Physical Rehabilitation Medicine/Rotator cuff

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Question
I felt a pain in my upper right arm lifting weights. Ortho Dr. Believed it to be a Rotator cuff tear. I attempted MRI but sever claustrophobia prohibited that. Physical therapist offered  very very basic exercises. Felt more for an elderly patient. I am 56.
I found a comprehensive resistance band strengthening video on YouTube. I have complete mobility and very little pain. Usually a periodic dull pain at night.
My goal is to light strength train with ex. Hammer strength type equipment.
I really want to start light work now in conjunction with resistance bands.
What are your thoughts.

Answer
Go slow.  It sounds like it might be bicipital tendonitis or something to that effect if it has gotten better with time.  Maybe not...just guessing.  Bands are great, move into weights slowly.  Biggest advice, avoid severe extension at the shoulder.  For example, if performing a bench press...don't allow the bar to touch your chest or come down too far.  This will stress the anterior part of your shoulder and cause problems.

Biggest thing is go slow.  Most people strengthen their chests, arms, etc.  Pay more attention to your back and scapular stabilizers.

Physical Rehabilitation Medicine

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Brian Neville, OTR/L, CWCE

Expertise

I can answer questions about both conservative and post-operative rehabilitation for UPPER extremity injuries. These include but are not limited to: fractures, tendon repairs, tendon transfers, nerve repairs, lacerations, tenolysis procedures, TFCC injuries, repetitive motion disorders, reconstructive procedures. I have an advanced knowledge of UPPER extremity anatomy and industrial rehabilitation. I have extensive splinting skills for injuries to the upper extremity. Although not a physician or a surgeon I have worked closely with world renowned upper extremity specialists for over 10 years. I can give general information on what some of the most common upper extremity surgeries involve. I can reference those procedures as well. PLEASE DON'T ASK ME QUESTIONS ABOUT ANYTHING OTHER THAN THE NECK, SHOULDER, ARM/HAND. I'M NOT QUALIFIED AND KNOW ABSOLUTELY ZERO ABOUT BACKS/HIPS/KNEES/ANKLES/ETC. THANK YOU!!!

Experience

10+ years working closely with orthopedic and hand surgeons and their patients. I have treated patients with small lacerations to major reconstructive procedures. My knowledge base includes both conservative and post-operative rehab protocols and care for upper extremity injuries. I have treated patients all the way from day 1 post-op to return-to-work status.

Organizations
Kentucky Occupational Therapy Association American Society of Hand Therapy National Nurses in Business Association Roy Matheson and Associates

Publications
RSD article

Education/Credentials
Occupational Therapist former Certified Hand Therapist (license currently inactive) Deep Physical Agent Modalities Instructor Certified Work Capacity Evaluator

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