episode-header-image

Jul 2024

14m 51s

164. Case study: Rotator cuff tear + arm...

David Pope at Clinical Edge

About this episode

Upper Limb Rehabilitation Specialist Jo Gibson explores an intriguing case of an 84-year-old man with a massive rotator cuff tear of the supraspinatus and partial subscapularis tear. Despite his long history of shoulder issues, he’s improving, but constant pain and intermittent numbness in his posterior arm and into his hand complicate the situation.

In this podcast, you’ll explore:

What a massive rotator cuff tear (MRCT) is
Common pain patterns with rotator cuff tears
Why the Suprascapular nerve can be affected in MRCT’s
How to set realistic expectations with patients about their recovery
Common causes of pain into the posterior arm, wrist and hand
How to differentially diagnose shoulder, arm and hand pain
Assessment tests to identify and exclude cervical involvement
When nerve conduction tests or EMG should be performed
Rehabilitation ideas for this patient

Listen to this podcast now to improve your rehabilitation of shoulder & arm pain and rotator cuff tears.

Free shoulder assessment infographic series

Click here to access the free shoulder infographic series and learn how to easily assess shoulder pain patients with this simple 6-step shoulder assessment from Jo Gibson

The handout for this podcast consists of a transcript and research articles referenced in this podcast.

Click here for the free webinar with Jo Gibson “Rotator cuff revealed! Rehab & reasoning”.

Free video series “Frozen shoulder assessment & treatment” with Jo Gibson

Improve your frozen shoulder assessment and treatment now with Jo Gibson’s free video series at clinicaledge.co/shoulder

Shoulder: Steps to Success online course with Jo Gibson

Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess

Free trial Clinical Edge membership

Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial

Links associated with this episode:

Up next

171. Achilles tendon ruptures: Rehab & recovery with Prof. Peter Malliaras

Your patient is running, playing sport, or jumping or lunging forward - an activity with fast eccentric or concentric activity in dorsiflexion,and suddenly they feel like they’ve been kicked in the back of the leg. They might hear a snap and have difficulty weightbearing, walking ... Show More

170. Brazilian Jiu Jitsu (BJJ) injuries with Dr Lachlan Giles

Brazilian Jiu-Jitsu (BJJ) is a popular grappling-based martial art that uses joint locks and chokes to subdue or submit opponents. It’s an intense, physically demanding sport with complex movements and submission techniques that involve a risk of injury, particularly to the knees ... Show More

169. Beyond stretching: How to create lasting flexibility. Physio Edge Running repairs podcast with Tom Goom

Static stretching has long been used to improve flexibility, but research shows its effects are often short-lived. So how can you help patients achieve lasting improvements? In this episode, Tom Goom (Running Physio) explores exercises you can provide to patients to increase musc ... Show More

Recommended Episodes

109: Dr. Patrick Denard – Treatment of Challenging Rotator Cuff Pathology (Part 1)

On today’s episode we’re focusing on challenging rotator cuff pathology with Dr. Patrick Denard, an orthopedic shoulder surgeon at the Oregon Shoulder Institute. We have some great articles for you that contribute well to our conversation on the treatment options for massive repa ... Show More

Tibialis Anterior Tendinitis Evaluation (Part 1) | OEP356

Send us a textIn today's episode called Tibialis Anterior Tendinitis Evaluation I talk about... -Tibialis anterior anatomy-Signs and symptoms of tibialis anterior tendinitis-Causes of tibialis anterior tendinitis-Selective tissue tension -Differential diagnosis and so much m ... Show More

Episode #317: Biceps Pain From Curling Leads to Weakness and Numbness

Drs. Feigenbaum and Baraki discuss a mysterious case of arm pain after curling that gets MUCH worse.Become a Barbell Medicine Plus MemberBRI CalculatorResources Page: https://www.barbellmedicine.com/resources/Template Quiz: https://www.barbellmedicine.com/template-quiz/For more o ... Show More

[Physio Explained] Load progression in rehab for patella tendon injuries with Dr Teddy Willsey

In this episode, Dr. Teddy Willsey discusses a research paper on load progression for the patellar tendon and its impact on rehabilitation. We explore key exercises like the split squat, rear foot elevated squat, bilateral squat, and forward heel tap, along with how to adjust ply ... Show More

Tips for Gaining Functional Knee Extension After ACL Reconstruction | OEP353

Send us a textIn this episode I bring to you and discuss... -A case presentation of a patient having difficulty obtaining active extension after ACLR-Causes of knee extensor lag (passive and active)-Rehab tips to maximize quad contractibility and knee extension and so much more! ... Show More

#3: Dr. Jervis Yau, MD | PRP and Stem Cell Injections, ACL Surgery, Rotator Cuff Tears and More

In this episode, I talk with orthopedic surgeon and sports medicine specialist, Dr. Jervis Yau, MD. We discuss a wide range of topics including hip impingement, rotator cuff tears, PRP and stell cell injections and ACL recontructions. Dr. Yau has a particular interest in minimall ... Show More

189. A Deep Dive Into Tendon Rehab w/ Marc Surdyka

Chris Hughen sat down with Marc Surdyka to discuss all things tendon rehab. We dive into the evolution of tendon pain terminology, the role of inflammation, loading protocols, clinical applications, and much more. Watch the full episode: https://youtu.be/mF5CtFnVtO4 Episode Reso ... Show More

L3 Nerve Root Compression or Hip Arthritis? | OEP346

Send us a Text Message.Today we are going to review how osteoarthritis of the hip and an L3 nerve root compression look alike.We will…-Discuss what subjective findings help us drive the direction of our evaluation.-Review special tests specific to each diagnosis-Discuss what to a ... Show More

EP. 068: The Athletic Shoulder - Overcoming Instability for Peak Performance with Edel Fanning

In this episode of the Physiotutors podcast, host Kai speaks with Edel Fanning, a lead upper limb physiotherapist from Ireland, about various shoulder pathologies in athletes and effective rehabilitation strategies. Edel discusses common shoulder injuries in different sports, suc ... Show More

Ep 98: Solving stubborn shoulders (part 1), with Jo Gibson

In part 1 of this 2-part series with clinical physiotherapy specialist, Jo Gibson, we're making assessing and diagnosing shoulder problems simple. What are the keys to communicating well with athletes, and the tests you need in your clinical arsenal to best support injured athlet ... Show More

Listen to millions of songs and podcasts on Anghami