Why Rotator Cuff Tears Don't Always Need Surgery | Expert Physio Review

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.
References:
*Mihata et al., 2019: journals.sagepub.com/doi/abs/10.1177/0363546519878141
For more sign up to Membership for more resources including access to:
*The Rotator Cuff: Anatomy, Diagnosis, Rehab Webinar
*The Healing Process and How it Affects Rehab Webinar
*Shoulder Surgery Webinar
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Пікірлер: 31

  • @XcelHealth
    @XcelHealth Жыл бұрын

    thank you! very informative video!

  • @ClinicalPhysio

    @ClinicalPhysio

    Жыл бұрын

    Thank you! Glad you enjoyed it!

  • @Kevin-cl2mr
    @Kevin-cl2mr Жыл бұрын

    Thanks for the breakdown. Makes a lot of sense.

  • @ClinicalPhysio

    @ClinicalPhysio

    Жыл бұрын

    🙏🏼🙏🏼 you’re very welcome!

  • @giopasika
    @giopasika Жыл бұрын

    Solid Information.

  • @ClinicalPhysio

    @ClinicalPhysio

    Жыл бұрын

    Thank you so much!

  • @jordanedwards2714
    @jordanedwards2714 Жыл бұрын

    This video was great and its format, looking forward to more videos like this!

  • @ClinicalPhysio

    @ClinicalPhysio

    Жыл бұрын

    Thank you so much!

  • @YamatoXion
    @YamatoXion Жыл бұрын

    Khaled, my favourite physiotherapy educator! 🙏🙏🙏

  • @ClinicalPhysio

    @ClinicalPhysio

    Жыл бұрын

    Thank you so much! Very pleased you enjoyed it!

  • @MemeGang420
    @MemeGang420 Жыл бұрын

    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

  • @riverbillington7299
    @riverbillington7299 Жыл бұрын

    Great vids! Keep it up! // Physio from Stockholm

  • @ClinicalPhysio

    @ClinicalPhysio

    Жыл бұрын

    Thank you so much!

  • @musabhamid7409
    @musabhamid7409 Жыл бұрын

    Can you make us a video how we can treat supraspinatus tendon tear at home? I really appreciate what you're doing!

  • @ClinicalPhysio

    @ClinicalPhysio

    Жыл бұрын

    Thank you! Hope we can do so one day!

  • @blaschito1
    @blaschito1 Жыл бұрын

    why did they test abduction strength rather than testing external rotation in the study you mention at around 7.20 minutes?

  • @ClinicalPhysio

    @ClinicalPhysio

    Жыл бұрын

    That’s a good question which I can’t answer for you!

  • @thomast6823
    @thomast6823 Жыл бұрын

    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.

  • @ClinicalPhysio

    @ClinicalPhysio

    Жыл бұрын

    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 👍🏼

  • @thomast6823

    @thomast6823

    Жыл бұрын

    @@ClinicalPhysio Thank you for your response. Enjoying your app for some brushing up on my respiratory knowledge!

  • @ClinicalPhysio

    @ClinicalPhysio

    Жыл бұрын

    @@thomast6823 😊😊🙏🏼🙏🏼

  • @haanswinn
    @haanswinn Жыл бұрын

    is there any research comparing surgery vs conservative though? this doesnt really seem to explain the difference

  • @ClinicalPhysio

    @ClinicalPhysio

    Жыл бұрын

    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

  • @calviningemi4428

    @calviningemi4428

    Жыл бұрын

    @@ClinicalPhysio 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 :)

  • @ClinicalPhysio

    @ClinicalPhysio

    Жыл бұрын

    @@calviningemi4428 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

  • @ffgarege3001
    @ffgarege3001 Жыл бұрын

    Better to teach anatomy classes .sir 👍

  • @ClinicalPhysio

    @ClinicalPhysio

    Жыл бұрын

    Thank you! We absolutely will!

  • @MrMrAzad
    @MrMrAzad Жыл бұрын

    why does it take u 9 min to explain smth? make shorter videos in my opinion

  • @ClinicalPhysio

    @ClinicalPhysio

    Жыл бұрын

    Thank you!

  • @d4mdcykey

    @d4mdcykey

    Жыл бұрын

    A gamer, I presume? Take a deep breath, relax.

  • @dfresh1524

    @dfresh1524

    Жыл бұрын

    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

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