What is this? Shoulder related

[xxForgedxx]

Look at the picture, you will notice the middle finger of the hand poking the part of the shoulder that has been hurting. I have looked up shoulder charts but they are all way too detailed and I can't tell what is what.

[PLAYON]

Backne?

[CheshireCat]

Usually, rotator cuff injuries will refer pain to that particular area.

[xxForgedxx]

Originally Posted by CheshireCat

Usually, rotator cuff injuries will refer pain to that particular area.

Really? how come?

[nnnnnnnnnnnnnnnnnnnnnn]

any loss of mobility? what kind of pain? how long has it hurt?

[J BONE]

Originally Posted by CheshireCat

Usually, rotator cuff injuries will refer pain to that particular area.

That is true. What is your age? Typically in younger people, it is more of a labral issue that a cuff issue. That does mean it is not a cuff however. What other symptoms are you having? Catching, clicks, night pain, pain with over head activities. How did this injury occur, exactly how. Do you weight train a lot and if you do, heavy weights or light weights with more reps. Sorry for all the questions but hard to make a diagnosis with just location.

[xxForgedxx]

Originally Posted by ferrari355fi

any loss of mobility? what kind of pain? how long has it hurt?

It is an ache kind of pain. Range of motion is 95% however if I were to accomplish the range of motion tests at a high speed I would feel pain.

[CheshireCat]

Originally Posted by xxForgedxx

Really? how come?

Well, most of the rotator cuff muscles attach to the humerus in that area.

[CheshireCat]

Originally Posted by J BONE

That is true. What is your age? Typically in younger people, it is more of a labral issue that a cuff issue. That does mean it is not a cuff however. What other symptoms are you having? Catching, clicks, night pain, pain with over head activities. How did this injury occur, exactly how. Do you weight train a lot and if you do, heavy weights or light weights with more reps. Sorry for all the questions but hard to make a diagnosis with just location.

Yes, it could be involvement of the labrum as well. If the shoulder labrum is involved usually people will have subjective reports of "shoulder feels loose" or something similar which would indicate shoulder instability secondary to labral tears.

[xxForgedxx]

Originally Posted by J BONE

That is true. What is your age? Typically in younger people, it is more of a labral issue that a cuff issue. That does mean it is not a cuff however. What other symptoms are you having? Catching, clicks, night pain, pain with over head activities. How did this injury occur, exactly how. Do you weight train a lot and if you do, heavy weights or light weights with more reps. Sorry for all the questions but hard to make a diagnosis with just location.

My shoulders have always clicked and popped etc. I have never had a dislocated shoulder or anything previous shoulder injuries. Years ago I had a sharp pain when bench pressing and I couldn't do anything for like two weeks. The doc said it was an impingement however this area is not an impingement area. My right shoulder doesn't ache, my left does. I weight train but I no longer bench, I substitute in push ups because I am in the Army and I needed something. It usually aches but never hurts, however I have little confidence in it if I were to wrestle someone or something. I do not know how it occurred, one night I fell... that is about it, I couldn't even put my arm in my back pocket to get my phone and my shoulder felt lose, not solid and in place really but 4-5 days later I had full range of motion

I have been doing elastic exercises every other day but that was because the pain where my fingers pointing went away so I had a random PT tell me 3 impingement workouts to do but I don't think that is solving the issue on this spot.

[nnnnnnnnnnnnnnnnnnnnnn]

Originally Posted by CheshireCat

Yes, it could be involvement of the labrum as well. If the shoulder labrum is involved usually people will have subjective reports of "shoulder feels loose" or something similar which would indicate shoulder instability secondary to labral tears.

or it could be sore. and he is being a pussy.

jk

[J BONE]

Agreed. I was thinking along the lines of a posterior labral tear due to heavy weight training or a specific type of injury. Just guessing that the guy is younger in age.

[xxForgedxx]

Originally Posted by J BONE

Agreed. I was thinking along the lines of a posterior labral tear due to heavy weight training or a specific type of injury. Just guessing that the guy is younger in age.

What would repairing this consist of? Arthroscopic? Or just PT? Costs? and recovery time? Once repaired is it like a bone where a healed one is stronger than the one that never broke? My career is on the line.

