Rotator cuff, still workout?

  • Posted by a hidden member.
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    May 22, 2013 3:10 PM GMT
    I have some experience with medicine and I talked to an ortho surgeon at work, so of course my paranoid is up lol.

    I possibly hurt my rotator cuff (the other possibility is a AC separation) in a fight last week.. It doesn't hurt and I have full range of motion, but it does hurt when I do overhead exercises, so to be safe I'm doing lower body and legs but the injury is on my dominant side.

    Do you guys think it would be okay to do single (right sided) exercises? Or just rest my upper body for the next few weeks..

    The most likely diagnosis is a contusion/bruise inside the shoulder, since I have full range of motion, but I obviously don't want to make it worse.
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    May 22, 2013 4:43 PM GMT
    Be very careful. When you're injured you can just make things worse.

    Rest. Ice. Anti-inflammatories. Don't push it, at ALL.

    I speak from experience.
  • real_diver2

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    May 22, 2013 7:42 PM GMT
    I would recommend a series of lighter weight rotator cuff exercises to rebuild the shoulder strength as the injury heals.

    I had surgery to fix a partially detached with complete tear rotator cuff. About 8 months ago, my other shoulder started to hurt badly. I started doing these same exercises that my physical therapist gave me after my surgery. THe shoulder started feeling much better. Today, I am back where I was before with no issues.

    You can find the same rotator cuff exercises here:

    http://www.realjock.com/workout/901

    See the warm up exercises for the rotator cuffs.
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    May 22, 2013 10:28 PM GMT
    Adam228 saidI have some experience with medicine and I talked to an ortho surgeon at work, so of course my paranoid is up lol.

    I possibly hurt my rotator cuff (the other possibility is a AC separation) in a fight last week.. It doesn't hurt and I have full range of motion, but it does hurt when I do overhead exercises, so to be safe I'm doing lower body and legs but the injury is on my dominant side.

    Do you guys think it would be okay to do single (right sided) exercises? Or just rest my upper body for the next few weeks..

    The most likely diagnosis is a contusion/bruise inside the shoulder, since I have full range of motion, but I obviously don't want to make it worse.


    Is the pain at the top of the shoulder? Does it hurt with resisted external rotation of the arm? It could be a contusion, AC separation, subluxation, supraspinatus tendonosis(-it is), RC tear, bursitis, impingement, etc.

    Even though you do have full ROM, that doesn't rule out other diagnoses. Hopefully, it's just an acute soft tissue injury that will heal on it's own with rest and gradually working it back up to pre-injury state.

    You COULD try to work out lightly within the available PAIN-FREE range. However, I'd get it looked at by a physical therapist.
  • Posted by a hidden member.
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    May 23, 2013 3:46 AM GMT
    The injury is on your dominate side?

    That's a good thing! Now you can build up your pussyfied side to be as awesometastic as your dominate side.
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    May 23, 2013 7:06 AM GMT
    paulflexes saidThe injury is on your dominate side?

    That's a good thing! Now you can build up your pussyfied side to be as awesometastic as your dominate side.


    LOL. Always think optimistically.
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    May 24, 2013 6:45 AM GMT
    yoursweetguy said
    Adam228 saidI have some experience with medicine and I talked to an ortho surgeon at work, so of course my paranoid is up lol.

    I possibly hurt my rotator cuff (the other possibility is a AC separation) in a fight last week.. It doesn't hurt and I have full range of motion, but it does hurt when I do overhead exercises, so to be safe I'm doing lower body and legs but the injury is on my dominant side.

    Do you guys think it would be okay to do single (right sided) exercises? Or just rest my upper body for the next few weeks..

    The most likely diagnosis is a contusion/bruise inside the shoulder, since I have full range of motion, but I obviously don't want to make it worse.


    Is the pain at the top of the shoulder? Does it hurt with resisted external rotation of the arm? It could be a contusion, AC separation, subluxation, supraspinatus tendonosis(-it is), RC tear, bursitis, impingement, etc.

    Even though you do have full ROM, that doesn't rule out other diagnoses. Hopefully, it's just an acute soft tissue injury that will heal on it's own with rest and gradually working it back up to pre-injury state.

    You COULD try to work out lightly within the available PAIN-FREE range. However, I'd get it looked at by a physical therapist.


    Yeah, I am thinking its an AC injury but I have some very mild point tenderness at the top of the scapula to palpation, the real pain comes when I have force applied to the shoulder (humerus -> AC ?)..

    I'm going to get an X-Ray at work to see, maybe a CT if it persists.

    I'm avoiding shoulders, chest and deadlifts/back for at least the next two weeks or as long as the pain persists..

