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Summer is here - we enter the long days and sultry nights with the garden looking glorious - but always looking to the horizon for a little bit of rain to keep things looking green and lush. Herbaceous borders are set to maximum colour, vegetable beds seem to multiply in growth weekly and the gardener's tan is ever present. So enjoy the long summer days, take some time to appreciate time in your garden and join the Talking Heads pair as they continue to look after their planty spaces, as well as enjoying their gardens at home.We give a long overdue shoutout to our wonderful listeners in this episode - and in doing so discuss raptors, buddleja aphids, petrichor (Lucy is NOT jealous...), chilli peppers, fuchsia gall mites and tropical tree selection in a Lancashire garden - in doing so we inadvertently fill the whole 30 minutes when we actually had planned to also discuss summer gardening 'funk' (which we have now moved to next weeks episode). If this isn't evidence that this podcasting duo are the king and queen of hortiwaffle, I don't know what is!Instagram links:Lucy lucychamberlaingardensSaul plantsmansaulIntro and Outro music from https://filmmusic.io"Fireflies and Stardust" by Kevin MacLeod (https://incompetech.com)License: CC BY (http://creativecommons.org/licenses/by/4.0/)Support the show
[00:00] Introduction — what's new in rotator cuff research [00:39] Breaking down the new JAMA Internal Medicine paper: a Finnish population-based study of 600+ patients (ages 40–75) who received bilateral shoulder MRIs [01:00] Key finding: imaging findings were nearly identical between asymptomatic (96%) and symptomatic (98%) patients; full-thickness tears were the only finding more common in symptomatic patients (14% vs. 6%), and even that difference lost statistical significance after adjustment [01:32] What it means: most rotator cuff MRI findings are normal, age-related changes — and MRI may be overused when the clinical diagnosis is already clear [02:22] The "hair loss" analogy: a tear is often a normal part of aging, not automatically something that needs fixing [02:55] The "50-to-60-year-old house inspection" analogy for interpreting an MRI report [03:41] Can you just watch a rotator cuff tear? Reviewing natural history data out of Washington University (Yamaguchi, Keener) [04:02] Partial-thickness tears: roughly one-third progress over 5–7 years. Full-thickness tears: roughly half progress over 5 years [04:50] Bottom line: if a patient is asymptomatic and fully functional, there is no indication to intervene — annual reassessment is reasonable [05:27] Physical therapy as first-line treatment — does it actually work, and how? [05:47] The mechanism: rotator cuff strengthening counterbalances the deltoid, maintaining subacromial space during overhead motion [07:21] PT success rates by diagnosis: ~70% for full-thickness tears, ~95% for impingement/tendinopathy and partial-thickness tears [07:55] When is surgery the right answer? Distinguishing acute traumatic tears from degenerative tears [08:10] Acute traumatic tears (e.g., a fall) are generally treated surgically [08:26] Degenerative tears that fail 6–12 weeks of non-operative management are reasonable surgical candidates [08:53] Tear location matters — tears involving the "rotator cuff cable" carry more biomechanical load and may be more likely to fail non-operative treatment [09:07] Timing is rarely urgent — most degenerative tears can be addressed within 6 months to a year without changing outcomes [10:22] Acute traumatic tears in younger, active patients: counsel surgery within 2–3 months; short delays (including during COVID) didn't appear to change outcomes [10:59] Injections: is a steroid shot still a good first option? [11:15] How corticosteroid injections work — and why they're different from narcotics (reducing inflammation vs. masking the pain signal) [13:05] General guidance: one or two injections is reasonable; by the third without improvement, it's time to discuss surgery [14:00] The data linking 5+ injections to higher retear rates — and why confounding by sicker, more chronic patient populations makes this hard to interpret cleanly [15:15] PRP (platelet-rich plasma): does it actually work for the rotator cuff? [16:11] Referencing this month's American Journal of Sports Medicine review — PRP shows mixed, short-term pain relief for impingement and partial-thickness tears, roughly comparable to physical therapy [16:52] The cost consideration: PRP is cash-pay, often $3,000–$4,000, for benefits similar to physical therapy alone [17:48] Deciding on surgery: introducing the Rotator Cuff Healing Index (age, tear size, muscle quality, bone