Draft Posted January 18, 2010 Report Share Posted January 18, 2010 This is probably really really obvious but most of my searching of the internet turned up vauge answers that seemed to intend to cover ever problem.Basically, I have pain at the lower-front of my shoulder, which starts from about where it connects to the bicep and about goes halfway up. It mainly hurts when I try to raise my arm to the front or to the side above 90 degrees. Does this sound like a rotator cuff injury?I've seen all the old threads on how to fix a rotator cuff prob but wanna make sure I know what I'm trying to fix before I start fixing something that ain't broke. Noticed the pain today but haven't trained yet. Last session was legs (yesterday) so the only exercise I can think of that could have done anything would be deadlifts unless I did something in an unrelated way.Cheers. Quote Link to comment Share on other sites More sharing options...
HaNs Posted January 18, 2010 Report Share Posted January 18, 2010 Yes, sounds like what i had. Physio put it down to "a pulled tendon".1 session of ultrasound and 2 of electro therapy later it was much better. Got a TEN's machine at home again and still use it every 2nd day. Quote Link to comment Share on other sites More sharing options...
ThePman Posted January 18, 2010 Report Share Posted January 18, 2010 It could be but there's no way to e-diagnose. You'll want to go to somebody that can actually look at it and see what's going on. Quote Link to comment Share on other sites More sharing options...
Draft Posted January 18, 2010 Author Report Share Posted January 18, 2010 Ah, damn thought that might be the case.My irrational fear of doctors strikes again. Quote Link to comment Share on other sites More sharing options...
startinfromscratch Posted January 18, 2010 Report Share Posted January 18, 2010 to share my experience, use to lose power in one arm in certain positions due to shoulder issues, and e-diagnosed it as cuff. finally visited physio, fixed it in 2 sessions, was something in my upper back causing the shoulder pain. so i reckon just hit up a good physio bro, better to know where you stand.~2c Quote Link to comment Share on other sites More sharing options...
Draft Posted January 18, 2010 Author Report Share Posted January 18, 2010 Haha yea advice taken guys.Booked a physio session for tomorrow, bet sketchy about whether I should tonight though but I really hate missing a session. Might just take it easy and see how it goes. Quote Link to comment Share on other sites More sharing options...
musclenz Posted January 19, 2010 Report Share Posted January 19, 2010 Physios are only useful if your have a rotator tear in the muscle itself. If its in the tendon they can aggravate it & if its a serious tear it can only be repaired by surgery. Good idea is to try & see a sports physician. They will order an Ultrsound, CT or MRI scan to confirm where the damage lies. But don't despair as it is possible to work around shoulder injuries but you need to be very careful that you do not cause further damage. Find out whats going on then work from there. Good luck & Welcome to the Injured Shoulder Club Quote Link to comment Share on other sites More sharing options...
rose Posted January 19, 2010 Report Share Posted January 19, 2010 Good luck & Welcome to the Injured Shoulder Club LOL, not much of an elite club though is it, nor any real benefits from being a member Though I echo the good luck Nicko, hope you get it sorted and maybe look to improve your shoulder health through exes and checking technique etc :grin: Quote Link to comment Share on other sites More sharing options...
AK Posted January 19, 2010 Report Share Posted January 19, 2010 Sorry to hear about your shoulder injury. It does sound like a "Painfull arch syndrome" Basically one of the rotator-cuff muscles and a bursa shares a space in your shoulder called Subacromial space. If either of those two structures gets inflamed the space (being already pretty limited) gets further reduced and you will feel pain as a result of it (as well as irritation from the inflammation).I am just wondering if it is started nice and slowly kind of an irritation after bench sessions as opposed to being a result of a fall or a (violently ) failed rep on the bench?If it just started out as a niggle and there was no "sudden injury" ... well that be the easier situation to deal with as far as rehabilitation goes.In this case I would give upper body press movements a brake for a little while and I would FOCUS on doing only pulling moments for the while being especially to enhance low-mid trap and rhomboid strength/activation. Tons and tons of different type and form of horizontal pulls like chest supported rows, face pulls etc... I would probably do this 2-3 times / week. I would do stretches to the internal rotators of the humerus (upper arm) especialy if you have forward rounded shoulders already on a daily basis .I would probably get some over the counter anti inflammatory to help me control the inflammation as well. I would learn to retract my shoulder blades and keep them like it during bench etc... and would not flare my elbow to much during benching....Most importantly I would go to someone who is specialized in dealing with these kind of issues and get my self fixed and worry free .... than I would go back to the gym and pump some serious iron. Just a few things from the top of my head, I hope you get better soon and be able to get back to training. Quote Link to comment Share on other sites More sharing options...
