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Buckley187
13-04-2007, 01:48 AM
Hi guys,

Ok well I don't know if any of you can assist me or offer me some advice but I have a pain in the front of my shoulder. If I am resting it's fine, there is no swelling and it's painless. If however I place my arm out in front of me and turn my palm upwards (supination) then I get a nasty pain right in the front of my shoulder. If I touch my shoulder with the same hand and tense my bicep I also get a nasty pain. Even putting my shorts on and the pulling up motion causes me pain. My bicep doesn't look disfigured at all and I feel like I've got the same power but just cannot use or have the mobility due to the pain. Can you tell me what it is? Any advice and help would be much appreciated! Is it Bicep Tendonitis or something else? I'm really confused????

Just for your info as well:
This injury happened while in the gym when I was using a bench and pressing some weights. I felt a pull at the very front of my shoulder and like a fool continued my workout, despite it being a bit uncomfortable. Anyway 5 weeks later after not doing anything, taking anti-inflamitories and performing hot and cold bathing on the injury it's no nearer to going away or the pain easing off.

I don't know what it is, I've been to a physio and they are not 100% sure themselves it seems.

I can't play sports and it's getting to me! :(

angieliu
13-04-2007, 01:27 PM
Hi there,

Since the shoulder is so complex it's difficult to tell. The symptoms sound similar to my injury but I did it through dancing. I think that if the physio is not a hundred percent sure then you should go to see a sports doctor who specialises in shoulders. It does sound like there is something involved with the biceps tendon but I am not a professiona.

I would suggest that you take a break from doing weights and ask your physio to write a referral about the treatment they have done so far. Where abouts are you based? I went to see a really good specialist in Sydney but KJ knows a lot of sports med doctors all over the place.

Buckley187
13-04-2007, 07:14 PM
Hi angieliu,
Thanks for writing back and reading my post. Like I say I haven't trained for 5 weeks now and my physio is giving me some exercises and ultrasound. Although I'm not sure if a theraband is just irritating the injury.
I'm from the UK and was just looking for some advice, I wanted to talk to some people and get some advice, as there is very little information on the injury that I have over here. Need someone to be able to shed some light! The injury is very frustrating.

Did you experience problems with your bicep tendon? If so how long did it take to recover? Like I say when I have my palm facing down there is no pain at all. It's only when I turn my palm upwards and extend my arm that I experience pain. Also anything weight-bearing is a problem. How long does it take to recover from something like this?

If you can let me know about your injury perhaps it will help me understand mine a little better.

Thanks again. :)

kjwilkin
13-04-2007, 07:30 PM
Hi angieliu,
Thanks for writing back and reading my post. Like I say I haven't trained for 5 weeks now and my physio is giving me some exercises and ultrasound. Although I'm not sure if a theraband is just irritating the injury.
I'm from the UK and was just looking for some advice, I wanted to talk to some people and get some advice, as there is very little information on the injury that I have over here. Need someone to be able to shed some light! The injury is very frustrating.

Did you experience problems with your bicep tendon? If so how long did it take to recover? Like I say when I have my palm facing down there is no pain at all. It's only when I turn my palm upwards and extend my arm that I experience pain. Also anything weight-bearing is a problem. How long does it take to recover from something like this?

If you can let me know about your injury perhaps it will help me understand mine a little better.

Thanks again. :)

Hi there,

Pure Sports Medicine in London is a good place to start. Check out their website at www.puresportsmed.com or phone 0870 2000 878. I was a patient there for a couple of years when I lived in London and found them very good.

Good luck !!

angieliu
13-04-2007, 08:21 PM
Hi angieliu,
Thanks for writing back and reading my post. Like I say I haven't trained for 5 weeks now and my physio is giving me some exercises and ultrasound. Although I'm not sure if a theraband is just irritating the injury.
I'm from the UK and was just looking for some advice, I wanted to talk to some people and get some advice, as there is very little information on the injury that I have over here. Need someone to be able to shed some light! The injury is very frustrating.

Did you experience problems with your bicep tendon? If so how long did it take to recover? Like I say when I have my palm facing down there is no pain at all. It's only when I turn my palm upwards and extend my arm that I experience pain. Also anything weight-bearing is a problem. How long does it take to recover from something like this?

If you can let me know about your injury perhaps it will help me understand mine a little better.

Thanks again. :)

Hi there,
With my shoulder injury I hurt myself when I was dancing over seas. I had done a rotator cuff injury before which as I understand weakened my shoulders. When I did it someone yanked my arm with such force behind my arm and I was in pain already because I had been dancing so much. In the end I had my shoulder shoved back into the joint because the chiro though it was a partial dislocation. To cut the long story short, I saw various people including a chiro and physio for treatment. When the chiro who was also trained in acupuncture said he could no longer help me and tried to refer me to a sports doctor I decided that what I really needed was a good rest. So I took a 3 month break making sure that I didn't work my upper body too much without realising that the bicep tendon was also involved.

