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Injuries and Rehab Tell us where it hurts! Do a quick search before asking about your shoulder injury to make sure your question hasn't already been answered (about 50 times), and read the sticky post first.

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Old 04-13-2006, 11:05 AM   #1 (permalink)
constant reader
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Default how can you tell if arm pain is referred or local?

I am a middle-aged runner and cyclist (and paddler and swimmer) who has only been working seriously at strength training for seven months.

I decided to build up to a pullup.

So I was very happily messing around with hanging off the bar, and then a month or so later I added some negatives. I would start above the bar, peel slowly off and try to control down my descent. Made my forearms darned sore, but it was all good. And I was getting infinitesimally better at it, too.

Tiny but real progress!

About three weeks ago, a buddy showed me this pullup contraption that counterbalances your weight. I did two sets of 10 proto-pullups on that thing; and then I walked around holding two 25 pound dumbbells to see how long my hand grip would last.

That farmers walk wasn't especially hard. I did three sets; and it was my right hand that weakened first. But it also was a new exercise for me.

The next day there was a new and unfamiliar, very local tenderness in the middle of my upper left arm.

This was three weeks ago.

It only hurts when I touch it, but it aches and the arm feels incompetent when I try to pull the arm across my body at chest height.

I'm having more than my usual vast amounts of difficulty with pushups, and if I do a dip, I feel a little something wrong.

If I tighten the muscles in my upper arm and press my fingers over this spot, which is about halfway between my shoulder and elbow and kinda on the outside when my arm is straight down by my side with the thumb facing front, the tenderness isn't there to the touch.

I've read that shoulder injuries tend to refer pain down the arm. My left shoulder doesn't seem to hurt, though.

What idiot thing have I done to myself this time?

celia
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Old 04-13-2006, 12:42 PM   #2 (permalink)
Bill Hartman
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Typically, areas of referred pain are not necessarily tender although they can be (how's that for a perfect answer). Referred pain usually results in pain distal (away from) the source.

If any other shoulder movements or neck movements reproduce the pain, it may be referred from the shoulder or neck. If not, it's most likely local and a simple strain.

A simple rule...if it hurts more than you think it should or shows no improvement in 14 days it's better to be safe than sorry and get it checked. If it seems like it is getting better and does not significantly limit your activities, you can probably just train around it for a short period of time. Then progressively reintroduce more stressful activities.

Bill
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Old 04-13-2006, 01:25 PM   #3 (permalink)
constant reader
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Thank you, Bill!

celia
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Old 05-19-2006, 08:12 AM   #4 (permalink)
constant reader
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Two months after the fact, tired of laying off lifting and not getting better, I finally took my arm to my doc, who's a good diagnostician of sports injuries because he's been such a wildman all his life. He says I strained the tricep attachment right at the bone and that's why it's taking so long.

Because I'm training long for Ragbrai and I do pottery and I drive a car and I don't want to walk around with my arm in a sling, he gave me an a shot.
Seems to be making a difference today.
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Old 05-23-2006, 08:55 AM   #5 (permalink)
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My arm feels significantly better now. Still not 100 percent, but getting there. Hope to get back in the gym soon, because, dang, I feel FAT.

I also had the fit of my bike checked at the bike shop and they moved some things around.
After a few shakedown rides, my back still feels strange on the bike; BUT I've no longer got neck, shoulder and back tightness for the first two miles of my morning runs.
So that's really encouraging!
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