that's in the podcast house! Listen Now! -- Interested in being a Guest on The Pediatric Sports Medicine Podcast? Connect with Mark today! Links from this Episode: -- Dr. Mark Halstead: On the Web -- On X -- Dr. Brian Harvey https://profiles.childrensmercy.org/brian-s-harvey/ OrthoBullets "Little League Shoulder" https://www.orthobullets.com/shoulder-and-elbow/3056/little-leaguers-shoulder -- Pediatric Rotator Cuff Tears Harwood KL, Oganezova K, Orellana KJ, Ashe K, Williams BA, Horneff JG. Rotator Cuff Injuries in the Pediatric Population: A Retrospective Review of Patient Characteristics and Treatment at a Single Center. Sports Health. 2024 May-Jun;16(3):340-346. doi: 10.1177/19417381231174021. Epub 2023 May 29. PMID: 37246566; PMCID: PMC11025523. https://pmc.ncbi.nlm.nih.gov/articles/PMC11025523/ -- POSNA Shoulder Instability https://posna.org/physician-education/study-guide/shoulder-dislocation-instability -- Calls to the Audience Inside this Episode: -- Be sure to interact with the host, send detailed feedback via our customized form and connect via ALL of our social media platforms! Do that over here now! -- Interested in being a guest inside The Pediatric Sports Medicine Podcast with Dr. Mark? Tell us now! -- Ready to share your business, organization or efforts message with Dr. Mark's focused audience? Let's have a chat! -- Do you have feedback you'd like to share with Dr. Mark from this episode? Share YOUR perspective! Be an Advertiser/Sponsor for This Program! Tell Us What You Think! Feedback is the cornerstone and engine of all great podcast. Be sure to chime in with your thoughts, perspective sand more. Share your insight and experiences with Dr. Mark by clicking here! The Host of this Program: Mark Halstead: Dr. Mark Halstead received his medical degree from the University of Wisconsin Medical School. He stayed at the University of Wisconsin for his pediatric residency, followed by a year as the chief resident. Following residency, he completed a pediatric and adult sports medicine fellowship at Vanderbilt University. He has been an elected member to the American Academy of Pediatrics (...
Do you think that patients that complain of shoulder pain should always be evaluated with an EMG? Perhaps not, but not all shoulder pain is orthopedic in nature. Tune in to this episode to see how EMG can help when the cause of shoulder pain may not be obvious?
In this episode of the Rehab Science podcast, Dr. Tom Walters, DPT, breaks down everything you need to know about rotator cuff tears—from anatomy and injury mechanisms to decision-making around rehab versus surgical repair. Dr. Walters explains the role of the four rotator cuff muscles (supraspinatus, infraspinatus, teres minor, and subscapularis) and why the supraspinatus tendon is most often affected. He also discusses the difference between partial and full-thickness tears, and how imaging findings don't always predict pain or function. Listeners will learn when rehabilitation is the preferred approach and when surgical repair may be necessary. Drawing on current research and clinical experience, Dr. Walters emphasizes the value of progressive strengthening, scapular stabilization, and load management—highlighting that most people can recover full, pain-free function without surgery. The episode concludes with practical advice for restoring shoulder strength and confidence through movement.
Welcome to Season 2 of the Orthobullets Podcast.Today's show is CoinFlips, where expert speakers discuss grey zone decisions in orthopedic surgery. This episode will feature doctors Grant Garrigues, Peter Chalmers, Joseph Abboud, & Christopher Klifto. They will discuss the case titled "Acute Rotator Cuff Tear in 64M."Follow Orthobullets on Social Media:FacebookInstagramTwitterLinkedInYouTube
In this episode of Tea with Dr. D, I answer your health and healing questions live, covering everything from anti-aging therapies to innovative pain treatments.I talk about NAD and its role in longevity, how to heal rotator cuff tears without surgery, ways to relieve nerve pain from MS, and why I'm a fan of katsu therapy, methylene blue, and other regenerative approaches. You'll also hear supplement tips, treatment stacks, and how to combine therapies for maximum results.Whether you're here for performance, recovery, or pain relief, this episode is packed with actionable strategies you can use right away.If you've been curious about regenerative treatments, performance recovery tools, or supplement strategies that really work, this one's worth watching start to finish.Links:DERRICKTikTok:https://www.tiktok.com/@drderrickInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrick
In this episode, we discuss large rotator cuff tears. We explore: Traditional tests that are used within shoulder assessmentIs Rotator cuff related shoulder pain a diagnosis? Physiotherapy's role in conservative management of rotator cuff tearsSurgical vs non-surgical pathwayLoad management for patient careRotator cuff tear progressionWant to learn more about the rotator cuff tears in the shoulder? Jared Powell has done a brilliant Masterclass with us called “Evaluation and Treatment of Shoulder Pain” where he goes into further depth on this topic.
