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Old 11-03-2010, 03:26 PM   #1
Joe Herrle
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Shoulder Impingement Correction

Hi all,

For a couple of years now I have what I believe is shoulder impingement. It started while doing loads heavy of pressing exercises (bench, military, etc.). I backed off and started working on my external rotators and this seemed to help, however the shoulder which experiences the pain has always sagged about 1 cm from the other, seemingly healthy shoulder.

My right arm is dominant and this is where the I feel the occasional pain and also the one that sags. My right arm, shoulder, and lat are all stronger than the left side. I am 6' 190 lbs., 280# BP, 190# SP, and I can do over 50 pullups. I have decent, but not great posture. Also, I am a rugby player so shoulder maintenance is of utmost importance to me.

I have continued working on my external rotators, stretching out my lat and also using a foam roller, using a lacrosse ball on and around my scapula, and also working on getting the ball of my shoulder to sit back in the socket by laying on my back and holding a 30# weight with a straight arm. Basically, I've been living on mobilityWOD.blogspot.com and this message board and trying something different every day. After my routine, I ice, take fish oils, and apply a homeopathic anti-inflammatory ointment called Traumeel. All of this has seemed to help with overhead and pressing movements, but the shoulder still sags.

So my questions are: should my sagging shoulder be a major concern, and if so how do I correct it? Am I on the right path to recovery? Can it be fixed with stretching/exercises or will I need to see a PT, therapist, or doctor.

Any input would be awesome, and I greatly appreciate your help.

Thanks,

Joe
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Old 11-03-2010, 03:30 PM   #2
Joe Herrle
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Shoulder Impingement Correction

Hi all,

For a couple of years now I have what I believe is shoulder impingement. It started while doing loads of heavy pressing exercises (bench, military, etc.) during my globo days. I backed off and started working on my external rotators and upper back and this seemed to help, however the shoulder which experiences the pain has always sagged about 1 cm from the other, seemingly healthy shoulder. Over the years the pain has popped up every now and then, and I think its time to try to fix it and keep it that way.

My right arm is dominant and this is where the I feel the occasional pain and also the one that sags. My right arm, shoulder, and lat are all stronger than the left side. I am 23, 6' 188#, 280# BP, 190# SP, and I can do over 50 pullups. I have decent, but not great posture. Also, I am a rugby player so shoulder maintenance is of utmost importance to me.

I have continued working on my external rotators, stretching out my lat and also using a foam roller, using a lacrosse ball on and around my scapula, and also working on getting the ball of my shoulder to sit back in the socket by laying on my back and holding a 30# weight with a straight arm. Basically, I've been living on mobilityWOD.blogspot.com and this message board and trying something different every day. After my routine, I ice, take fish oils, and apply a homeopathic anti-inflammatory ointment called Traumeel. All of this has seemed to help with overhead and pressing movements, but the shoulder still sags.

So my questions are: should my sagging shoulder be a major concern, and if so how do I correct it? Am I on the right path to recovery? Can it be fixed with stretching/exercises or will I need to see a PT, therapist, or doctor.

Any input would be awesome, and I greatly appreciate your help.

Thanks,

Joe
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Old 11-03-2010, 04:30 PM   #3
Joe Herrle
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Re: Shoulder Impingement Correction

Sorry I double posted this. Please refer to (wfs) http://board.crossfit.com/showthread.php?t=62704
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Old 11-03-2010, 09:03 PM   #4
Steven Low
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Re: Shoulder Impingement Correction

Could be impingement....

Sounds more like scapular dysfunction though.

I would suggest getting seen by a good PT to be evaluated. The pain/problems may be showing up as impingement or around there, but the problem of rehabbing is NOT likely in that area given what you've told us.

Could be any number of things.
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Old 11-04-2010, 01:53 PM   #5
Joe Herrle
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Re: Shoulder Impingement Correction

Thank you so much. I did some research and it does look like a scapular dysfunction of some kind. Shoulders are complicated, seems like my best bet is to quit trying to self diagnose and go see my PT.

Thanks again,

Joe
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Old 11-04-2010, 05:24 PM   #6
Brian Strump
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Re: Shoulder Impingement Correction

Your very first sentence, ("For a couple of years now I have what I believe is shoulder impingement.") should have keyed you into the answer you are looking for.

Stop playing doctor, and go find a good one!
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Old 11-04-2010, 09:19 PM   #7
Steven Low
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Re: Shoulder Impingement Correction

Yep keep us updated.

See an orthopedic doc
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Old 11-08-2010, 03:52 PM   #8
Joe Herrle
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Re: Shoulder Impingement Correction

So I took your advice and saw a physio today, and it turned out to be very helpful so thank you for your input.

As it turns out, the sagging shoulder is the compounding effect of a couple of things. Starting at the top, the serratus anterior and pec minor are tight. Also, my lat is a little tight as well. The tightness in these muscles is not the root of the problem, however. It turns out my left shoulder is a little higher than it should be, and considering that my right shoulder is lower too, this points to my midline stabilization being off. Most likely I'm overcompensating for a tilted pelvis, each side to a different degree. As a whole, the anterior area from the top of my hips down to each of my knees is pretty tight.

So basically, I've got a lot to work on. I can't help but think that some of this has to do with my feet actually. I've had bone shaved off the first metatarsal of my right foot about two years ago which has caused a lack of mobility in that toe and foot. Luckily I'm scheduled to see my podiatrist in two weeks so I can ask him. If he can't help its off to see my orthopedic surgeon/sports medicine specialist. Wish me luck, and thanks again for the help!

-Joe
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Old 11-08-2010, 05:32 PM   #9
Steven Low
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Re: Shoulder Impingement Correction

Yeah no prob.

Just goes to show you that everything isnt as always as it seems. Pain in one area doesnt necessarily mean that is something that needs the rehab work.
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