The Exam for Shoulder Pain - Stanford Medicine 25

This video is brought to you by the Stanford Medicine 25 to teach you the common causes of shoulder pain and how to diagnose them by the physical exam.
The Stanford Medicine 25 program for bedside medicine at the Stanford School of Medicine aims to promote the culture of bedside medicine to make current and future clinicians and other healthcare provides better at the art of physical diagnosis and more confident at the bedside of their patients.
Visit us:
Website: stanfordmedicine25.stanford.edu/
Blog: stanfordmedicine25.stanford.ed...
Facebook: / stanfordmedicine25
Twitter: / stanfordmed25
Diagnoses covered in this video:
Rotator Cuff Pathology
Impingement Syndrome
Biceps Tendinopathy
Adhesive Capsulitis (Frozen Shoulder)
Acromioclavicular (AC) Joint Disease
Shoulder Instability
Labral Tears (SLAP Lesions)

Пікірлер: 674

  • @vegardbell
    @vegardbell2 жыл бұрын

    The ASMR is strong in this one...

  • @Scottishman50

    @Scottishman50

    2 жыл бұрын

    😆 lol

  • @MrGriff305

    @MrGriff305

    Жыл бұрын

    Does she give you tinglies? People are weird.

  • @vegardbell

    @vegardbell

    Жыл бұрын

    @@MrGriff305 weird because I'm not like you?

  • @MrGriff305

    @MrGriff305

    Жыл бұрын

    @@vegardbell No. Just weird.

  • @vegardbell

    @vegardbell

    Жыл бұрын

    @@MrGriff305 that's mature...

  • @RaySiow_MD
    @RaySiow_MD3 жыл бұрын

    0:57 Range of motion 4:12 Rotator cuff pathology 5:45 Bicep tendinopathy (long head) 6:18 Adhesive Capsulitis (Frozen Shoulder) 7:01 Acromioclavicular (AC) joint disease 8:44 Labral tears (SLAP lesions)

  • @vistulacooper6802

    @vistulacooper6802

    6 ай бұрын

    I HURT IN EVERYTHING SHE HAS SHOWN & DONE😢

  • @DrPeterVenkman383
    @DrPeterVenkman3838 ай бұрын

    Good to see Nick Cave taking his health and mobility seriously.. 👍

  • @karockgrok

    @karockgrok

    Ай бұрын

    HA! I thought Morgan Krantz was doing a cameo.

  • @AL-jo2vp

    @AL-jo2vp

    Ай бұрын

    Got rid of that red right hand

  • @interludo
    @interludo4 жыл бұрын

    Gold medal for informative content, clarity, communication, presentation. thank you.

  • @milljh711

    @milljh711

    2 жыл бұрын

    And concise!

  • @MaxSachs
    @MaxSachs3 жыл бұрын

    These tests made me realize I need to see a physiotherapist immediately, tenderness and pain during at least half of the tests. Thanks for posting!

  • @scotthowieson1191

    @scotthowieson1191

    2 жыл бұрын

    Follow up time, did the Physiotherapist find anything 😁

  • @MaxSachs

    @MaxSachs

    2 жыл бұрын

    @@scotthowieson1191 Good evening! Yes indeed sir they did. Evidence of torn ligaments throughout the trapezius, old fractures in both hand bones (x-ray), my right leg was 1/4" shorter than the left, lower back pain cause by weakened abdominal muscles. I didn't realize how torn up I've been, still am actually, currently nursing yet another swollen lower back muscle. Was instructed to see massage therapist in addition to some unusual but effective exercises to be done daily. I see a massage therapist every 3 weeks now. The worst was when the therapist asked me to resist his ONE arm with both my legs and my legs lost! He just casually subdued them didn't even feel like he was trying, said my abdominals had "turned off" and my lower back was doing most of the work. A bunch of other technical notes but following the exercises put me in a far less painful state.

  • @adpeter5082

    @adpeter5082

    2 жыл бұрын

    @@MaxSachs Geez man! That's harsh. Make sure you drink plenty of water and I hope you had a wonderful response.

