CrossFit Discussion Board  

Go Back   CrossFit Discussion Board > In Sickness and In Health > Injuries
CrossFit Home Forum Site Rules CrossFit FAQ Search Today's Posts Mark Forums Read

Injuries Chronic & Acute

Reply
 
Thread Tools
Old 07-11-2010, 11:48 AM   #1
James Mazurek
Member James Mazurek is offline
 
Profile:
Join Date: Feb 2010
Location: Oconomowoc  WI
Posts: 25
Extreme Pain Pressing and Lowering from Overhead

I've been doing CrossFit for about 5 months and I've made some great gains. However recently my right shoulder has been a major limiting factor in WODs. No real problems with pullups, rowing and even pushups (although a little sore), but the pain has been excrutiating when doing anything with an overhead press. The pain is in the front portion of the joint capsule and it hurts both extending the arms and even worse when lowering the weight. I've also realized that I'm pretty much unable to throw anything without the pain being extreme so playing many sports is pretty much ruled out too.

I don't want to have to take an extended break from working out if it's possible to improve this with stretching, etc. Anyone have any ideas on what causes this and if I have any options besides seeing a doctor? Is this tendonitus? Or a potential serious injury?

Any advice is much appreciated!

Jim
  Reply With Quote
Old 07-11-2010, 04:39 PM   #2
Rob St. Croix
Member Rob St. Croix is offline
 
Rob St. Croix's Avatar
 
Profile:
Join Date: May 2010
Location: New Bern  NC
Posts: 143
Re: Extreme Pain Pressing and Lowering from Overhead

That describes exactly the symptoms I had. It was originally misdiagnosed as tendinitis in the shoulder, but later turned out to be a SLAP tear. I would seek the consultation of a Medical Professional because if it is a SLAP tear, the more you use it, the worse it will get and the harder it will be to fix, and more painful and longer the recovery.

In my own case, once I complained that the PT for tendinitis I was told to do wasn't working, and in fact felt like it hurt more, I saw another doctor who immediately gave me a cortisone injection in my shoulder. The idea is that if the pain goes away almost immediately, it was in fact tendonitis, if not, then it's not tendonitis and I should get a MRI ASAP. Well, needless to say, I got a MRI (2) days later and I had a severe SLAP injury.

I hope you just have tendonitis or something even less severe. The good news is though, while the recovery sucks... you can recover!
__________________
"Human beings are at their best when they are helping others be at theirs." "The beating will continue until your PR improves."

Last edited by Rob St. Croix : 07-11-2010 at 04:41 PM.
  Reply With Quote
Old 07-11-2010, 08:22 PM   #3
Steven Low
Member Steven Low is offline
 
Steven Low's Avatar
 
Profile:
Join Date: Sep 2005
Location: silver spring  maryland
Posts: 12,221
Re: Extreme Pain Pressing and Lowering from Overhead

See an orthopedic doc.

Based on your description I'm thinking severe biceps tendonitis, partial biceps tear, or SLAP lesion like stated above.
__________________
Posts are NOT medical, training, nutrition info
Bodyweight Article, Overcoming Gravity Book
  Reply With Quote
Old 07-12-2010, 06:04 AM   #4
James Mazurek
Member James Mazurek is offline
 
Profile:
Join Date: Feb 2010
Location: Oconomowoc  WI
Posts: 25
Re: Extreme Pain Pressing and Lowering from Overhead

Thanks to both responders. I have an appointment with an ortho this week but honestly was expecting a standard rest/PT plan. Armed with at least the info you've given I can ask better questions.

Rob, what did the recovery entail? Was it surgical? PT? Just wondering what I'm in for if indeed it is this SLAP injury you describe.

Thanks!

Jim
  Reply With Quote
Old 07-12-2010, 03:21 PM   #5
Rob St. Croix
Member Rob St. Croix is offline
 
Rob St. Croix's Avatar
 
Profile:
Join Date: May 2010
Location: New Bern  NC
Posts: 143
Re: Extreme Pain Pressing and Lowering from Overhead

Quote:
Originally Posted by James Mazurek View Post

Rob, what did the recovery entail? Was it surgical? PT? Just wondering what I'm in for if indeed it is this SLAP injury you describe.

Jim
To make a long story short... Once the Ortho was able to go in and look around, she discovered that I had not only a front SLAP tear, but a rear one as well...and it was worse than the MRI revealed. I ended up getting (3) anchors in total. My shoulder was immobilized in a sling for (6) weeks, after which the Physical Therapist (PT) slowly started to manually move my shoulder and then at about the (3) month mark, I began to start to start doing PT under my own power.

By (6) months I had 98% of my motion back. I still have trouble getting my right arm back far enough to do a dumbbell snatch while keeping my heels planted, though its getting better. Because of how the surgery works, things are tighter than they were before.

