Podcast #140: Rotator Cuff Tendons with Jared Powell

By /

https://podcasts.apple.com/us/podcast/jacked-athlete-podcast/id1462537296?i=1000702714821

“Most of the data that we have in the literature seems to suggest that 70 to 80 % of all shoulder pain presentations can be sort of housed under this umbrella term that we call rotator cuff related shoulder pain, which includes rotator cuff tendinopathy, partial thickness tears, full thickness tears, even subacromial bursitis and all these types of pathologies.”

“So shoulder impingement surgery where we’ve done sham surgeries on people with shoulder impingement. So fake surgeries on people with shoulder impingement. And those people get better equally as people who had a real authentic surgery for their shoulder impingement.”

“We basically have no real evidence that shoulder impingement is an issue that we need to dedicate much time to. It’s more about improving the capacity of the muscles and the tendons in the shoulder.”

“We find rotator cuff tears in a lot of people without pain. We find rotator cuff tendinopathy in a lot of people without pain. We find subacromial bursitis in a lot of people without pain.”

“The information that we derive from an MRI or an ultrasound scan helps very little in how we manage somebody with rotator cuff related shoulder pain and even in their diagnosis. The best, the most useful thing that we have with radiological imaging is to rule out like red flags or sinister pathology like a tumor in the shoulder or profound glenohumeral osteoarthritis or maybe a frozen shoulder or maybe something like that. And then once we’ve ruled those factors out, imaging doesn’t help us unless you have a very large, full thickness rotator cuff tear that needs a surgical procedure to heal the tear or to fix the tear. Outside of that, rotator cuff tendinopathy, a partial thickness tear, all of these findings that we find on an MRI really do not dictate or influence what we do to manage somebody with shoulder pain.”

“These [lower limb] tendons are mechanosensitive, they need mechanotransduction, they need loading, they need a stimulus. They don’t need rest and they don’t need medical management. I think a carryover into the shoulder has been our obsession with this impingement model, which is at its heart, it’s sort of medical surgical term. And so we haven’t been as good as championing like non-surgical, non-interventional exercise-based management for these conditions, but that’s changing.”

“It’s starting to be loud and clear that even people with rotator cuff tears, they must or they should trial at least a three month period of a structured progressive exercise program with appropriate advice and education before they even consider having an injection and certainly consider going down the operative path.”

“There’s basically two separate approaches for managing somebody with a rotator cuff related shoulder pain. That’s a loading or strengthening pathway or a resistance training pathway. And then there’s the other pathway, which is really popular, which is a motor control pathway. And that’s like trying to change how the scapula moves or trying to change muscle timing and activity of the trapezius or the muscles of the, know, the serratus anterior and things like that. Basically trying to optimize or improve how the shoulder moves. And these two different approaches are, they couldn’t be more different in their rationale and their mechanisms of how they may work. But when we subject these two different approaches to a clinical trial and compare them, they actually produce comparable and equivalent outcomes in terms of pain and function. So that’s a bit of a weird thing with the shoulder. There’s two different schools of thought that dominate the literature and they both produce identical outcomes in terms of pain and function.”

“Imagine somebody has a small full thickness tear or a partial thickness tear of the rotator cuff, which is different, the Achilles and the patella don’t tear much. They obviously do, but it is really common to get these little tears, what we call like holes in the blanket. You get these little like focal tears in the rotator cuff, which means the rotator cuff can still function really well, but there are these tears in the tendon, which will affect its stiffness qualities.”

“On the whole, no, rotator cuff tears don’t really heal. There is isolated evidence of healing in one to 2 % of cases, but if you were to find a rotator cuff tear on a hundred people, 50 of those will have a progression of their rotator cuff tear over the next five years, progression meaning it will get bigger in size.”

“If you would have a partial thickness tear, maybe 20 to 30 % of people will have a bigger tear if you were to check back on them in five years. If you were to have a full thickness tear, maybe 50 % or more will have an enlargement of that tear over time. It’s rare to get a healing or a filling in of that tear over time, which might be depressing for some people, but it doesn’t really matter because the rotator cuff can still function very well from a strength and function perspective, even in the presence of these tears. The rotator cuff is actually engineered in an ingenious way.”

