Shoulder surgery

I keep getting shoulder impingment, and was thinking about asking Dr for pic rel.
Has anyone had this procedure? Did it work well?

I have switched from BB bench to slight incline DB, am careful to keep scapula pinned and shoulders externally rotated, never pour the pitcher, do facepulls or band pull aparts every workout, and can just about row what I bench.

I thought I had finally figured it up but I was wrong.

  1. 4 months ago
    Anonymous

    Do the DB variation with a neutral grip and it should clear up by itself within a few weeks. Used to have the same thing.
    Also, stop flaring your elbows when you do conventional.

  2. 4 months ago
    Anonymous

    try passive deadhangs before doing surgery, read the book: shoulder pain the solution and prevention fourth edition by john m. kirsch

    • 4 months ago
      Anonymous

      I will try this, thank you.

      Do the DB variation with a neutral grip and it should clear up by itself within a few weeks. Used to have the same thing.
      Also, stop flaring your elbows when you do conventional.

      I have been doing them at 45° but will try that.

  3. 4 months ago
    Anonymous

    Go ahead and pay some garden gnome doctor thousands to stab your shoulder with needles in the hope of somehow making it better

  4. 4 months ago
    Anonymous

    No retard. Shoulder impingement due to poor biomechanics is not a cause for surgery.

  5. 4 months ago
    Anonymous

    I don't think weightlifting exercises cure impingement. You need to focus on range-of-motion, not resistance. I've had the same problem and yoga is the only exercise that helps mitigate the issue. You need to train your body to recruit underused/weak muscles to stabilize & free up your shoulder so its not stuck in one position. Doing resistance will make the muscles tighter and worsen the problem

  6. 4 months ago
    Anonymous

    >I have switched from BB bench to slight incline DB
    You thought this would fix it? Lmao, stick to barbell.
    Add more rows, pullups, skip over head pressing for a little while.
    > and can just about row
    At what angle? I bet you're one of those dummies barely leaning over for bent over rows mostly shrugging instead of rowing.

  7. 4 months ago
    Anonymous

    jesus dude.

    save yourself some time, look up a reputable physical therapist in your area, and just walk in. does not require a referral.

  8. 4 months ago
    Anonymous

    Almost all injuries are over-use related. You're progressing too quickly and not allowing the structures in your subacromial space to adapt to the increased demands.

    How does it feel if you dont focus on pinning the scapulae back? Moving the humerus without a fixed scapula may leave more room in the SA space

    • 4 months ago
      Anonymous

      Statistically that procedure does nothing to improve shoulder impingement than placebo surgeries
      also imagine getting a surgery and like 6 months later they tell you they didn't actually do anything it was just a placebo for a study lmao.
      >https://pubmed.ncbi.nlm.nih.gov/29169668/

      Also there is a non-zero chance shoulder impingement doesn't actually exist altogether, or is incredibly rare, hence why that surgery doesn't do anything. I'm not saying you don't have shoulder or tendon pain, I'm saying you are, its just being caused by something else. Something like 95% of rotator cuff tears are on the underside in very close proximity to the arm bone, not on the topside, a small distance in where the tendon would be getting pinched. Also acromial space width, which varies between people depending by their frame, also does not correlate with if 'impingement' occurs. That's just speculation, though I think there is a good chance impingement isn't your problem regardless if it exists or not.

      Op I would consider
      Tendons, just like muscles sustain damage when you work out even with perfect form, and they have to recover just as much to adapt. The damage slowly builds up when they don't recover properly and then they get hurt. Eat, sleep and deload when you need to, to make sure your recovery is on point in general, not just for your shoulder problem.
      Also do exercises that don't bother your shoulders, or adjusting the form until so that it doesn't. I can't tell you how to do that because everybody's joints, structurally, are different. Its just something you have to experiment with, trial and error.

      • 4 months ago
        Anonymous

        Epub 2019 Jan 15.
        Subacromial decompression surgery for adults with shoulder pain: a systematic review with meta-analysis
        >https://pubmed.ncbi.nlm.nih.gov/30647053/
        >There was high certainty evidence of no additional benefit of subacromial decompression surgery over placebo surgery in reducing pain at 1 year following surgery

  9. 4 months ago
    Anonymous

    Try a supinated grip with your dumbbell bench

  10. 4 months ago
    Anonymous

    Weight lifting will not fix impingement.
    Impingement can be caused not just by muscle imbalances, but by tendon imbalances.
    Lax or taut tendons can shift your shoulder position into impingement during movements.
    For this reason most people have to stop lifting entirely with shoulder issues.
    Namely because getting back to base with your shoulder position is by far the most important thing for the healing process.