  • @juanlopezexposito
    @juanlopezexposito11 ай бұрын

    This lady is very interesting. So serious.

  • @leah8613
    @leah86133 жыл бұрын

    This has put everything into context when practicing for my OSCEs. Thank you very much!

  • @elisahenriques1639
    @elisahenriques16395 жыл бұрын

    Great job! Thanks from Brazil

  • @kevp2856
    @kevp28562 жыл бұрын

    Beautiful and well spoken for a minute I forgot about my shoulder.

  • @tl4340

    @tl4340

    Жыл бұрын

    I love her accent. She could cuss someone out using language that would make a drunken sailor blanch, and she'd still sound like a stateman.

  • @EliHank
    @EliHank8 ай бұрын

    Absolutely beautiful Doctor. I'd be very anxious if I was that patient

  • @maricelbagnall3832
    @maricelbagnall38323 жыл бұрын

    I really appreciate your effort and comprehensive examination! It helps me a lot as a new medical practitioner here in US . More power and God speed! 😊

  • @blumoonification
    @blumoonification4 жыл бұрын

    Such a good concise educational video thanks!

  • @alexandrasundell5463
    @alexandrasundell54633 жыл бұрын

    Very informative, keep coming back to this video. Helps me in my clinical work in primary care:)

  • @sollazarus4496
    @sollazarus44963 жыл бұрын

    Thank you for this fantastic educational video!

  • @ulysse892
    @ulysse8922 жыл бұрын

    Mr Christopher, you have my respects ! Congratulations !

  • @angelbravo781
    @angelbravo7814 жыл бұрын

    Thank you Doctor!!.... Very helpful video 👍🏽

  • @danipl9529
    @danipl95293 жыл бұрын

    Thank you. You explain it very clearly👍🏻

  • @themulti-coloredcanary5795
    @themulti-coloredcanary57958 ай бұрын

    Thank you so much for this! This is exactly what I have been scouring the internet for.

  • @lettieyoung2791
    @lettieyoung27913 жыл бұрын

    Loved your total examination of the shoulder. Lots to learn and loved your demonstrations.

  • @leanncollier9948
    @leanncollier994828 күн бұрын

    This has helped me SO much in learning these different tests. I appreciate the anatomy pics, on-screen labels and the unhurried explainations! Studying for my PA summative exams.

  • @drankurdoshiorthopedicsurg3135
    @drankurdoshiorthopedicsurg31353 жыл бұрын

    Beautiful demonstrated Thank you

  • @Alexander-dt8sk
    @Alexander-dt8sk Жыл бұрын

    superb clinical examination! Thorough and thoughtful.

  • @luisaguilar5343
    @luisaguilar53434 жыл бұрын

    I've faced this man on the first level of every medieval rpg ever.

  • @k-asmr4248

    @k-asmr4248

    4 жыл бұрын

    So you're the cause of his shoulder pain...

  • @uvekolarz

    @uvekolarz

    3 жыл бұрын

    he was an adventurer like you, but then he took an arrow to the.. shoulder

  • @hadinataroslan

    @hadinataroslan

    3 жыл бұрын

    @@uvekolarz hahah damnit

  • @Iamav15

    @Iamav15

    3 жыл бұрын

    I think he’s a character in Dragon Age

  • @Lemonz1989

    @Lemonz1989

    3 жыл бұрын

    He’s definitely a part time actor in Skyrim.

  • @dogwink
    @dogwink6 ай бұрын

    The best video so far (saw about 5 of these) on diagnosing shoulder pain.

  • @harveygoldberg5730
    @harveygoldberg57304 жыл бұрын

    You are really good brilliant clinician. I should know I have suffered with rotator cuff for 30 years....no easy way forward.

  • @Mahadevan760
    @Mahadevan7603 жыл бұрын

    Brinda, your examination,was very comprehensive,and all including. Thank you,for your efforts

  • @BD091959
    @BD0919593 жыл бұрын

    Excellent!!! Presentation!