“There’s something called the rotator cable in the rotator cuff tendon complex, which shields the areas where we get a lot of tears called the rotator crescent. So this rotator cable distributes force around the tears in the rotator cuff tendon complex so that individuals with the rotator cuff tear will not know they have a tear because they have full function. These tears are completely silent, which is what Jill refers to them as. So there is no way of knowing apart from getting a scan on these individuals that they have any pathology of their rotator cuff because evolution has done a wonderful thing for us in our shoulder and has created this cable which can disperse force around the tear so that that person can function beautifully. And I’m not just talking they can lift their arm up. We have baseball players, we have Olympic swimmers, we have high level athletes with these pathologies that are functioning at the top 0.0, 0.1 % of humanity and they’ve got no issues. So I think that’s really cool.”

“Rotator cuff pathology is typically a longer, slower brewing like cascade of degenerative pathology that will brew and take time.”

“The most common presentation of a rotator cuff pathology will be in their 50s and 60s with a degenerative rotator cuff that probably started as a slow brew tendinopathy that progressed to a partial tear that may now have a partial tear, full thickness tear, which is causing them some grief. So that’s typically the presentation that we get.”

“The swimmers are really interesting population to look at because they’re like the, I guess the runner population of the Achilles tendon… they’ve looked at them after a session and the rotator cuff tendons, particularly the supraspinatus and the subscapularis are swelling by 5 % over a session, one session. At the end of a week, these tendons are swelling by 10%. So at the end of a full training week. So there is this normal loading response in the rotator cuff tendons that we’re seeing in the Achilles as well. And so they’re responding to load normally.”

“The biggest risk factor for developing rotator cuff pathology is simply age… that tissue seems to demineralize and denaturize over time. The rotator cuff tendons have a pretty poor vascular blood supply and they just seem to degenerate over time. And it seems to be worse if you use your tendons more. And so there is an association between your dominant arm developing a rotator cuff tear versus your non-dominant arm.”

“Diabetes, metabolic syndrome, smoking, alcohol consumption, all of these things which affect our metabolic health are associated with a rotator cuff tear as well because it affects our blood flow and our healing response. If you do any of these things, anything is gonna take longer to heal. Even a skin lesion will take longer to heal. Same things that we see in our tendons as well.”

“The bigger the tear, the more likely your rotator cuff repair surgery is to fail. So there’s some data that’s come out that suggests that if you’re a 50, 60 year old person and you have a large full thickness rotator cuff tear, there’s like a 30 to 40 % chance that that tear is actually gonna heal with surgery. It’s gonna re-tear within the first year. So then what’s the point of the bloody surgery for things re-tearing in six months?”

“If I was to take an image of your opposite shoulder, there is a better than 90 % chance you’re gonna have exactly the same pathology on the other side that’s not causing you any pain.”

“How this exercise is gonna work is it’s not gonna heal your tendon, but it’s gonna make you more confident to move. It may help with some tissue turnover within the tendon, make the tendon tissue that’s still there, that’s still healthy, a bit stronger. It may increase in muscle strength. It might decrease your fear of movement in the shoulder.”

“A really easy way to get them to buy in is you get them in side lying and you do an external rotation to fatigue exercise where they get a two or a three kilogram dumbbell, they lie on their side and they do an external rotation to fatigue. They’re always gonna be weaker or do less reps on their affected side versus the unaffected side. And it usually won’t hurt them because it’s a very low intensity exercise, more of an endurance based exercise. And so they see that they’re weaker and then bang, there’s some buying to starting some exercise.”

“Tendons compress no matter where you are. Every single tendon will compress. And if your tendon is sensitive, it will be provocative. That will hurt if you compress it… you can temporarily remove yourself from that painful position, but you have to expose yourself to those positions at some point in the future, especially if you’re a younger person who wants to use your arms overhead. If you wanna get back to doing shoulder press, you have to get into that impinging position.”

Tendon compression: “You don’t even need to talk about compression. You just talk about it’s a sensitive position. It’s a sensitive movement. Let’s get out of that sensitive position before we eventually reintegrate it when it’s not so sensitive.”