Chemo Posted January 19, 2010 Report Share Posted January 19, 2010 "I would learn to retract my shoulder blades and keep them like it during bench etc... and would not flare my elbow to much during benching...."good advice, i have some rotator cuff issues do to the fact that my rhomboids are too loose and my upper peck and anterior delt is too tight. Ive been working on it for bout a year now and its slowly getting better, just by focusing on the position of my shoulder blades when doing exercises, and increasing the amount and frequency of chest stretches, hard (boring) to do but worth it. Maybe when your training your back focus on positioning those blades build up some killer rhomboids bro :3good luck and yeah...welcome to the club Quote Link to comment Share on other sites More sharing options...
ThePman Posted January 19, 2010 Report Share Posted January 19, 2010 It could be but there's no way to e-diagnose. Quote Link to comment Share on other sites More sharing options...
ThePman Posted January 19, 2010 Report Share Posted January 19, 2010 BTW Nicko, looking at your journal, I can give you good odds you've screwed up something in there.From the looks of it you had two very high-volume days for the shoulder (yes, "chest" exercises work the hell out of the shoulder joint) and only one back/pulling day - and there it looks like only 1-2 exercises that would actually train scapular stability (and even then only if you did them for that purpose).That's the first bad idea; very imbalanced training of internal vs. external rotation of the shoulder and very little scapular stability work in comparison to pressing. That's just asking for something to blow.I also see that you had some famous shoulder-wreckers in there like BTN presses and upright rows. I don't know how you bench or do pullup/pulldown type exercises, but if the phrase "wide grip" describes either or both, that's bad news for unhealthy shoulders too. By themselves I don't think those movements are a problem, but in an unbalanced program and with a big strength disparity between those muscle groups, they become a problem. It wouldn't surprise me a bit if you've done some damage because of those factors. Quote Link to comment Share on other sites More sharing options...
musclenz Posted January 20, 2010 Report Share Posted January 20, 2010 Ak & The Pman - very good points & advice :nod: Quote Link to comment Share on other sites More sharing options...
Draft Posted January 20, 2010 Author Report Share Posted January 20, 2010 Cheers for the advice guys. If either of those two structures gets inflamed the space (being already pretty limited) gets further reduced and you will feel pain as a result of it (as well as irritation from the inflammation).That's pretty much what the physio told me as well. Only cost me $10 though so good to know that I'm not trying to fix the wrong thing. Haven't trained since Monday, intend to try again Friday, combo of rest and anti-inflams seem to be helping quite alot though. Bench form is something I definitely try to concentrate on given that most people I have talk to about it have raised it as a culprit. Thanks for the tips on how to sort it too AK.BTW Nicko, looking at your journal, I can give you good odds you've screwed up something in there. Thanks for taking the time to look back over that. Yea looks like the whole thing was a recipe for disaster. Since I stopped updated the journal I've actually changed it up a bit including dropping BTN and including face pulls and rear delt rows to try and focus on the rear delt. Working on a full revamp though. Hmm, I may be gripping too wide on bench and pull-downs as well. Both are wider than shoulder width.IT's funny how one small thing can highlight so many flaws in a regime.Cheers heaps again for the advice guys. Hope to get back into it soon. I hate sitting on me arse. Quote Link to comment Share on other sites More sharing options...
EMC Posted January 23, 2010 Report Share Posted January 23, 2010 Yes, sounds like what i had. Physio put it down to "a pulled tendon".1 session of ultrasound and 2 of electro therapy later it was much better. Got a TEN's machine at home again and still use it every 2nd day.what is that machine? Quote Link to comment Share on other sites More sharing options...
HaNs Posted January 23, 2010 Report Share Posted January 23, 2010 Yes, sounds like what i had. Physio put it down to "a pulled tendon".1 session of ultrasound and 2 of electro therapy later it was much better. Got a TEN's machine at home again and still use it every 2nd day.what is that machine?http://www.trademe.co.nz/Health-beauty/ ... 204818.htm Quote Link to comment Share on other sites More sharing options...
EMC Posted January 23, 2010 Report Share Posted January 23, 2010 Yes, sounds like what i had. Physio put it down to "a pulled tendon".1 session of ultrasound and 2 of electro therapy later it was much better. Got a TEN's machine at home again and still use it every 2nd day.what is that machine?http://www.trademe.co.nz/Health-beauty/ ... 204818.htmcan you give me a brief description of how it works. is it very useful? are its treatments effective? Quote Link to comment Share on other sites More sharing options...
HaNs Posted January 23, 2010 Report Share Posted January 23, 2010 what is that machine?http://www.trademe.co.nz/Health-beauty/ ... 204818.htmcan you give me a brief description of how it works. is it very useful? are its treatments effective?http://tinyurl.com/yeq2on4Yes they work well for me Quote Link to comment Share on other sites More sharing options...
EMC Posted January 23, 2010 Report Share Posted January 23, 2010 Yes they work well for medo you use it for speeding recovery not only for injuries?? Quote Link to comment Share on other sites More sharing options...