[CheshireCat]

Originally Posted by xxForgedxx

My shoulders have always clicked and popped etc. I have never had a dislocated shoulder or anything previous shoulder injuries. Years ago I had a sharp pain when bench pressing and I couldn't do anything for like two weeks. The doc said it was an impingement however this area is not an impingement area. My right shoulder doesn't ache, my left does. I weight train but I no longer bench, I substitute in push ups because I am in the Army and I needed something. It usually aches but never hurts, however I have little confidence in it if I were to wrestle someone or something. I do not know how it occurred, one night I fell... that is about it, I couldn't even put my arm in my back pocket to get my phone and my shoulder felt lose, not solid and in place really but 4-5 days later I had full range of motion

I have been doing elastic exercises every other day but that was because the pain where my fingers pointing went away so I had a random PT tell me 3 impingement workouts to do but I don't think that is solving the issue on this spot.

When you say you fell how did you land or break your fall?

[J BONE]

Originally Posted by CheshireCat

When you say you fell how did you land or break your fall?

Good question! As far as the repair would be concerned. What would happen, at least what I would do. I would order and MR arthrogram. It is an MRI where they inject a dye into your shoulder. The reason for this is because, IMO, it sounds like a labral issue. The arthrogram is a better diagnostic test for looking at the labrum. If this comes back positive, a course of PT and anti-imflammatory medication would be tried for a while. If that did not work, arthroscopic evaluation would be needed. Once in there, they would be able to physcially look at the entire shoulder to see what is going on. If you needed a reapir, you would def be out for a while.

[J BONE]

I think you should continue with the theraband therapy you are doing. DO NOT over do it. I would def back off the push ups as I feel they are contributing to some of your issues. Try an anti-inflammatory medication for a while. I like alleve a lot. Two in the am and two in the pm with some food or milk. You MUST take this everyday to get the anti-inflammatory effects. Try this for a month and see where you are at. Do you have an allergies to meds? Alleve is also known as naprosyn or naproxen sodium BTW

[bmstyle71]

webmd. Put your symptoms there and what not.

[xxForgedxx]

Originally Posted by J BONE

I think you should continue with the theraband therapy you are doing. DO NOT over do it. I would def back off the push ups as I feel they are contributing to some of your issues. Try an anti-inflammatory medication for a while. I like alleve a lot. Two in the am and two in the pm with some food or milk. You MUST take this everyday to get the anti-inflammatory effects. Try this for a month and see where you are at. Do you have an allergies to meds? Alleve is also known as naprosyn or naproxen sodium BTW

What would you recommend for theraband exercises? How many reps and how many sets? Also, what do you think of subacromial bursitis?

[Sh0cker]

I had some issues with my Teres Minor (in that area), it was eventually diagnosed as some inflammation, probably from weightlifting, but the bottom line is that PT did absolutely nothing to alleviate the problems, but it DID help the orthopedist with his diagnosis. After the course of PT he was able press my shoulder joint backwards and the pain vanished 100%, whereas before it didn't do that.

One cortisone shot later I'm back in business, going on 5 years now.

[Romo]

Can`t tell without testing.................the location you are pointing yor finger is the m. Infra Spinatus

Taking NSAID for a month is far too long, it may cause stomach pain..........talking off; Ibuprofen, Diclofenac, Naproxen ( Don`t know if these are common names all over the world)

Labrum tear is possible with a trauma, like falling on a stretched arm.

For Gleno Humeral instability; Use the Apprehension/Relocation test

Labrum leasion; Jerk / Kim test ( Dorso-caudal Labrum)

[J BONE]

Why do you think taking an NSAID for a month is too long? As long as you do not take them for years it would be fine. Celebrex is an NSAID and although it is a cox-2, it is still metabolized in the liver extensively. Both celebrex and naproxen are metabolized by CYP450. Both inhibit cyclooxygenase correct? Patients are on celebrex for years. NSAID's can cause damage if taken for a long period of time, I totally agree. However, I don't think taking them for a month if going to do that much damage. Just my .02 but what do I know?

Subacromial bursitis is also a possibility. But I would think you would have more pain with overhead activities.

Theraband exercises would consist of internal and external rotation along with flexion. Performing a set of 10, once a day is usually enough. Even though i do not believe it is a rotator cuff injury, strengthening these muscles is always a good idea since they provide stability to the glenohumeral (shoulder) joint. What color is the theraband? The color determines the strength.

I would have to agree that a cortisone injection is an option. The purpose of this injection is to apply direct relief to the shoulder. This would help two fold. First, it could allow immediate relief of the pain. It would also help the orthopod in the diagnosis of your injury. Second, it would buy you some time to perform these exercises.

Hope this helps. Best advice? Go to an orthopedic surgeon and have him or her examine your shoulder. I would not go to your internist, no offense to you guys.

[xraymd]

Teres minor or maybe posterior deltoid.

Dude, you really need to get that MRI. I second the idea of doing it with intra-articular (not IV) contrast. With contrast in the joint, MRI can look at the cuff, the labrum, the bursa and the bone.