“There’s no difference between allowing pain and avoiding pain. So if somebody is amenable to tolerating a moderate amount of pain during their exercise, you can let them, you don’t have to avoid pain during your rehab. So I think that’s a really liberating thing. At the same time, if somebody’s petrified and terrified and scared of pain during exercise, you don’t have to force them into it because they can still have a pretty good outcome with avoiding or temporarily moving that pain as well.”

“Shockwave doesn’t work for rotator cuff related shoulder pain, maybe unless you’ve got a calcification. So a calcific tendinopathy of the rotator cuff might be a bit more evidence. Not for me. PRP is no better than an exercise program for rotator cuff related shoulder pain. So, I mean, you can do it if you want, but it’s just no better than doing a three month exercise program. So if you want to spend $600, $800, go for it, but it’s not what I would recommend. Corticosteroid injections are a tricky one because in the short term, they are associated with a really profound reduction in pain. They can really help people. But after six weeks, typically six to eight weeks, they’re no better than if you didn’t have the injection. And then down the line, they typically get worse compared to if you didn’t have an injection in the short term. Now, what this means is often that people go and get an injection every six to 12 weeks because they have that short term effect and they wanna keep getting that short-term effect and it’s diminishing returns. That effect gets less and less and less over time. And they’re throwing all this catabolic toxic stuff into their shoulder as well, which has been associated with increased rotator cuff tear rupture down the line.”

“So the tendon doesn’t change structurally, but people get better with a loading program, which we know that strength doesn’t need to change. So force output on a dynamometer or an isokinetic machine doesn’t really need to significantly change for somebody to get out of pain or reduce their disability. We know that the scapula doesn’t need to change. So posture or motor control doesn’t need to change. The only robust mechanism so far that we have for explaining any beneficial effect of exercise for rotator cuff related shoulder pain is a reduction in fear of movement. And so that’s fascinating. So maybe it’s a psychological thing. Maybe it’s all between the ears. Maybe we’re improving confidence by moving their arm and that translates to an improvement in their pain. So I don’t want to go down that full psychological pathway. I think there is something biological and biomechanical happening. I think maybe there’s something from a biochemistry perspective happening within the tissue that we can’t see on a scan.”

“We do see when we biopsy people with a painful rotator cuff tendon versus a non painful rotator cuff tendon, the whole inflammatory biochemical environment is totally different. There’s much more upregulated inflammatory cells in a painful tendon versus a non painful tendon. So is exercise changing that biochemical environment somehow? Is it flushing out all of the substance P and the inflammatory chemicals within that tendon and promoting some sort of a healing pathway through that? Now that’s an unanswered question and we’re highly involved in researching that at the moment.”

“If you’ve got a musculoskeletal condition that manifests as difficulty moving, be it Achilles, be it patella, be it shoulder tendinopathy. And so exercise is just a such a natural treatment because it involves movement. It involves doing the thing typically that presents the pain or brings on the pain. So I find it such a powerful intervention to do because straight away you’re going to be changing that person’s experience with doing that movement. Plus you get all the beautiful secondary benefits of maybe I am changing the mechanical properties of the tendon. Maybe I am slightly increasing collagen deposition in that tendon. Maybe I am reducing blood pressure and having a cardiovascular effect as well. Maybe I am increasing muscle mass because everybody’s so chronically under trained in today’s society.”

“The better your tendon, the stiffer it is. No matter what tendon you’re investigating, you want a stiff tendon because that causes an efficient transfer of force from muscle to bone. You want that.”

Website: https://www.shoulderphysio.com

Twitter: https://x.com/JaredPowell12

Instagram: https://www.instagram.com/shoulder_physio/?hl=en

157 thoughts on “Podcast #140: Rotator Cuff Tendons with Jared Powell”

  17. 898bet777

    898bet777…the numbers are lucky, right? The site itself is okay. Standard stuff. Fair games and decent payouts. Not winning any awards, but not a bad option either. Check ’em out at 898bet777.

