What is Causing Your Shoulder Pain? Tests You Can Do Yourself.

What is Causing Your Shoulder Pain? Tests You Can Do Yourself.


Bob and Brad, the two most famous physical therapists on the internet Hi folks, I’m Bob Schrupp, physical therapist, and I’m Brad Heineck physical therapist Together we are the most famous physical therapists on the internet, in our opinion of course, Bob. Today we’re gonna talk about what is causing your shoulder pain. You’re getting this shoulder pain. You’re upset about it We’re going to show you some tests you can try on your own, This is a little self assessment here, eventually and then probably need to see the doctor But this maybe gives you a little leeway into it so that you can say to your doctor I wonder if it’s this? They love that don’t they brad. Oh, yeah another one of those patients, all right we have ten and Most important is number seven so you better stick around till number seven right because it’s in our opinion the most common, all right number one is a ??. Bob, these big words. It’s ridiculous! It means that you’re getting some pain down your arm, from your neck, probably a pinched nerve in your neck One of the easy tests you can do for that First off, you may get numbness and tingling, these are some of the symptoms, all the way down into the fingers Especially all the way down the fingers, that’s when you start to think that it might be This sort of thing. So what you’re going to do is you’re going to turn your neck To the side that you’re having pain, turn and extend and then you’re going to push down Or, even better if somebody else would actually do it. So I turn, extend and then push down gently Now if that recreates your symptoms that means you’re pinching that nerve and that means you could possibly have a problem with your neck that’s giving you shoulder pain, and Then you better probably go in and have it looked at for sure Yeah, you can do the other side too. Rotate, extend, and then push down, and it doesn’t take much pressure And if this is it it usually triggers it, it’s pretty clear that. Oh no. It’s getting worse. Nerve pain hurts. Yeah nerve pain is some of the worst pain you’re going to get Second one is Thoracic Outlet Syndrome and in this case you’re getting some pinching up here in the neck and the shoulder in here, some of the muscles or Maybe over the first rib here. Simple tests called roos tests, you’re going to bring your arms up 90 degrees here, 90 at the elbow, stop, and you should bring it back a little bit, too but just back and then you’re going to just There’s people that don’t really know what they’re talking about. The chicken dance, you know this song right? Anyway, I’ve seen different amounts, what you’re looking to see if it starts recreating your symptoms They say to do it up for three minutes, some say a couple minutes I’m thinking three minutes is going to get anybody. So if they start showing up after about twenty seconds to a minute I think there’s a good possibility that that’s playing a role, all right number three Rotator cuff tear, okay a rotator cuff could even be a rotator cuff Tendonitis or kind of a injury of the muscles of the rotator cuff too I just want to say one thing on this if you try to lift your shoulder, and you’re going like this This is all the higher you can get it That’s making me think maybe it’s a tear. Oh by the way Brad if you haven’t already If you’re new to our channel, please take a second just to subscribe, we got a button right over here He was wondering where I was pointing I was pointing at them and we provide videos on how to stay healthy, fit, pain-free, And we upload every day right, so there’s a variety a lot, head to toe we work, alright next one So we’re talking about the rotator cuff tear Brad There’s a couple ways to test that, because the rotator cuff is four muscles So we want to make sure we’re testing them to see what their strength is You actually tore the tendon of the muscle, not the muscle You tore the tendon and one of the ways to test that is if you’re facing there Brad, you’re going to bring the arm out to the a little bit forward about 30 degrees, up about eighty degrees And then you can turn the thumb down and you should get a little push here. If it’s tore It’s going to just give away. You may not even be able to put it up in this position right or it’s painful there you can test yourself like that, now a lot of these rotator cuff muscles they take some experience, but you could try them here and get a feel. The other one is you could test the Infraspinatus and the teres minor, and I’m just saying that to impress you, you put your hands like this And you can actually put both of them like this brad and I can push them both in and if one gives way that might be a sign that you have a tear This one I see a lot in the clinic I’ll do this or you could do it on yourself If you can pull here and that one’s strong and this one’s like oh, it hurts it goes right in yeah It’s a pretty good sign something’s going on in that rotator cuff osteoarthritis, or just plain old arthritis of the shoulder. Now generally this could be for people who are older and it tends to be and if It’s catching or clicking, grinding. That’s kind of a sign. generally with osteoarthritis you start to lose motion in the shoulder too especially with external rotation Brad So if you kind of put your arms like this and like this one can go way back here And this one only can go this far, now I’m keeping the arm at a right angle, the elbow. It’s rotating like this So this one only goes this far, but this one goes all the way there Could be a sign of a little bit of arthritis, that’s a