Vilgefortz Posted July 27, 2017 Posted July 27, 2017 Hello! I'm back in my quest to solve the cause of my shoulder pain! I am so sorry for the wall of text but this one is really an enigma for me and i'm desperate! About a month ago i was having a go at my regular workout again, 12 super sets of either 4-6 pull-ups or chin-ups combined with dips or push ups. Exercises were done with excellent form full range of motion and no pain. It had been awhile since my last workout so i took a longer break to get rid of my soreness, it went as follows. Day 1 mild soreness, day 2 more soreness, day 3 DOMS and then i don't remember exactly but since i couldn't do anything, it was extremely hot and i had a broken sleep schedule, i may or may not have spent the next day in bed watching stuff on my laptop. I did not switch sides and after a wasted day i went to bed (i sleep on my stomach since forever) and woke up with a dull pain whenever i tried raise my arm straight, The pain was more intense if i stand straight and try to raise it to the side. I took a week off because the grand master from my Krav Maga school would come and i had to be fresh for the training. The training consisted of 5 hours of punching in a straight line and in a circular line with 2 kg weights and very little breaks, there was also a lot of jumping at the same time. I had a bit of pain in my bicep tendon area while i was doing the straight punches. The next day it was a shorter training since everyone was exhausted, only 3 hours of the same thing. Last day was only judo, i was thrown on the floor like a rag doll ~30 times and i threw people 30 times myself. I was expecting the worst of my shoulders/bicep tendons or whatever but nothing came. I was completely healed?! I went home took a one week break to get rid of the pain in my back and my butt and went at it again. I did planche leans, inverted hangs to tuck front lever negatives and L sit on p bars. No pain whatsoever and gave it a 3 day break. Then i proceeded to the dreadful bent arm program again, this time i made sure i was taking it slow and only did negatives and push ups on my bath tub. It was quite easy and no pain, i finished with the shoulder mastery series and some cuban rotations. As far as flexibility goes I can do shoulder dislocates with 1.5 shoulder width stick. First day no soreness, 2nd day no soreness, 3rd day doms and 5th day i was cleared. Again my sleep schedule was extremely bad, i had extreme lack of energy and wanted to reset it by staying awake a little bit longer. Just 4 or 5 hours in bed this time before i went to sleep, i was resting on my right arm while i was watching movies, not the one that's painful. I didn't eat all that much that day and finished with 2 slices of pizza ( i usually have a good diet ) then went to sleep. I slept on my stomach, with no t-shirt on, it was fairly warm, neck twisted to the right, my right leg slightly flexed so i don't land completely on my stomach, right hand raised in a 90 degree angle, and left hand behind, almost straight and internally rotated. Woke up this morning and tadaaaaaaaam, Dull stabbing pain in my left arm especially if i keep it straight and raise it, especially during a lateral raise. The pain is near the bicep tendon, bellow the front delt. I also feel the pain in the negative portion of a push up, i feel nothing in a dip and i don't feel anything in a pull-ups. I'm pretty sure last time my other hand was hurting so it's not some receding injury. Should i just cut them off? Thank you again anyone who's reading this! Okay so while i was waiting for a reply i tried some axillary and suprascapular nerve flossing i found on youtube. I don't feel pain when laterally raising the hand with no weights anymore, but if i do it with a band i feel it in a different place. 1st picture is where i initially felt it 2nd is where i feel it now if i do band raises. 1 http://imgur.com/a/6AHk7 2 http://imgur.com/a/O32Xs I still feel pain up top during push ups. This is what i mean by lateral raises with the band https://youtu.be/1YHIV4a81Os?t=15 Further info - i've noticed thati have literally no pain if i raise my hand in either direction with a completely protracted scapula. And also no pain if i do a push up with a protracted scapula all the way.
Jim Pickles Posted July 27, 2017 Posted July 27, 2017 Suggest you look up thoracic outlet syndrome. A bundle of nerves exit the chest just in front of the shoulder, and can get irritated/damaged/compressed. You then will feel pain of different sorts in your arm, shoulder, hand, fingers. The rightmost red square in your pic 1 is over the median nerve, a favourite place for feeling the pain - generally you will feel a dull pain along the line of nerves in milder cases, in more major cases it can be felt anywhere in the arm, shoulder or hand, and can sometime lead to paralysis. Any radiating pain suggests nerve damage/iritation. Suggested treatment (if it is this) - (1) avoid moves that tend to compress/irritate the area where the nerves leave the chest (you can find this area easily on a web search), (2) find out if you have a structural abnormality in this area (needs professional help though), (3) rest to allow the irritation to die down. Scapular protractation tends to open out this area, leading to a reduction in pressure, although any abnormal movement (e.g. unusual protraction) can also restart the irritation. As far as I am aware.
Vilgefortz Posted July 28, 2017 Author Posted July 28, 2017 Seems the only thing i'm constantly doing, that affects the area you mention, is stretching for skin the cat. If i do shoulder dislocates with the bar, i always feel a mild to high strain in the shoulder-pec area, i basically hang off the stall bars as low as possible and also try to push away. I want to keep getting more flexible, but i also want to get stronger, so i've a few questions. Should i stop stretching while resting? If i don't feel pain anymore can i get back at it again, or is a longer rest period recommended? I didn't quite understand how fast nerves heal from google and i'm wondering if it's similar to tendons, meaning it takes a lot more after the symptoms pass to fully heal. And concerning shoulder dislocates with a bar, should they feel very easy? or should they feel like a moderate stretch? I've read you can either narrow the grip on the bar or add weight, what would be recommended? Thank you!
Jim Pickles Posted July 28, 2017 Posted July 28, 2017 I cant answer those questions. As far as I can tell, some nerve pain is due to an irritation of the nerve sheath. I guess in mild cases this will go down quite quickly (days) - it is more an irritation or inflammation than an actual tissue tear as may occur with a tendon. As for what activity is actually the most damaging, I guess that depends so much on the individual. My approach would be to stop everything for a week or two, and see if that helps, and once it has settled down, gently start the exercises that you will think might be least damaging, and build up. But that is all guesswork.
Vilgefortz Posted July 28, 2017 Author Posted July 28, 2017 Back to trial and error i guess Thanks anyways! Pain is almost gone after flossing everything and stretching the biceps, i just hope i won't tear some nerve if that's even possible.
Jim Pickles Posted July 28, 2017 Posted July 28, 2017 I dont think tearing a nerve is an issue - pain would stop you even before you got near that point (unless it was a sudden catastrophic accident). My understanding is that the nerve sheath gets irritated easily (inflammatory reaction) e.g. as a result of pressure on the nerve, and you have to let that die down.
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