Shoulder Pain

[stud_wit_style]

very unlikely. unless you fell and you left that part out. probably with your arm extended. if it were your AC joint you would know it 4 sure. you would be holding your arm with your other hand in a sling position. i already responded to your original thread several months ago so "its getting better" is probably not the case. it will heal on its own but whatever underlining problem could return. go see a doc

What thread are you talking about that I posted several months ago??? Yeah I will go see a doc, regardless what I think the issue is, after insurance kicks in on December 1st.

[NYCmitch25]

I did some more research and I think it has to do with my AC Joint.

This morning I got up and looked in the mirror at my shoulders. I noticed when I hold my arms straight out to the side my right shoulder (the one in pain) has a bigger hump than my left...kinda looks as if my shoulder muscles are bigger in my right should (with shirt on). So I took my shirt off to get a better look and noticed a small bump in the top of my should. I did research to see what all was in the area of the bump and its where the clavicle and the shoulder blade meet...otherwise known as AC Joint. Now what caused it to have a small bump I'm not sure.

Here is a site I found explaining it better. I have the small bump, but there was no swelling and my skin didnt turn red. And I never had extreme pain...so I dont think its a Grade 3. Possibly a Grade 2. Anyway That was my diagnosis. :)

Acromioclavicular Joint Separation - Orthogate - Improving orthopedic care, education and research with Internet technologies

very unlikely. unless you fell and you left that part out. probably with your arm extended. if it were your AC joint you would know it 4 sure. you would be holding your arm with your other hand in a sling position. i already responded to your original thread several months ago so "its getting better" is probably not the case. it will heal on its own but whatever underlining problem could return. go see a doc

[stud_wit_style]

or it could be a nerve in your toe that connects to your fingernail and then to your shoulder. lol.

not trying to be an ass but guessing and looking every single thing up on the internet and self diagnosing is not a good thing. trust me, i have been there. it just builds anxiety and stress.

its all good. I actually enjoy doing research on things i dont know much about. Then when i ask the expert and he/she says the same thing that i concluded it feels pretty good. If i was wrong...i still learned new stuff.

With my shoulder...im not really building anxiety or anything. And today I was able to take a drink from a full gallon of water without any issues. So its probably not as bad as i originally thought. I'm still gonna get it checked out though.

[Bouncer]

I know...I'm an engineer so I have a "problem solving" mind...lol. I'm going to the doc regardless what i find out.

I did notice when I push on the front of my shoulder...on a particular tendon(assuming)...that is actually where the pain is located. If my arm is down to my side I can find the sore spot but if i hold my arm straight out to the side i cant find the sore spot, It seems like its underneath some muscles when my arm is out to the side sticking straight out. I'm assuming its some tendons attached to the head of the humerus.

or it could be a nerve in your toe that connects to your fingernail and then to your shoulder. lol.

not trying to be an ass but guessing and looking every single thing up on the internet and self diagnosing is not a good thing. trust me, i have been there. it just builds anxiety and stress.

[stud_wit_style]

you cant self diagnose something like that. going to need an xray and also and MRI.

I know...I'm an engineer so I have a "problem solving" mind...lol. I'm going to the doc regardless what i find out.

I did notice when I push on the front of my shoulder...on a particular tendon(assuming)...that is actually where the pain is located. If my arm is down to my side I can find the sore spot but if i hold my arm straight out to the side i cant find the sore spot, It seems like its underneath some muscles when my arm is out to the side sticking straight out. I'm assuming its some tendons attached to the head of the humerus.

[Bouncer]

That is very interesting. My bump does feel more like bone then soft tissue. When I push on it there really isnt any pain. I will note that my left should doesnt have the bump. Damn...back to the drawing board...LOL. Thanks for pointing that out.

you cant self diagnose something like that. going to need an xray and also and MRI.

[stud_wit_style]

scroll down to the middle of this page. you will see 2 pics. the first is a kid that has the 2 "bumps". this is normal for many people. it is not ac separation. the pic directly under that IS AC separation. Medsker Racing College

That is very interesting. My bump does feel more like bone then soft tissue. When I push on it there really isnt any pain. I will note that my left should doesnt have the bump. Damn...back to the drawing board...LOL. Thanks for pointing that out.

