Rotator Cuff Question

About three months ago I did a stupid thing in the gym. In between some sets of squats I did two or three reps of extra wide grip pullups.

It was a leg day for me but I was feeling energetic so I just did them. Obviously all the blood was in my legs so my shoulder joint was not very warmed up and I gripped wide (farther out than elbows).

Ever since then I have had a pain on the back lower portion of my right shoulder. I assume my rotator cuff got pulled in some way. Oddly enough, pulling movements don’t seem to hurt as much as overhead pressing. Flat pressing feels just fine.

I gave up shoulder presses several months ago and it improved slightly.

Does anyone have an idea what part of the shoulder I injured and/or how to treat it?

Thanks in advance.

No way of knowing without an MRI. I would have sworn I tore my rotator cuff a while back doing heavy bench. After months of going back to the doc and getting steroid injections with no relief they finally refered me to an ortho nd got an xray and MRI which shows I have an artheriic bone spur which if I let my shoulder get too inflamed starts to rub and then keeps it inflamed.

My advice would be take ibuprofen and rest it for a week, if it is still hurting try to get an appt with an ortho.

Jstreet, thanks. I’m going on a one week ski trip so that will be a good time to rest it.

I think everyone swears they tear there rotator cuff because it’s definitely pretty easy to tear. Ask Chad Pennington…

You were feeling energetic between your sets of squats?

[quote]jstreet0204 wrote:
No way of knowing without an MRI. I would have sworn I tore my rotator cuff a while back doing heavy bench. After months of going back to the doc and getting steroid injections with no relief they finally refered me to an ortho nd got an xray and MRI which shows I have an artheriic bone spur which if I let my shoulder get too inflamed starts to rub and then keeps it inflamed.

My advice would be take ibuprofen and rest it for a week, if it is still hurting try to get an appt with an ortho.[/quote]

Bone growth on the lower side of the acromion is exactly what I had. But, it was substantial. It was inflaming the bursa something awful, and was “wearing” into some of the rotator cuff tendons. But, an enhanced MRI showed no actual tears or full thickness wear-thru.

It was severe enough to warrant acromioplatsty surgery, which I had five weeks ago. Lots o’physical therapy. Pain slowly going away. Looks like a long road.

I ignored mine, thinking it was a twinge that would go away.

Since you’re just starting out with this pain, start babying it right now. Rest it for at least two weeks, maybe more if you can stand it. If you weigh over 210, then take something like three Advil, three times a day for about a week, like jstreet said. Be sure you have it with food. Take less if you weigh less.

Keep your back muscles (in the clavicle area) strong and keep your chest stretched and not tight.

Your symptoms are EXACTLY what I had - overhead pressing hurt the most, with flat pressing hurting a lot less, and pulling exercises (pulling from the front - like rows)hurting not at all. And, the pain is on the outboard side of the shoulder, slightly to the rear and down from the top. (The actual injury is up higher than where you feel the pain, and the doctor called this pain lower down on the shoulder “referred pain”.)

Baby it! Don’t do any bench presses or overhead pressing or anything where your arm raises over your head and closes up your shoulder and pinches muscles between the acromion and humerus.

And, if you have to go to the doctor, do all you can to get an MRI up front and a diagnosis NOW. When I went in for my pain, the first thing they did was 6-weeks of physical therapy (PT) with little more than an x-ray. Then, when that didn’t work, a cortisone shot and four more weeks of PT. When that didn’t work, an MRI - but then they wanted six more weeks of rest and tons of Advil. All useless. I started in April of '07, and they just consented to surgery in December. I’m looking at march before I can begin any lifting again - and June before I’m 100%. And that’s IF this all worked. If the surgery didn’t work (and the pain doesn’t go away) then I don’t know what I’m going to do.

Good luck. Google “impingement syndrome” and “sholder rehabilitation” and read, read, read.

Im having almost the same problem…I been doing pull-ups for 3-4 weeks now and must have came down to far or to fast, because the front of my shoulder feels like its getting tangled with my neck bone when I lift my arm up. Im gonna take it easy for a week or so I guess…

[quote]jgundrey wrote:
Bone growth on the lower side of the acromion is exactly what I had. But, it was substantial. It was inflaming the bursa something awful, and was “wearing” into some of the rotator cuff tendons. But, an enhanced MRI showed no actual tears or full thickness wear-thru.

It was severe enough to warrant acromioplatsty surgery, which I had five weeks ago. Lots o’physical therapy. Pain slowly going away. Looks like a long road.

[/quote]

I opted not to have the surgery right now since he said it could lay me up for quite a while. I’ve been able to keep the inflamtion under control for about a year. Hopefully I can keep it that way. How do you think it will be before you can work out again?

Thanks for the replies everyone. I notice pain on the following exercises…

overhead press
cable cross over (w/ high angle)
incline press (slight pain)
closs grip bench presses

I feel just fine with…

flat presses
upright rows
shrugs
laterals (w/ slight forward lean)
dips

I did read up on “shoulder impingement”. there’s lots of good info out there, I guess I’m just not looking forward to having an atrophied chest and shoulders. :frowning:

[quote]jstreet0204 wrote:
I opted not to have the surgery right now since he said it could lay me up for quite a while. I’ve been able to keep the inflamtion under control for about a year. Hopefully I can keep it that way. How do you think it will be before you can work out again?
[/quote]

The surgeon said three months from the surgery 'til I can begin “normal” exercises, albeit with reduced weights to start. I’m almost six weeks out from the surgery now, and it’s gone by pretty fast. So, I’m not worried about laying low for another six weeks. In medical terms, he said that healing is 100% in six months (although most for whom the surgery worked are able to lift full weight long before that).

Although it’s been nearly six weeks since surgery, I am concerned that - as the post-op pain subsides below a certain threshold - I can now feel the original shoulder pain again. The surgeon said there was some wear-thru of a rotator cuff tendon, and I’m hoping the re-emergence of the old pain is an artifact of that wear-thru and that the pain will begin going away as the muscle or tendon heals. This may take a while.

The PT is intense, and I’m hoping it isn’t re-aggravating the situation.

[quote]MytchBucanan wrote:
overhead press
cable cross over (w/ high angle)
incline press (slight pain)
closs grip bench presses [/quote]

Wow - same as me. We’re injury brothers. Advil, ice, stretching and rest. (By rest, I mean abstain from exercises that cause pain in the area of interest. I don’t mean lie around all day!)

As you recover, think about special attention to shoulder health and welfare:

Watch this

Read these:

http://www.T-Nation.com/readArticle.do?id=1053531 (Shoulder Savers, Part I)

http://www.T-Nation.com/readArticle.do?id=1055409 (Shoulder Savers, Part II)

http://www.T-Nation.com/readArticle.do?id=1153915 (Shoulder Savers, Part III)

Keep in touch, all.

I’m having issues with the same type of situation. My Dr did order an MRI the first day and I do have a bone spur. Started noticing a problem when upright rows hurt, then overhead presses, then dips. When I had a problem reaching back to tuck in my shirt, went to the doctor.

Had a cortisone shot last week, hasn’t seemed to do much good. I’m tempted to push the doctor for the surgery since I can’t really see how this can be fixed without getting rid of the spur.