We're going to talk about something Austin Butler talked about in his interview with Men's Health magazine, but you should google the cover photo first and thank me later. Plus, Zayn Malik's now married ex says he reached out to her after splitting with Gigi Hadid. Learn more about your ad choices. Visit megaphone.fm/adchoices
Clinicians appreciate the value of a trustworthy clinical practice guideline for helping guide decisions in practice. Professor François Desmeules (University of Montréal) led an international team of shoulder experts who synthesised the latest evidence on diagnosing and non-surgically managing rotator cuff tendinopathy. Today he shares the headlines of the CPG and explains how the guideline group made sense of all the evidence to come up with recommendations for assessment, diagnosis, treatment and prognosis, including return to sport. ------------------------------ RESOURCES Rotator cuff tendinopathy diagnosis, non-surgical medical care and rehabilitation CPG: https://www.jospt.org/doi/10.2519/jospt.2025.13182
Send us a textThe shoulder is the most mobile and most complex joint in the human body, which also makes it vulnerable to injury and arthritis. Each year, nearly 60,000 Americans undergo shoulder replacement surgery, also known as total shoulder arthroplasty (TSA).In this episode of MedStar Health DocTalk, host Debra Schindler sits down with orthopedic surgeon Dr. Ryan Hoffman, a shoulder and elbow specialist at MedStar Health, to explore:· What shoulder arthroplasty is and when it's needed· The difference between total vs. reverse shoulder replacements· How advances like robotic planning, 3D templating, and stemless implants are changing outcomes· What recovery looks like and how patients regain mobility· What to ask when choosing a shoulder surgeonIf you've ever wondered about shoulder pain, rotator cuff tears, or when it's time to consider replacement surgery, this conversation breaks it all down.Watch and learn how modern shoulder surgery is helping patients get back to the life they love.For an appointment with Dr. Hoffman call 410-554-2272. If you would like to share feedback on this podcast or suggest a topic for another episode of MedStar Health Doc talk, send an email: debra.schindler@medstar.net. For more episodes of MedStar Health DocTalk, go to medstarhealth.org/doctalk.
In this episode of HSS Presents, Dr. Samuel A. Taylor leads a dynamic roundtable with Drs. Christopher Brusalis, Michael Fu, and Chris Wilhelm, diving into the complex world of massive rotator cuff tears. The panel examines the nuances of diagnosing and treating these injuries, stressing the importance of patient-specific goals over blanket surgical approaches. From evaluating pseudo-paralysis to choosing between SCR, balloon spacers, and reverse arthroplasty, the discussion highlights cutting-edge strategies in rotator cuff management. With clinical anecdotes and lively debate, this episode offers practical pearls and a thoughtful approach to treating one of shoulder surgery's most debated challenges.
Leah breaks down everything veterans need to know about rotator cuff injuries and how they relate to VA disability claims. As a U.S. Army veteran and former C&P examiner, she explains the causes, symptoms, and medical evidence needed to support a claim, while also walking viewers through how the VA rates these shoulder conditions under diagnostic codes 5200–5203. With real data, expert insights, and actionable tips—like seeking a nexus letter and understanding the role of range-of-motion testing—Leah offers a clear, veteran-friendly guide to navigating the claims process with confidence.