  • @user-cu2lr8eb2d
    @user-cu2lr8eb2d4 жыл бұрын

    Beautiful Teacher

  • @freecheese4143
    @freecheese41435 жыл бұрын

    By far the best video on the subject.

  • @abumahmoud9845
    @abumahmoud98458 ай бұрын

    Much appreciated your video because of its combination of demonstrations and words followed by images indicating the anatomy of concerned parts thanks a bunch

  • @bettycarreno5028
    @bettycarreno50285 жыл бұрын

    Really good video. Well anatomy points explained. Professional voice. Thank you. It does help me as a P.T.

  • @mantra4ia
    @mantra4ia2 жыл бұрын

    Thanks. I'm absolutely going to go over some of this with my PCP for my shoulder pain.

  • @2cmrinhfx
    @2cmrinhfx3 жыл бұрын

    Excellent, thank you!

  • @urwamunawar7612
    @urwamunawar76122 жыл бұрын

    Please upload more videos. Very informative, loved it.

  • @fazeelalaher6250
    @fazeelalaher62504 жыл бұрын

    Very well explained n informative

  • @ShiroiMeganeInu
    @ShiroiMeganeInu2 жыл бұрын

    It’s really helpful to comprehend shoulder examination.

  • @alexcombe58
    @alexcombe582 жыл бұрын

    The best shoulder examination I have ever seen. Dr. Christopher really is a super specialist. Great work

  • @nadaamr7365

    @nadaamr7365

    Жыл бұрын

    Is it enough for end_round exam 🥲 am in crazy time now 😪

  • @juanloprada
    @juanloprada5 жыл бұрын

    Doctor is a very cool lady. Clear and quiet.

  • @dryedlapalli
    @dryedlapalli4 жыл бұрын

    Very comprehensive and excellent demo

  • @pushpins7140
    @pushpins7140 Жыл бұрын

    Great Job, Chad!

  • @MattHobsonDrummer
    @MattHobsonDrummer4 жыл бұрын

    excellent video. thank you

  • @stephengibson7709
    @stephengibson77093 ай бұрын

    Excellent video. Very helpful.

  • @sanafatima2330
    @sanafatima23302 жыл бұрын

    Summarised notes. You're welcome😊 Supraspinatu: Empy can test, forward flexion and 30 degree flexion then check power for supraspinatus, External rotation with power (IS n TM), Internal rotation lag sign, gebers lift off test (subscapularis), ROTATOR CUFF PATHOLOGY: Supraspinatus impingement: neer's test, Empty can test, Hawkins Kennedy test. Patients with supraspinatus impingement can have scapular movement asymmetry. Palpate the anterior joint line and internally rotate the shoulder and palpate subacromial/subdeltoid space. SPECIAL TESTS: FOR BICEPS: Speed's test ( resisted flexion), Yergason's test (resisted supination), papate the biceps tendon while doing this. ADHESIVE CAPSULITIS: painful ROM. Reduction in ROM both actively and passively. ER is the first movement to be affected in adhesive capsulitis. There's scapular motion asymmetry due to limited mobility of glenohumeral joint. AC JOINT DISEASE: Localised pain over AC joint, might pain when rolling over that joint to sleep. Palpate the joint for any pain, crepitus, step off deformity. Scarf test (cross body adduction) and palpate the AC joint. Painful arc in last 30 degrees of abduction. SHOULDER INSTABILITY: sulcus sign: pull down on humerus and notice for any sulcus on lateral side of shoulder. Apprehension and relocation test. LABRAL TEARS: Common in athletes. Speed's test. O'brien's test. Crank's test (internal and external rotation whilst palpating for pain and clunks) Acute lesions: anterior joint line fullness. Loss of power on resisted movements.

  • @AliAli-dv7mn

    @AliAli-dv7mn

    Жыл бұрын

    Left side feroz sholder pain Use iodum 30 And right shoulder Use pulsatila 30 Homeopathic medicine

  • @amolchaudhari8822
    @amolchaudhari88225 жыл бұрын

    Thank you very much Doctor ....

