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Old 01-07-2013, 07:42 AM   #11
Brian Lelli
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Re: Strange shoulder tweak

Got a question for ya Adam:

Do you feel the pain WHEN doing something? Or is it delayed?

That's the issue I'm having. It's delayed. So if I'm going in to the gym to "test" things, it won't give me feedback (pain, or no pain) until 6-8+hrs later.
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Old 01-07-2013, 08:24 AM   #12
Adam Fisk
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Re: Strange shoulder tweak

Quote:
Originally Posted by Brian Lelli View Post
Good luck with the rehab. Shoot me a message if you figure any miracle movements haah

Being smart is boring, but it's a must. I'm backing down on my training in the gym and reducing the BJJ I'm doing.

I feel like a fat slob sitting around doing nothing but rehab. It just better work! haha
I will definitely let you know.

And I couldn't agree more. It's so hard to find motivation to eat well when I am not training. AND my rogue barbell arrives today It is going to be so hard not to do a few cleans when I get home from work lol.
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Old 01-07-2013, 08:27 AM   #13
Adam Fisk
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Re: Strange shoulder tweak

Quote:
Originally Posted by Brian Lelli View Post
Got a question for ya Adam:

Do you feel the pain WHEN doing something? Or is it delayed?

That's the issue I'm having. It's delayed. So if I'm going in to the gym to "test" things, it won't give me feedback (pain, or no pain) until 6-8+hrs later.
The first time I had pain it was delayed. Then when it came up again it was during snatches. Now it's when I am doing something, even just rotating it.

One things for sure, I have horrible sleeping posture. I need to work on sleeping on my back throughout the night. I tend to get on my stomach with hands under the pillow. When I wake up my shoulders feel worse. It is pretty horrible.
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Old 01-07-2013, 11:10 AM   #14
Brian Lelli
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Re: Strange shoulder tweak

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Originally Posted by Adam Fisk View Post
The first time I had pain it was delayed. Then when it came up again it was during snatches. Now it's when I am doing something, even just rotating it.

One things for sure, I have horrible sleeping posture. I need to work on sleeping on my back throughout the night. I tend to get on my stomach with hands under the pillow. When I wake up my shoulders feel worse. It is pretty horrible.
Ah yes, the sleeping problem. I know that was making the pain worse for sure.

I stack pillows up to my left so I can't roll over onto my side easily. Maybe you can surround yourself? haha
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Old 01-07-2013, 12:00 PM   #15
Daniel Pope
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Re: Strange shoulder tweak

Without actually looking at your shoulder in person, this sounds about as close to a shoulder impingement (subacromial) case as any I've heard. (Pain with arm in midrange raising overhead, pain in front of shoulder) Here's a nice in depth explanation of what goes on in shoulder impingement of this variety:

Part1: http://fitnesspainfree.com/?p=517
Part2: http://fitnesspainfree.com/?p=532
Part3: http://fitnesspainfree.com/?p=552

Advice:
1) See a qualified professional
2) Avoid stuff that hurts for the time being
3) Test your shoulder and thoracic spine mobility (and fix accordingly) fitnesspainfree.com/?p=24 - Screen contained in that article.
4) Improve your Rotator cuff stability
5) Be patient - Impingement is also usually related to rotator cuff damage and this can take weeks to months to improve.

Just did a recent podcast with a fellow athlete and physical therapist discussing the dynamics of the shoulder and how to approach rehab of the shoulder, especially impingement: http://fitnesspainfree.com/?p=686

Best case scenario is to work with a qualified professional and smart trainer throughout the recovery. I know my recommendations were very broad. Also look into improving technique on all lifts. For example, with the snatch poor ankle and hip mobility can end up dumping a lot of stress on the shoulder.

