Video

Transcript

let’s talk about the number one top

nutrient deficiency in rotator cuff

injuries and a lot of other joint

injuries as well okay this deficiency is

actually a mineral deficiency which i’m

going to get to but i want to give you

just a very brief overview of the

rotator cuff muscles okay

so here’s the arm joint right here

here’s the back

part okay of your shoulder

and this is the front part right here

here’s the clavicle so there’s really

four muscles involved with the rotator

cuff it’s called sits okay you have this

top muscle right here

that lifts your arm up right here it’s

called the supraspinatus

then you have the

infraspinatus it’s below this spine

right here and then right below that you

have this teres minor muscle

and then on the inside you have the

subscapularis

so those are the four rotator cuff

muscles

all right now there’s a lot of

information we can talk about the

rotator cuffs but a lot of it’s not

important

um it’s just history i want to talk

primarily about the important things you

need to know about your rotator cuff

muscles now

up to 94

of all

treatments to the rotator cuff

um involve

more treatment because of recurrent

repairs and failures so in other words

it doesn’t have a really good success

rate okay so this is why i’m doing this

video to give you another solution that

can

help with your concurrent treatment now

the next most important thing to know is

that the majority of rotator cuff

problems are related to the tendon not

the muscle okay but the tendons

so tendons connect from muscle to bone

ligaments connect bone to bone but

tendons go from the muscle

to the bone and these ligaments are

incredibly strong but they are

susceptible to

issues okay

a couple of the things you need to know

um tendons have a very poor blood supply

and so when they get injured

they don’t heal like muscles do that

have a large blood supply

and when you injure a tendon

you get a

lowered amount of oxygen it’s called

hypoxia and that triggers something else

which i don’t want to get into the

complexities of but it triggers some new

blood supply to that

tendon okay but there’s an interesting

paradox that happens so even though this

hypoxic condition

creates more blood supply which is

supposed to increase more oxygen and

nutrients

it actually

doesn’t there still seems to be this

persistent hypoxic state and if you look

a little bit deeper into that

what occurs when you have this injury is

you have this

this leaky tendon it starts leaking very

similar to leaky gut so you have this

loss of oxygen and loss of

nutrients the other point about these

tendons when they get injured is you

don’t really see inflammation going on

so it’s not really an inflamed

tendon okay that’s not what’s happening

you definitely have pain and things like

that

but you don’t necessarily have

inflammation the other thing you need to

know about the tendons is they heal

with disorganized tissue which is scar

tissue uh they don’t heal with the

normal

nice fibers that are interwoven and keep

things nice and strong they heal with

basically scar tissue as its survival

mechanism just to patch it up with some

scar tissue and the problem with that

long term is it heals in a weakened

state and so you may find that with

regardless of what treatment you have

it’s never going to be as strong as it

was and that’s with my case too i

injured this shoulder fractured it and

this elbow two separate injuries

and man i’ve worked this thing for so

long x-rays etc there’s a little bit of

tiny bit of arthritis but it’s really uh

from the injury and

so there are some things you can do to

maximize the strength but as far as it

coming back 100

uh that’s probably not going to happen

and the other two things you don’t want

to do is apply cold to a rotator cuff

injury now it might decrease pain but it

actually gets rid of all the things that

are necessary to come to bring into the

healing also rest is not the best idea

as well because with rest you just have

more scar tissue the best thing is to

keep it

moving as much as possible at your level

okay so now i’m not talking about a

complete tear i’m not talking about that

i’m talking about trauma to the tendon

as well so now the question is what

should you do okay if there’s just

arthritis in your shoulder and there’s

not an actual tear of your rotator cuff

tendons hanging is one of the best

stretches okay with an overhead bar

but if there’s trauma to the tendon

hanging might not be a good idea

isometric exercises are really good for

tendon problems

because you’re not creating this motion

but you are stimulating the area and

it’s really good for pain

vitamin d is very very important not the

most important one but this will

decrease inflammation vitamin c is also

necessary for collagen repair okay not

the most important nutrient but

important

sufficient amino acids from protein very

important but not the most important i

already mentioned this keeping things

moving on a regular basis is very very

important in rehabbing and also

eccentric exercise i’ve done a video on

this

this is where you kind of reverse the

exercise so if you’re going to do some

type of motion where you’re contracting

the muscles and you’re shortening the

muscles

that would be not this okay this is

elongating the muscles

i will put some links down below but the

most important nutrient okay for

rehabbing a tendon is manganese okay now

why would a manganese deficiency

slow down your healing of tendons

because manganese is not only a powerful

antioxidant so this enzyme right here

which is completely dependent on

manganese

has its highest concentration in your

tendons okay and then this turns into

this enzyme which specifically regulates

the repair of your enzyme and there’s

another enzyme that manganese is

involved with which has everything to do

with collagen formation so if you’re

deficient in manganese okay which a lot

of people are

you’re going to have a heck of a time

keeping your tendons strong you’re going

to have a heck of a time rehabbing and

repairing your tendons so

manganese is the most important

trace mineral

for strengthening your tendons as well

as your ligaments that’s why in my

clinic i used to use it for low back

pain especially if there’s a disc

involved but for rotator cuff it’s hands

down it’s one of the best trace minerals

now if you look up the source of where

you get manganese from they’ll say whole

grains legumes

vegetables things like that but the

problem with whole grains is the phytic

acid

and other

anti-nutrients that will block the

absorption of manganese so the best

source of manganese is

shellfish okay clams

mussels

other types of shellfish if you’re going

to take it as a supplement i would take

about 200

milligrams okay for a period of time

maybe for a month and then i would back

off and i probably wouldn’t take it i

would try to focus on getting it from

the food

now the um

the ai for

manganese that’s the adequate intake

amount so this represents a figure

that gives you a certain amount to

prevent a deficiency but nothing to do

with maintaining health of that nutrient

but just to prevent a deficiency is like

2.3 milligrams that’s a joke it’s so

small

the other thing you need to know is when

you take statins

steroids

and

antibiotics specifically cipro

all three of these types of medications

can stop the healing of a damaged tendon

if you haven’t seen this video on

inflammation i think you should check it

out right here

you