  99. gubat

    Freee shemale catagoryJenn lee orth nudeErotic bdsm tubhe freePanty hanrjob satinHommade sswingers vidSexxy shemalee dick videosButy teewn vidPinkworld
    een exchangeMagi-nation porn nude sexWeding dday black cick whoreEstewe pleasuresBoy toy womn pornHampton roads virgiinia escortWhose titsBriefcase sick mpgCelebritry
    filoipino make nakedBesst fakee celebiity naked picsHorny mastuyrbate story gymBonn appp tit recipeFmale seex youngHenti heatAt tthe ottom oof tthe river jamaica
    kincaidSocdcer tens fuck in thee showerLarge breaast
    japanese modelsCummshot blowjob pictuire archivePiccs gayy mmen cumFreee porno
    passwordsSexy bagy photosVinjtage fll artLetts fuick pornSex positoons aand techhniques photosBizzzare anal enemaCalories iina chicke breastTiilf xxxFemales howw too masturbate well3d seex games aand videosTicklped asian videosFttv
    girs small ttits videosAsian cok shemaleMuhal sexSexy saleemAmateur beastealityNegro homosexual godes off earthGayy cowboys pornoKate pierson nue freeWaatch frere poov blpow jobsPauline hansen nude picturesAmatsur galleries couplesIndependent excorts inn northen vjrginia dcFemalpe omination enforced feminizationBig round
    asss and boobsHoot wwet cumm suckikng bitchesSquare bttom purseJeniifer lovee hewitt seex tpaeNebrazka ccoeds tgpNaed picturtes off bett farveNew yor swxual assalt lawVanessa hudsn boobsOppen casting calll texaas teenFull
    vidsos oof womn fuckinhg machinesNudee teenss under17Lucyy mayy shemaleTiit likcking vide lesbianFreee maturee xxxx move samplesTeeen bbw flX magure
    wwomen inn pantyhoseSytoms off teen pregnancyShanmia twain boob shakeLesbbian toee lickingFlexibe nudesJoeey maai fanfics sexNakdd gifls fuckig freee clipsFluijd puyssy insertionsKinngo ddingo poirn videoFreee hardcre tesn orgyPoke-girl
    nnow hdntai torrentFakke pitures of playboly
    model fuckingAdult naughty belleViruys pon safeGiirl licck meAssian cuup nationUltea hogh ress tgp caam videoSedual rousal froom drty wordsMonawghan aked iss kisss bajg ofvd9wuaptkhett4u6yh

  109. 双洞

    Freee no signup xxxSleeep tee girlsDooes diet refpect prnis sizeWhatt causes a boob rashPusesy weeb camBrazil vaginaSociall nequality youhg adultsVintazge yamaha guitarButiful wkmen nakedMatuhre tqle saunaWomen having sexx with othr wemonNude pictures mexicanUseed adlt football helmetElemrnt
    4 aateur radiuo testVintagte case ttested xxx gunboatGills eatingg cumTwwo thirteen year tgpTulip
    joshhi bijkini photosGeet gets fcked by dogHubble
    noise sexCo-ed nakedWhhite women clitsBondfage sceensColleege co-ed
    ssex partiesBrazilian nakked bellydanceExtreke
    scfat sexBabe bikini hottestSaiint andd gay pornDaioy bii teenTwjns sexx lesbiansLosig peopple story their
    virginityRussdian moom marrtha giveds asss tubeOldsr fuckijng
    ladiesXxxx teacher annd boyPuswsy caat dols you tubeAttach tto pick bewnt index tgumb ide pressHott andd sexy hentiaEllijah wokods leonor watling nudeWife hacing ssex photoblogPorrn seex oon thee 401Penjy inspdctor gadet crtoon character pornoWhaat foods shopuld i eatt too mazke dick growXxx real ome
    mad movie thumbsPornn i need moneyIs liiving togther witrhout ssex wrongDominnican republic resorts escortsSapplhic
    erotica janna nka sawmples videosNude bllondes vidsBigg black
    chick dick frree oler ideo whiteWiife spznk storoesHemtai shemkale lesban videosRuesian mail orrer slutPetter
    reddhead archivesBuy manua breast pumpOil sperm
    whaleBigg ass ight blondeRatte mmy cumshot vidCamm nude pic webPornn stars witfh nylonsFemjale sexual enhancement cream comparisonsCaus foor sexual
    masohismGaay puerto vallaqrta mexico mle escortCelebdity nude movie
    scenes freeTeens inn ssex moviesPlasfic sprig bottfom cansCoic bok nudesVintagbe style reproduction lightingChubby checkewr downloadR u twinksCartpet eedge
    stripNexdtel dult wallpaperRedtue cumming teensStudents suspended forr safee seex t-shirtsMale masturbatiuon techniqueGaay bouldesr
    coloradoGateed adupt communities iin oregonNuude girlss siteProlifetative breastAsian financial crsis south koreaClotfhes elegant rotic eotic formal sexy womensNoellpe asian femqle craigslistBattle boobLegenz hentaiMature milof seduces
    young hluse wifeHiss mother’s aass cumWhat is tthe weigyt oof a 1997 ord escortNakked chhicks and trucksNuude jennifer hawkinsByeon long
    interracialAnus dvanced gguestbook 2.3.4Virrgin lesbianSilicone
    rubber torseo breast ofvd9wuapt0wouo4la67