  • @harrycalvino7422
    @harrycalvino74223 жыл бұрын

    Well done! ER doc/shoulder pain pt/chronic 50 yr hball player

  • @mohank8558
    @mohank85587 ай бұрын

    very nice explanation with so much clarity even to a layman

  • @x1roman
    @x1roman3 жыл бұрын

    i wish ti could be more test videos, i love it, so the best video what i found!

  • @sunving
    @sunving4 жыл бұрын

    Thank you very much Doctor !

  • @nedrog
    @nedrog2 жыл бұрын

    this is exactly what i needed. GReAT VIDEO!!!

  • @dipendratripathi6852
    @dipendratripathi68522 жыл бұрын

    Beautiful information. Can you make videos on describing Range of Motions of different joints, Limitations, how to examine range of motion, and how overcome from them

  • @andreavillalobos6334
    @andreavillalobos63346 ай бұрын

    Very helpful. Thank you

  • @sunflowerdancecom
    @sunflowerdancecom4 жыл бұрын

    very cool and sane explanations thanks.

  • @sumanthkumarambati6869
    @sumanthkumarambati68694 жыл бұрын

    excellent demonstration madam. thank you

  • @tombryant52jumpscoach
    @tombryant52jumpscoach4 жыл бұрын

    I had a diagnosis by an orthopedist with an x-ray, an MRI and 2 months of physical therapy. My initial examination wasn't nearly this detailed and now I wish it were just to satisfy my interest in learning about it. Diagnosis was supraspinatus tendonitis, two small tears in the supraspinatus muscle, impingement of a bursa and osteoarthritis. Probably an anomaly (round shoulders). Still have some pain due to my stubborn refusal to stop working out and playing sports. I did have a good doctor .

  • @swisstrader

    @swisstrader

    2 ай бұрын

    Surgery or something else?

  • @AMRPhysiotherapy
    @AMRPhysiotherapy2 жыл бұрын

    Great video. Thanks for sharing

  • @vijeeshalibin9114
    @vijeeshalibin91145 жыл бұрын

    Very informative..thanku

  • @kitionesikivou6849
    @kitionesikivou68492 жыл бұрын

    Superb. Really enjoyed. Very informative. Stupendous.

  • @mindcurve9464
    @mindcurve94643 жыл бұрын

    Excellent to the point presentation...thanks mam.

  • @haiderspainmanagementcente4590
    @haiderspainmanagementcente45904 жыл бұрын

    Wonderful explanation..Thankfull.

  • @prasadgolatkar7961
    @prasadgolatkar79612 жыл бұрын

    Very good presentation,and informative.

  • @wonderbeauty10
    @wonderbeauty105 жыл бұрын

    most helpful video!!!!!

  • @mistyrain2532
    @mistyrain25323 жыл бұрын

    I wish Dr. Christopher had more videos. Soothing and knowledgeable.

  • @w3luvyou.k1d

    @w3luvyou.k1d

    Күн бұрын

    We need her back

  • @AdvSantoshCZalteSillodDistAura
    @AdvSantoshCZalteSillodDistAura4 жыл бұрын

    Thanks a lot Doctor 🙏😊🙏

  • @arankalle4354
    @arankalle4354 Жыл бұрын

    Extremely useful video 🙏

  • @dr.husameddinalaila6725
    @dr.husameddinalaila67255 жыл бұрын

    Absolutely amazing video

  • @o3gl498
    @o3gl4982 жыл бұрын

    I love the way she annunciate her words

  • @Volleyball_Sports_RDP
    @Volleyball_Sports_RDP2 жыл бұрын

    impressive, thanks for the information.

  • @justinutube
    @justinutube4 жыл бұрын

    This is an amazing self-diagnosis tool. Thank you so much.

