In episode 167 of The Physical Performance Show Brad Beer shares a conversation with Jared Powell - Dr Physiotherapy, @shoulder_physio, PhD Bond University in this Expert Edition.
Jared Powell is a Gold Coast based Physiotherapis t who is currently completing his PhD in shoulder pain at Bond University, where he is also a visiting lecturer and tutor. Shoulder pain is an enormous burn in society with half of the population experiencing shoulder pain in any given calendar year. It’s the third most common complaint that general practitioners hear from their patients and for those who have suffered from shoulder pain you know what an impact it can have on your daily function and your overall well-being.
Specifically, on this episode, Jared and I dived deep into Rotator Cuff Pathology and Frozen Shoulder. Jared shares some evidence-based guidelines on the management of these common conditions. He explores the role of surgery for shoulder pain and also the role of injectables in the treatment and management of shoulder conditions. So I encourage you even if you aren’t currently experiencing shoulder pain to tune on in and take notes.
Listen in as we delve into the following:
- Why Jared was interested in shoulders
- What Framework is he using for shoulder assessment
- Rotator Cuff Pathology
- Other conditions experiencing a Rotator Cuff Condition
- How do you determine tears in Shoulder Pain
- Other symptoms experienced with Rotator Cuff Injury
- Patterns of activities in younger and mature generation
- Concept of Impingement being challenged
- Goals in improving after shoulder pain
- Key mistakes during rehabilitation
- Tools Jared is using in monitoring pain progress
- Injections for Rotator Cuff
- Diagnosis for Frozen Shoulder
- Expectancy in treatment of Frozen Shoulder
- Explaining freezing, frozen and thorned shoulder in Professional View
- Treatment and Management of Frozen Shoulder
- Best Advice to people with shoulder pain
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“Exercise it, you have got to move it.” – Best Advice
“I encourage you to move your shoulder in a way that is suitable.”
“70 to 80% of all shoulder pain presentations will involve the rotator cuff.”
“If you participated in exercise therapy for at least 3 months, your shoulder will get better in the exact same rate.”
“70% of people who have a frozen shoulder are idiopathic; meaning without cause.”
“Be patient, it’s going to take some time.”
“Steps to rule out in Shoulder Pain assessment”
1. Is the pain related to the soft tissue of the shoulder?
2. Is the pain related to stiff shoulder?
3. Is the pain being referred into the shoulder?
Other conditions experienced with Rotator Cuff”
1. Tendinopathy Partial Thickness Tear
2. Tendinopathy Full Thickness Tear
Distinction of Rotator Cuff Tear
1. Full thickness rotator cuff tear in traumatic fashion will need to have an orthopaedic review.
2. If it’s a degenerative rotator cuff tear it can be managed conservatively.
1. Pain in the intro lateral – front side part of the shoulder.
2. Pain in the evening when lying on the affected side.
3. Painful rotation with both neutral and 90 degrees.
Recommendation for shoulder pain patients
1. Re-assure patients.
2. Give a prognosis.
3. Give one progressive exercise that they can do.
Recommendation for Frozen Shoulder Pain
1. Have injection.
2. Get physiotherapist to get the arm moving.
Categories of Secondary Frozen Shoulder
1. Intrinsic – long term rotator cuff pain
2. Extrinsic – has neck pain or broken collar bone
3. Systemic Bunch – diabetic and thyroid issues, hypertensive as well
To follow Jared
Website: Shoulder Physio
02:10 Introduction to Jared Powell
03:53 Typical week for Jared Powell
05:25 Why he was interested in Shoulder
07:45 What Framework is he using for shoulder assessment
09:05 Rotator Cuff Pathology
11:26 Other conditions experiencing with Rotator Cuff Condition
13:06 How do people determine Tears in Shoulder Pain
15:18 Other symptoms experienced wit Rotator Cuff Injury
19:13 Patterns of activities in younger and mature generation
21:48 Concept of Impingement being challenged
28:30 Goals in improving after shoulder pain
31:32 Key mistakes during rehabilitation
34:25 Tools Jared is using in monitoring pain progress
36:05 Injections for Rotator Cuff
40:54 Diagnosis for Frozen Shoulder
44:50 Expectancy in treatment of Frozen Shoulder
50:15 Population on people developing Frozen Shoulder
57:07 Treatment and Management of Frozen Shoulder
58:44 Best Advice to people with shoulder pain
– Sports Physiotherapist
Dr. Peter Malliaras
- Specialist Tendinopathy Physiotherapist Episode 161 of The Physical Performance Show
For questions and comments about this Episode
Send to the show host @Brad_Beer
(Twitter) or @brad_beer