In this solo episode of The Shoulder Physio Podcast, Dr Jared Powell explores a deceptively simple question: How much benefit does rotator cuff surgery need to provide to be considered worthwhile? Jared explores a new 2025 study by Harrison Hansford and colleagues, which uses a clever benefit–harm trade-off approach to quantify what patients actually want from surgery. This episode challenges the way we interpret research, the limits of "statistical significance," and the need for truly patient-centred decision-making. If you're still recommending surgery after failed physio without asking what makes it worthwhile to the person in front of you, this one's for you. Key topics include: The concept of the smallest worthwhile effect Is “does it work?” the wrong question? Shared decision-making and expectation alignment How the evidence stacks up (or doesn't) Why patient-defined outcomes matter more than p-values Check out the Shoulder Physio Online Course here Connect with Jared: Jared on Instagram: @shoulder_physio Jared on X: @jaredpowell12 See our Disclaimer here: The Shoulder Physio - Disclaimer
Chris Hughen sat down with Kathryn Fahy to discuss large to massive rotator cuff tears. We dive into degenerative vs traumatic tears, operative versus non-operative management, what patients want to improve their care, a call to action for healthcare practitioners, and much more. Watch the full episode: https://youtu.be/mR8vhn5MHW0 Episode Resources: Fahy, 2025 Kathryn's Twitter --- Follow Us: YouTube: https://www.youtube.com/e3rehab Instagram: https://www.instagram.com/e3rehab/ Twitter: https://twitter.com/E3Rehab --- Rehab & Performance Programs: https://store.e3rehab.com/ Newsletter: https://e3rehab.ck.page/19eae53ac1 Coaching & Consultations: https://e3rehab.com/coaching/ Mentoring: https://e3rehab.com/mentorship-intake-form/ Articles: https://e3rehab.com/articles/ --- Podcast Sponsors: The Science PT: Get 5% off all online courses using “E3podcast” at checkout! - https://thesciencept.com/courses/online-courses/ Vivo Barefoot: Get 15% off all shoes! - https://www.vivobarefoot.com/e3rehab --- @dr.surdykapt @tony.comella @dr.nicolept @chrishughen @nateh_24 --- This episode was produced by Kody Hughes
How careful do the Royals need to be with Cole Ragans? The Injury Expert Will Carroll joined the Big Show on Tuesday to talk about the health of the Cardinals and Royals, Shohei Ohtani's return to pitching, and the Cardinals' connection to the Rafael Devers trade.
Send us a textIf you think joint pain is just part of getting older… think again. In this episode, I sit down with Jeff Bailey - founder of Avita Yoga and author of the upcoming book Mobility for Life: Healthy Joints, Strong Bones, and a Peaceful Mind - to talk about a radically different approach to joint health, healing, and pain relief after 50. After a devastating ski accident at 50 left Jeff with a wrecked hip and grim medical predictions, Jeff turned his pain into purpose by developing a practice that helps restore mobility and joint function - without surgery, without extreme stretching, and without feeling like a pretzel in spandex. We cover everything from why stretching isn't the answer, to how compression actually heals your joints, to what you should be doing right now to bulletproof your hips, shoulders, knees, and spine for the long haul. Whether you're dealing with joint pain, facing a possible replacement, or just want to stay strong, mobile, and independent for decades to come - this one's for you.
We get lots of questions from our patients and our listeners each week. And they're great questions, so rather than responding individually we thought we'd do these mini episodes where highlight some of the best questions and our responses, with some literature to back it up.Before we jump into our discussion today, we want to quickly update you on something very exciting that is coming up in July. And if you follow us on social media, you probably already know what we are about to say. We will be hosting our podcast series live again for a third year at the AOSSM Annual Meeting in Nashville. We will be doing several live shows per day from within the Field House on Thursday July 10 th and Friday July 11 th. We have some awesome guests lined up so make sure you're following our socials to see our schedule that will be dropping soon!Alright, back to our discussion. Let's start today with a question from a patient: “Should I Have PRP for My Partial Rotator Cuff Tear?"
The best management of irreparable rotator cuff tears remains uncertain, with multiple new techniques introduced over the past 2 decades. Two options for treatment are arthroscopic debridement and biceps tenotomy, or the subacromial balloon spacer. Early trial results favored the former option, but the 2-year results have not yet been reported. In conclusion, participants continued to show better results in the debridement-only group compared with the group who had debridement with the InSpace balloon. Therefore, we do not recommend the subacromial balloon spacer for the treatment of irreparable rotator cuff tears. Click here to read the article.
