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Shoulder Impingement Syndrome

Discussion in 'Strength & Conditioning' started by LoadToadBoss, Feb 19, 2010.

  1. LoadToadBoss

    LoadToadBoss IYAAYWOT

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    Well, it seems I have the dreaded Shoulder Impingement Syndrome complete with bursitis and tendinitis.

    I had been having some right shoulder pain off and on for about 3-4 months. Finally the pain became chronic and I began having weakness in my right arm. I wasn't able to some of the simplest tasks like pour a pot of water into the coffee maker without pain. I found that I had little lateral strength moving against resistance. Driving with my hands at 2&10 made my whole shoulder & arm ache like crazy.

    I finally went to my family practice doc who referred me to a doctor of physical therapy (didn't think there were DPTs). The practice is run by a husband and wife team. Both are DPTs and he is a sports medicine specialist and weight lifter. He was off today, so I got to see the wife (who is 8.5 months pregnant). She put me through some diagnostic range of motion tests and made the pronouncement. They'll try to keep me from having surgery. He will take over my treatment starting next week.

    First day's treatment included acupuncture needles stuck into my pain points with a mild electric current to relax the muscle. They also used heat and vibration therapy. On Monday they'll begin some range of motion exercises (sounds like fun times ahead).

    Of course weight lifting is on hold. No lifts of over 1 lb over my head. She gave me some exercises to do at home with an exercise band to increase the strength of the muscles that make up the rotator cuff. Insurance will pay for 24 visits, but they think I'll need less as long as I'm a good boy and lay off the weights for a while.

    Since I broke my left big to the other day, my only exercise will be the bike. Oh, and did I mention that I was also diagnosed with exercise induced asthma last week? So now I take Singulair once a day and use an Albuterol inhaler an hour before exercising. It's a pain getting old.:crying:
     
    Last edited: Feb 19, 2010
  2. BradD

    BradD

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    Crap, that situation stinks. Recommend to search the CrossFit and SS boards to get more info and see how folks helped themselves get better. CFers get this a lot.

    Can you add bodyweight squats, trunk work like hypers and situps, etc. to add something else to be working on?

    Good luck dude. I agree that it stinks getting old.
     

  3. California Jack

    California Jack Millennium Member

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    Bad deal LTB.

    I have asthma and sometimes it is exercise induced. Anectdotally, what has helped me is low carb or paleo. Try going wheat, milk and rice free. I do not wheeze anymore. I had asthma as a kid and it got worse in my late 40's. It is under control now medicine free.

    Since going low carb and kinda paleo my blood pressure is down too.
     
  4. California Jack

    California Jack Millennium Member

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    Oh yeah, I meant to tell you, before going low carb, I had much better luck with Advair instead ov Singulair.

    Broken toes are painful.
     
  5. Eyescream

    Eyescream hates you

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    So what caused this?

    I ask because I had a wicked case of tendinosis that was brought on by poor form lifting and overuse of the joint.

    Physical therapy helped quite a bit, along with just not doing anything with it for a while, and then I eased back into lifting with very light weights and very high reps to flush the joint and muscles surrounding it with blood and healthy stuff (and also to relearn proper lifting form for my upper body pressing movements).

    Now, almost six months later, I'm just about totally pain free. My shoulder's got a crackle in it from time to time if I move wrong, but I have zero pain lifting and I can basically do whatever I want.

    Bottom line is that probably the best thing you can do for it right now is just rest it and enjoy your time off. There is light at the end of the tunnel, though.
     
  6. BCR

    BCR BIGASS!!!!

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    Sorry to hear that.

    I had a messed up Supraspinatus for a while and a torn miniscus in the same shoulder, and have been dealing with Thoracic Outlet Syndrome for many years.

    Shoulders are quite inury prone.