nice thing with all these tests is you got two shoulders If they were both reasonably healthy before the injury, You test from one to the other and say I’m not sure if that’s a good sign or bad sign. Test the good shoulder and see what happens on that. You certainly could get arthritis of both shoulders though. Well that is right. Okay, acromioclavicular joint. That’s the ac joint. That’s this joint right here If you look at the collarbone as it goes along and right as it attaches to this other bone Should we go a little closer Brad? Okay going along the bone right as it attaches to this other bone. That’s the joint right here Very common injury there if you fall on your elbow, a lot of football players have injuries in here Well if you fall on the point of your shoulder Weight lifters get this a lot. A lot of people who do a heavy bench press This is very common and they wear out the end of their clavicle. Very easy tests you can do One let’s do the most simple one you just bring your arm across like this and pull it across like this I call it the crossover test. Point pain right here That could be the acromioclavicular, it could be other things, too But we’re just giving you a couple tests to do Another one put your hand here and now you’re going to push up like this yep, that’d be another one that could bring it on, the last one is a pull apart test. Pull your arms apart, and I actually feel that a little bit on this one So you’re going to, one shoulder will be painful or hit the problem. I’m a little bit positive on here. Just a slight ac, which is a good point you may be positive on some of these tests And it may not be a problem. Positive means that you actually found a result. Positive’s not good. Bursitis number six This is kind of a tough one to test for, it tends to be very localized It’s not spreading out going down. The bursa is a fluid-filled sac here So you might have a little inflammation here, it might feel warm it might even be swollen And you can push on it. I used to test it by kind of bringing the arm back like that, that exposes the bursa a little bit and then I press on it And again you could have tendonitis, bursitis They present similar, you can have both, very common to have both actually impingement now This is number seven this is the one that’s the most Important because we see this the most often by far and basically what’s happening is your shoulder’s forward a little bit and it’s pinching on the tendons in there which can lead to tendinitis Which can lead to a rotator cuff tear. So this is the one that, by the way I’ll have to maybe link up to one of our videos on how to treat impingement, because if I were to take a guess if you’re having shoulder pain this probably is playing a role So just one simple test that you can do on your own is you put the arm here again But this time just bring the elbow up like this, and if that hurts and gives you a little bit of pinching, So you’re lifting with the other arm? Yep. Keep this one planted on. So you’re getting the chromium and the humerus to come in and pinch And that’s where it gets the name impingement because you’re internally rotating it so it’s pinching those tendons. So again that’s the most important one. Number eight which leads to tendinitis which we taught. This can lead to tendonitis, the impingement So usually what we see with this is like a painful arc we call it. We see this a lot. Yeah, like from here to here It doesn’t hurt but from here to here ow ow because it’s pinching and It’s pinching on that tendon and sometimes it’s kind of interesting where here to here it’s fine, and then ow it hurts and then they get through that and then up here it’s fine again. Right, it’s because the tendon clears. The part of the tendon that has the tendonitis actually cleared That’s a really good sign of tendonitis is if it hurts in a painful arch, and then doesn’t It’s one of a few things that does that Yeah, it’s kind of interesting, but we don’t want to get in the mechanics of it now But you know maybe we will in another video. Number nine if you have an unstable shoulder, now if you tend to be double-jointed in other joints like let’s say you can take your thumb and put it down to your forearm Elbows hyper extend or your knees are hyper-extended There’s a good chance that you might have an unstable shoulder because that means your shoulder is not stable either and we do the apprehensive tests which not a really easy one to do on your own, but we bring it like this and we go like this So if I do it on Brad, and I would push it this way He gets apprehensive about it because he’s worried It’s going to even pop out of the joint. So in other words there’s no pain, but it’s like just really afraid of letting go, you don’t like it being up in this position You can have an unstable shoulder without that being the problem, but It’s moving around too much, it’s sloshing around and giving you problems Number ten is fibromyalgia. Difficult one to diagnose, even doctors have trouble diagnosing this. Really often go by symptoms You know are you tired? Do you have a lot of trigger points, that’s probably the main thing. We have specific ones mapped out for people that are consistent with Fibromyalgia We’re not going to get into that It’s something that could be a possibility if you’re having pain in other areas besides your shoulder That’s something to think about so We hope that was helpful and remember, Brad and I can fix just about anything except that broken heart. I like the way you make that come in Bob, on the video I think I’ll put it over your face so they can’t see ya. Right down, I’ll open it up. Thanks for watching.