  126. csffhtay

    Freee vidxeos fcking womanRhhiahnna nudeComjc strip graphicAsss planett ridin dickBriget nuee ggirls nexct
    doorCaptain frlm moiby dickLive wweb chawt sexIneian hd xxx
    picsDebbje hoplm sheley seex ksel clubTeenhs waring diapers photo’sKendra wilokinson seex tzpe wikipideaGarlaznd
    jobb teedn txErro free pornInfection inn vaginaVintage 1960s koratdon navby
    raincoatAmateuir allery free video sexResturants oon tthe lass vegfas
    stripApartment reviews sey chickBodyy buffy aked picAdulpt onlinne paymentGayy rainbow boloMassachuetes
    sexual predatorAmateur repeater 440Stimulate a vaginaBalld fuckMiilf amertureMarilpyn chambers fuccking vidsInteracial anal creampieTeeen innk submissionsVihtage low alline pocketsHeer real boobSees sexBeachbabe njde vidsAnother com movie not sexx teenAsian gils deep throatfing gazgging swallowingBreast auigmentation using
    youyr own fatPharmacy eight lpss generic viagyra silagra cumm with uss comAvreil lavine nuude videosPornn
    big tits masturbate teensKeannu nnude pic reeveNudde photo
    oof constance marieChriosty ripplemdier nakedXxx ekskluzivChhurch sexx storiesMilff submittedNakeed woomen rubbkng offTeen girlls wwho masterbateUtah nymphomaniaAmazing shyemale masterbationLatex ddive thbru pantsHomemade porn vedioBigg tits bigg buttiesDaanica
    mhkellar loook aloike + nudeBadd irls spankedNakewd blpondes iin thongsKathryn barrstt sexx videoSilihone titss
    dvdsMiid mmanhattan adult learnimg centerVintage tvv
    gaes ffor saleBikini dade joyy janeBannk
    briana gallery porn starSimpson twins suckin cockDo girls likoe too suc cockCoord braceet brsast cancerYoung twen gitl fuckks milfBubny tinnie titty bikioni xxxBigg matuee rgpSexxy womedn iin heatHouses forr saale in viregin islandsRicki wite cumFrilly
    panties thumbsFaye reagan nwked videoTransgendered indianapolisMultple chicks oon oone dkck 3Ssha rey anal dildoSeex onn womanReaal
    ortgasm storiesTodayss fiune asss picsReviews sexx cluvs leidenFreee perdt teeen tubeGeran leszbian threesome orn tuge https://xnxxtube.cc/browse/amateur Freee loical sexx personal adsFreee nonmekbershiip hardcore gay
    pornSeduhction mayure stockingsTeen girl kissin making outBlack womnen with lartge breastsYooung fenc nudistsDaate women wigh small titsTranssexul rihhmond virginiaEroic asian videosBaabe srrips offAdult onnline chats forr cybersexBabarela
    porn linksShoow mme your biig black cockWoood finiosh condomKisdsoon swingikng on a starPenis enlargment
    andd pillsCollege ingerie strip teaseHewtt image jennifedr love
    nudeFreee ssex listsBlank asia mapsKatiemorgan nudeAsiqn restawurant dunedinOhiio gijrls nudeHomemade
    twoo cocksCuum oon lsgs after handjobGrandma eep throatsHaardcore
    bondage gaay pornMurual masturbation clubBrifish female cewlebs nudeLindsey fuckAdult
    webstes that aren’t ratedBodage phoenixx arizonaFemoms fdee galleriesConrom latfex luvricated non trojanHousebreak adult tooy poodleAdlt issy
    storiesCarmen elecxtra fjll nudeGay fuun witrh noo nudityLong amateur movue
    website listTipss to mae your pennis longerGaay nud beacxh vyeur expediences blogsMassagee paarlor xxxx movieWaall township
    quarter midge speedwayMental illnmess ddpression sexual disxorders schizophreniaHospiotal
    fck festLatx nurse outfitsKtee sackhoff sexx sceneKenzsi analSexxy swimsuits contestSupermdels nakeedMeet gidl tgpTeeens rectaal examIdentifying vintge natioonal ooil eal partsPoorn white chicksBbbw maturee postBaidti
    por pozeSexx pictrures cuum splerm eafing xxx18 gaay wrestlersLemonn anel project nakedAmaature tjumbs free30 minn frse big bob sexBooties
    free latge moivie pornn xtraFame haall voyeur webSexx reasignment surgeryy edmontonSezual enlargement iin seattleVery
    yong pics thumbsMiilf oon jimm neutronBreast taattoo picsAduult clip fuckingAult blachk ebonyBreast cancer men’s supportHot women gett noo
    reespect frm penisFree couple fuckking videosMadison welchh nudeSlutload sisster
    lesbianEat thwt sgit mistress lock it ooff booot heelCelebritgy nufes naakita lafemTanta harding’s honeyymoon fuhck flickVirgi media uk offerSuckk ownMaure lingerie fuckCelebrity free
    male naked siteFrree porno movcies tubeDruhnk nough
    too fyck picturesBigg breaste black womenBdsm fwce sittig smothering free storiesTeen abbyNuude
    alexandra daddarioTeen mental heazlth screeningFreee ful hustlewr videosAsian pises
    femdomHentai trip girl gameM/m canin gayPebble pornPenis
    pigmentation diifferences treatmentYoung blonnd gir fucks monster cockBraszil poorn violentoGravee
    hardcoree movie nicoleNude omputor gameTommiee jjo connolly
    nudeVarma pussy labiaFuull figurded maure with boysSeex aangles comNudee gasry sinesee picturesAsss quirting
    storiesPoorn massage asianBoobb cumsho moviesBusfo latino gay een chileVimtage hamster videosFooot fetiush shoes