So eventually I went back to see a physio with a neck spasm and he treated that so along with it I asked for some shoulder exercises to strengthen my muscles. He did two treatments which made things worse probably and I suspect it was due to the infrarential treatment which didn't work and then he tried ultrasound. This made my shoulder weaker than it had been in quite a few months. So I then gave up and went to see a sports doctor, the only one who I could get in just before christmas was someone who didn't specialise in shoulders. I presented with similar symptoms like you. My arm is weak in the same positions. I get shoulder pain at the front of the shoulder when there is pressure on it. So they suspected a SLAP lesion which is a tear in the shoulder capsule and ordered a MRI. The MRI showed that I had a recess which supposedly is an anatomical/ abnormal groove in the shoulder capsule. So after seeing the sports doctor who pretty much said I would have to have surgery she said go back to see a physio and try exercise rehab for awhile and sent me off.

Fortunately I have found an amazing physio through this wesbite and things are going quite well. I know that you must think that the theraband exercises isn't much but it is gradual. After 4 weeks of treatment my physio and I noticed new muscle development in my deltoids which I hadn't seen in a long time. So I know that after 5 weeks of treatment, take it easy and make sure that you talk to your physio about it. I then made the decision to travel to sydney to see a rehab specialist who specialised in shoulders and so the physio is now working with me on doing different exercises to strengthen my shoulders and to also release the tension in my neck.

KJ has given you a site for in the UK and from what she tells us they are very good. It may be worthwhile giving them a call. As for your questions regarding weight bearing, well with my right side I can bear a lot more weight now than before and I did my injury almost a year ago. But I am still making sure that I am not using my right arm as much. As for the question, how long does it take to recover? Well I think that is the million dollar question. I think that the best thing for you to do is to get a proper diagnosis of your injury from a sports doctor. Then see how progress goes.

As for my bicep tendon, I tend to have problems which come and go. I'm not sure what causes it but sometimes if I over use my shoulder or do too much weights I get terrible pains which cause weakness in my shoulder. My physio thinks that I have a slight inflammation in my bicep tendon which we both don't really know why it comes about. To treat it I use voltarin which is like a non anti inflammatory cream which seems to work well. Plus I also have a shoulder brace which really supports my shoulder.

I hope this is helpful and keep us posted with your progress. I can also understand how you are feeling with being frustrated with your shoulder so the first step is to go and get it diagnosed from a sports doctor and then go from there.

Take it easy.

Buckley187
16-04-2007, 06:21 PM
Thanks angieliu & kjwilkin for the information.

I'll keep you posted with everything but I do appreciate your time and giving me some advice on my injury...

I'll keep you posted with everything

:)

Buckley187
23-04-2007, 11:08 PM
Hi guys,

OK so been thinking that I will maybe do a weekly update and let you know how things are going. I can always refer back to this as well and you never know, it may help other people who suffer the same injury as me in future! At least I hope so!!

So this is where I am at. Had Ultrasound last week (6 days ago) and the next day my Bicep Tendon and the front of my shoulder felt a lot better. Right up to this weekend infact. Then it starts getting more & more painful as the days go on, I'm not sure if this an overuse injury where it just needs to be totally imobilised or if I need a spe******t to look at it? I'm going to get a referal to someone this week anyway seeing as my company offers medical insurance. I've got physio on Tues, Thurs and Sat coming up so with these sessions then I'm hoping for a LOT of improvement. If this fails then I know that my Tendon is more than likely partially torn, or something along those lines? and will need an arthroscopy or a doc to go in with a camera. Also if I lift my arm and it's not weight bearing then there is NO pain whatsoever, it's only when there is a weight or resistance agains't my arm that I feel this pain. Unfortunately thats a hell of a lot.

What I didn't say is that I'm a very keen rock climber and gym nut as well, so going home after work and not being able to do much is something I'm not used to!! Not sure if the injury was triggered by climbing hard or training in the gym?

Anyway if you've got anything to offer i'd really like to hear it.

Take it easy guys and thanks for reading.

Buckley Boy.

angieliu
24-04-2007, 11:53 AM
Hey there,

It's to see that you respnded really from ultrasound treatment. I found it works really well with fresh injuries but not so much with older ones like mine. I had ultrasound and inferrential treatment and it made things a lot worse and my shoulder felt very weak afterwards more so than before. Hard to believe, i know. But you know ultrasound is usually used for temporary relief and as far as I understand it helps improve the blood flow in the muslces where you have injured it.

What I can suggest with the pain is to get a shoulder brace. I bought one for about $150 and it works really well. The one I use is the Rehband Acro Comfort Shoulder Brace Support (www.sportstek.net). There are cheaper versions but i have found this one to be really good. It holds the bicep tendon and the shoulder capsule in place and give you support when you need it and provides warmth. Most importantly it's for those who have an unstable shoulder. But I think it is worthwhile getting it checked out if you are concerned about your bicep tendon. I think also they should, someone correct me if you I am wrong should be able to determine if there is a tear with a MRI. Arthroscopies are usually a last resort.