HaNs Posted January 23, 2010 Report Share Posted January 23, 2010 Yes they work well for medo you use it for speeding recovery not only for injuries??InjuriesHave not tried it for recovery Quote Link to comment Share on other sites More sharing options...
Mr B HUGE Posted January 26, 2010 Report Share Posted January 26, 2010 musclenz.....You should get your facts right about Physio and the treatment of rotator cuff injuries before posting statements like those made. They are incorrect and misleading to anyone seeking assistance with a shoulder injury. Shoulder injuries are by far the most prevalent of injuries seen by physiotherapists working with body builders / power lifters / the gym fraternity.Why would you go immediately to a sports physician with a painful shoulder when Physiotherapists specialise in the correct diagnosis and treatment of this type of injury on a daily basis? Sports Physicians are better utilised as a means of dealing with a non resolving injuries that have perhaps a dgree of complexity attached to them - may require intervention from a medication angle(Cortisone, autologous blood injection, further high tech imaging, NSAIDS etc) may also be used as next port of call if an orthopaedic specialist opinion / surgery is indicated)For your information: if on assessment the Physiotherapist feels that clinically there may be a tear/partial tear of the RC, subacromial bursitis or involvement of the long head of biceps, they will in most cases as a normal course of reaching an accurate differential diagnosis, send the client for an ultrasound scan. Yes ... they can refer clients directly to scanning, and in most cases if the injury is covered by ACC, can arrange to have this ultrasound done at no cost to the client.WAY too much 'hit and miss' web based self diagnosis goin on in this forum for my liking... beginning to make me cringe.In summary: If you are injured get to a physio and get the right advice... share your stories on here great!! But to just listen to some of the random Sh...t someone on a message board posted is plain stupid!!!Arrrhh.Peace Out! Quote Link to comment Share on other sites More sharing options...
musclenz Posted January 26, 2010 Report Share Posted January 26, 2010 musclenz.....You should get your facts right about Physio and the treatment of rotator cuff injuries before posting statements like those made. They are incorrect and misleading to anyone seeking assistance with a shoulder injury. Shoulder injuries are by far the most prevalent of injuries seen by physiotherapists working with body builders / power lifters / the gym fraternity.Why would you go immediately to a sports physician with a painful shoulder when Physiotherapists specialise in the correct diagnosis and treatment of this type of injury on a daily basis? Sports Physicians are better utilised as a means of dealing with a non resolving injuries that have perhaps a dgree of complexity attached to them - may require intervention from a medication angle(Cortisone, autologous blood injection, further high tech imaging, NSAIDS etc) may also be used as next port of call if an orthopaedic specialist opinion / surgery is indicated)For your information: if on assessment the Physiotherapist feels that clinically there may be a tear/partial tear of the RC, subacromial bursitis or involvement of the long head of biceps, they will in most cases as a normal course of reaching an accurate differential diagnosis, send the client for an ultrasound scan. Yes ... they can refer clients directly to scanning, and in most cases if the injury is covered by ACC, can arrange to have this ultrasound done at no cost to the client.WAY too much 'hit and miss' web based self diagnosis goin on in this forum for my liking... beginning to make me cringe.In summary: If you are injured get to a physio and get the right advice... share your stories on here great!! But to just listen to some of the random Sh...t someone on a message board posted is plain stupid!!!Arrrhh.Peace Out!I did not say Physios are not suitable to consult for the treatment of RC injuries. I made a statement based on my own personal experience that involved a torn subscap tendon & a displaced bicep tendon that had been treated by a very well known Sports Based CHC Physio for 12 weeks before it was properly diagnosed. In this time I had ultrasounds, xrays & cortisone injections under ultrasound & I was living on 100mg Voltaren ed. It was not until I was referred to the Sports Physician by the Physio that the severity of the damage was recognised by MRI scan. So get off your high horse Mr B Huge. I was merely pointing out that it depends on the damage that is presented as to what if anything a Physio can do specifically with shoulder injuries. Quote Link to comment Share on other sites More sharing options...
Optimass Posted January 26, 2010 Report Share Posted January 26, 2010 Yes they work well for medo you use it for speeding recovery not only for injuries??My wife used it during her first labour with my daughter (24hrs) - the contractons were good for relaxing the lower back and assiting with the pain. Unless you were suffering chronic pain (may be not in the context of rotator cuff) an EMS system may be of more use dependant on what you goal is. I'm no Physio though.......you know the problem with Physios ..... Always uptight Quote Link to comment Share on other sites More sharing options...
rose Posted January 26, 2010 Report Share Posted January 26, 2010 ......you know the problem with Physios ..... Always uptight They might benefit from seeing a Sports Physician :grin: Or maybe a nice authentic Thai massage :pfft: Quote Link to comment Share on other sites More sharing options...
Optimass Posted January 26, 2010 Report Share Posted January 26, 2010 Or maybe a nice authentic Thai massage :pfft:That would be a nice "happy ending" :nod: Quote Link to comment Share on other sites More sharing options...
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