My strength is not yet what it was, but that is due to the fact that I basically had to wait (9) months while I was in Iraq before I redeployed to get the surgery and during that time I was not able to do any upper-body (cause it would aggravate the SLAP tear). My legs are real strong now though!
__________________
"Human beings are at their best when they are helping others be at theirs." "The beating will continue until your PR improves."
  Reply With Quote
Old 07-14-2010, 09:36 AM   #6
James Mazurek
Member James Mazurek is offline
 
Profile:
Join Date: Feb 2010
Location: Oconomowoc  WI
Posts: 25
Re: Extreme Pain Pressing and Lowering from Overhead

Well, went and had an X-Ray today all normal....MRI tomorrow. On a positive note did 135# 7x7 thrusters yesterday and it didn't feel good but not horribly bad.....almost seems like the work made it feel better....I guess I'll know more after the MRI
  Reply With Quote
Old 07-14-2010, 08:29 PM   #7
Steven Low
Member Steven Low is offline
 
Steven Low's Avatar
 
Profile:
Join Date: Sep 2005
Location: silver spring  maryland
Posts: 12,221
Re: Extreme Pain Pressing and Lowering from Overhead

Quote:
Originally Posted by James Mazurek View Post
Well, went and had an X-Ray today all normal....MRI tomorrow. On a positive note did 135# 7x7 thrusters yesterday and it didn't feel good but not horribly bad.....almost seems like the work made it feel better....I guess I'll know more after the MRI
Don't aggravate it. Don't work through pain.

If warming it up helps then it MAY just be a bad bad case of chronic tendonitis.... so that's a positive I guess. But seriously... don't work through pain or do anything that aggravates it.
__________________
Posts are NOT medical, training, nutrition info
Bodyweight Article, Overcoming Gravity Book
  Reply With Quote
Old 07-16-2010, 06:19 AM   #8
James Mazurek
Member James Mazurek is offline
 
Profile:
Join Date: Feb 2010
Location: Oconomowoc  WI
Posts: 25
Re: Extreme Pain Pressing and Lowering from Overhead

Steven,

Yes, that is sound advice. I had an X-Ray (negative) and MRI this week. I'm anxious to get the results next week.

I'm hopeful but we'll see
  Reply With Quote
Old 07-16-2010, 03:16 PM   #9
Steven Low
Member Steven Low is offline
 
Steven Low's Avatar
 
Profile:
Join Date: Sep 2005
Location: silver spring  maryland
Posts: 12,221
Re: Extreme Pain Pressing and Lowering from Overhead

I hope they did a contrast MRI otherwise it might not be detailed enough...
__________________
Posts are NOT medical, training, nutrition info
Bodyweight Article, Overcoming Gravity Book
  Reply With Quote
Old 07-22-2010, 06:39 AM   #10
James Mazurek
Member James Mazurek is offline
 
Profile:
Join Date: Feb 2010
Location: Oconomowoc  WI
Posts: 25
Re: Extreme Pain Pressing and Lowering from Overhead

Got MRI results. I'm no doctor but I think it's better news than I was maybe expecting.

Interpretation - Moderate to severe tendinosis of the supraspinatus and anterior infrspinatus contributions fo the rotator cuff. These findings are likely in association with partial tearing as well of the very anterolateral infraspinatus constituent comprising approximately 50% thickness of the cuff at its bursal aspect. Very mild tendonosis of the superior subscapularis component of the rotator cuff is noted. There is no complete rotator cuff tear. The acromioclavicular joint is unremarkable. The anteriro acromion diplays a Type I configuration. There is no anterialr or lateral acromial downsloping. Nor bursal effusion or thickening is seen. There is no muscular tear, contusion or atrophy.

There are no fractures or regions of abnormal bone marrow signal.

The biceps tendon is normally situated. No complete or partial biceps tendon tear is present

There is noglenohumeral joint effusion or focal hyaline cartilage defect. No Hill-Sachs, reverese Hill-Sachs, or bony Bankart lesions are seen. There is no SLAP lesion or soft tissue Bankart lesion. There are no paralabral cysts. No capsula or ligamentous pahology is seen.

So those are the results. The Dr. said he could offer a cortisone injection, PT, or arthroscopic surgery but that it was kind of a gray area due to the tear only being about 50%. He said some people do fine with that while others end up eventually tearing it and requiring surgery.

Since I did 135# thrusters in a WOD last week I'm pretty confident my shoulder will hold up if the swelling/pain subsides. I chose the cortisone for now but told him if it didn't help that I'd want to look into surgery to fix it so I can have the ability to CrossFit as well as engage in sports and activities with my son.

Any thoughts out there on whether this was more or less a decent call on my part?
  Reply With Quote
Reply


Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

vB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Forum Jump

Similar Threads
Thread Thread Starter Forum Replies Last Post
Shoulder Pain from Pressing Joseph Baker Injuries 9 03-22-2010 08:20 PM
Shoulder pain when going overhead Antun Karlovac Injuries 3 12-26-2009 12:02 PM
Extreme Chest Pain Michael Lennox Health and Medical Issues 9 07-27-2009 01:20 PM
Overhead Squats - Extreme wrist pain Tarun Suri Injuries 17 09-04-2008 12:22 PM
Overhead pressing... Graham Hayes Exercises 0 03-01-2005 11:48 AM


All times are GMT -7. The time now is 09:49 PM.


Powered by vBulletin® Version 3.6.8
Copyright ©2000 - 2019, Jelsoft Enterprises Ltd.
CrossFit is a registered trademark of CrossFit Inc.