Any pros got advice on what to do for shoulder injury?

  • Posted by a hidden member.
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    Dec 27, 2007 3:27 PM GMT
    OK, I think I got a AC joint problem. I'm having popping at the joint and yesterday I had pain and instability when doing heavy weight on bench press, pull-ups/pull-downs. I'm having mild pain at just about anything that puts considerable stress on my shoulder joint. It's sore this morning through out my entire range of motion. This sucks. Do I need to give the weights a rest completely for quite a while then start back with extremely light weight for a for couple of months or can I kept working out at a weight that causes no pain what so ever? Thanks.
  • auryn

    Posts: 2061

    Dec 27, 2007 5:26 PM GMT
    bwg77 said Do I need to give the weights a rest completely for quite a while then start back with extremely light weight for a for couple of months or can I kept working out at a weight that causes no pain what so ever? Thanks.


    Yes, and get some rehab from a Physio/Physical Therapist in your area, otherwise you'll get scar tissue that will muck things up later in life. Rehab shouldn't take more than 1 month and you'll feel the results after a week if the person knows what he/she is doing.
  • medic

    Posts: 25

    Dec 27, 2007 6:03 PM GMT
    The AC joint has some ligamentous structures for stability. If you disrupted those it will take a "while" to heal. Generally I am talking 8-10 weeks for a minor sprain. Shear force injuries can completely disrupt these and treatment options are varied. Some recommend surgery in atheletes, I would try conservative management. To determine if there is a seperation x-rays should be done of both shoulders while holding weights. An excessive enlargement in joint space on the affected arm suggests a seperation. See an orthopaedic doctor, preferably with a sports medicine practice.

    On the other hand, you are 30 and some prior trauma or cummulative trauma could have affected the joint and created some wear. This can affect both the soft tissues and the cartilage. In that case, this grinding or popping noise is know as crepitance. If there is NO bump at the jointline or capsule then conservative management, PT, ice and NSAID's are appropriate. Unfortunately these do take a while to heal. (I'm deliberately vague)

    I generally like a PT or AT involved and have them watch you do the routine. If the joint subluxes, STOP. See the ortho. Unstable joints accelerate cartilage wear and create new oppourtunities for orthopeadic surgeons. This is a 54 year old talking..lol

    Nothing I offer is construed as medical treatment, just a guy talking to a guy ..... Medic
  • Posted by a hidden member.
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    Dec 27, 2007 6:15 PM GMT
    Thanks guys. I appreciate the advice. I'm going to see sport medicine doc on Monday. I want to make sure I know what's going on here. I see too many people that have messed up their shoulders badly simply because they didn't do the appropriate things after getting hurt. I've already resigned myself to focusing on abs, legs, and cardio for the next several weeks icon_smile.gif
  • auryn

    Posts: 2061

    Dec 27, 2007 7:23 PM GMT
    Perfect!icon_biggrin.gif
  • Posted by a hidden member.
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    Jan 01, 2008 8:51 AM GMT
    Is the ac joint the little points of bone at the top of the right and left delts?

    The one on my right feels pretty tender even when i put a bit of pressure on it with my finger. I've not worked out in 3 weeks, and it's still not 100 per cent normal.

    Should I be concerned?
  • Posted by a hidden member.
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    Jan 02, 2008 3:29 PM GMT
    You may also want to check with a good sportsmassage therapist. Often the pain is caused by trigger points in and around the rotator cuff and other areas. The trigger send a pattern of pain to a specific area.

    Can't tell you how many guys go to traditional medical people only to get x-rays, medications, PT, and someetimes (too often) surgery for something that can be fixed rather easily.

    Remember: the traditional medical community focuses on the site of the pain...we, in the complimentary therapy world focus on the path of the pain...where does it originate? We know where it is!
  • bigguysf

    Posts: 329

    Jan 02, 2008 4:03 PM GMT
    I'm not sure if my shoulder issues are like yours, but here is my experience... I am in the rehab phase still of shoulder surgery I had the first week in September to remove two bone spurs in my shoulder: one causing impingement in the front of the joint and one pressing on my rotator cuff and causing a partial tear.

    There was no injury trauma that caused this -- but rather as Medic has suggested above, the accumulation of shoulder wear and tear from the time I was 15. My symptoms were a "kachunk" kind of popping sound in my shoulder, pain radiating up into my neck, and intermittent numbness in my arm.

    A modified Mumford and Subacromial Decompression procedures were performed. I was in rehab by my second week. And though it has been one of the most uncomfortable and painful rehabs I have had for an injury, the benefit is already clear with all prior symptoms already having been relieved.

    I would only recommend the surgery as an end-of-the-line option. There were many people at my clinic doing physical therapy to help avoid surgery, and it seemed successful in many. I wish you best with your visit to the doc.
  • edgewaterguy2

    Posts: 10

    Oct 19, 2011 7:56 AM GMT
    BWG77 said I've already resigned myself to focusing on abs, legs, and cardio for the next several weeks icon_smile.gif


    Having the same problem here- what kind of abs/legs/cardio routine do you recommend while your shoulder heals?