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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 10-21-2008, 08:49 AM   #1 (permalink)
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Default Shoulder Pain

Note: I have an appointment with my doctor scheduled in a couple weeks, but I’m looking for some input from experts in the real world. Hopefully, with your help, I can point my doctor in the right direction.


Female, 55, 20 pounds overweight. Otherwise, excellent health. Restarting strength training.

1. When did the pain begin?
Late 2007, approximately, I started having pain starting in my right shoulder, going down my bicep. I thought it was muscle strain from lifting with wrong form or too much weight. The pain was intermittent.

2. What were you doing at the time? Or did the pain come on gradually over time?
Came on gradually over time, as I was slacking off my weight training (health issues). And now that I think of it, I also began using a different computer at work. The new computer is not ergonomically correct.

3. Where, anatomically, is the pain?
Shoulder. Starts in delt and runs down the biceps brachii, according to diagram at getbodysmart.com.

4. What does the pain feel like? Sharp? Dull? Aching? Stabbing? Shooting?
Aching, with sharper pain during certain movements, like reaching forward, brushing my hair, lifting objects off table, etc.

5. Is the pain constant, or intermittent, or only on certain motions?
Mostly during certain motions. Especially using biceps. This morning, I could barely lift a gallon of milk from the fridge. Lifting it like a bicep hammer curl doesn’t hurt, but reaching forward hurts.

6. What motions make your pain worse?
At computer, using mouse. For some time, I was using a laptop with a wireless mouse that contained batteries. That made the mouse much heavier, and I thought that aggravated it. I still have the pain, using a regular mouse. It doesn’t hurt much while I’m at the computer; the pain comes later.

7. What, if anything, makes your pain better?
I was laid up for three months (May-July, 2008) post-surgery (hysterectomy and complications) and the pain went away, and I thought the injury was healed. It came back when I started using a computer again, particularly mouse movements.

8. Does your pain radiate to any other part of your body?
No.

9. What things could you do before, that you cannot do now because of your injury?
It is now very painful holding the bar for squats. I can’t find any grip position that works.

10. What is your main concern regarding the pain and its consequences?
I suspect some form of tendonitis, or repetitive stress injury, and I don’t want it to worsen to the point of surgery. I’m hoping physical therapy and adjustment of my workstation will do the trick. Also, I am returning to a regular strength training regimen (NROLFW). My surgeons gave me the go-ahead before the shoulder pain returned.

11. Have you ever injured that part of your body before? If so, how?
No

12. Is your pain getting worse over time? And if so, how much worse over what time period?
It comes and goes. Advil helps a little, and I take it once, maybe twice a day. The pain does not seem to be any worse after doing lifting workout. (NROLFW stage 1). I just can’t position the bar for squats.

Thanks in advance for any help or advice.

Becky
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Old 10-21-2008, 12:50 PM   #2 (permalink)
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Becky, it sounds like you are on the right track. I suspect you probably were at risk for impingement, then the combination of the surgery and the ergonomics sent you over the edge. Your symptoms are pretty classically from impingement of the rotator cuff tendons ... they are likely inflammed (acutely or chronically).

The fix? In the short-term, anti-inflammatory measures (ultrasound, iontophoresis, transverse friction massage, ice) ... in the long term, fix the ergonomics ... AND get your scapular stabilizers working properly again.
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Old 10-21-2008, 07:58 PM   #3 (permalink)
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Thanks, Julie for the quick reply.

I am already feeling some relief after starting the New Rules training. Just regaining some shoulder strength has helped.

Now I have to work on getting our office refitted. My boss and I use the same workstation much of the time and he's about 10 inches taller. He won't want me taking another medical leave, especially if it's Workman's Comp, so I have some leverage there.

Thanks again,
Becky
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