Chapters 00:00 Introduction to Performance Coaching and Jumper's Knee 02:59 Understanding Jumper's Knee: Personal Experiences and Misconceptions 05:53 The Evolution of Training Approaches for Jumper's Knee 08:52 The Importance of Quad Strength in Recovery 11:50 Deceleration and Its Impact on Jumper's Knee 15:10 Plyometric Progressions and Their Role in Recovery 17:57 Exploring Exercise Techniques: What Works and What Doesn't 21:02 The Role of Eccentric Loading in Tendon Health 24:09 Debunking Myths: The Truth About Leg Extensions 27:13 Conclusion: Key Takeaways and Future Directions 38:30 Exploring Effective Leg Exercises 41:34 Understanding Knee Pain and Rehabilitation 46:25 The Role of Isometrics in Knee Recovery 51:30 Addressing Patellar Tendon Issues 54:20 Navigating Athletic Pain and Recovery 01:06:30 Injury Management: Achilles and Rotator Cuff 01:14:23 Conclusion and Future Directions Takeaways Tim Riley is a performance coach working with various athletes. Jumper's knee is often misunderstood and mismanaged. Rest and ice were traditionally recommended for jumper's knee, but this approach is outdated. Quad strength is crucial for recovery from jumper's knee. Deceleration is a significant factor in developing jumper's knee. Plyometric progressions must be approached carefully to avoid aggravating knee pain. Not all exercises are effective for everyone; individual responses vary. Eccentric loading is essential for tendon health and recovery. Leg extensions can be beneficial but may not work for everyone. There is no magical exercise for knee pain; a comprehensive approach is necessary. Sissy squats can be more effective than leg extensions. Eccentric loading is crucial for knee rehabilitation. Isometric exercises can help with jumper's knee recovery. Athletes often need to reduce sport-specific activities to heal. Pain management requires honest conversations with athletes. Frequency of training can impact recovery from knee injuries. Achilles injuries require careful management and progression. Partial tears in tendons can be challenging to rehabilitate. Cultural attitudes towards pain vary among athletes. Consistency in rehabilitation exercises leads to better outcomes. Tim's Website: https://www.timrileytraining.com Tim's Instagram: https://www.instagram.com/timrileytraining/?hl=en Coach Em Up Instagram: https://www.instagram.com/coachemuppodcast/?hl=en Notes: https://jackedathlete.com/podcast-144-patellar-tendons-with-tim-riley/
In this episode, I examine the complexities of the rotator cuff, challenging some common myths and stressing a holistic approach to shoulder health. Based on over 30 years' experience, I explain how shoulder pain often comes from compensatory patterns instead of just isolated muscle weakness. I touch upon the need to look at whole-body movement and how the nervous system plays a role in pain and coordination. Plus, I share details about an upcoming workshop designed to help both professionals and individuals enhance their movement patterns and ease shoulder pain
The supraspinatus is one of the four muscles that make up the rotator cuff, originating from the supraspinous fossa of the scapula and inserting onto the greater tubercle of the humerus. Its primary function is to initiate shoulder abduction and contribute to dynamic stability of the glenohumeral joint, particularly by resisting excessive superior translation of the humeral head. Due to its position and role, the supraspinatus is highly susceptible to mechanical compression beneath the acromion, especially in individuals with poor scapular control or altered rotator cuff coordination. Research suggests that supraspinatus tendinopathy and tears are among the most common sources of rotator cuff-related pain, particularly in overhead athletes and older adults. However, not all supraspinatus pathology is symptomatic, emphasizing the importance of assessing strength, movement patterns, and pain reproduction rather than relying solely on imaging findings when determining clinical relevance. Several studies have shown that rotator cuff tears can be observed on MRI when testing people who are asymptomatic (pain-free), which means they may simply be a normal age-related change. However, if you have pain and limited shoulder function and have evidence of a rotator cuff tear or tendinopathy on imaging, then your symptoms and the image may be correlated. Here is one study you might like to read if you want to learn more about this research. When treating supraspinatus tendon tears and tendinopathy, physical therapists focus on pain management, restoring shoulder function, and strengthening the rotator cuff and scapular stabilizers. Early rehab emphasizes activity modification, isometric exercises, and gentle mobility work to reduce pain and maintain range of motion. Scapular control exercises help optimize shoulder mechanics, while posterior capsule stretching may be included if tightness contributes to impingement. As symptoms improve, progressive strengthening of the rotator cuff, particularly in external rotation and abduction, helps restore tendon resilience and function. In later rehab stages, eccentric loading, plyometric drills, and functional training