100 thoughts on “What is Causing Your Shoulder Pain? Tests You Can Do Yourself.

  1. If you have a shoulder pain radiating down to your arm? Best thing to do see a chiropractor and then if that doesn’t work go see a therapist for a ultrasound and electricity and massage treatment or have both Chiro and therapist, in my case, that’s what I did and it worked out perfect!

  2. Thank you – extremely helpful – in sussing out my out shoulder pain. Wasn't sure about you at first – now I think you're excellent – Cheers.

  3. Hi guys, I love your videos thank you. This one here made me realize that I probably have tendonidous or burstidous. Thank you again. Do you guys have a video on treatment for either of these 2 symptoms?

  4. Hello fellas
    I besich you ..ive had a super sore & tense &tender muscle under or below my right shoulder blade
    And I need some data from the stretch guros! Thank buds!

  5. Sir I have some problem with my right shoulder…
    While playing Cricket I throw the ball very hard.. and from then i am suffering from shoulder injury…
    As per your tests No.7 and No.8 is my type of pain..
    While raise my hand i feel pain at a particular point and then feel relax after than…
    I have suffered from this injury from almost 2year..
    After that injury i can't throw ball and if i try to do so i feel seviour pain..
    Please help me Sir..
    Give me some tips and exercise..

  6. I've problem of 5:15 when I do this a sound or a crack pops up everytime please tell me what can I do !

  7. what if i pass all of these test, MAYBE feeling slight pain in a few but nothing much, but of i was to hang from a bar my shoulder cant do it and theres pain from shoulder into hummerus region, sorta feels like it will just pop right out.

  8. Hey most of them didn’t hurt but after I did the roatar cuff tear it hurt after I was done any suggestions

  9. First of all Thank you both very much for helping me diagnose my shoulder pain, but now some helpful criticism.

    Hey remember when you two SUN COOKED MOON MONKEYS mentioned impingement shoulder pain?
    Then you said you should link another video on how to treat it… and then you didn't….

    So you didn't put a link in your video right where you said you should, right, bare with me on this..
    And then down in your comments, where people usually put links to such material, you've got links to:

    Your "BOOYAH Stik" on Amazon (fire your marketing department for that one).
    Your amazon preferred page.
    Your Facebook page.
    Your instagram.
    Your twitter.
    Your website.
    Your book on amazon…. ಠ_ಠ
    Brad's book on Martial Art exorcises (divorce Brad).
    And lastly a link for people to help translate your videos….

    That's a total of 8 links that aren't to a video offering treatment for impingement… ಠ_ಠ
    From here I think you can complete the puzzle yourself, which is what I had to do (here is the link for anyone else with this same problem https://www.youtube.com/watch?v=Bp0ONqc-sCI).

    0/10 not very cash-money of you.

  10. My shoulder hurts right where my trap muscle meets my shoulder joint and it only really hurts when I lift weight

  11. What about shoulder pain when you try to put your hand up your back? I feel some pain at the extremes of straight overhead or the right angle to the side (hand upward) position. Is it simply the result of overdeveloped right side vs. left side?

