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Rotator Cuff Tear

The rotator cuff is a group of muscles and tendons located in the shoulder that work together to stabilize and move the joint. It consists of four muscles: the SUPRASPINATUS, INFRASPINATUS, TERES MINOR, and SUBSCAPULARIS. The rotator cuff plays a crucial role in shoulder mobility and function, allowing you to lift and rotate your arm. However, a rotator cuff tear occurs when one or more of these tendons are damaged or torn. This can happen due to aging, repetitive overhead movements, trauma, or degenerative conditions. A rotator cuff tear can cause pain, weakness, limited range of motion, and difficulty performing daily activities. Treatment options may include rest, physical therapy, anti-inflammatory medication, or, in severe cases, surgery to repair the torn tendons.

Shoulder Impingement / Bursitis / Tendonitis

Shoulder impingement occurs when the tendons of the rotator cuff become irritated or inflamed as they pass through the narrow space between the upper arm bone and the shoulder blade. This can happen due to repetitive overhead activities, poor posture, or structural abnormalities in the shoulder joint. The condition can cause pain, weakness, and limited range of motion in the shoulder, particularly when reaching overhead or performing certain movements. Shoulder bursitis is the inflammation of the bursa, a small fluid-filled sac that helps reduce friction between the tendons, muscles, and bones in the shoulder joint. It is often caused by repetitive motions, overuse, or direct trauma to the shoulder. Symptoms may include pain, swelling, and limited shoulder mobility. Shoulder tendonitis, also known as rotator cuff tendonitis, is the inflammation of the tendons that connect the muscles of the rotator cuff to the bones in the shoulder joint. It is commonly caused by repetitive overhead movements, overuse, or injury. People with shoulder tendonitis may experience pain, tenderness, and limited shoulder movement, particularly when lifting or reaching overhead.

Adhesive Capsulitis, AKA Frozen shoulder

Adhesive capsulitis, commonly known as frozen shoulder, is a condition characterized by stiffness, pain, and limited range of motion in the shoulder joint. It occurs when the capsule surrounding the shoulder joint becomes thickened and tight, causing the tissues to adhere together. The exact cause of adhesive capsulitis is not fully understood, but it can be triggered by factors such as injury, immobilization, or certain medical conditions. The condition typically progresses through three phases: freezing, frozen, and thawing. Treatment may involve a combination of pain management, physical therapy, gentle stretching exercises, and, in severe cases, corticosteroid injections or surgery to improve shoulder mobility and function. Recovery from adhesive capsulitis can take several months to years, but most individuals experience significant improvement with appropriate treatment.


Side-Lying External Rotation

Side-Lying External Rotation

Side-Lying External Rotation

  1. Lie on your side with the arm you want to exercise positioned on top and bent at a 90-degree angle at the elbow. Rest your head on your bottom arm for support.
  2. Keep your elbow close to your side and your forearm parallel to the ground.
  3. Use your other hand to hold a light dumbbell or resistance band.
  4. Start with your palm facing your body and slowly rotate your forearm away from your torso, externally rotating the shoulder.
  5. Pause for a moment at the end of the movement when your arm is parallel to the ground and your palm is facing up.
  6. Slowly return to the starting position, controlling the movement.
  7. Repeat the exercise for the desired number of repetitions, then switch sides to work the other shoulder as desired.

Side-Lying Sleeper Stretch

Side-Lying External Rotation

Side-Lying External Rotation

  1. Start by lying on your side with the arm you want to stretch positioned closest to the floor. 
  2. Bend your elbow at a 90-degree angle so that your fingers are pointing straight up towards the ceiling.
  3. Place your other hand on top of your bent hand to gently apply pressure, guiding your palm towards the ground.
  4. You should feel a gentle stretch in the back of your shoulder and upper arm.
  5. Hold the stretch for 15 to 30 seconds while maintaining relaxed breathing.
  6. Slowly release the stretch and return to the starting position.
  7. Repeat the stretch for the desired number of repetitions, then switch sides to stretch the other shoulder as desired.

Standing touchdowns

Prone (Laying on Stomach) I/Y/T/W's

Prone (Laying on Stomach) I/Y/T/W's

  1. Stand with your feet shoulder-width apart and maintain good posture, keeping your shoulders relaxed directly in front of a wall.
  2. Bring both pinkies to the wall, bending your elbows and bringing your shoulders to ~ 45 degress.
  3. Slowly raise both arms, sliding pinkies up the wall, ensuring that both elbows stay attached at all the time.
  4. As you reach up, keep your shoulders down and avoid shrugging them towards your ears.
  5. Once your arms reach as high as they are able to go without lifting your elbows off the wall, pause for a moment, and then slowly lower them back down to the starting position.
  6. Repeat the movement for the desired number of repetitions, maintaining control and focusing on proper form throughout.