quality, and shoulder demand) as a clinical decision tool [19:22] Why not just jump straight to a reverse total shoulder replacement for everyone with a good repair success rate? [19:57] Repair vs. reverse: repair typically preserves better strength and function for younger, active patients; reverse offers excellent pain relief but carries bigger stakes if complications (dislocation, infection) occur [21:37] The mystery of imaging that shows a tendon hasn't fully healed — yet the patient feels great and the shoulder functions well [23:23] Tendon transfers as an option for irreparable tears in younger, active patients without arthritis [23:50] The lower trapezius transfer explained — how it works and its ~80% success rate [24:53] Wrap-up and where to subscribe Key Takeaways • A positive MRI finding does not automatically mean a rotator cuff tear needs to be fixed — most changes seen on imaging are normal, age-related findings, and imaging findings are similar in symptomatic and asymptomatic patients. • Natural history data suggests roughly one-third of partial-thickness tears and about half of full-thickness tears will progress over 5–7 years — most do not need urgent intervention. • Physical therapy — specifically targeted rotator cuff strengthening — is genuinely effective, not just a placeholder step, with especially strong success rates for impingement and partial-thickness tears. • Surgical timing is rarely an emergency for degenerative tears; acute traumatic tears in younger patients warrant a shorter window (2–3 months). • Corticosteroid injections are safe and effective for short-term relief when used judiciously (generally one to two); repeated injections (5+) are associated with higher retear rates, though this is confounded by patient population. • PRP is safe but not regenerative for the rotator cuff — its benefit is comparable to physical therapy, at a meaningfully higher out-of-pocket cost. • The Rotator Cuff Healing Index can help predict repair success and guide the choice between repair and reverse total shoulder replacement, particularly in older patients. • Lower trapezius tendon transfer is a strong option for younger, active patients with irreparable tears and no arthritis, with roughly 80% success in appropriately selected patients. 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James is left to run the PodJeff has some... very unusual answers to a listener question What happens when you scan over a 1000 shoulders in a health adult population?Does this redefine what a normal shoulder is? And how normal is a rotator cuff tear?Incidental Rotator Cuff Abnormalities on MRIIbounig et al 2026
Send us Fan MailNot all rotator cuff tears are the same, and understanding why can completely change how you set expectations and build a plan with your patients. In this episode, we break down tendon anatomy and physiology, the different ways rotator cuff tears develop (degenerative vs. traumatic), the difference between partial- and full-thickness tears, and the factors that influence healing and prognosis for both conservative and surgical patients.In this episode you'll learn:What a tendon actually is and why its structure (and blood supply) matters for healingThe difference between degenerative and traumatic rotator cuff tearsRisk factors that make someone more likely to develop a tearArticular-side vs. bursal-side partial thickness tears — and why bursal tears tend to hurt moreWhat "massive" and "irreparable" tears mean, and how outcomes differPredictors of good outcomes with conservative care (hint: baseline ROM and strength matter)A quick look at steroid injections vs. PRP for rotator cuff tearsTest yourself:What is a tendon's main job, and what structures help it do that job?What are the main categories of rotator cuff tears?What are the two types of partial thickness tears, and how do they differ?What factors affect healing after a rotator cuff tear — for both conservative and surgical patients?
Shoulder pain is one of the most common musculoskeletal complaints, especially as we age, yet many people don’t fully understand what’s driving it. In this episode, Dr Shami sits down with Steffan Cavalera to break down rotator cuff pathology in a way that is clear, practical, and empowering. From why it develops to what actually works for recovery, this episode will help you rethink how you approach shoulder pain Disclaimer: The content in the podcast is not intended to constitute or be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your health care provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have heard on the podcast. Useful links: www.mintclinic.com.auSee omnystudio.com/listener for privacy information.
