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Bothersome Shoulder

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GhostfaceKillah
(@ghostfacekillah)
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For the past 2 months, fairly continually, I have been dealing with a pain in my left shoulder. Perhaps 3.5 months ago, I recall experiencing a pain in the shoulder while performing incline presses. The pain did not limit my strength, and I went home and iced the shoulder and took a few days off from training. A similar event occurred 2 months ago while performing military press, and has since remained, despite taking some time off (2 weeks here, a week there), applying ice after nearly every training bout, and taking joint aiding supplements.

My range of motion is not limited, my strength has not been affected, and the pain does not get worse doing any particular motion (except for benching activities, which can be performed on occassion with no pain). The pain can also be felt throughout the day. It is very slight, but enough to remind me that I'm not at 100%; I am beginning to question how much of it is mental and how much of it is physical.

A visit to the orthopedist yielded no clear diagnosis. X-rays showed no problems and an MRI was postponed. I was prescribed Piroxicam (Feldene) which tore my stomach to bits after 2 days and has since been gathering dust in the medicine cabinet.

The source of the pain seems to be in the rear delt, near where it meets the medial head. There is no apparent swelling or deformation of the region. I have scheduled a second appointment with the orthopedist in a week, at which time I intend to request an MRI.

Thoughts? I'm pulling (no pun intended) for a minor deltoid strain that hasn't had time to heal. Any recommended advice would be greatly appreciated. I'm hesitant to get on an anti-inflammitory due to evidence that these substances inhibit hypertrophy (and they wreck my stomach), but I'll begin dosing if it is thought that ibuprofen, etc. would help speed recovery.


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ozzman
(@ozzman)
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Joined: 3 months ago
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GFK,

You know my experience with ART, I went for my third treatment yesterday, and feel good. I will not however, incorporate any pressing movements just yet. I want' to feel 100% and then slowly will go back to pressing.

Take it easy. (not just a saying...)


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GhostfaceKillah
(@ghostfacekillah)
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Joined: 4 months ago
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Posted by: @ozzman
GFK,

You know my experience with ART, I went for my third treatment yesterday, and feel good. I will not however, incorporate any pressing movements just yet. I want' to feel 100% and then slowly will go back to pressing.

Take it easy. (not just a saying...)

I have been looking into ART, but the closest practitioner is 2+ hours away. I still may consider it if things don't begin to improve soon.


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Jason Pegg
(@jason-pegg)
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Any problem with back movements or shrugs??

Jason


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GhostfaceKillah
(@ghostfacekillah)
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Posted by: @Jason Pegg
Any problem with back movements or shrugs??

Jason

Negative. Shrugs, deads, rows all fine. I've been going lighter and more controlled on lat pulldowns as a precautionary measure, even though they don't produce additional pain.


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liorrh
(@liorrh)
Eminent Member
Joined: 4 months ago
Posts: 36
 

do the shoulder impingement tests in the MnM wiki

Hwy where the fuck did the wiki go?

I'm pissed now.

anyway sounds like a slap lesion. do you trouble doing supported external rotations? ?(look it up at marc mcdougal's shoulder article)


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virtualcyber
(@virtualcyber)
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Joined: 2 years ago
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Sounds like one of the injuries I had. I think it is a mild rotator cuff injury, which does not heal unless you perform rehabilitation exercises.

Ji-Yong David Chung


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GhostfaceKillah
(@ghostfacekillah)
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Posted by: @virtualcyber
Sounds like one of the injuries I had. I think it is a mild rotator cuff injury, which does not heal unless you perform rehabilitation exercises.

Are we talking standard rotator cuff band exercises? I have been incorporating some of these into my workouts. Liorrh, external rotations do not seem to cause me trouble, nor does any other rotator cuff exercise.


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liorrh
(@liorrh)
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can you do the following test:

put both hands in front, than support one elbow with other hand so supported arm's shoulder is relaxed, bend supported elbow to 90degrees all while arm is stright in front of you and than inwardly rotate it as if you are trying to go below the supporting arm's elbow, all the while you are not activating that shoulder (have someone rotate it if need be).

hurts?

another test

ligh down facing up, get both arms overhead and almost lying on the floor behind you with elbows near ears, now grab one elbow with one arm. with grabbed arm flex biceps maximally towards your head. hearts?

last test.

do a "doorway" pec stretch where arms are shoulder highet and elbows bent90 degrees. start sliding palms down while still trying to stretch at poistion until palms are shoulder high. any position painfull?


