Shoulder pain preventing workouts

Been struggling with shoulder pain for a while. I have done some physical therapy tests. I have a positive empty can test, but negative full can test. What could be the cause of my anterior shoulder pain?

  1. 1 month ago
    Anonymous

    is this bait?

    • 1 month ago
      Anonymous

      I am looking for health advice from untrained health professionals

  2. 1 month ago
    Anonymous

    probably lack of flexibility or weak rotator cuffs.
    everyones just like
    >just fix your form bro lmao retard
    but if you don't have adequate flexibility or rotator cuff strength to execute proper form then that advice doesn't work

    • 1 month ago
      Anonymous

      Should I focus solely on flexibility and strengthening of the rotator cuff without continuing a lifting regimen? How will I know when to get back into a progression based lifting routine?

  3. 1 month ago
    Anonymous

    go to a physical therapist. even 3 sessions will help tremendously.

  4. 1 month ago
    Anonymous

    Don't flare your elbows out on pressing movements. Don't hold your scaps in retraction on pressing movements.

  5. 1 month ago
    Anonymous

    Okay so the empty and full can tests are done to test supraspinatus integrity, they both have similar SS activation except the empty can test is more pain inducing in adjacent structures. The fact your full can test is negative means your Supra spinatus is fine. Now the empty van test could be positive because of scapular nerve impingement, but that would have caused pain posteriorly. Following Ochams Razor it’s most likely subacromial impingement, but again these tests do not have 100% specificity.
    The reality is that most shoulder impingements are not caused by impingement of the rotator cuff itself, but because of subacromial bursitis and the bursa being impinged.

    Get an injection with dexamthazone I locally, rest for a few days, then begin physiotherapy in order to fix posture, also if you’ve developed subacromial impingement chances are and overhead lifting will reagravate it because you will never really manage to fix your posture under load. Stretching mobility might also be a moot point if you have a hook acromion.

    >t.ortho, also don’t @me, I’m going to bed and will probably not reply

    • 1 month ago
      Anonymous

      Is doing soft tissue work on the infraspinatus helpful?

      • 1 month ago
        Anonymous

        Can’t fall asleep lmao, soft tissue work as in massage is probably not going to help if you have impingement due to bursitis, on the contrary it will cause even more inflammation and worsen the problem. It will help if you have SS contractures or micro adhesions. I would never recommend soft tissue work before imaging confirms it’s not an inflammation problem.

        • 1 month ago
          Anonymous

          Same goes for IS btw.

        • 1 month ago
          Anonymous

          Same goes for IS btw.

          Also IS is never really the main culprit of anterior pain

    • 1 month ago
      Anonymous

      Is posture correction even actually possible? I never see before and afters of posture correction.i am extremely skeptical. Would strengthening the scapular muscles and rotator cuff be enough to get back to normal/ my best course of action?

      • 1 month ago
        Anonymous

        It’s not something that gets fixed for you, it’s something you fight forever, the physiotherapy is basically just teaching your the motor patterns so that you know what to consciously do every day for the rest of your life, sure in 10 years those positions will become second nature to you. But you will still tend to have shitty posture when tired. It is your best course of action, but doing it alone is probably just going to take you from an imbalance to hyper correction to another imbalance and around we go. Maybe you are that person who is objective enough and perceptive enough to develop the perfect physiotherapy plan for yourself, probably not. If it’s impingement due to inflammation and bursitis just hitting it with exercises will do nothing unless you treat the inflammation and rest a bit before picking up the exercises. Personally? I’m good at cutting people and I don’t really pretend to be a physiotherapist, I would stick an arthroscope in your shoulder and see what’s up and if it’s the bursa I’m just taking that shit out, if it’s one of your RC tendons I’ll suture it but chances are it isn’t from what you’ve told me so far. Oh and post op Im telling you to never press or pull overhead again in your life because i don’t give a single fuck about your little hobby that is going to keep causing inflammation in your shoulder every time we manage to control it a bit, you can still develop your musculature by working out in the horizontal plain, and I don’t care to develop a detailed exercise plan just so you can muh OHP and muh Pull-ups when you’re some desk jockey.

        • 1 month ago
          Anonymous

          Thanks Dr. I appreciate the brutal honesty

          • 1 month ago
            Anonymous

            Anytime bro, best of luck, shoulder pain is a bitch.

      • 1 month ago
        Anonymous

        If you're getting pain in your anterior shoulder, try massaging your teres muscle and see if that is sore. The pain you're feeling may be teres trigger points. Also push on your scap muscles, see if they're sore, once you find a place of soreness, press for about 15-30 seconds firmly, then you can apply heat to the area. Do this 5-8 times a day.

  6. 1 month ago
    Anonymous

    torn labrum

    • 1 month ago
      Anonymous

      Empty/Full can test (Jobe’s) is different from active compression (O’Briens) test, also if he didn’t suffer trauma or luxation then if it’s labral it’s a Slap, which hurts in abduction and full external rotation.

  7. 1 month ago
    Anonymous

    get an exercise band

    go light, you can usually buy like 3 bands in one.

    do banded pull aparts, facepulls, and serratus wall slides

    If the bands are too much, just do the exercises without a band, then work your way up to bands.

    You push yourself just before the onset of pain, 1-2 sets of 10 to 20 is good to start out with, then improve. Higher reps is the best.

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