  12. I am wishing you had put a title/number/caption on each item as you discussed it. Am a big fan overall – love the channel – thanks!

  13. What can I do to get rid of the rotor cuff ? I can't lift my left arm very high I did your test and failed miserably. The pain is becoming unbearable. I'm losing SO MUCH sleep I can't lift or move even slightly wrong or it feels like I got dead armed – it's bad I'm over this its been 3 months . Another way to explain it is a toothache in the shoulder that goes down when I move wrong – and by wrong I mean almost any movement
    I also cannot reach the arm across my chest

  14. My left shoulder pain came from the first test – pinced nerves (although there were a couple of other tests that brought less pain as well). The funny part was that I tried it on the right side first, and it brought out pain on that side also! Then I did the left side, and it was even painful! The numbness in my left hand is bothering me, and it seems like I can't find any position in which I can relax and be pain-free. The only time it doesn't hurt is if I'm out in the garden and doing laborious work. Otherwise, the pain is intense (especially in a seated position). Are there any stretches I can do to resolve this?

  15. You mention briefly at the end about trigger points. A lot of shoulder pain may be mis diagnosed as many of the causes in this video but could simply be due to trigger points which can be fixed by yourself with a decent trigger point manual, a tennis ball and maybe a theracane. The trigger point therapy workbook by clar davies has done more for me on multiple injuries than any physio ive used. Another thing to do with shoulder pain is to hang from a bar, with feet touching the floor, for up to a minute. Search for shoulder pain solution by John m kirsch. Ex surgeon who found hanging from a bar helped reduce the number of people he had to perform shoulder surgery on

  16. love your video bee suffering with joint pain for a long time now, i believe i fall in the catagory if "inpincheament" what kind of excercise methods can i use in my case? thank you so much.

  17. Thank you very much guys I appreciate you all taking the time to explain all of this and help me very much I know now what is wrong with my shoulder and thanks again

  18. Im a new grad & prepping for boards! Thanks for the review. And love the ending – cant fix a broken heart! lol

  19. I have fibromyalgia! I know I do because I didn’t believe it and have been diagnosed by about 8 specialists from Rheumatoid, Neurologist, to pain management! Anyway, I also have Myositis, and osteoporosis and osteoarthritis along with a list of other painful illnesses. My neck and shoulders hurt everyday. They’re hard and makes things feel like they weighed 200x more than it does sometimes! Even things as simple as a shirt can become unbearably heavy because of it. Even being on two muscle relaxers don’t stop it but it has helped calm down the muscles spasms where I felt like I was turning into a werewolf they were so painful and paralyzing! Simple things like brushing my teeth, taking a bath, walking or stretching would cause me to lock up in the most painful spasms that I ended up in the hospital with rhabdomyolysis! Ok to the point the trigger points and tender points I think it should be understood that your tender spots won’t be active all the time. And, they change! Your trigger spots may not be triggered right then. Example… I get an exam at the doctors. Not thinking right then I let him listen to my chest and back. I tell him oh it’s tender so please don’t push to hard. I go home and a few hours later I’m tripping and in the Er thinking I’m having a heart attack!! I’m having chest pains, shooting pains, anxiety, b/p shot up! It took us years to realize it was triggers! Because my heart is fine! But know when someone triggers those areas I take something to calm me down, and no not anything like Xanax or Valium! It took a long time to learn when I’m active and where I’m always tender what have happened and is this a trigger point! Those trigger point don’t just cause pain! To know the difference between something new and something different and something familiar! It really is a monster of an illness! It affects you physically and mentally! And, for some reason most of us becomes isolated! Someone find out why most of us ends up isolating ourselves!! Well I’ve texted enough! Thanks for reading lol!