[Bouncer]

scroll down to the middle of this page. you will see 2 pics. the first is a kid that has the 2 "bumps". this is normal for many people. it is not ac separation. the pic directly under that IS AC separation. Medsker Racing College

[Bouncer]

I did some more research and I think it has to do with my AC Joint.

This morning I got up and looked in the mirror at my shoulders. I noticed when I hold my arms straight out to the side my right shoulder (the one in pain) has a bigger hump than my left...kinda looks as if my shoulder muscles are bigger in my right should (with shirt on). So I took my shirt off to get a better look and noticed a small bump in the top of my should. I did research to see what all was in the area of the bump and its where the clavicle and the shoulder blade meet...otherwise known as AC Joint. Now what caused it to have a small bump I'm not sure.

Here is a site I found explaining it better. I have the small bump, but there was no swelling and my skin didnt turn red. And I never had extreme pain...so I dont think its a Grade 3. Possibly a Grade 2. Anyway That was my diagnosis. :)

Acromioclavicular Joint Separation - Orthogate - Improving orthopedic care, education and research with Internet technologies

is the "bump" you are feeling at the top of the shoulder bone? that is normal. i think the bump they are talking about is soft tissue.

[stud_wit_style]

I did some more research and I think it has to do with my AC Joint.

This morning I got up and looked in the mirror at my shoulders. I noticed when I hold my arms straight out to the side my right shoulder (the one in pain) has a bigger hump than my left...kinda looks as if my shoulder muscles are bigger in my right should (with shirt on). So I took my shirt off to get a better look and noticed a small bump in the top of my should. I did research to see what all was in the area of the bump and its where the clavicle and the shoulder blade meet...otherwise known as AC Joint. Now what caused it to have a small bump I'm not sure.

Here is a site I found explaining it better. I have the small bump, but there was no swelling and my skin didnt turn red. And I never had extreme pain...so I dont think its a Grade 3. Possibly a Grade 2. Anyway That was my diagnosis. :)

Acromioclavicular Joint Separation - Orthogate - Improving orthopedic care, education and research with Internet technologies

[Bouncer]

lots of good info here. thanks guys.

[Nekrawulf]

hey nekra, can you recommend some exercises to strengthen the rotator muscles? thanks

From this sports medicine journal: Sports Medicine Advisor 2005.4: Rotator Cuff Strain Rehabilitation Exercises


Phase I

* Isometrics
1. External rotation: Standing in a doorway with your elbow bent 90° and the back of your hand pressing against the door frame, attempt to press your hand outward into the door frame. Hold for 5 seconds. Do 3 sets of 10.
2. Internal rotation: Standing in a doorway with your elbow bent 90° and the front of your hand pressing against the door frame, attempt to press your palm into the door frame. Hold for 5 seconds. Do 3 sets of 10.
* Wand exercises

A. Flexion: Stand upright and hold a stick in both hands, palms down. Stretch your arms by lifting them over your head, keeping your elbows straight. Hold for 5 seconds and return to the starting position. Repeat 10 times.

B. External rotation: Lie on your back and hold a stick in both hands, palms up. Your upper arms should be resting on the floor, your elbows at your sides and bent 90°. Using your good arm, push your injured arm out away from your body while keeping the elbow of the injured arm at your side. Hold the stretch for 5 seconds. Repeat 10 times.

C. Shoulder abduction and adduction: Stand upright and hold a stick with both hands, palms down. Rest the stick against the front of your thighs. While keeping your elbows straight, use your good arm to push your injured arm out to the side and up as high as possible. Hold for 5 seconds. Repeat 10 times.

