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Injuries Chronic & Acute

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Old 05-05-2007, 10:57 AM   #1
clary miguel
Member clary miguel is offline
Join Date: Mar 2007
Location: effort  pa
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Any one with intense and deep shoulder pain after over head movements such as snatches, thrushers, oh squats, even pull ups? Any suggestions to ameliorate condition? Pain wakes me up at night. Thank you in advance.
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Old 05-06-2007, 08:33 AM   #2
Elliot Royce
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Join Date: Mar 2006
Location: Inowa  KS
Posts: 922
Try searching on shoulder pain. Unfortunately CF seems to lead to a fair amount of shoulder injuries due to the heavy dose of overhead work, which almost no one is used to from their previous workout routines.

You can also search on "shoulder" + "impingement" and "shoulder" + "tendonitis." There are lots of posts.
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Old 05-06-2007, 09:10 AM   #3
Howard Wilcox
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Location: Forsyth  GA
Posts: 780
I have something that may be related. I was diagnosed with a subscapularis pull. I think mine came from either doing OHS cold with 95lbs or doing kipping pullups cold. I posted about it if you do a search. Good luck.

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Old 05-08-2007, 11:15 AM   #4
Sean McDaniel
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Join Date: Jul 2006
Location: Buckley  WA
Posts: 34
I had similar problems, and had it checked out. Mine turned out to be osteoarthritis of the AC joint. The condition is from over-use, not genetics or aging, and is apparently fairly common in any sport involving work overhead - Olympic lifting, swimming, gymnastics, etc. It can be controlled with a combination of ice, ibuprofin, and/or cortisone injections in some cases.

Mine was far enough along that those didn't help, and I had surgery in January. The surgeon removed the arthritic ends of the collarbones and opened up enough room for the shoulder to work freely. Recovery was fast - was working out lightly within a couple of weeks, and putting heavy weights overhead within 6-8 weeks. It's nearly 100% now, and I'm seeing lots of PRs now that there's no sharp shoulder pain when finishing the lift.

Find a good orthopedic sports specialist and have them take a look. Catching problems sooner rather than later always simplifies the matter.
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Old 05-08-2007, 11:46 PM   #5
Wayne Nelson
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Join Date: Apr 2007
Location: Roseville/Crockett  California
Posts: 114
I see shoulder problems rather commonly with the people I work with. Bodybuilders have a very high rate of shoulder (and back) problems. Thank the Lord CrossFit doesn’t follow that model! The cause very often is insufficient stabilization from the rotator cuff or in effective shoulder blade positioning and control.

Typical problems are that the muscles of the shoulder blade (scapula) and rotator cuff don't activate sufficiently or at the proper time. Over head lifts place a very high demand on the stabilizing elements of the shoulder. Often stability is forgotten in training. Who wants to do shoulder rotation exercises or push-up pluses when there is more exciting things to do?

Key elements to consider in rehab (or preventing problems) are strength, reactivating proper firing sequence of the stabilizers, then reprogramming these changes into the nervous system so they become automatic. Inadequate or inefficient stabilization of the shoulder are either the root causes or contributing factors of a large amount of shoulder problems.

The solution (and prevention) to shoulder problems do not fall under the umbrella of CrossFit. This stuff stems from rehab and ends with specific performance training and can be very challenging. Exercises used for shoulder rehabilitation can span the gamut from scapular sets with external rotation to sideways m-ball tosses, from PU+ (Pushups on your elbows) to single arm pushup on a gymball to PU jumps onto a (sorry Larry) Bosu, and beyond.

The same types of dysfunctions in stabilization also lead to degenerative changes in the joint, tendons, ligaments and joint capsule of the shoulder. Unfortunately, if the dysfunctional movement patterns persist for a while they become integrated into the template your brain has created for your shoulder movements, and remain there. Even after surgery! So to adequately prevent a reoccurrence these patterns need to be changed. This is done through specific training. Evaluating functional shoulder and scapular stability should be part of the clearing tests for performing overhead o-lifts.
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