Post operatively, I am normally concerned with two presentations in patients. Patient’s with significant post operative range of motion and those with minimal to no pain have the highest risk of tearing their repaired tissues due to the lack of protection from either stiffness or post operative pain. Patients may incorrectly assume the absence of...
Rotator cuff tears are a common injury in middle to older aged adults. Tears can be gradual or degenerative in nature associated prior injury (tendinopathy) or acute and traumatic from a fall or sudden trauma to the shoulder. The severity of the injury including tear depth and size, as well as, the number of tears...
Subacromial impingement syndrome is the most common diagnosis for shoulder pain in adults and remains one of the most common reasons patients seek care from physicians and Physical Therapists. Shoulder impingement may occur secondary to functional and structural changes within the shoulder joint. Individuals with these symptoms often present with weakness in their rotator cuff...
As long as I have been in the profession, clinicians have continued to search for the next best thing to reduce pain and inflammation, as well as, improve any number of clinical factors. Unfortunately, the medical literature is filled with trials showing non significant effects as many of these devices have failed to outperform proven...
Rotator cuff injuries are one of the most common reasons patients seek care for their shoulder pain. Injuries range from less severe cases of impingement and rotator cuff tendinopathy to more severe injuries such as rotator cuff tears. These tears can be either traumatic or atraumatic in nature depending on the patient’s history. Previous research...
Symptomatic rotator cuff tears commonly occur in adults > 50 years old and can be either atraumatic or traumatic in nature. These tears become more common with age, but are often are found in shoulders without pain and often have similar MRI scan findings between symptomatic and asymptomatic sides of the body. Thus, the a...
The updated page provides expert insights, diagnosis techniques, and evidence-based treatments for common shoulder conditions. BOULDER, Colorado – Mend Colorado, a leading provider of physical therapy in Boulder and Lafayette, has unveiled an updated resource on shoulder pain treatments. This recently revamped webpage offers a detailed guide to diagnosing, treating, and recovering from shoulder pain,...
By Jeff Ryg, PT, DPT, OCS, FAAOMPT What Shoulder Manipulation Involves Shoulder manual therapy is a hands-on component of physical therapy used to address pain, stiffness, and limitations in shoulder movement. It may include glenohumeral joint mobilizations, scapula or clavicle mobilization or manipulation, and soft-tissue techniques directed at the shoulder complex. Orthopedic manual therapy is...
The subscapularis is the largest and strongest of the rotator cuff muscles. Its primary function is shoulder internal rotation and it plays a critical role in stabilizing the front aspect of the shoulder during climbing movements. The subscapularis is the least commonly injured muscle of the rotator cuff, but is still prone to pain and...
The majority of patients undergoing treatment by a Physical Therapist will receive a home exercise program (HEP) based on their specific symptoms. This individualized program is essential for the reduction of symptoms and restoration of function. In my opinion, not providing an exercise program to patients with musculoskeletal conditions leads to patient dependence on the...
