Shoulder pain from strength training

Posted by thisnthat @thisnthat, Jul 1, 2023

Trying to make up for lost time (and bone!), maybe I went a bit too gungho on the push-ups and planks. On doctor’s advice, I have stopped all upper body exercise for the past two weeks, but the left shoulder pain does not seem to be lessening (only mild discomfort in right shoulder). And the pain is not horrible (maybe a 4/5 on a scale of 10), but it is annoying and has kept me from swimming as well. Seems worse in the morning after sleeping! And no, I do not sleep on that side.
Ibuprofen has been helpful, but not a longterm solution.

Since I also have UCTD, an autoimmune disease, I’m wondering if this is due to this instead? Anyone with any suggestions?

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Hi @thisnthat, you may have injured your rotator cuff, which is very common. Pain may be worse in the morning because there's been reduced blood flow to the area overnight. Probably best not to do anything to irritate your shoulder. Can you get a referral to physical therapy?

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@tsc

Hi @thisnthat, you may have injured your rotator cuff, which is very common. Pain may be worse in the morning because there's been reduced blood flow to the area overnight. Probably best not to do anything to irritate your shoulder. Can you get a referral to physical therapy?

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Hi Teri!
Thanks for your response. Seeing my PCP tomorrow, but his guess over the phone was it was probably not a rotater cuff tear…but methinks you are correct! I will ask for a PT referral. In the meantime, I dread to think of the potential further loss of bone from lack of resistance & strength training! And I was making good progress. 😔

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@thisnthat

Hi Teri!
Thanks for your response. Seeing my PCP tomorrow, but his guess over the phone was it was probably not a rotater cuff tear…but methinks you are correct! I will ask for a PT referral. In the meantime, I dread to think of the potential further loss of bone from lack of resistance & strength training! And I was making good progress. 😔

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Ahh, but here is the good news - you need not stop all resistance and strength training due to a shoulder injury! The PT can show you many safe exercises to do. Also, there are shoulder-sparing positions for doing planks. I cannot due a standard plank due to arthritis in hands, elbows and shoulders, but can do modified versions on my forearms. And resistance doesn't always mean machines at the gym. We use a variety of resistance bands and even our body weight to exercise because we travel, and finding a good gym isn't always possible.
Sue

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@thisnthat

Hi Teri!
Thanks for your response. Seeing my PCP tomorrow, but his guess over the phone was it was probably not a rotater cuff tear…but methinks you are correct! I will ask for a PT referral. In the meantime, I dread to think of the potential further loss of bone from lack of resistance & strength training! And I was making good progress. 😔

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Hi @thisnthat, Hopefully, it's not a rotator cuff tear because they are terrible. I can't raise my right arm much past shoulder level. By the way, you can take tylenol to block pain signals with ibuprophen which reduces inflammation. I vary the two, depending upon what kind of pain I have. Were you told to ice it or do heat treatments?
You can still work the shoulder that isn't injured and that is supposed to benefit the injured shoulder. Just go easy, as it would be a real pain to injure both.
As @sueinmn mentions, there are alternate forms of planks and pushups, done from the forearms or even standing. Maybe PT would clear you for those. Good luck!

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@sueinmn

Ahh, but here is the good news - you need not stop all resistance and strength training due to a shoulder injury! The PT can show you many safe exercises to do. Also, there are shoulder-sparing positions for doing planks. I cannot due a standard plank due to arthritis in hands, elbows and shoulders, but can do modified versions on my forearms. And resistance doesn't always mean machines at the gym. We use a variety of resistance bands and even our body weight to exercise because we travel, and finding a good gym isn't always possible.
Sue

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Good suggestions, Sue! I will definitely follow your advice! 😉

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I did something similar with exercising. Had full range of motion in shoulder but painful sleeping and in some positions. Dr said it’s a rotator cuff strain. Doing gentle exercises and stretching. Takes time to feel better and mostly frustrating. Good luck!

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@tsc

Hi @thisnthat, Hopefully, it's not a rotator cuff tear because they are terrible. I can't raise my right arm much past shoulder level. By the way, you can take tylenol to block pain signals with ibuprophen which reduces inflammation. I vary the two, depending upon what kind of pain I have. Were you told to ice it or do heat treatments?
You can still work the shoulder that isn't injured and that is supposed to benefit the injured shoulder. Just go easy, as it would be a real pain to injure both.
As @sueinmn mentions, there are alternate forms of planks and pushups, done from the forearms or even standing. Maybe PT would clear you for those. Good luck!

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I had been doing the planks using my forearms…oh, well! Maybe need some pointers! Very sorry to hear about your rotator cuff. I do know of two people who were able to avoid surgery by doing PT!

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@lauratys

I did something similar with exercising. Had full range of motion in shoulder but painful sleeping and in some positions. Dr said it’s a rotator cuff strain. Doing gentle exercises and stretching. Takes time to feel better and mostly frustrating. Good luck!

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Oh, I can relate to your frustration, lauratys! Guess I tend to go overboard on things, and getting that osteoporosis diagnosis scared the heck out of me! I have been anxious to make up for lost time and ended up shooting myself in the foot…er, shoulder!

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@thisnthat

I had been doing the planks using my forearms…oh, well! Maybe need some pointers! Very sorry to hear about your rotator cuff. I do know of two people who were able to avoid surgery by doing PT!

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I was doing PT for about a year for the shoulder. It didn't work and surgery isn't an option for me. The odd thing is --- I can do a traditional plank. It doesn't bother my shoulder, but anything over the head or sideways, forget about it.

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@tsc

I was doing PT for about a year for the shoulder. It didn't work and surgery isn't an option for me. The odd thing is --- I can do a traditional plank. It doesn't bother my shoulder, but anything over the head or sideways, forget about it.

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Have you had a cervical mri?

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