Listen to our latest podcast as Dr Brian Feeley and Dr Nirav Pandya breakdown the decision making that goes into treating ACL tear, meniscus injuries, and rotator cuff pathology in our latest podcast.
The FIMAGE study scanned both shoulders of 602 adults from the general population using high-resolution 3-Tesla MRI. Only 7 had a structurally normal rotator cuff. In this episode, I walk through what the study found, why 78% of full-thickness tears were in people with no shoulder pain, and what happens to the diagnostic value of a scan when the finding it detects is near-universal. I challenge the assumption that prevalence equals normality, explore why the word "tear" imports a trauma narrative into what is usually a degenerative process, and make the case that imaging findings deserve a smaller seat at the clinical reasoning table than we've historically given them. Key resources Ibounig T et al. Incidental Rotator Cuff Abnormalities on Magnetic Resonance Imaging. JAMA Intern Med. 2026 Apr 1;186(4):406-414. doi: 10.1001/jamainternmed.2025.7903. PMID: 41697693; PMCID: PMC12910452. Englund M et al. Incidental meniscal findings on knee MRI in middle-aged and elderly persons. N Engl J Med. 2008 Sep 11;359(11):1108-15. doi: 10.1056/NEJMoa0800777. PMID: 18784100; PMCID: PMC2897006. Jensen MC et al. Magnetic resonance imaging of the lumbar spine in people without back pain. N Engl J Med. 1994 Jul 14;331(2):69-73. doi: 10.1056/NEJM199407143310201. PMID: 8208267. Register for the complete shoulder online course Register for my Brisbane workshop Connect with Jared and guests: Jared on Instagram: @shoulder_physio Jared on X: @jaredpowell12 See our Disclaimer here: The Shoulder Physio - Disclaimer
Rotator cuff (RC) tears are among the most common causes of shoulder dysfunction in sports medicine. Muscle atrophy and degeneration are important risk factors for RC tendon retearing and suboptimal recovery of shoulder function after tendon repair. Although blood flow restriction (BFR) can stimulate muscle regeneration after lower extremity trauma and anterior cruciate ligament reconstruction, the mechanisms that underlie BFR remain unknown, and its application to RC tears has not yet been explored. In conclusion, BFR significantly improves muscle quality and shoulder function after RC injury. These effects occur alongside increased mitochondrial transfer from FAPs to myocytes. Click here to read the article.
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
The correct treatment for rotator cuff tears remains a matter of debate. The varying characteristics of cuff tears – symptomatic versus asymptomatic, tear size, tendon quality, the presence of fatty atrophy, etc. – makes generalizations about the best treatment approach difficult. One thing shoulder specialists agree on is that tear enlargement is problematic. A cuff tear that enlarges may turn a once fixable tear into an unfixable one. Predicting which tears will enlarge and the rate at which they will is not an exact science. We welcome Dr. James Irrgang, PT, PhD, FAPTA & Dr. Luke Mattar, PhD from the University of Pittsburgh to discuss their study looking at tear propagation trends in patients with a symptomatic, isolated supraspinatus tears after 3 month of an initial trial of physical therapy.
Dr. Mike Maddaleni reviews the No. 2 article of 2024, titled “Subacromial Injection of Platelet-Rich Plasma Provides Greater Improvement in Pain and Functional Outcomes Compared to Corticosteroids at 1-Year Follow-Up: A Double-Blinded Randomized Controlled Trial,” which was originally published in the Journal of Shoulder and Elbow Surgery in December 2024. Dr. Jeremy Schroeder serves as the series host. Dr. Maddaleni 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. Subacromial Injection of Platelet-Rich Plasma Provides Greater Improvement in Pain and Functional Outcomes Compared to Corticosteroids at 1-Year Follow-Up: A Double-Blinded Randomized Controlled Trial: https://www.jshoulderelbow.org/article/S1058-2746(24)00544-5/abstract
In this episode of The Made 2 Move Podcast, physical therapist Hannah Breal breaks down what a rotator cuff tear actually means - and why this diagnosis doesn't automatically require surgery or giving up lifting. Hannah explains how imaging can be misleading, why pain doesn't always equal damage, and how to approach shoulder rehab with the right balance of modification and progression. If you've been diagnosed with a rotator cuff tear and aren't sure what to do next, this episode will help you think clearly and move forward with confidence.