  20. I have a sports injury and after MRI i got to know it is Avulsion fracture injury at the greater tuberosity with rear in few anterior

  21. Just saying (not blaming this video), I have had a sore shoulder for about 4ish years.. never had an injury or reason for a hurt shoulder, but it's just been a constant dull ache with some cracking/ popping sounds sometimes when I use my arm. I watched this video and did #1, fine. #2, fine. #3, fine but my shoulder felt a little tired and sore. I went to bed and that night was in pain, in the morning woke up with really bad pain so made a dr. app who gave me a muscle relaxer, anti inflammatory and sent me to get an xray the following day. Today I went to work in pain and had an xray after. Tonight I am in the most intense pain, I can't use my arm and my shoulder feels like somethings about to break out of the top of my arm. A top 2 of ever being in pain :/ . Just saying.. be careful before trying these simple exercises.

  22. This made me feel better. My shoulder was hurting so bad. But it’s none of these serious stuff… i just slept on it. 🥵

  23. Good video but nothing for me 🙁 ad of course health insurance just for me is 300+ a month 🤦🏻‍♂️

  24. Even tho I have insurance, my co-pay for PT is too high. I used your video to improve my (diagnosed) piriformis syndrome, and I ow with my doctor's approval, will be using your impingement exercises to hopefully get some improvement in my shoulder. Thanks so much for your helpful videos!

  25. It's been over 2 months since my shoulder injury, and it still prevents me from doing heavy presses. I visited a doctor and a physiotherapist but for some reason they just couldn't pinpoint what's wrong. They just told me to schedule an appointment again if it continues to bother me, and said shoulder problems take time. Kind of a bullshit answer to me, but I just went with it… but I would really want to know what is wrong with me.

    I commented before, but to reiterate: something in my right shoulder was hurt when I was doing heavy presses (either bench press or viking press). When I got the injury, I didn't feel anything suddenly snapping, but I recall feeling some irritation there right away. The pain was nothing major, and I only paid more attention to it that evening several hours later when I was doing my stretches.

    I have full mobility of the arm, but reaching far back behind me causes some pain in my lateral deltoid or under it (I was first thinking supraspinatus? I'm not sure anymore though). Doing partial scarecrow rotations does cause some irritation. Putting my arm across my chest and stretching the rear delt hurts in a specific angle and it almost feels like it radiates all the way to the triceps. I don't feel or see anything physically wrong with the muscles. I can row and do curls without pain. The pain doesn't wake me up at night, but even if I don't provoke it, I still feel it slightly. I can still function normally for the most part, but I just can't do heavy presses without discomfort and pain (and even bodyweight pushups/dips feel bad).

    I've had muscle spasms/knots before, and this doesn't feel similar. It can't be inflammation, since I have nearly stopped working out due to the injury, and I've also taken some anti-inflammatory pain medication. I also did some cold treatment, but it didn't feel like it helped much. I'm not 100% sure, but it feels like it's still as bad as it was a month ago.

    Please, if you have any idea what's wrong with me, give me a reply! I hate not even really being able to pinpoint the exact location of the pain and not knowing what's going on. Is it a tear? The doctor said based on the movement tests she had me go through, the injury is so minor a scan would probably not help at all. I just want to train properly again.

  26. I have a pain in my left arm and I can't lift up or behind my back or even I can't lift it behind my neck. I went to my doctor and gave me inflammation medicines but did nothing. Finally he started with acupuncture, I had my 3rd session, the arm is little bit better than before but still can't lift it up high or behind my back. What do you think it is? And what do you recommend me?
    Thank you

  27. mine runs into my bicep muscle my forearm muscle and into my pointer finger and middle finger and mri still dont show pinched nerves!

  28. You forgot lung cancer. My friend was misdiagnosed as having a pinched nerve in his neck for 9 months before we convinced a Dr to do a full chest X-ray due to his shortness of breath. The tumor wrapped around nerves in the thoracic area also paralyzing his diaphragm

  29. Very interesting. I am recovering from
    shoulder surgery, and spend my time healing learning new things from YouTube, and stumbled across your channel. I had a couple of things you all didn’t mention, maybe a topic for a different video. I had both front and back labrum tears, tendinitis, bone spur, arthritis, and my large ligament holding my bicep to my bone was shredding. My pain was from the top of my shoulder down to my elbow. After trying several different fixes, including physical therapy, surgery was my only fix. Now back into physical therapy, hoping to be back to normal soon.

