Problem with my shoulder
Problem with my shoulder
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Discussion

T40ORA

Original Poster:

5,177 posts

235 months

Thursday 27th August 2009
quotequote all
Is it possible to have a detached muscle in the shoulder, for years, that really only gives a problem when lifting weights?

I was visiting a physio until last April about a number of things, one of which was a weakness and pain in my left shoulder. She identified that the movement in my shoulder was all screwed up, as a result of previous injury, and we worked on correcting the way that I moved - i.e. keeping the shoulder blade fixed and moving the muscles of the shoulder rather than lifting the shoulder using the traps.

She also noticed that the muscle below the left trap connecting to the joint itself was under-developed and suggested some exercises to bring it back up to size.

I stopped using the physio, due to a combination of circumstances, but continued with the exercises. However, I still get pain and despite working the shoulder in what I hope is a proper manner, that same muscle still seems absent.

So the question is as the title states; can you have a detached muscle that only causes problems when lifting weights rather than just normal shoulder movement? Also, does anyone have any knowledge of how 'significant' the treatment would be? I.e. muscle grafts? From where? Impact on the donor site...

996 sps

6,165 posts

232 months

Thursday 27th August 2009
quotequote all
Not heard of a detached muscle of sort and its hard to understand what you mean by that comment, do you know what muscle? What happened to your shoulder the first time? Usual routine in most cases with shoulders is building up rotator cuff muscles they say theres 4 but if you include long head of bicep tendon as it runs through the shoulder capsule and joins to the supra glenoid tubercle. The other usual routine is scapula setting and strengthening exercises for this. Look all that up on the net for advice with exercises as they should be on here. Failing that get back to a physio but try and see one whos sport based.

Edited by 996 sps on Thursday 27th August 14:24

Vron

2,541 posts

225 months

Thursday 27th August 2009
quotequote all
Its possible you could have a partial rotator cuff tear / biceps tendon damage / labral damage aggravated when you lift weights or exercise. Why not go and see a Consultant if the physio hasn't helped?

Dale19

520 posts

208 months

Thursday 27th August 2009
quotequote all
I was also going to suggest rotar cuff, most peoples shoulder problems seems to be from this.

I`d start doing some exercises for your rotar cuffs anyway, trial it for a few weeks, if it helps great, if it doesnt, nothing lost.

JenRN

43 posts

192 months

Friday 28th August 2009
quotequote all
If you ever did anything that detached a muscle from bone, that would be an event that you would remember. It would have been excriatingly painful. There may even have been a popping or tearing noise when it happened. This usually requires a surgical repair. So your doctor to have it checked.

T40ORA

Original Poster:

5,177 posts

235 months

Friday 28th August 2009
quotequote all
Yep, had the exfritiating pain. At the SnowZone in Miltin keyen a few years ago. Crashed down on my shoulder at the bottom of the slope, where there was about 3" of snow over the concrete. Could hardly move my arm/shoulder and had pain for ages afterwards.

Just thought that I'd bruised it. However, no popping or tearing that I can remember.

The doctor just sent me to the physio, so maybe it is only a wasted muscle that still needs to be built up..... Worth a visit again though I guess. Thought I'd check peeps experience on here, as I don't like wasting time at the Surgery.

ShadownINja

78,696 posts

298 months

Friday 28th August 2009
quotequote all
If you tore it, you'd also see the muscle bunched up like a lump of chicken breast under the skin.

996 sps

6,165 posts

232 months

Friday 28th August 2009
quotequote all
T40ORA said:
Yep, had the exfritiating pain. At the SnowZone in Miltin keyen a few years ago. Crashed down on my shoulder at the bottom of the slope, where there was about 3" of snow over the concrete. Could hardly move my arm/shoulder and had pain for ages afterwards.

Just thought that I'd bruised it. However, no popping or tearing that I can remember.