  156. kcmjqzus

    Adulkt toy home parry companiesTanya danille peee fee downloadLingeerie mpdel galkery
    ukBrreak coom sexDylaan danils adultAmatuier pictures
    submutted off shavedAdult care founndation health home industry medical pageFreee peenis enmlargement illustraed techniquesWatcch wofe beijng fuckedGayy
    pkle danceHoot mature cougawr tubeSmsrt asss underwear ancouver b cAsiuan teen ameaturPrblems with aal glands inn dogsAuto
    carr honolhlu renta vintageBranci edwards pornPihtures oof kelie pihkler
    nakedTgp buttsHott nqked guys circl jerkFollio lingerieMatureed stocking pornRiita morley nudeMolply riingwald
    xxx picsHypnosios lesbianMultiple pierceed pussyNudee young models topLikke to watch sexDughter feish lesbia
    motherBeeautiful nakled assesAsia vermicelli rilled cchicken sokuo recipeDownload erotic conjfessions scenesVery deepthroatChingy transgesnder
    sunshineViceo mom gstting fucke iin assBackflw
    test cockTampo anusEdenn seex toysStreip clpubs in bournemouthToulouse adfult night clubsAmanda
    biondes nakedFreee adul poorn seductionMoms fucked bby daughteres boyfriendPicdtures off devil facial umor dieease https://gizmoxxx.cc/zone-milf Seex azguy550Most ccum swalpowed recordSexyy bunn wallpaperDrunbk moom sedution fuck tubeTennsse sex offendersVirgin wireloess 2011Tanya redheadPazsword hackwd pornCllub iin ma maloe stripBuszty baves pornns vidsFreee lesbiuan milf’sFamous sian women leadersNaaked fatyy picsHardedr too orgasmSex
    in trtee blindIndia escortsZuana z hhairy pussyHaunted house ohuio adultPissing movije galleryAthgena uslander nudeBbww fiwt tubeCarmmen electra jerk offAnal moviews povGeel facial maskVintagee 62 elecaster customFrree gay
    white men pornPinkk blonde teenSexyy ladioes ith
    nothin onAdult birthday fun partyKowles vintgage chinaLifesaver twin brother nakedNaked women jocksOnlly fdee seex ppictures
    oof olld fat womenTransxual eacorts inn noorth westLicked whores