Prone (Laying on Stomach) I/Y/T/W's

Prone (Laying on Stomach) I/Y/T/W's

Prone (Laying on Stomach) I/Y/T/W's

  1. Prone I: Start by lying face down on a mat or a comfortable surface. Extend your arms straight out in front of you, palms facing down. Lift your chest and head slightly off the ground while keeping your neck aligned with your spine. Hold this position for a few seconds, focusing on squeezing your shoulder blades together. Slowly lower your chest back down to the ground and repeat.
  2. Prone T: From the same starting position, extend your arms out to the sides, forming a "T" shape with your body. Keep your palms facing down. Lift your chest and head off the ground, squeezing your shoulder blades together. Hold for a few seconds, then lower back down.
  3. Prone Y: Extend your arms diagonally above your head, forming a "Y" shape with your body. Your palms should be facing each other. Lift your chest and head off the ground, engaging your upper back muscles. Squeeze your shoulder blades together and hold for a few seconds before lowering down.
  4. Prone W: Bend your elbows at a 90-degree angle, bringing your hands up to shoulder level. Your elbows should be in line with your shoulders, and your palms facing forward. Lift your chest and head off the ground, squeezing your shoulder blades together and forming a "W" shape with your arms. Hold for a few seconds, then lower back down.


Lateral Epicondylitis, aka Tennis Elbow

Lateral epicondylitis, commonly known as tennis elbow, is a condition characterized by pain and inflammation on the outside of the elbow. Despite its name, it can affect individuals who don't play tennis as well. It is often caused by repetitive motions or overuse of the forearm muscles, leading to small tears in the tendons that attach to the lateral epicondyle (bony bump on the outer part of the elbow). Symptoms may include pain or tenderness on the outer elbow, weakened grip strength, and difficulty with activities that involve gripping or lifting. Treatment typically involves rest, ice application, pain medication, physical therapy exercises to strengthen the forearm muscles, and in some cases, the use of braces or splints. Severe cases may require corticosteroid injections or surgery. It's important to seek appropriate medical advice for an accurate diagnosis and treatment plan.

Medial Epicondylitis, AKA Golfers Elbow

Medial epicondylitis, commonly known as golfer's elbow, is a condition characterized by pain and inflammation on the inside of the elbow. Although it is often associated with golfing, it can also affect individuals who don't play golf. It is typically caused by repetitive motions or overuse of the forearm muscles, resulting in small tears in the tendons that attach to the medial epicondyle (bony bump on the inner part of the elbow). Symptoms may include pain or tenderness on the inner elbow, difficulty with gripping or lifting objects, and weakness in the affected arm. Treatment usually involves rest, ice application, pain medication, physical therapy exercises to strengthen the forearm muscles, and the use of braces or splints. Severe cases may require corticosteroid injections or surgery. It's essential to consult with a healthcare professional for a proper diagnosis and personalized treatment plan.

Olecrenon Bursitis

Olecranon bursitis is a condition characterized by inflammation and swelling of the bursa located at the tip of the elbow, known as the olecranon bursa. It often occurs due to repetitive pressure or direct trauma to the elbow, such as leaning on hard surfaces or falls. Symptoms may include pain, swelling, and a visible lump at the back of the elbow. Treatment typically involves rest, applying ice packs, taking nonsteroidal anti-inflammatory drugs (NSAIDs), and protecting the elbow from further irritation. In some cases, aspiration of the fluid or corticosteroid injections may be necessary to reduce inflammation and promote healing.

Biceps / Triceps Tendonitis

Bicep and tricep tendonitis are conditions characterized by inflammation and irritation of the tendons that attach the bicep and tricep muscles to the bones in the upper arm. Bicep tendonitis usually causes pain and tenderness in the front of the shoulder or at the front of the elbow, while tricep tendonitis typically causes pain and tenderness at the back of the elbow. These conditions often occur due to repetitive overuse or strain on the tendons, such as repetitive lifting or throwing motions. Treatment typically involves rest, ice application, anti-inflammatory medications, physical therapy exercises to strengthen the muscles and improve flexibility, and in severe cases, corticosteroid injections or surgery may be considered. 