Phase II

* Tubing exercise for external rotation: Stand resting the hand of your injured side against your stomach. With that hand grasp tubing that is connected to a doorknob or other object at waist level. Keeping your elbow in at your side, rotate your arm outward and away from your waist. Make sure you keep your elbow bent 90 degrees and your forearm parallel to the floor. Repeat 10 times. Build up to 3 sets of 10.
* Tubing exercise for internal rotation: Using tubing connected to a door knob or other object at waist level, keep your elbow in at your side and rotate your arm inward across your body. Make sure you keep your forearm parallel to the floor. Do 3 sets of 10.
* Scaption: Stand with your arms to your side and with your elbows straight. Slowly raise your arms to eye level. As you raise your arms, they should be spread apart so that they are and only slightly in front of your body (at about a 30 degree angle to the front of your body). Point your thumbs toward the ceiling. Hold for 2 seconds and lower your arms slowly. Do 3 sets of 10. Hold a soup can or light weight when doing the exercise and increase the weight as the exercise gets easier.
* Sidelying external rotation: Lie on your uninjured side with your injured arm at your side and your elbow bent to 90°. Keep your elbow against your side, raise your forearm and hold for 2 seconds. Slowly lower your arm. Do 3 sets of 10. You can start doing this exercise holding a soup can or light weight and gradaully increase the weight as long as there is no pain.
* Horizontal abduction: Lie on a table or the edge of a bed face down with your injured arm hanging down straight to the floor. Raise your arm out to the side, parallel to the floor. Hold for 2 seconds and then lower it slowly. Start this exercise with no weight. As you get strnger add a light weight or hold a soup can. Do 3 sets of 10.
* Push ups with a plus: Begin on the floor on your hands and knees. Keep your arms a shoulder width apart and lift your feet off the floor. Arch your back as high as possible and round your shoulders (this is the "plus" part or the exercise). Bend your elbows and lower your body to the floor. Return to the starting position and arch your back again. Do 3 sets of 10.

__________________________________________________ _


Nekra speaking now.

It is very important to note that these are rehabilitaiton movements. There is no sure fire way to strenghten all of the muscles evenly, and as such you risk more injury by attempting to isolate them. Try to make sure you hit all angles evenly, and make sure your splits are well designed to not leave any of the rotator system out.

Here is a diagram of the 4 main muscles involved.: Rotator Cuff Injury

[NYCmitch25]

i would do the exercises with 3-5lb dbs. you can do them at home. ice and take ibuprophen 3 times a day. i would focus on the internal/external rotation exercises. you can't make it worse by doing these often. the doc is only good for a referral (if your insurance req.) and MRI. If you want the MRI your going to have to push for it.

[stud_wit_style]

^He probably doesnt have pain in his shoulder though. Not related.


http://www.athleticadvisor.com/image...mpingement.pdf

A. Avoid pain producing activities (overhead exercises such military press, incline flat bench, etc.)
B. Physician prescribed non-steroidal anti-inflammatory medication (NSAID)
C. Iontophoresis with shoulder in mild flexion and mild abduction.
D. Ice, preferably ice massage, before and after range of motion and strength exercises and following any activity
which produces pain.

Range of motion:
I would do this 3-4 sets and 30 reps or 5-7 sec holds
Internal/External Rotation
Horizontal Adduction Stretch
Corner Stretch
Condmans Pendulum Swing

Strength Training Exercises
I would do 3-4 sets of 20 reps and 4 exercises from Phase 2
Supine Internal/External Rotation
Supine Press
Bent Over Rows
Towel Squeeze
If your gym has one it looks like a exercise bike but for your arms and shoulders.

Good information...thanks. Ill start doing some of those. After further reading on various sites I am beginning to think its a shoulder inpingement. ill still plan on having the doc check it out though.

[NYCmitch25]

^He probably doesnt have pain in his shoulder though. Not related.


http://www.athleticadvisor.com/image...mpingement.pdf

A. Avoid pain producing activities (overhead exercises such military press, incline flat bench, etc.)
B. Physician prescribed non-steroidal anti-inflammatory medication (NSAID)
C. Iontophoresis with shoulder in mild flexion and mild abduction.
D. Ice, preferably ice massage, before and after range of motion and strength exercises and following any activity
which produces pain.

Range of motion:
I would do this 3-4 sets and 30 reps or 5-7 sec holds
Internal/External Rotation
Horizontal Adduction Stretch
Corner Stretch
Condmans Pendulum Swing

Strength Training Exercises
I would do 3-4 sets of 20 reps and 4 exercises from Phase 2
Supine Internal/External Rotation
Supine Press
Bent Over Rows
Towel Squeeze
If your gym has one it looks like a exercise bike but for your arms and shoulders.