are introduced to improve tendon capacity and dynamic stability, especially for individuals returning to overhead activities. Education on load management, proper movement mechanics, and long-term maintenance exercises is essential to prevent recurrence. While partial tears and tendinopathy often respond well to conservative care, full-thickness tears may require surgical consideration, followed by a structured rehabilitation program. Here is a video from my YouTube channel that covers a few exercises that often help people suffering from supraspinatus pain and dysfunction. I hope the tips in this podcast were helpful and you feel better equipped to treat supraspinatus issues! Besides the YouTube video I linked in this episode, my book contains comprehensive programs for the 50 most common orthopedic conditions, including rotator cuff injuries. The programs are broken into three phases and include exercises that can be used to help prevent injuries as well as help you recover from an injury. If you want to learn more about my book, visit my website or click the Amazon link. Thanks for reading and I hope you have a great day! Dr. Tom
Chapters 00:00 Introduction to Rotator Cuff Tendinopathy 03:13 Understanding Shoulder Pain and Its Complexities 06:04 The Shift from Impingement to Rotator Cuff Related Pain 09:00 The Role of Imaging in Shoulder Pain Diagnosis 11:58 Common Mismanagement in Shoulder Pain Treatment 15:10 Loading Programs for Rotator Cuff Rehabilitation 18:04 Positional vs. Energy Storage Tendons 20:59 The Nature of Rotator Cuff Tears 24:07 The Tipping Point to Pain in Rotator Cuff Pathology 32:53 Understanding Rotator Cuff Tears 39:26 The Role of Exercise in Recovery 46:47 Pain Management and Rehabilitation Strategies 55:19 Exploring the Mechanisms of Tendon Pain 01:00:18 The Importance of Tendon Stiffness Takeaways Rotator cuff related shoulder pain accounts for 70-80% of shoulder pain presentations. Pain is complex and multifactorial, making diagnosis challenging. The traditional impingement model is being challenged in favor of a broader understanding of shoulder pain. Imaging often does not influence management decisions for rotator cuff issues. Corticosteroid injections provide only short-term relief and can have negative effects on tendon quality. Exercise-based management is crucial for effective rehabilitation of shoulder pain. The rotator cuff tendons are positional and strain less than energy storage tendons. Rotator cuff tears are common and can exist without pain or dysfunction. Age is the biggest risk factor for developing rotator cuff pathology. Understanding the tipping point to pain is essential for effective treatment. Rotator cuff tears are often associated with poor vascular supply and degeneration over time. Metabolic factors like diabetes and smoking can increase the risk of rotator cuff tears. Exercise can be as effective as surgery for massive rotator cuff tears. Expectations of recovery significantly influence rehabilitation outcomes. Education about the commonality of tendon tears can help reduce patient anxiety. Pain during exercise can be tolerated up to a certain level without adverse effects. Sleeping positions can impact shoulder pain and should be modified accordingly. Adjunct treatments like shockwave therapy and corticosteroids have limited long-term benefits. Tendon stiffness is important for efficient force transfer, but its role in pain management is still being studied. Understanding the psychological aspects of pain can enhance recovery from tendon injuries. Website: https://www.shoulderphysio.com Twitter: https://x.com/JaredPowell12 Instagram: https://www.instagram.com/shoulder_physio/?hl=en Notes: https://jackedathlete.com/podcast-140-rotator-cuff-tendons-with-jared-powell/
In this episode, we dive into rotator cuff tendinopathy—a common but often misunderstood condition. Topics covered include:The role of the rotator cuff and why it mattersWho is most at risk for rotator cuff tendinopathyHow to assess and diagnose it accuratelyThe best evidence-based treatment approachesWhy imaging doesn't always tell the whole storyThis episode is designed for physical therapists and PT students looking to refine their clinical reasoning and treatment strategies.Support the showWhy PT Snacks Podcast?This podcast is your go-to for bite-sized, practical info designed for busy, overwhelmed Physical Therapists and students who want to build confidence in their foundational knowledge without sacrificing life's other priorities. Stay Connected! Never miss an episode—hit follow now! Got questions? Email me at ptsnackspodcast@gmail.com or leave feedback HERE. Join the email list HERE On Instagram? Find unique content at @dr.kasey.hankins! Need CEUs Fast?Time and resources short? Medbridge has you covered: Get over $100 off a subscription with code PTSNACKSPODCAST: Medbridge Students: Save $75 off a student subscription with code PTSNACKSPODCASTSTUDENT—a full year of unlimited access for less!(These are affiliate links, but I only recommend Medbridge because it's genuinely valuable.) Optimize Your Patient Care with Tindeq Looking for a reliable dynamometer to enhance your clinical measurements? Tindeq ...
