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Old 03-11-2010, 08:57 AM   #11
Sean Murray
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Join Date: Jan 2009
Location: Manchester  Lancashire England
Posts: 431
Re: Shoulder Impingement

Originally Posted by Sean Murray View Post
Just going to tag my questions on to this. Recovering from a long term shoulder impingement injury. Referred to physiotherapy dept at my local hospital after a lot of treatment by private physio did not stop symptoms coming back (deep pain near the AC over head- akin to someone pushing back down on the area/tightness at top of pecs under clavicle/tightness along side of neck to where muscles attach to clavicle/ severe clipping inside left shoulder as elevated). There was no testing or checking of the mechanics though by this physio of what i did at the gym to give a real picture of the root cause. She wanted me to get an MRI to rule out labrum tear she suspected. Pain was in overhead pressing movements- at first just pressing movements were a problem then got so bad as to causing pain on kipping pull ups/ KB swings/ wall ball.

Hospital physio ruled out need for MRI with pre assessment but did spot some dysfunction in the scapula and so proceeded with just rehab for abduction.
Guys at the gym who had shoulder issues intro'd me to some great rehab exercises and posted them up on our CF board (scap push ups/scarecrows/lateral rotation/external rotation and few others). After doing some work on lateral rotation with a light resistance band I had massive weakness in that movement and could feel the fatigue in the working muscles there (infraspinatus/teres minor??) Something the hospital physio or private one didn't bother to assess with me.

I've basically got on with my own rehab as the UK hospital physio's are only concerned with basic function. As my symptoms diminished (more down to removal of aggravating movements and rest) they're happy to sign me off.
Gradually brought back in all the movements and up to now no reaction. I do feel the fatigue in the (infraspinatus/teres minor area) though on any workouts with a lot of pull ups or pressing. Also, I've noticed a feeling of fatigue/weakness in what i think is my left rhomboid or could it be where infraspinatus/teres minor attaches near the mid back region??? Just a bit inwards from the point of the shoulder blade I'm not sure how to identify which it is. I can feel a little trigger point in there and am wondering if that is what is causing this feeling or if its a deeper issue?

I've got a sports massage booked in for Monday so will get her to look at that for me. I do get a lot of trigger points though in that left shoulder area actually.
Finally got to see a top notch guy about my shoulder. Allegedly this guys website is the most visited site on the web for shoulder true???

Quick exam and got my history with it and he's 99% sure its AC joint osteolysis (stress fracture from heavy loading where bone erodes faster than can be repaired). MRI scan to be sure to come. Been told to stay off all overhead movements for a month to allow it to settle down. Apparently common with weightlifters and people involved in power sports involving maximal loads of shoulder.
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