  • @nityanandgorenka8073
    @nityanandgorenka80733 жыл бұрын

    thank you very good explaination

  • @adityasharma-qo4lm
    @adityasharma-qo4lm4 жыл бұрын

    Thank u for d video Dis is a great help for osce exam

  • @drSJV
    @drSJV2 жыл бұрын

    Thank you so much!

  • @chansenauto1179
    @chansenauto11793 жыл бұрын

    Thanks for knowledge

  • @aliaaabdulhakeem7081
    @aliaaabdulhakeem70812 жыл бұрын

    The examination is very thorough

  • @user-sp6st6ih111l
    @user-sp6st6ih111l4 жыл бұрын

    this is the best proff explanation I ever see in my life really👍👍👍👍🆒🆒🆒

  • @unamsanctam5967
    @unamsanctam59672 жыл бұрын

    Thanks, this will help.

  • @physiosp4109
    @physiosp41093 жыл бұрын

    Very good explanation

  • 4 жыл бұрын

    Thank you for sharing your knowledge and wish you and your family always healthy and happy

  • @sureshkumar-cu5pe
    @sureshkumar-cu5pe9 ай бұрын

    Very well explained mam. Thanks for info

  • @nazrulislam-ol8wt
    @nazrulislam-ol8wt4 жыл бұрын

    Thanks for sharing the most expensive thing in the world ie; knowledge . Seriously thanks for such easy explanation and beautiful demonstration.

  • @ahababkhan6803
    @ahababkhan68033 жыл бұрын

    Excellent explanation thans dr

  • @physiotherapymotivation4945
    @physiotherapymotivation49453 жыл бұрын

    💎💎💎👍👍👍 Proper assessment is key to any successful treatment If you are perfect in assessment of the patient there wil be no doctor better than you.

  • @hariom-vy2kz
    @hariom-vy2kz5 жыл бұрын

    Very nicely explained and very good learning. Thank you mam. INDIA

  • @drultrafocus1228
    @drultrafocus1228 Жыл бұрын

    I am in my last year for physiotherapist and this video is very helpfull to me, thank you very much!

  • @Aceg13579

    @Aceg13579

    Жыл бұрын

    Remember that any exam for “shoulder” pain should start with a cervical spine exam

  • @sgtrock2821
    @sgtrock28212 жыл бұрын

    I used to watch this for ASMR... Then I injured my left shoulder 3 months ago. The speeds test for me was severe biceps tendinitis for a long time. Very frustrating. I'm still waiting for an Ortho appt with the VA. Meanwhile I bought Dr John Kirsch's book about the shoulder. I've followed his book to a T. Now I have no pain in any of these movements and my rotator cuff is stronger than it's ever been. I'm 60. I work out for 2 hours daily again with no shoulder pain. .

  • @sunitamay123

    @sunitamay123

    2 жыл бұрын

    Thank you for the tip. Did you perform any of the imaging tests?

  • @smohammed2821

    @smohammed2821

    2 жыл бұрын

    Did you take any medication for pain, how did you fix the issue, my pain is serve and I'm on pain killers and I'm really scared the pain doesn't allow me to use my arms at all ans any tiny moment really pain full

  • @sgtrock2821

    @sgtrock2821

    Жыл бұрын

    No imaging tests. Still working out but I stopped doing military presses out of caution. I hang from a bar for 10 minutes a day and do external rotations. I do upright rows, lateral and front raises along with rear felt work.

  • @sgtrock2821

    @sgtrock2821

    Жыл бұрын

    I suggest you see your orthopedic specialist. Sound like you have significant damage. Best of luck

  • @krane15

    @krane15

    Жыл бұрын

    Try not to sound so much like a commercial next time. BTW, each doctor looks as an ailment for the perspective of his specialty. Ex. A neurologist will say one thing, and an orthopedic will say something else. Then there's the chiropractors who can fix everything with an adjustment. All can be right, or wrong.

  • @inaamulhassanjaffer8238
    @inaamulhassanjaffer82385 жыл бұрын

    Dr, please continue with more of these videos on physical examinations, really awesome stuff🐬

  • @ytharper66
    @ytharper662 жыл бұрын

    Excellent.