In this episode of Six to Eight Weeks, Dr. Drew Lansdown and Dr. Brian Feeley break down what's new in rotator cuff repair surgery. From surgical technique to regenerative medicine, tendon transfers to reverse shoulder replacements, this is a comprehensive look at what we know, what we've learned, and where the field is going
Chapters 00:00 Introduction to Byron Miller and His Journey 03:07 Understanding Tendinopathy and Its Evolution 05:51 The Shift from Traditional Views to Modern Understanding 08:53 Personal Experiences with Tendinopathy 11:50 The Role of Loading in Tendon Rehabilitation 14:59 Practical Approaches to Tendon Treatment 18:09 The Importance of Patient Education and Lifestyle Adjustments 30:55 Optimizing Recovery and Load Management 33:53 Rehabilitation Insights for Rotator Cuff Injuries 37:44 The Importance of Loading in Shoulder Rehabilitation 41:38 Understanding Rotator Cuff Functionality 46:14 Addressing Common Shoulder Pathologies 51:46 The Role of Strength and Function in Shoulder Health 56:14 Navigating Treatment Options for Shoulder Pain Takeaways Byron Miller specializes in tendinopathy and has a passion for research. His journey into physical therapy began after a change from pursuing medicine. The understanding of tendinopathy has evolved significantly over the years. Loading strategies are crucial in the rehabilitation of tendons. Patient education is essential for effective treatment and management. Miller emphasizes the importance of simplifying rehabilitation exercises. He shares personal experiences with various tendon injuries. The role of lifestyle factors in tendon health is significant. Miller advocates for a tailored approach to each patient's needs. Understanding the difference between tolerance and capacity in tendon treatment is key. Recovery requires minimizing compressive load during rehabilitation. Step count and stride length can impact gluteal muscle health. Loading is crucial for effective shoulder rehabilitation. Single exercises can be more effective than multiple in rehab. Rotator cuff injuries often relate to tendinopathy. Education coupled with exercise enhances rehabilitation outcomes. Shoulder pain can stem from both compressive and tensile loading. Strengthening the shoulder complex is vital for overall function. Psychological factors play a significant role in shoulder pain management. Maintaining activity levels is important to prevent underloading. Website: https://www.tendonrx.com Instagram: https://www.instagram.com/tendonrx/ Notes: https://jackedathlete.com/podcast-136-glute-med-and-rotator-cuff-tendons-with-byron-miller/
Ortho Eval Pal: Optimizing Orthopedic Evaluations and Management Skills
Send us a textIn today's episode I discuss...-Who is at highest risk of RCT's-Clinical Exam vs MRI-Pain vs function-Advice we might give patients trying to decide if surgery is appropriate and so much more!