Exercises For Lateral Epicondylitis

Exercises For Lateral Epicondylitis

Exercises For Lateral Epicondylitis

  1. Eccentric Wrist Extension: Hold a lightweight dumbbell or a resistance band in your hand with your palm facing down. Slowly lower the weight by extending your wrist, then use your other hand to assist in raising the weight back up. Repeat for several repetitions.
  2. Forearm Pronation/Supination: Hold a small weight or a hammer handle in your hand, with your elbow bent at 90 degrees and resting on a table. Rotate your forearm to turn your palm up (supination), then rotate it back to the starting position (pronation). Repeat for several repetitions.
  3. Wrist Flexor Stretch: Extend your affected arm in front of you, palm facing up. With your other hand, gently bend your wrist backward until you feel a stretch in the forearm muscles. Hold for 15-30 seconds, then release. Repeat a few times.
  4. Wrist Extensor Stretch: Extend your affected arm in front of you, palm facing down. Use your other hand to gently bend your wrist downward until you feel a stretch in the forearm muscles. Hold for 15-30 seconds, then release. Repeat a few times.

Exercises for Medial Epicondylitis

Exercises For Lateral Epicondylitis

Exercises For Lateral Epicondylitis

  1. Wrist Flexion with Light Resistance: Hold a lightweight dumbbell or a resistance band in your hand with your palm facing up. Rest your forearm on a table or your knee and allow your wrist to extend over the edge. Slowly flex your wrist, curling it upward against the resistance. Return to the starting position and repeat for several repetitions.
  2. Pronation/Supination with Resistance Band: Hold a resistance band or a towel with both hands, palms facing down. Keep your elbows bent at 90 degrees and your upper arms against your sides. Rotate your forearms outward (supination) against the resistance of the band, then rotate them back inward (pronation). Repeat for several repetitions.
  3. Wrist Extension Stretch: Extend your affected arm in front of you, palm facing down. With your other hand, gently bend your wrist upward until you feel a stretch in the forearm muscles. Hold for 15-30 seconds, then release. Repeat a few times.
  4. Forearm Flexor Stretch: Extend your affected arm in front of you, palm facing up. Use your other hand to gently bend your wrist downward until you feel a stretch in the forearm muscles. Hold for 15-30 seconds, then release. Repeat a few times.


Wrist Sprain/Strain

A wrist sprain and strain are common injuries that involve damage to the ligaments and muscles in the wrist. A sprain occurs when the ligaments are stretched or torn, usually due to a sudden impact or excessive force on the wrist. On the other hand, a strain refers to an injury to the muscles or tendons, often caused by overuse or repetitive motions. Symptoms of both sprains and strains can include pain, swelling, limited range of motion, and difficulty with gripping or bearing weight on the affected wrist. Treatment typically involves rest, ice, compression, and elevation (RICE), along with physical therapy exercises to restore strength, flexibility, and stability to the wrist.

Carpal Tunnel Syndrome

Carpal tunnel syndrome is a condition that occurs when the median nerve, which runs through a narrow passage in the wrist called the carpal tunnel, becomes compressed or irritated. This compression can lead to symptoms such as numbness, tingling, weakness, and pain in the hand and fingers, especially the thumb, index, middle, and ring fingers. Carpal tunnel syndrome is often caused by repetitive hand and wrist movements or conditions that increase pressure on the median nerve, such as wrist fractures or arthritis. Treatment options include wrist splinting, activity modification, pain medication, and in some cases, surgery to relieve the pressure on the median nerve.

De Quervain's Tenosynovitis

De Quervain's tenosynovitis is a condition characterized by inflammation of the tendons located on the thumb side of the wrist. It typically occurs due to repetitive thumb and wrist movements, such as lifting, gripping, or repetitive twisting motions. Common symptoms include pain, swelling, and tenderness at the base of the thumb and wrist, which may worsen with movement. Treatment for De Quervain's tenosynovitis often involves rest, applying ice, immobilizing the thumb and wrist with a splint, and performing specific exercises to stretch and strengthen the affected tendons. In some cases, corticosteroid injections or, rarely, surgery may be considered if conservative measures do not provide sufficient relief.

TFCC (Triangular Fibrocartilage Complex) Injury

TFCC (Triangular Fibrocartilage Complex) injuries involve damage to the cartilage and ligaments located in the wrist joint, specifically the area between the ulna (forearm bone) and the carpal bones. These injuries can occur due to trauma, such as a fall on an outstretched hand, or through repetitive activities that strain the wrist. Symptoms may include pain, swelling, clicking or popping sensations, and weakness in the wrist. Treatment for TFCC injuries may involve rest, immobilization with a brace, physical therapy exercises to strengthen the surrounding muscles, and in some cases, surgery to repair or remove damaged tissue.


*Disclaimer: The information provided here is for general informational purposes only and should not be considered as a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare professional regarding any medical condition, injury, or illness. The content provided is not intended to endorse any specific treatments, products, or healthcare providers. Reliance on any information provided in this conversation is solely at your own risk. It is strongly advised to consult with a medical professional for personalized advice tailored to your specific circumstances.

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