Physio Edge podcast with David Pope
097. Anterior shoulder pain, long head of biceps and SLAP tears with Jo Gibson
Jan 29, 2020
Join Jo Gibson, a clinical physiotherapy specialist at the Liverpool Upper Limb Unit, as she unpacks the intricacies of anterior shoulder pain related to the long head of biceps (LHB) and SLAP tears. She dives into the common mechanisms of injury and how activities like lifting and throwing can cause LHB tendinopathy. Jo also highlights innovative diagnosis techniques such as the 'three-pack examination' and ultrasound, alongside discussing effective treatment options like tenodesis and tenotomy. A must-listen for physiotherapists!
27:56
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Quick takeaways
- Anterior shoulder pain often originates from the long head of the biceps tendon but can also indicate underlying rotator cuff issues.
- Rehabilitation for long head of biceps tendinopathy should prioritize addressing rotator cuff dysfunction to alleviate strain on the tendon.
Deep dives
Understanding Anterior Shoulder Pain
Anterior shoulder pain can stem from various conditions, with particular focus on the long head of the biceps tendon and SLAP tears. Patients may experience pain that seems to originate from the long head of the biceps; however, this is often secondary to underlying rotator cuff issues. Factors such as instability and rotator cuff pathologies contribute heavily to the symptoms experienced by patients, especially in younger populations. Identifying the exact source of pain involves a thorough clinical history and physical examination to differentiate between these related conditions.
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