This week Joe welcomes Dean Somerset to the show. Dean is a Personal Trainer from Edmonton, Alberta Canada with over 2 decades of experience working with a wide variety of clients on a host of different goals. These goals include injury/post-surgical recovery, athletic performance, weight loss, or just enjoying their time in the gym. Dean has also written for major publications like Men's Health, Women's Health, T-Nation.com, Bodybuilding.com, and a slew of other websites and print media. On today's podcast you'll hear Dean speak on a number of different topics. Highlights include: 1) What does Dean attribute his longevity in the fitness industry to? 2) Does Dean believe "bad exercises" exist? 3) When you're in pain, how do you know if you should train through it, around it, or rest? 4) Tried & True advice for dealing with "The Big 3": Low back pain, Shoulder pain and/or Knee pain 5) Overrated/Underrated: Knees Over Toes Training; Static Stretching; Training the Rotator Cuff in Isolation; Barbell Movements for the Over 40 Lifter; Speed Training for the Over 40 Lifter 6) The TRUTH about dealing with asymmetries...and Much MORE! *For a full list of Show Notes + Timestamps goto www.IndustrialStrengthShow.com. IMPORTANT LINKS Rock Solid Resilience by Dean Somerset & Dan Pope Dean's Instagram CPPS certification Iron Business Blueprint Manukora Honey
Clinicians appreciate the value of a trustworthy clinical practice guideline for helping guide decisions in practice. Professor François Desmeules (University of Montréal) led an international team of shoulder experts who synthesised the latest evidence on diagnosing and non-surgically managing rotator cuff tendinopathy. Today he shares the headlines of the CPG and explains how the guideline group made sense of all the evidence to come up with recommendations for assessment, diagnosis, treatment and prognosis, including return to sport. ------------------------------ RESOURCES Rotator cuff tendinopathy diagnosis, non-surgical medical care and rehabilitation CPG: https://www.jospt.org/doi/10.2519/jospt.2025.13182
Travasia is 4 weeks post-supraspinatus repair. She reports mild soreness but no significant pain. Examination reveals limited passive shoulder elevation beyond 90° due to stiffness and marked restriction in active range of motion. Which intervention is MOST appropriate at this stage? A) Resisted external rotation with a resistance band B) Active-assisted range of motion for shoulder flexion C) Pendulum exercises for shoulder mobility D) Isometric strengthening of the supraspinatus TEXT OUR TEAM: (727) 732-4573
Welcome to Season 2 of the Orthobullets Podcast. Today's show is Coinflips, where expert speakers discuss grey zone decisions in orthopedic surgery. This episode will feature doctors Raffy Mirzayan, Augustus Mazzocca, Shariff K. Bishai, and Stephen Brockmeier. They will discuss the case titled "Large Rotator Cuff Tear in 71M." Today's episode will be sponsored by the Shoulder360™ Comprehensive Shoulder Course 2025, taking place Apr 03 - Apr 05th, 2025 in Miami Beach, FL. Follow Orthobullets on Social Media: Facebook Instagram Twitter Link
Welcome to Season 2 of the Orthobullets Podcast. Today's show is Foundations, where we review foundational knowledge for frontline MSK providers such as junior orthopaedic residents, ER physicians, and primary care providers. This episode will cover the topic of Rotator Cuff Tears, from our Shoulder & Elbow section at Orthobullets.com. Follow Orthobullets on Social Media: Facebook Instagram Twitter LinkedIn YouTube
About the Guest(s): Dr. Chad Woolner is a chiropractor and the host of the Laser Light Show podcast. He has dedicated his career to exploring and optimizing advanced therapeutic approaches, such as low-level laser therapy. He is passionate about sharing clinically tested protocols and insights from his own chiropractic practice to help other healthcare professionals achieve better results for their patients. Dr. Andrew Wells is an esteemed chiropractic doctor with expertise in low-level laser therapy and rehabilitation. Known for his innovative approaches in chiropractic care, Dr. Wells joins Dr. Woolner in providing listeners with practical, science-backed protocols for a variety of musculoskeletal issues. His insights make complex medical concepts understandable and applicable for practitioners seeking to enhance patient outcomes. Episode Summary: Welcome back to the Laser Light Show with Dr. Chad Woolner and Dr. Andrew Wells. In today's episode, the duo discusses effective protocols for managing shoulder pain using low-level laser therapy. This conversation is part of an ongoing series focused on therapeutic protocols straight from their clinical practice. It offers keen insights into handling complex shoulder problems and the impact of advanced therapeutic techniques. Shoulder issues, common yet often complex, are dissected