Hope this helps and keep us up to date,
Dan Pope www.fitnesspainfree.com
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Old 01-08-2013, 07:26 AM   #16
Brian Lelli
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Re: Strange shoulder tweak

Thanks for the tips Dan! I'll be sifting through those links today while at work!
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Old 01-08-2013, 10:33 PM   #17
Adam Fisk
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Re: Strange shoulder tweak

Quote:
Originally Posted by Daniel Pope View Post
Without actually looking at your shoulder in person, this sounds about as close to a shoulder impingement (subacromial) case as any I've heard. (Pain with arm in midrange raising overhead, pain in front of shoulder) Here's a nice in depth explanation of what goes on in shoulder impingement of this variety:

Part1: http://fitnesspainfree.com/?p=517
Part2: http://fitnesspainfree.com/?p=532
Part3: http://fitnesspainfree.com/?p=552

Advice:
1) See a qualified professional
2) Avoid stuff that hurts for the time being
3) Test your shoulder and thoracic spine mobility (and fix accordingly) fitnesspainfree.com/?p=24 - Screen contained in that article.
4) Improve your Rotator cuff stability
5) Be patient - Impingement is also usually related to rotator cuff damage and this can take weeks to months to improve.

Just did a recent podcast with a fellow athlete and physical therapist discussing the dynamics of the shoulder and how to approach rehab of the shoulder, especially impingement: http://fitnesspainfree.com/?p=686

Best case scenario is to work with a qualified professional and smart trainer throughout the recovery. I know my recommendations were very broad. Also look into improving technique on all lifts. For example, with the snatch poor ankle and hip mobility can end up dumping a lot of stress on the shoulder.

Hope this helps and keep us up to date,
Dan Pope www.fitnesspainfree.com
I am impressed, Daniel.

I just got back from the Doctor today and he confirmed that is exactly what it is. I had an ultra-sound of my shoulder and all the tissue looked fine along with my bicep tendon. He was able to locate the impingement and prescribed me with physical therapy 3 days a week.

I know a few people in the field so hopefully I can find a good physical therapist in my area that can handle upper-class athletes.

I briefly went through your articles and listened to your podcast. Were there any tips involving rehabilitation for this? Also, this may be a long shot but I had signed up for a competition on January 26. Is it possible for me to recover by then?

Thanks for your concern and input.
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Old 01-09-2013, 06:22 AM   #18
Brian Strump
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Re: Strange shoulder tweak

A self proclaimed "upper class athlete"? What in the world does that mean?

Honestly, a shoulder is a shoulder, and just because a therapist is part of a team doesn't mean they are good. Many times it just means they have connections.

I would go here if I were you.
http://newyorksportsandphysicalthera...Our_Staff.html


Quote:
Originally Posted by Adam Fisk View Post
I am impressed, Daniel.

I just got back from the Doctor today and he confirmed that is exactly what it is. I had an ultra-sound of my shoulder and all the tissue looked fine along with my bicep tendon. He was able to locate the impingement and prescribed me with physical therapy 3 days a week.

I know a few people in the field so hopefully I can find a good physical therapist in my area that can handle upper-class athletes.

I briefly went through your articles and listened to your podcast. Were there any tips involving rehabilitation for this? Also, this may be a long shot but I had signed up for a competition on January 26. Is it possible for me to recover by then?

Thanks for your concern and input.
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Old 01-09-2013, 08:03 AM   #19
Adam Fisk
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Re: Strange shoulder tweak

Quote:
Originally Posted by Brian Strump View Post
A self proclaimed "upper class athlete"? What in the world does that mean?

Honestly, a shoulder is a shoulder, and just because a therapist is part of a team doesn't mean they are good. Many times it just means they have connections.

I would go here if I were you.
http://newyorksportsandphysicalthera...Our_Staff.html
I did not intend to sound arrogant in my statement. I was merely referring to fact that some physical therapy clinics are not capable of handling certain clientele and are only designed for elderly, children, etc. I was just restating what my Doctor had suggested.

Thank you for the link.
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Old 01-09-2013, 09:41 AM   #20
Daniel Pope
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Re: Strange shoulder tweak

Quote:
Originally Posted by Brian Lelli View Post
Thanks for the tips Dan! I'll be sifting through those links today while at work!
No problem Brian, let us know how it goes.

Dan Pope www.fitnesspainfree.com
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