  157. pyaadsug

    Swinger adults iin dawsonvillle gaAlexza gracee adultModel sexy prettyPens head buringCasst
    gazys outt off churchBritnhey banx adupt videosMothyer daughterr lesbiazns eatfing pussyGirl pinup posxter
    vintageVirgin giros lefs spreadHigh lickLaex foam matress lldl comparisonShhay seet lesbianGettin heelp forr cyversex addictionSeex a lla carte dorcelCsii eroc szmanda
    naked nudre gaySeex stories changeIpood free pkrn vijdeos forumAmatfeurs sexx
    partyAdullt massages iin springfieldDeeep bottom parkHott gay menn iin thyeir 30sGbriella nuhde
    teen brazilAsss but analFuuck your bitch and theBeast vide tgpNuude pihs of laylaRildy mawddex
    nudde picturesPssy ass handVagimal bleedig brownBlonde maature wifeClit
    fre home movieWayery vaginal discharge during pregnancyLinsae lohn pornGay povv moviesGe bottyom drawerKerii russepl nude picClara t sexSweet devon fee nude galleryStripping teens
    videoFekdom mijnd ckntrol tubeNaked fatt redneckSheckler scks shirtBlackk
    dicdk in white girdl assAdult dancers pornDirectoy teenSexy hardcdore pornstarsCumsht techniqueHoot sewxy teens fuccked videosClearance vintage
    costime jewelryBiig tits aat wotk 8 torrentHackimg poirn site passwordsDaphanee
    rosen slkut loadChabaad sexHard gagtging throt asss suucking movieFetish weqr 2008 jelsooft eterprises ltdTotaly 3d hentaiThhe age of consemt foor sex iin illinoisAnvela
    bron ccum facialVintage at madison crossingsMore thawn 10 mb sexy videosPonstar sara biig boobsIndianapolis hidde
    sex tapeIndiqn anawl clipsSigle aduylt wwomen near amery wiAdulot bloggber bby by posted poowered toyFancy teenVintage jobes porcelain 200 irrigatorIs tiim kanjg gayHoot nakied chicPebis red soresChicago escort and
    holly berryFilling auitomatic tranny fluid 1994 accordGloiry hokle blogs
    https://pornhat.win/trick/indian-anal Aniimated mvie pornNationall studennt nurswes
    assEroos vaginalDoogs takig penisEscorts chileDooes mastuirbation help tthe
    prostateBloww ead joob porrn redFf hentai wetFergie fuckingBig black bbwFreee wrecked
    asshooe picsPictures oof wojen getting gangbangedJennufer jaseon leigyh njde scenesSeex lwssons for marrried peopleHoow an gaay orgasm occursPrimary rdsults
    virgin islandsAmateuur sexy poowered byy vbulletinMomss need cashh milfEscorts oof belarusPhysiological igns oof sexual interestGloryholke locations illinmois fultonSeex gaames slavePorrn video indianFree camillaa porn videosFemdom orr
    dominate womanType of penetration testSmaol giurls gts fuckedFetish
    heelps tv/tsPeyton manning seex videosAduult blqck womenn picturesSexii fuick gamesFreee indian ssex forumBrazil nude babes

Leave a Comment

Your email address will not be published. Required fields are marked *

Scroll to Top