through the lens of low-level laser therapy in this episode. Dr. Woolner and Dr. Wells unpack the nuances of shoulder anatomy and pathology, emphasizing how chronic pain conditions can be alleviated with the right clinical approaches. They discuss how integrating low-level lasers improves results, addressing pain and inflammation while enhancing recovery and stability. The episode also covers treatment frequencies, recommending personalized care plans to ensure optimal outcomes for mild to severe conditions. Keywords such as "shoulder pain management," "laser therapy protocols," and "chiropractic care for shoulder issues" are woven into the conversation to guide practitioners through the multifaceted processes of noninvasive therapy application. To augment results, the hosts discuss how biomechanical and postural assessments align with laser therapy to address and correct musculoskeletal imbalances. Dr. Woolner provides a detailed explanation of shoulder rehabilitation techniques, pinpointing the importance of combining passive and active modalities like chiropractic adjustments, soft tissue work, and core stabilizing exercises. Dr. Woolner highlights the dysfunctions that contribute to shoulder pain and underscores the effect of muscle imbalances and how strategic rehabilitation can lead to effective outcomes. This episode offers a treasure trove of actionable insights and practical strategies designed to empower practitioners with the tools to restore shoulder function, improve patient care, and reduce the need for surgical interventions. Key Takeaways: Implementing low-level laser therapy in shoulder pain management results in significantly improved patient outcomes, especially in cases with chronic conditions. Understanding shoulder anatomy and the intricate nature of shoulder pathology is crucial for designing effective rehabilitation protocols. Clinicians can enhance treatment efficacy by integrating chiropractic care, laser therapy, nutritional support, and tailored exercise regimens. Addressing biomechanical and postural challenges associated with shoulder pain involves corrective measures like Chiropractic Adjustments and muscle reactivation. Effective rehabilitation protocols often require a combination of traditional and innovative approaches, geared towards alleviating movement dysfunctions and restoring balance. Notable Quotes: "Our ability to deliver even better results and measurable results to patients with shoulder issues has significantly increased since adding low-level laser therapy." – Dr. Chad Woolner "The cool thing about lasers is it kind of levels the playing field because lasers do so much to help rehabilitate and stabilize shoulder issues." – Dr. Andrew Wells "Clinically, it's going to take a little bit of time for us to be able to help get the issue resolved." – Dr. Chad Woolner "There are common maladaptive movement patterns we see with shoulder issues that can help predictably guide our treatment plans." – Dr. Chad Woolner "We want to address postural imbalances, and we want to address areas of the cervical and thoracic spine which get involved in these shoulder problems." – Dr. Chad Woolner Resources: While the episode does not specifically mention external resources or links, Dr. Chad Woolner's clinic and podcast can be resources for further learning about effective laser therapy protocols. Encourage your audience to delve deeper by listening to the full episode. Stay tuned to the Laser Light Show podcast for more enriching discussions aimed at enhancing chiropractic care and treatment techniques with unparalleled insights and expert advice.
Welcome to Season 2 of the Orthobullets Podcast. Today's show is Coinflips, where expert speakers discuss greyzone decisions in orthopedic surgery. This episode will feature doctors Derek Cuff, Kevin Bonner, Kevin Bonner & Jonathan Levy. They will discuss the case titled "Massive Rotator Cuff Tear in 62M Electrician ." Today's episode will be sponsored by the 31st Annual Tampa Shoulder Course: Arthroplasty & Sports, taking place Feb 27 - Mar 01 2025 in Tampa, FL. Follow Orthobullets on Social Media: Facebook Instagram Twitter Link
In this episode, we review the high-yield topic of Rotator Cuff Injury from the Orthopedics section at Medbullets.com Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets Linkedin: https://www.linkedin.com/company/medbullets
Welcome to Season 2 of the Orthobullets Podcast. This episode will feature doctors Robert Gillespie, Paul Sethi, Vani Sabesan, Brian Waterman. They will discuss the case titled Acute on Chronic Massive Rotator Cuff Tear in 62M. Today's episode will be sponsored by the 2024 Critical Concepts in Shoulder & Elbow Surgery Course, taking place November 14th - 16th in Las Vegas, NV. Follow Orthobullets on Social Media: Facebook Instagram Twitter LinkedIn YouTube
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