    We're all falling apart.:dunno:
     
  7. dotsun

    dotsun Shark Stomper

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    I was thinking the same, I saw a chiropractor this week. :faint:
     
  8. BradD

    BradD

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    My wife was just standing over my shoulder and saw this thread. She said this stuff reminds her of her father who was a private pilot for years. He and his buddies flew cessnas 150s and such. All of them got killed eventually except for the couple of them who were pro pilots. Falling off like flies.

    Unfortunately, none of us are pro athletes...
     
  9. BradD

    BradD

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    For what?
     
  10. dotsun

    dotsun Shark Stomper

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    Tightness in my lower back. It started during a moderate squat session, just got real tight and hasn't let up for 3 weeks. :crying:
     
  11. BradD

    BradD

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    What did the chiro say is the problem?
     
  12. BCR

    BCR BIGASS!!!!

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    You should be a motivational speaker. :supergrin:

    Luckily my Cessna is in the shop. But I do plan on dying in my Dodge. :rofl:
     
  13. dotsun

    dotsun Shark Stomper

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    He said my hips were misaligned putting pressure on a nerve that's keeping some odd muscle I'd never heard of tight. I don't know if he's blowing smoke up my butt or not, but if he gets me squatting again I'll buy it. :supergrin: I asked him when I could squat again and he said prob 2 weeks, so we'll see.

    Oh, and I got super lucky with the doc as he used to powerlift in HS.
     
  14. LoadToadBoss

    LoadToadBoss IYAAYWOT

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    I may have injured it while lifting, but the pain has just now become chronic and impairing. I've had some transient discomfort over the last 4 months, but nothing like what I have now.

    The DPT noted that I have a physiological contributor. I have "winging" of my scapula that creates pressure on the weaker rotator cuff muscles while the major lifting muscles get strong and big.
     
  15. Eyescream

    Eyescream hates you

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    Hm. It wouldn't surprise me if she came up with some exercises for you to do that helped the little muscles specifically. That's what my PT did when I went to him with tendinosis. Lots of reps with bands and whatnot that were boring as all get-out; but they got me back to lifting.
     
  16. LoadToadBoss

    LoadToadBoss IYAAYWOT

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    Yep. Four exercises with the exercise band stuck in the door. One exercise is a row, one resembles tricep press downs, the other two are inside and outside shoulder abduction-type exercises.

    The exercises are designed to strengthen the "weak" muscles like the teres minor.
     
  17. Eyescream

    Eyescream hates you

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    Awesome. That's exactly what I was gonna tell you that I had been given to do if you asked.

    I get the impression those are pretty standard exercises for this; and also that this type of injury is very common.
     
  18. LoadToadBoss

    LoadToadBoss IYAAYWOT

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    Had my first PT visit that included rehab manipulation of my shoulder. After about 30 minutes I was ready to confess that I was Bin Laden.:crying:

    I'll try to "man up" next time.

    The DPT was sympathetic. He is a lifter and he knows that it's a little embarrassing for a guy who once was benching 250 to have trouble doing a lateral arm raise with a one pound weight. He also said that the impingement often happens when the outer strong muscles (Delts, Traps, & Rhomboids) get so well defined that they impinge on the underlying rotator cuff muscles like the teres minor, subscapularis, and supraspinatus).

    He did say that I can continue to do moderate weight work that doesn't involve the shoulder. I can do some light seated rows, curls, tricep press downs, and all the legs and abs I can stand. No military presses or bench presses for a while.

    I have 22 more sessions to go; 3 times a week.
     
  19. Eyescream

    Eyescream hates you

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    PT visits just suck. Sorry, dude.
     
  20. S.O.Interceptor

    S.O.Interceptor Khem-Adam

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    After some research I am wondering if this is what is wrong with my left shoulder. I'm starting to look for a good doctor who knows lifting, but I haven't found one yet.

    It has gotten worse over the last few weeks and doing even the slightest task that involves extending or reaching and lifting the arm above shoulder height is getting painful.

    Oddly enough lifting doesn't hurt. I felt some fatigue this morning during the bench when I strained out those last couple of reps, but the military press went fine.

    Now picking up my car keys and cell phone off the bench was a hassle.