shoulder injury rehab

  • Posted by a hidden member.
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    May 23, 2007 4:32 PM GMT
    hey guys!

    i injured my shoulder a few months ago, most likely i threw it out playing volleyball, specifically, the focal area is the junction where the deltoid tucks in the lateral head of the tricep and the biceps brachii. i've been using heat packs and ibuprofen, and i'm also warming up my deltoids first when i work out. It has only improved a little bit in the past month or two.

    Should i go ahead and see a doctor about it or are there any other options?
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    May 23, 2007 9:06 PM GMT
    You are not making any sense... Deltoid ends laterally and bicep (both long head and short head) are anterior and tricp is posterior all 3 heads... You just described a whole circumference of proximal humeral shaft... That is also the C5 pattern and most Gh joint and subacrominal pathologies would have similar referred pain locaiton.. The description really is too vague and makse no sense....

    Did you dislocate you shoulder when throwing..?

    Hot packs are bad for acute injuries, it iwll just aggrevate inflamation..

    If you provide a more specific desvriotion of the mechanics of the initial injury, present pain pattern location wise, present symton aggrevating factors, then I maybe able to help you with some information...
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    May 23, 2007 9:08 PM GMT
    Yes go see an ortho doctor if your insurance allows direct access to specialist without PCP referral. PCP usually are not the best at diferential diagnosis...

    Any clicking? Feeling unstable? Numbness, tingling, pins and needls, buring, or radaiting pain..?
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    May 23, 2007 9:57 PM GMT
    Sorry, that WAS a confusing description wasnt it, LOL. I mixed up the anteriors and posteriors. But yeah, it's the anterior portion, and in the pic below (if it shows up), the big dark red spot is the trouble area.

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    and there are no tingling or burning sensations. it just feels tight and/or a sharp pain like it's straining itself when i'm working out.
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    May 23, 2007 9:59 PM GMT
    oh and btw, i didnt dislocate my shoulder or anything. after taking several swings spiking a volleyball, it started bothering me with the pain and such.
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    May 24, 2007 2:06 AM GMT
    The picture you provided basically showed the distal insertion of the deltoid, but deltoid almost NEVER get injured before any other internal smaller slow twitch rotator cuffs or other structures get injured first. I have NEVER seen a deltoid injury in 10 years...

    The area you showed is a typical referred pain pattern for a HOST of SHOULDER and NECK issues.

    You did not provid aggrevating activities, suchs as over head, or external rotation with abduction, internal rotation with extension, etc.

    For the location of your pain it can be anything from cervical radiculopathy, thoracic outlet syndrome, bicipital tendonitis, superior anterior subacromial impingement, internal posterior subacromial impingement, SLAP leision, anterior capsule laxity, supraspinatus tear, infraspinatus tear, YOU NAME IT..

    Go see an orhto MD...
  • atxclimber

    Posts: 480

    Jan 06, 2008 6:37 AM GMT
    Bump --

    I think I did something similar to this. This is really stupid (ALL my sports injuries are embarrassing things -- I blew out my knees years ago playing DDR, for example.) But I was climbing 3x a week without problems and then we celebrated "Festivus" at my office (apparently a holiday invented by Seinfeld) and it involves arm wrestling. And I figured I was set since videogame developers are not known for their brute strength... but the first dude I arm wrestled was a 50yo ex-gymnast. He beat me after a good 30 second standoff.

    Later that day my shoulder was sore, and the next day I went climbing and had to stop after about 4 short climbs because it was pretty tweaked.

    Pain feels like it's right at the head of the humerus; if I palpate around it feels tender on the anterior of the AC joint and directly on the lateral part of the humeral head, and then there is a moderately sharp ache near the elbow, on the side of the humerus, lateral, i.e. the outside if I just flex my elbow and point my hand forward, elbow at my side, it's sore on the outside of the humerus.

    I can't tell if it's muscle or if the soreness down near the elbow is nerve impingement just manifesting there.

    I'd assume it's a rotator cuff thing but the bulk of the rotator cuff is back on the scapula and then that internal rotator winds down underneath the humerus onto the back, right? So I'm thinking maybe it's a deltoid thing. I don't know.

    Anyway, I let it rest, no climbing for 12 days during the holidays, and then went for an hour Thursday and an hour Friday and felt it acting up by the end of both sessions. Kind of a dull achey heat, but threatening to turn into a sharper pain if I push it.

    If I have to stop climbing for more than a month for this I might kill someone.

    Any advice on rehab?