The Exam for Shoulder Pain - Stanford Medicine 25

This video is brought to you by the Stanford Medicine 25 to teach you the common causes of shoulder pain and how to diagnose them by the physical exam.

The Stanford Medicine 25 program for bedside medicine at the Stanford School of Medicine aims to promote the culture of bedside medicine to make current and future clinicians and other healthcare provides better at the art of physical diagnosis and more confident at the bedside of their patients.

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Diagnoses covered in this video:
Rotator Cuff Pathology
Impingement Syndrome
Biceps Tendinopathy
Adhesive Capsulitis (Frozen Shoulder)
Acromioclavicular (AC) Joint Disease
Shoulder Instability
Labral Tears (SLAP Lesions)

[RaySiow_MD]

0:57 Range of motion
4:12 Rotator cuff pathology
5:45 Bicep tendinopathy (long head)
6:18 Adhesive Capsulitis (Frozen Shoulder)
7:01 Acromioclavicular (AC) joint disease
8:44 Labral tears (SLAP lesions)

[DrPeterVenkman]

Good to see Nick Cave taking his health and mobility seriously.. 👍

[interludo]

Gold medal for informative content, clarity, communication, presentation. thank you.

[alexcombe]

The best shoulder examination I have ever seen. Dr. Christopher really is a super specialist. Great work

[mistyrain]

I wish Dr. Christopher had more videos. Soothing and knowledgeable.

[tombryantjumpscoach]

I had a diagnosis by an orthopedist with an x-ray, an MRI and 2 months of physical therapy. My initial examination wasn't nearly this detailed and now I wish it were just to satisfy my interest in learning about it. Diagnosis was supraspinatus tendonitis, two small tears in the supraspinatus muscle, impingement of a bursa and osteoarthritis. Probably an anomaly (round shoulders). Still have some pain due to my stubborn refusal to stop working out and playing sports. I did have a good doctor .

[miguelyaez]

Amazing video. Im a Primary Care Physician, almost everyday patients arrive complaining Of painful shoulder pathology. It will be very useful to take better decisions. Thanks a lot.

[MaxSachs]

These tests made me realize I need to see a physiotherapist immediately, tenderness and pain during at least half of the tests. Thanks for posting!

[maricelbagnall]

I really appreciate your effort and comprehensive examination! It helps me a lot as a new medical practitioner here in US . More power and God speed! 😊

[imedchabchoub]

Probably the most complete shoulder examination video on the internet.

[dogwink]

The best video so far (saw about 5 of these) on diagnosing shoulder pain.

[alexandremello]

Thorough and systematic shoulder examination presented by an acknowledged and beautiful doctor with a marvelous british accent and soothing voice. Doesn't get any better than this. Thank you.

[Mahadevan]

Brinda, your examination, was very comprehensive, and all including. Thank you, for your efforts

[spellaroma]

This is the most clear and simple education and knowledge to understand, she is amazing, she dont talk too much and make the subject complicated like other videos, she go to the point directly, i would say on you tube she is a teacher number one. her charisma get your attention with that confident and voice level. been watching her video many times a day for one week.
Can you post new video about all lower back pain cases upper back, middle back and lover back examination please? silent and calm atmosphere like this one?

[sgtrock]

I used to watch this for ASMR... Then I injured my left shoulder 3 months ago. The speeds test for me was severe biceps tendinitis for a long time. Very frustrating. I'm still waiting for an Ortho appt with the VA. Meanwhile I bought Dr John Kirsch's book about the shoulder. I've followed his book to a T. Now I have no pain in any of these movements and my rotator cuff is stronger than it's ever been. I'm 60. I work out for 2 hours daily again with no shoulder pain. .

[c.c.c.c]

The doctor is a noble and very beautiful woman...

[sanafatima]

Summarised notes.
You're welcome😊
Supraspinatu: Empy can test, forward flexion and 30 degree flexion then check power for supraspinatus,
External rotation with power (IS n TM),
Internal rotation lag sign, gebers lift off test (subscapularis),
ROTATOR CUFF PATHOLOGY: Supraspinatus impingement: neer's test,
Empty can test, Hawkins Kennedy test.
Patients with supraspinatus impingement can have scapular movement asymmetry.
Palpate the anterior joint line and internally rotate the shoulder and palpate subacromial/subdeltoid space.
SPECIAL TESTS: FOR BICEPS: Speed's test ( resisted flexion), Yergason's test (resisted supination), papate the biceps tendon while doing this.
ADHESIVE CAPSULITIS: painful ROM. Reduction in ROM both actively and passively. ER is the first movement to be affected in adhesive capsulitis. There's scapular motion asymmetry due to limited mobility of glenohumeral joint.
AC JOINT DISEASE:
Localised pain over AC joint, might pain when rolling over that joint to sleep.
Palpate the joint for any pain, crepitus, step off deformity.
Scarf test (cross body adduction) and palpate the AC joint.
Painful arc in last 30 degrees of abduction.
SHOULDER INSTABILITY: sulcus sign: pull down on humerus and notice for any sulcus on lateral side of shoulder.
Apprehension and relocation test.
LABRAL TEARS: Common in athletes.
Speed's test. O'brien's test. Crank's test (internal and external rotation whilst palpating for pain and clunks)
Acute lesions: anterior joint line fullness.
Loss of power on resisted movements.

[athenaathena]

Awesome description and exam ;) excellent job too bad most drs are not this thorough .. if only all exams were this trustworthy ...

[NoName-hqxv]

The tone of her voice is even and smooth. Helps to fall asleep. Thank you for my lovely nap Dr Brinda.

[themulti-coloredcanary]

Thank you so much for this! This is exactly what I have been scouring the internet for.