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GhostfaceKillah
(@ghostfacekillah)
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The diagnosis is overuse injury. The orthopedist does not think I have any impingement/rotator cuff damage, as none of the classic tests produced discomfort. I have been ordered to avoid all lifting for 6 weeks and was prescribed diclofenac to reduce inflammation.

Regarding my quad injury, I was told not to expect to be able to do squats for 6 months...

While this is terrible news (I don't think I've realized how bad it is yet until I see all of my hard work fading away) it is far better than surgery and the 6 months of recovering time / costs / physical therapy associated with it.


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ozzman
(@ozzman)
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Posted by: @GhostfaceKillah
The diagnosis is overuse injury. The orthopedist does not think I have any impingement/rotator cuff damage, as none of the classic tests produced discomfort. I have been ordered to avoid all lifting for 6 weeks and was prescribed diclofenac to reduce inflammation.

Regarding my quad injury, I was told not to expect to be able to do squats for 6 months...

While this is terrible news (I don't think I've realized how bad it is yet until I see all of my hard work fading away) it is far better than surgery and the 6 months of recovering time / costs / physical therapy associated with it.

Overuse was mine too.....ART in place I am able to still workout...no pressing yet but perhaps in another week (three weeks since the start of treatment) I will start some light lifting. Las night I incorporated external and internal rotations as well as some medicine ball work (it's call medicinal for a reason..he,he). I feel fantastic today. Even if it s a long way to the nearest ART specialist, it might be worth it or you may find yourself 6 weeks from now and (possibly) the same position... My 2 cents


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ManillaGorilla
(@manillagorilla)
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Joined: 4 months ago
Posts: 1
 

Ghostaface, did the doc say what in particular is inflamed?


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liorrh
(@liorrh)
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Joined: 4 months ago
Posts: 36
 

dude. why do you bother asking us for advice and then posting some rehashed adivce docs give to everybody? kinda insulting. tell me not to open my books next time if you aren't going to use it.


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GhostfaceKillah
(@ghostfacekillah)
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Posted by: @liorrh
dude. why do you bother asking us for advice and then posting some rehashed adivce docs give to everybody? kinda insulting. tell me not to open my books next time if you aren't going to use it.

Because I prefer to gather as much information as possible from a reasonable cross section of individuals before deciding how I will address the issue. I value the perspective of individuals such as yourself from the standpoint of understanding how much I value lifting and desire to regain full functionality. At the same time, I feel it is appropriate to take into account the input of skilled professionals whose education is geared to diagnosing such injuries. I certainly did take into account your recommendations (although it is sometimes difficult to make out what motions are being described without images), but even with them, I would require some manner of imaging modality to definitively diagnose my shoulder, which would require a visit the orthopedist.


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ScottL
(@scottl)
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Posted by: @GhostfaceKillah
I would require some manner of imaging modality to definitively diagnose my shoulder, which would require a visit the orthopedist.

1. Physical diagnosis by someone experienced can frequently be as good as an MRI.

2. If you have a labral lesion (e.g. SLAP) ...OK think of shoulder as ball in socket. Boney socket is shallow so it has cartilage collar around it. The cartilage collar is labra. If you've torn this, regular MRI is often not enough, and you'll need MRI with contrast (given into shoulder joint=MRI arthrogram) to diangose it.

3. Most docs are as good as...heh most personal trainers.

4. "The diagnosis is overuse injury. The orthopedist does not think I have any impingement/rotator cuff damage, as none of the classic tests produced discomfort."

Assuming he is correct then active release or look for someone who does myofascial release or just really good massage therapist is the way to go.

But comments like this are why I say the chiros/ART (or really good massage therapist OR PT with extensive manual therapy experience--both of which are not taht common) should be first line therapy for soft tissue injury (unless you've torn or broken something).


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