    And like paul said working on my pussified side in the mean time lol
  • Posted by a hidden member.
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    May 24, 2013 6:53 AM GMT
    let it heal. if you can't raise your affected arm/shoulder above your head w/o pain or limited mobility. tell your primary care md; get an mri, NOT a CT I work in both fields. MR shows soft tissues structures better, i.e. ligaments, tendons, muscle, and rotator cuff tears, etc. insist on that unless you have certain implanted devices. Go over that w yer md. they wont no shit but mri techs will. Good luck! Also xray aint gonna show shit unless you have a fracture / gross pathology.
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    May 24, 2013 7:00 AM GMT
    Lustolove saidlet it heal. if you can't raise your affected arm/shoulder above your head w/o pain or limited mobility. tell your MD; ? mri.



    I have full range of motion, I have to compress the shoulder towards my neck to have pain,..

    I've just psyched myself out too much. I want it to be AC over a rotator cuff injury, so I need to do some diagnostic testing to find out.

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    May 24, 2013 7:18 AM GMT
    Speaking from experience, rest and heat packs. It takes a while to recover from this type of injury strain. If you only work on one side of your body, you're likely to put further strain on the other. When you're feeling better, do some light internal and external cable rotations, these helped me a lot to get things moving again. Also helps to strengthen your rotators over time.
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    May 24, 2013 8:52 AM GMT
    It's hard to tell what it could be. It would be better if I could get my hands on you to do the necessary tests. Imaging would be done only to confirm it, but different batteries physical testing would rule in/rule out diagnoses. Plus, it's cheaper, which is why I recommended a PT consult. However, Lustolove is right about the MRI in terms of soft tissue derangement. It can give false positives though, but for something in the shoulder, that shouldn't be much of an issue.

    By "top of scapula", do you mean the AC joint, where the acromion meets the clavicle? And the pain is localized to only that bony area? If you have full ROM it may just be a Type 1 AC injury (nondisplaced sprain of the AC ligament). Type 2 would be a complete tear of the AC ligament with sparing of the coracoclavicular ligaments, and if someone were to look at you from the back, the inferior angle of the involved scapula would be adducted, and the arm lower than the uninvolved side.

    Type 1, you're most likely getting pain with overhead activities because the greater tubercle abuts into the subacromial space (area below the AC joint) as the humerus abducts. Also, sometimes if you don't have enough external rotation of the humerus during humeral abduction, it abuts into that space even more. However, you would probably have had impingement or tendonosis-type symptoms before this injury. The good thing with Type 1 and 2 (and some 3) AC injuries, they respond well to conservative treatment. I doubt you have a RC tear, as you would be experience pain and weakness with resisted external rotation with your arms to your side, bent at 90 degrees. Also, when you have your shoulder abducted to 90 deg, and your elbow at 90, your forearm slightly angled ~30 deg ahead of you from straight up, relaxed. Have someone hold your forearm there, then release. If they notice an "external rotation" lag (your forearm drops considerably because your external rotators, RC, don't kick in), then it RC tear/injury is suspected.

    Lots of info, but only a small selection of diagnostic tests. Hopefully, it'll help you a little.

    Best of luck with your results!
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    May 25, 2013 3:22 AM GMT
    I've had rotator cuff injuries in the past and from my experience, total rest is the worst thing you can do. I laid off working out for two damn years because that's what I was told to do. But a trainer at my gym told me to start exercising it again so I did. He had me try 20lb dumbbells but they cause slight pain, so he had me continue to go down in weights until I found a weight that caused zero pain. I ended up using 3lb dumbbells. I felt pretty silly doing military presses and inclines with these ridiculously light weights, but every week or two I was able to increase the weight gradually. By the way, he had me doing 20 reps of most exercises. Ironically, my shoulders blew up during this period and I filled out my t-shirts better than ever. After a couple of months with the baby weights I was back to my old weights. Now each time I feel it coming back on me, I just drop the weight down and increase the reps until it goes away.
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    May 25, 2013 8:03 AM GMT
    I advise you to stay out of fights. And, by all means, let yoursweetguy get his hands on you.

    Seriously, though, if your less dominant side is smaller, this is a good opportunity to work on it. But you don't want to get out of balance if you are currently in balance.

    My shoulder hurts every time I work out, lately, no matter how careful I am or how long I rest. Also after tennis, even though I hold the racquet in the other hand.
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    May 28, 2013 8:15 AM GMT
    i had rotator cuff tear back in 2005, did pt, it went away after few months. lowering weight is key. However now 8yrs later and increasing the weight i have a bigger tear. its so bad even stretches hurt. I injured it January kept doing the PT exercises that i learned back in 2005, it was not getting better.
    I'm leaning toward the surgery, because i have to, nothing is working.