The doctor just sent me to the physio, so maybe it is only a wasted muscle that still needs to be built up..... Worth a visit again though I guess. Thought I'd check peeps experience on here, as I don't like wasting time at the Surgery.
That description of injury could be anything, AC joint, SC joint (rare but possible) need to see someone face to face.

T40ORA

Original Poster:

5,177 posts

235 months

Friday 28th August 2009
quotequote all
Thanks Guys. Looks like I've eliminated the detached muscle, which I was thinking of as a worst case scenario.

I'll try to arrange an MRI scan and/or see a sports physio.

Animal

5,553 posts

284 months

Friday 28th August 2009
quotequote all
Make an appointment with your GP and ask about a SLAP lesion as a possible cause.

T40ORA

Original Poster:

5,177 posts

235 months

Friday 28th August 2009
quotequote all
Thought for a moment you said SLAP lesson. You've met my wife.... wink

Howeverm having Googles SLAP lesion I'm not feeling so flippant frown

996 sps

6,165 posts

232 months

Sunday 30th August 2009
quotequote all
Animal said:
Make an appointment with your GP and ask about a SLAP lesion as a possible cause.
Could well be, rare though i've seen 1 of these in 4 years.

Animal

5,553 posts

284 months

Sunday 30th August 2009
quotequote all
I'm waiting to see a chap called Andrew Irwin (I'm in Herts) to see if I've got one! Originally had an arthroscopy at the L&D a few years ago which was inconclusive, which was helpful.

Problem with shoulders seems to be that there's a lot going on in a very small space, so it's hard to pinpoint a source...

T40ORA

Original Poster:

5,177 posts

235 months

Sunday 30th August 2009
quotequote all
Do they not show up in an MRI scan?

pmanson

13,388 posts

269 months

Monday 31st August 2009
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Could be parsonage turner syndrome....

My brother is suffering from this at the moment. Due to injury the body can go into shock and then "eat" the muscle in a particular area (in his case his shoulder), the body normally recovers quite quickly and starts to rebuild the muscle.

In his case this hasn't happened and the movement of his arm/shoulder his limited. He can't lift his arm(s) above his head without the Doctor phyiscally manipulating his shoulder blade.

He's 23 so they are trying to avoid surgery and he is doing physio but it doesn't seem to be working.

mechsympathy

55,911 posts

271 months

Tuesday 1st September 2009
quotequote all
There's no way of knowing without looking at you, but, while tendon ruptures are possible, they're unlikely without degenerative changes (ie age). Even with injury.

Rotator cuff weakness often manifests as pain with loading as the rest of the cuff and other muscles can compensate to a degree.

In short, go back to the physio.



T40ORA

Original Poster:

5,177 posts

235 months

Tuesday 1st September 2009
quotequote all
Yes, it looks like I'll need to cough up some more cash to get this sorted.

eztiger

836 posts

196 months

Tuesday 1st September 2009
quotequote all
T40ORA said:
Yep, had the exfritiating pain. At the SnowZone in Miltin keyen a few years ago. Crashed down on my shoulder at the bottom of the slope, where there was about 3" of snow over the concrete. Could hardly move my arm/shoulder and had pain for ages afterwards.
If it helps I had exactly the same symptoms (non impact initial injury though) and was diagnosed as rotator cuff damage.

I did it lifting weights with poor form (upped my weights and went a to a bar rather than dumbbell at the same time - oops). No problems at all during the initial exercise but about 4 hours later my left arm was just entirely useless and felt like someone had been pounding it with a sledgehammer.

I couldn't lift my arm more than about an inch for about 2 days and was in pain the whole time, sleeping was particularly problematic.

Physio gave rotator cuff strengthening exercises and general rest. That was almost a year ago - it's much better now but not entirely sorted so I'm going back soon.

Not saying that's what you have - but I had in my head that as damaging the rotator cuff was a relatively common thing to do it couldn't be that bad. Hence the amount of pain, immobility and general hassle it caused surprised me and I was convinced it was something worse!

Go see a sports physio and have it looked it. Hope you're on the mend soon.