Welcome to The Real Brian Show, where curiosity meets multi-passionate exploration! In this episode, The Real Brian is flying solo and kicking things up a notch by bringing the show back to video for the first time in years. https://youtube.com/therealbrian While originally planned as a co-hosted episode, I dedicate this episode to The Flash, who recently suffered the loss of two beloved cats, Siber and Suma. GO CHECK OUT THE YOUTUBE VIDEO OF THIS EPISODE! So I've been seeing this growing trend of ditching streaming services in favor of owning physical media like CDs and DVDs! It's been fun to watch. So, naturally with my curiosity, I'm questioning whether this is a fleeting fad or the start of a long-term shift back to intentional, active media consumption. What are ye thoughts? Whatcha doing? Let TRB know your thoughts on physical versus digital media! Also, since I'm creeping in my car, amidst a fresh Colorado snowfall, I dive into the ongoing struggles with a rotator cuff injury and the journey through pain management. Fun times, but I'm seeking the proactive strengthening and pain management route, so SUCK IT PAIN! Chapters 00:00:00 BACK ON VIDEO!! 00:00:24 This episode is dedicated to The Flash after the loss of Siber and Suma 00:00:50 Creepin' in the car, recording an episode! And what The Real Brian Show is all about. 00:01:28 Rotator cuff tear and seeking proactive strength and pain management 00:05:12 The movement from digital media to physical media! Trend or long-term solution? 00:11:51 Supporting musicians directly Welcome to The Real Brian Show! Thanks for joining me! I am SO glad you're here! This is THE show for the multipassionate. We get to nerd out on all of the best things life has to offer! Buy Me a Coffee: https://www.buymeacoffee.com/iamtherealbrian Patreon: https://patreon.com/realbrianshow Music Spotify Playlists: TRBS 2026 Playlist on Spotify (https://open.spotify.com/playlist/0EprZvxDDnvRiExPyc0mEF?si=701914d867114060) TRB's GLORIOUSNESS (New Music) Playlist on Spotify (https://open.spotify.com/user/geechao/playlist/6qr3H7qrrlyMYROQhj3cGo?si=yQV1BJgqT8CZ5gFdvJwsOA) The Captain Influence Playlist on Spotify (https://open.spotify.com/playlist/49ppCbP5CFvEHE7shtNgSc?si=628An5g9R-uhwmYuSg0Utg) Subscribe to The Real Brian Show Apple: https://podcasts.apple.com/us/podcast/the-real-brian-show/id1160475222 Spotify: https://open.spotify.com/show/3UsRunmoQzHkrWbwmAjmLM?si=e76f534378ec4b8f YouTube: https://youtube.com/therealbrian Support The Real Brian Show Buy Me a Coffee: https://www.buymeacoffee.com/iamtherealbrian Patreon: https://patreon.com/realbrianshow AMAZON LINK: Any time you purchase something off of Amazon, please consider using the TRBS affiliate link: https://amzn.to/3OVl49o Affiliate links mean I earn a commission from qualifying purchases. This helps support the channel at no additional cost to you! Connect With TRB and The Show! Website: https://realbrianshow.com Facebook: https://www.facebook.com/iamtherealbrian/ TRBS Facebook Group: https://www.facebook.com/groups/realbrianshow/ Twitter/X: https://twitter.com/iamtherealbrian
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?
Healthline 3's Shannon Brinias sits down with Dr. Mark Callanan of Willis Knighton at Pierremont Orthopedics and Sports Medicine to field questions about rotator cuff injuries and specific surgeries that can help bring relief. Dr. Callanan is located at 7925 Youree Drive, Suite 200 in Shreveport.
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
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 […]
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/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
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.
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
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?"
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/
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/
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
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
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