Self-diagnosis and the shoulder
OK, more shoulder injury information, mostly because it beats working...
The shoulder joint is formed across three major bones: the humerus, the scapula, and the clavicle. Four muscles that hold the free floating humerus to the scapula comprise the rotator cuff: supraspinatus, infraspinatus, teres minor, and subscapularis. Like many people, I often whine about an 'old rotator cuff tear' but now that I've thought about it a little more closely, I think it's more likely I have a chronic (read: often reinjured due to stupidity) shoulder separation.
A shoulder separation is a disruption of the connection between the scapula and clavicle, which occurs primarily at the acromoclavicular joint, where the end of the clavicle approaches a fingerlike projection off the scapula called the acromion process. The clavicle has additional connections with the coracoid process of the scapula. Shoulder separation comes in three main flavors:
- Type I: a sprain (partial tear) of either the acromoclavicular (AC) or coracoclavicular (CC) ligament
- Type II: a complete tear of the AC ligament, +/- partial tear of the CC, some shoulder displacement
- Type III: complete tear of both AC and CC ligaments, severe shoulder displacement
What I have is point tenderness over the AC joint, and a general worsening of the tenderness after exercises that put a downward stress on the shoulder (OHS, heavy DLs, etc - for example the heavy triples we did a few days ago). Not really too much to do about it, I think, except to keep the NSAIDs on after acute aggravation and being careful with the weights - no surgery needed (yet)...
2 comments:
Should you be avoiding things like deadlifts? Does the rack position of the front squat aggravate this at all?
I don't really know. Well, actually, I kind of suspect I should be avoiding heavy deads, at least while it's still tender. Most of these injuries are acute, and the general prescription is to lay off of it, take anti-inflammatories, and sling the arm to take weight off the joint if necessary (or if there is substantial displacement). The front squat position doesn't seem to be a problem unless I ding the spot directly and sharply.
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