As for lifting weights, well when I injured my shoulder I thought wel it should be ok to keep doing weights for my biceps and triceps and back but I didn't realise that the bicep was involved so I would suggest using therabands to rebuild your strength. I know what it is like to not be able to go back and do the things you want too. I stll find it hard that I can't do the weights I used to be able too and I miss dancing a lot ..

with the inflammation I have managed to calm my shoulder and bicep tendon down by using anti-imflammatory creams , icing the shoulder, using my shoulder brace and resting. And cortisone to be honest is not an option for me so I'm steering clear of it. I'm not in for a quick fix I'm in for the long haul :D

Buckley187
24-04-2007, 10:03 PM
Ok thanks for the info. Think you are right about Ultrasound as well - I've also researched that ultrasound if done for prolonged periods can actually weaken tendons so you have to be careful.

I am using the Therabands at the moment as well but not every day as it tends to cause a bit of pain the morning after. Especially if I were to use them, for 3 days in a row or something. But every other day seems to be fine. I'm also using a stability ball which seems to help more if I'm honest!

Well I've got physio tonight and thurs with a sports physio so I should know more by the end of the week. Been massaging and ice packing the arm and joint everyday which seems to help as well.

I just can't believe that 2 months after this nightmare started i'm still in pain - it's HELL!

Ok well I won't bore you all to death (maybe I've already done that! lol) so I'll update here Friday or something.

And thanks again angieliu, it's good to have some encouraging words.
:)

angieliu
25-04-2007, 11:37 AM
HeyBuckley,

With the theraband stuff my physio has always said that you have to lock your shoulder blades so they have to be fully retracted before you start any exercises and to be honest that has really helped. I do a lot of seated row exercises with the theraband, adduction and abduction so pulling away from the body and also a lot of shoulder stabilisation exercises. The ones I do are when you are on all fours and you lift your shoulders up and then retract and then protract by bringing your shoulder blades together. These exercises have really helped and if they caused pain my physio would change them a little to stop that from happening. Maybe just talk to your physio about the technique when you are doing the exercises and get some stabilising exercises.

Well I understand how you are feeling but you know it's been 12 months since my injury and I get bouts of pain. What you can try is some acupuncture to increase the blood flow and it also offers some pain relief.

Goodluck with the physio and keep us posted.

debbie clarke
02-05-2007, 08:06 AM
I just can't believe that 2 months after this nightmare started i'm still in pain - it's HELL!
Hi ! i can relate where you are coming from-frustration sick of being in pain and just want to rewind the clock to when every thing was fine. I done my sup...tus tendon. Ultra sound showed up fluid on bursa only. It wasn't till I had M.R.I. that tear showed up. Cortisone injection made the pain worse and went further up my neck. MORNINGS ARE GREAT GET UP PAIN IS JUST AN ACHE BUT AS THE DAY PROGRESSES IT GETS UNBEARABLE BY NIGHT. Physio made mine worse as it just stretched it more. I have a massage guy do bowen, massage and reflexology points which I found to be quite a relief. Hang in there !!!!Everybody doesn't react the same to treatments. Its just finding one tht brings relief and works. Good luck! By the way my injury was done 10 weeks ago.

Buckley187
03-05-2007, 07:09 PM
Hi guys,

Ok well here is the update on this wonderful injury that is still keeping me out of action!

Been to the physio a couple of times and also going tonight. He is fairly sure that he can get me sorted without having a scan/MRI etc.. This is what he told me last week anyway. I must admit it's been better but I'm not sure if that's down to the treatment or me just being especially careful and making sure I don't set it off by lifting heavy objects and making sure my arm is comfortable at night and well supported. I'm trying not to put my arm above my head as well to make sure it's just stable and let it recover. I kept doing the motion that made it ache and sore becuase you can't help but constantly test to see if you are imrpoving on an injury like this. But I now realise that it's a dumb idea!

So... I'm still getting pain in my arm particularly in supination movements. (when my palm faces upwards and holding my arm out straight. I'm hoping this senior physio is right and he can have me sorted in a couple of weeks! But I'm not optimistic - seeing that it's been a while since I done this injury and I'm still in a load of pain.

And thanks Debbie for your reassuring comments. I guess you are right, I have to be patient and just try to be positive and move forward with this and ensure I'm getting everything right to return and get back to 100 percent! Hard when you can't do the things you enjoy though!

;)

angieliu
03-05-2007, 07:30 PM
Hey there,

Just bear in mind that your injuries are relatively new. When I hurt my shoulder it actually took about 3 months before the pain started to fade. When I get dull aches it's normally because I've over done something. See how you go with physio. I had a think about it I can see how physio can sometimes aggrevate things. The last thing you really want is for them to make your muscles too loose.

Keep your chin up. Things will get better.