  30. Two much jabbering, no time to absorb the meaning of what they are saying. Trying to follow the text takes your eye off the physical demos too. Just slow down guys, eh?

  31. Sir i have pain in right nack and back shoulder of upper area of kidny ..and when i turn to left side nack it was not moments good .the lower area of ear of left side to much pain .so kindly please any guide lines

  32. I have been troubled by shoulder pain for weeks and still was negative on all of these tests.? :/ What exactly could that mean?

  33. At 9:15, this is me. Incredible pain that makes me dizzy, just in that range. Thought it went away before. But it's back….

  34. upper outer arm pain like terrible headache goes up neck …not heart related…days oy resting pain killers and now slowly regaining full strength as i had no strength when i lifted my hand above my shoulder .Tingling started after the arm started to get better. I didn’t hear anything like this.

  35. i have some kind of shoulder pain,l rate it between a 3 and a 5 but one night i was sleeping on that shoulder i woke up it hurt like hell,i dont think its a muscle its a tendon issuie,,i went down to the rehab at my hospital talked to the head therapist he gave me a theraband to do exercises,if i drop my arm straight down and sort of twist my arm thats where i feel the slight pain,not on the top,slightly below.what do you think?

  36. I injured my shoulder 8 years ago and now the injury is back. None of the tests in this video brought pain. But yet my shoulder hurts very badly. I dont know what to do for it since I can't seem to diagnose it. If I put my arm straight up but behind my ear, then lower it down out to the side, that hurts. Or if I put my arm straight out in front of me then slowly pull back with my elbow out to the side, that hurts. (I am Aryn Elizabeth's mom).

  37. These guys are good. I love how they get into detail that way it's easier for me (or the other viewers) to pinpoint the problem. Must say that the both of them can sure as hell fancy a knot, along with their sharp ties. Really helped me out, thank you

  38. Number 9 got me. Thanks guys now I know why me shoulder dislocates literally everyday. It’s pretty hard as a gymnast to have to pop it back in after every turn I take.

  39. I’m stuck between an old injury of either my rotator cuff or AC joint.

    Happened about about 3 years ago. Was in the full sprint and tripped so I had to do a tuck and roll over my left shoulder.

    My first mistake was never going to a doctor, still to this day. Had the symptoms of the rotator cuff injury (in able to lift my arm above my waist for about 2 weeks) but now I have pain where my AC joint is (similar location?) I have have pain if I relax my arms and shoulders to my side and take a deep breath and also when I lift my arm above my head to reach down between my shoulder blades as if I’m trying to scratch my back. It’s not unbearable pain but I can tell something isn’t right. I wish I had got it checked out when it first happened because maybe it could have been fixed, but instead I had to be stubborn and play the “tough guy”.

  40. Waow very good stuff there. I wish someone knew what I have, my shoulders have been hurting for about a year now and doctors have just run an ultrasound test and nothing more, it was clean.
    I'm desperate.

  41. I have arthritis, fibromyalgia and a bone spur in the left shoulder and small rotator cuff tear in right per X-Rays. Knees are full of arthritis. Had a meniscus tear cleaned up in the left knee. High uric acid. Was getting laser treatments on shoulders and knees from a friend, but he killed himself. Do self-Reiki daily. Am 80. My plan is to live to 114 and I'd like to stay home.

  42. I am entirely positive on the impingement. I can barely even get my hand on my other shoulder and cannot move it at all once I finally get it there lol.
    Also. If I extend both arms out straight in front on me. One shoulder is higher than the other- any one else notice this with themselves?

  43. I wanted to let you know that after going to a chiropractor for a dozen times and two different physiotherapists, these exercises are the ones that helped me the most. It has been 6 months without shoulder pain now. Thanks!

  44. if and when my arm is at 90 90 the left one i can take back like a wing motion but the other one feels like something is pulling and clicking and stings realy bad aswell as certainparts of the arc hurts like you said its all very weird the pain isnt alwayse able to touch accept in the front but the part that stoo out to me most was pushing the elbow up when holding the shoulder that hurts realy bad imediatly

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