  • @animeshnot8
    @animeshnot85 жыл бұрын

    great work, I am a great fan of standford series. wonderful resource for hospitalists, primary care as well as specialists

  • @hippophile
    @hippophile4 жыл бұрын

    So many things that can go wrong... I have shoulder pain (probably from swimming) but none of these was hitting the pain spot exactly (AC joint was possibly closest). Guess it is time to see my physio and have an expert check it out! Really good to know what they are doing with those tests, though, thanks for the video.

  • @dr.rahulbharat8210
    @dr.rahulbharat82102 жыл бұрын

    Great description ☺️👌

  • @MEGATestberichte
    @MEGATestberichte2 жыл бұрын

    Found a knowledge gold nugget!

  • @spellaroma6998
    @spellaroma69985 жыл бұрын

    This is the most clear and simple education and knowledge to understand, she is amazing , she dont talk too much and make the subject complicated like other videos , she go to the point directly, i would say on you tube she is a teacher number one. her charisma get your attention with that confident and voice level. been watching her video many times a day for one week. Can you post new video about all lower back pain cases upper back , middle back and lover back examination please? silent and calm atmosphere like this one?

  • @playnvanilla5176
    @playnvanilla51762 жыл бұрын

    3:07 This is how we greet our brethren on our home planet Uranus.

  • @jojoscoulos
    @jojoscoulos4 жыл бұрын

    Excellent

  • @VF092
    @VF0925 жыл бұрын

    Thank you.

  • @bonesboshoff
    @bonesboshoff5 жыл бұрын

    very informative, very helpful video, the best shoulder exam I have ever seen of all video's

  • @drtanvighatkar
    @drtanvighatkar4 жыл бұрын

    Very nice and helpful video specially for medical students

  • @miguelyaez
    @miguelyaez2 жыл бұрын

    Amazing video. Im a Primary Care Physician, almost everyday patients arrive complaining Of painful shoulder pathology. It will be very useful to take better decisions. Thanks a lot.

  • @shalamonea1858

    @shalamonea1858

    2 жыл бұрын

    ١١

  • @athenaathena77712
    @athenaathena777123 жыл бұрын

    Awesome description and exam ;) excellent job too bad most drs are not this thorough .. if only all exams were this trustworthy ...

  • @bandosz3218

    @bandosz3218

    Жыл бұрын

    If only we had time to be this thorough...

  • @montero9490

    @montero9490

    Жыл бұрын

    Time?It is up to you, choice... To be or not to be a good doctor. A doctor passionais about the profession and with empathy for all patients. You guys get paid more than any other professional. Please do not give me excuses... You are paid more them any other profesional.

  • @easyeye1

    @easyeye1

    Жыл бұрын

    @@montero9490 unfortunately it's not up to the doctors nowadays...unless you're in cash only practice or concierge medicine

  • @franciscrisp6245

    @franciscrisp6245

    Жыл бұрын

    Right on! My “doctor” was pathetic, 1 abduction movement; arm at 90 degree then push down. Conclusion: “you have a weak arm.” Really doc? I knew that, tell me what the problem is. “Let’s do an MRI.” What a scam. I’ve heard others complain also, so it’s not just me. Seems too many doctors are lazy. I learned more about my shoulder & how to help myself with exercises. Like everything else in this country, medical profession is not what it should be.

  • @strongDr

    @strongDr

    11 ай бұрын

    ​@@franciscrisp6245 Which Country?

  • @kevwilliams5647
    @kevwilliams56475 жыл бұрын

    Been hurting for 15 years and i learned what my problem is. Thanks

  • @Adderiandei

    @Adderiandei

    4 жыл бұрын

    did you get treatment?

  • @kipponi

    @kipponi

    2 жыл бұрын

    15 and you not tell what problem?

  • @Therealnyce1
    @Therealnyce12 жыл бұрын

    She is a Fine, looking Doctor... 🤩💯💪