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Why Rotator Cuff Tears Don't Always Need Surgery | Expert Physio Review
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- Opublikowany 23 mar 2023
- In this tutorial, using our 3D anatomy model to give an understanding of the rotator cuff anatomy and function, we then review the evidence to explain why why rotator cuff tears don't always need surgery.
*Mihata et al., 2019: journals.sagepub.com/doi/abs/...
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*The Rotator Cuff: Anatomy, Diagnosis, Rehab Webinar
*The Healing Process and How it Affects Rehab Webinar
*Shoulder Surgery Webinar
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Komentarze • 31
Hi Khalid, fab video!
I wanted to ask if there were any other considerations you would have for rotator cuff tears in the general public/elderly?
Does the indication for surgery come down to functional ability?
Should conservative management always be followed as first line treatments even for full thickness tears? If so, do we allow longer healing times for elderly + is the Anterior Shoulder Program a viable choice?
Love to hear your thoughts
Can you make us a video how we can treat supraspinatus tendon tear at home? I really appreciate what you're doing!
Thank you! Hope we can do so one day!
This video was great and its format, looking forward to more videos like this!
Thank you so much!
Thanks for the breakdown. Makes a lot of sense.
🙏🏼🙏🏼 you’re very welcome!
thank you! very informative video!
Thank you! Glad you enjoyed it!
Khaled, my favourite physiotherapy educator! 🙏🙏🙏
Thank you so much! Very pleased you enjoyed it!
Great vids! Keep it up! // Physio from Stockholm
Thank you so much!
Thank you so much!
why did they test abduction strength rather than testing external rotation in the study you mention at around 7.20 minutes?
That’s a good question which I can’t answer for you!
Better to teach anatomy classes .sir 👍
Thank you! We absolutely will!
Shouldr abduction strength seems like a strange choice of objective measure to use when this is not the primary movement of any of the rotator cuff muscles and also probably not the most valuable movement to a baseball player? Just my quick 2 cents for what it's worth. Still interesting results otherwise.
@thomas t682 😊😊🙏🏼🙏🏼
@Clinical Physio Thank you for your response. Enjoying your app for some brushing up on my respiratory knowledge!
Yes it’s an interesting thought compared to testing External and Internal Rotation more specifically… we know that , as you said whilst the rotator cuff does not create abduction primarily, the rotator cuff is active during the vast majority of, if not all, lifting movements of the shoulder … interesting point though 👍🏼
is there any research comparing surgery vs conservative though? this doesnt really seem to explain the difference
@calvin ingemi yes it’s absolutely fine to therapeutic exercises with or without pain. If someone didn’t have pain, they only this would be picked up would be via scan. In the mean time that athlete will still be in the gym doing their exercises showing that they would like be doing physio anyway
@Clinical Physio but assuming there’s no pain but evidence of a partial tear would that be significant enough to justify therapeutic exercises? I’d assume so but the phrasing made it sound like it’s only necessary if it causes pain. But if that’s the case wouldn’t that put the patient at risk of further injury? Any clarification would be appreciated. Thanks :)
So the key thing here is that it indicates that partial tears of the rotator cuff may not even create symptoms, which definitely highlights that patients don’t require surgery automatically when there is presence of a partial tear
why does it take u 9 min to explain smth? make shorter videos in my opinion
This is college level videos for free. If you don't like it you can always fast forward or change playback speed.
I just found your channel and have watched three videos so far. Great content. Thanks
A gamer, I presume?
Take a deep breath, relax.