00:00These three, three regions, the scapulus, the scapula, the shoulder itself, and the cervical spine are like friends who fight
00:10and then make up, and then fight again, and make up again.
00:16It's also common after bursitis for some issue to appear in the scapula or the cervical spine.
00:23That's because these three regions, let me draw here, make a cute little drawing.
00:28Here's someone from the back, okay, the hair.
00:32This is so you don't get confused, okay, guys?
00:35Look, here's the shoulder.
00:41And here's the scapula.
00:45These three regions, scapula, the shoulder itself, right, which is actually a joint complex,
00:56and the cervical spine, they're like those, like the three musketeers, they always go together.
01:06Like those friends who fight and then become friends again, and then fight again, and become friends again, you know?
01:12So, if it started acting up, and even showed bursitis, for sure, the other two were already involved in this
01:27bursitis problem.
01:29We have other videos about bursitis here on the channel.
01:32You can search for them later.
01:34Just search here on YouTube for Dr. Alexandre Mota.
01:40Bursitis is caused by mechanical lamepha imbalance.
01:44And it's easy for us to work with it, all right?
01:49So, bursitis is the result of an imbalance, either in the scapula, the cervical spine, or both, or even all
01:56three at the same time.
01:58The fact that you treated the bursitis, I imagine, with medication, with physical therapy that only focuses on the area
02:06of pain,
02:07it's very likely that you think you've solved the bursitis, but the problem remains.
02:12The underlying issue is still there, and now you're not feeling pain here anymore.
02:18But now your neck has started to complain.
02:26Now, let's do the following.
02:29If one area has already started acting up, and the other one has too,
02:33it's very likely that the problem is here, in the scapula.
02:39And now, I'm going to suggest two easy, simple exercises for you to address, or at least reduce, the cause
02:48of the bursitis.
02:50And get these three musketeers, these three friends, these three neighbors, back together, all right?
02:57For the first exercise, you're going to need a wall.
02:59Let me move this flip chart out of the way.
03:04There.
03:06At first, it might be a little difficult for you, but I want you to put your hands on the
03:10wall, preferably at shoulder height.
03:13Alexander, my bursitis still bothers me when I bring my hand up here.
03:16Keep it lower.
03:18But ideally, you should bring it up to shoulder height.
03:22In this position, you will keep your elbows straight, both elbows straight.
03:27Don't bend your elbows, and you're going to do this movement here.
03:30Look, letting your body fall forward, and then coming back.
03:33Do you notice that the movement is happening exactly in the shoulder blades?
03:38In the beginning, it's going to be hard for you to do this.
03:41Most people have this difficulty.
03:44But I ask you to keep trying.
03:46Later, it will get really easy, just like it's easy for me now.
03:51One thing that might help you is to check if you're not bringing your shoulder up close to your ear,
03:56because then you really can't move it.
03:59Relax, like a turtle coming out of its shell.
04:03So just relax your shoulders.
04:06And here, see, you can move a lot more.
04:09Try to go until your shoulder blades touch in the back.
04:15And come back as far as you can.
04:17See?
04:17And pay attention.
04:19The elbow doesn't move.
04:20The movement happens entirely, entirely, entirely in the shoulder blade.
04:25My body goes forward and backward.
04:30You will do this exercise until you feel that freedom of movement.
04:36Feel that there's more lubrication.
04:38You're able to move your scapulas, your shoulder blades more.
04:42All right?
04:44But I want a specific number.
04:47I want to do it a certain number of times.
04:49Do it 30 times.
04:51Trying to go as far as you can.
04:52And come back as far as you can.
04:55Go as far as you can.
04:57Come back as far as you can.
04:59No rush, please.
05:01The other exercise you can do to work on the scapula, focused on the scapula, is an exercise
05:07that's like a go-to remedy.
05:10You know that go-to remedy everyone has?
05:12You know, sometimes it's a pill.
05:14Sometimes it's an ointment.
05:16Sometimes it's even a cleaning product.
05:18One of my patients used to use veja.
05:21Actually, it wasn't veja.
05:22It was oil.
05:23Buriti oil.
05:24Which she said, improve the movement of the joint.
05:28Here you go.
05:29Everyone has this miracle cure.
05:31This exercise I'm going to show you now works wonders for the scapula and as a result for
05:36the problems that stem from it.
05:40Also, at first, it will be a little difficult.
05:43But keep at it.
05:45Come back here.
05:46Watch the video again.
05:47Do it with me and you'll be able to do this exercise.
05:51In this exercise, we'll work the subscapularis muscle.
05:54It sits underneath the scapula, between the scapula and the ribs.
06:01So the way to find this muscle is right here.
06:04Look.
06:05You raise your arm and you move your fingertips as if you were separating the scapula from the...
06:13Okay?
06:13Two fingers here.
06:14Keep going in along the scapula, right?
06:19To help, you can put this hand here on your shoulder.
06:21See?
06:22And that puts it in just the right position.
06:24You put your hand here on the ribs.
06:26Feel the scapula.
06:28Try to separate it.
06:30Go slowly because this can be very painful.
06:33Look at the movement I'm making here.
06:36I move it back.
06:37There will come a point where you'll feel discomfort.
06:41You can go up.
06:42You can go down.
06:43Look for the most painful spot.
06:45In my case, up here, it's really painful.
06:48Once you find that painful spot, keep a light pressure, just a little pain, the minimum pain,
06:55and you relax the arm that's raised and keep that pressure.
07:00You'll see that this pain will decrease in the next 30 seconds.
07:05If you can hold it for a minute, you'll see that the muscle itself will get more relaxed, softer under
07:11your hand.
07:15You can find and work on up to three of these more sensitive points.
07:20All right?
07:21Alexandre, the pain is gone here.
07:23Look again.
07:24Try moving up a little more or down a little more.
07:27You'll find another spot.
07:30Keep the pressure.
07:31Try to relax the arm that's on top and wait for the pain to decrease crease and the muscle to
07:38loosen up, to get softer.
07:40I can't do it, but you can.
07:41Again, if your fingertips are more flexible or else my nail is too long and it hurts.
07:44You could also use your thumb for this.
07:46See how it works here.
07:47Can you see it like this on the camera, Errico?
07:53Thumb.
07:54You go deeper until you find the sore spot and just relax.
07:58It's the same procedure.
07:59You'll see what works best for you.
08:04In two or three sensitive spots on the subscapularis.
08:09When you finish these exercises, you'll notice that your arm will feel much lighter.
08:13You can even compare one side to the other, right?
08:16It feels looser.
08:17You use less effort to move.
08:19And that's exactly what we want.
08:20And you'll see that your neck isn't hurting anymore.
08:26If you have any questions, leave them in the comments.
08:29If you thought of someone who feels any of these pains, send this video to them.
08:34If not, if you don't know anyone.
08:37Click on like here so YouTube can show this video to more people.
08:40Or you can send it yourself to the family group, work group, friends group, soccer group,
08:44or even the bingo group if you're around my age.
08:50That's it for now.
08:51Big hugs.
08:51And see you next time.
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