    So instead of potentially making it worse with any general shoulder exercise.
    You do shoulder resets and focus only on mobility.

    Over the months of rest your tendons will begin to taut to the proper position while maintaining mobility on the ones that matter.

    • 4 months ago
      Anonymous

      this is fucking retarded

      • 4 months ago
        Anonymous

        and that's why you keep having impingement, because you're so fucking stupid you can't understand that tendon laxity is the number one cause of chronic impingement.
        If you're unable to hold your shoulder in its proper position without thinking, your tendons are too lax.

        • 4 months ago
          Anonymous

          I dont have shoulder impingement, and i am a physiotherapist. Please show me the studies showing a correlation with "tendon laxity" and shoulder pain.

          ALL shoulders impinge, its just what they do. People with pain have sensitised tissues in the subacromial space, which causes NORMAL impingement to be painful.

          • 4 months ago
            Anonymous

            >physiotherapist
            You can just say you're gay bro, we all know.

      • 4 months ago
        Anonymous

        youre the retard if you think all exercise should involve resistance and "gains" is more important than proper body mehanics, IST is fucking full of these insecure Johnny Bravo gays

        • 4 months ago
          Anonymous

          see

          I dont have shoulder impingement, and i am a physiotherapist. Please show me the studies showing a correlation with "tendon laxity" and shoulder pain.

          ALL shoulders impinge, its just what they do. People with pain have sensitised tissues in the subacromial space, which causes NORMAL impingement to be painful.

          The baseless claim that impingement is caused by "tendon laxity" is the retarded thing.
          There's absolutely no data to back that up. Even if there was, what makes avoiding resistance training the thing to reduce laxity?

          >scapula pinned
          Why? Experiment with doing pushups with with a slight shrug and retract/extend you scapula on each rep. Limiting your your ROM at the start of an exercises kinetic chain will maximise the ROM further down the chain, in your case beyond what is comfortable.

          Do more rowing and pulling to stabilise your pushing and pressing, it's not rocket science.

          This
          [...]
          If you want
          >studies
          do a PHD.
          [...]
          He has a point about ROM even though his explanation is kinda autistic. If you would rather get a surgery that can potentially fuck you up for life over taking ROM seriously for a several months then he is right about you being a gay though and you should just accept the fact that unnecessary surgeries like this are designed for retards like you who would rather go under the knife than stop maxing out presses for 6 months.
          > BB bench to slight incline DB
          If this is the only accommodation you make before considering surgery YNGMI

          >do a PHD.
          Why would I do that when I know what works.
          See

          Almost all injuries are over-use related. You're progressing too quickly and not allowing the structures in your subacromial space to adapt to the increased demands.

          How does it feel if you dont focus on pinning the scapulae back? Moving the humerus without a fixed scapula may leave more room in the SA space

          But also, shoulders are one structure on the body with some good research showing that surgery is a viable option compared to exercise rehab. I personally would avoid it but each to their own.

          • 4 months ago
            Anonymous

            If it's
            >normal impingement
            just ignore the pain? If it's not your body telling you something is wrong just

            I think it's a retarded way of explaining that your body is over adapted to pushing and pressing and under adapted to pulling and rowing. This and having a narrow rom. This isn't caused by the exercise itself but the increased lopsided tension on your joints when you are at rest.

            • 4 months ago
              Anonymous

              >just ignore the pain?
              Nope, youre right in that its a signal from your body that something is up.
              In practice impingement is no longer really a diagnosis, because as I said, theres always a level of impingement as you abduct the humerus. Pain vs no pain is determined by how sensitive those tissues are. Why would taking away the exposure to stimulus (i.e stop resistance training altogether) help reduce that sensitivity?

              If anything his shoulders are under adapted to the types of loads he is attempting with certain movements. I think you're overcomplicating how simple rehab can be for injuries like this.

              We also dont know if he has reduced ROM, very well might have weakness in the muscles that upwardly rotate the scapula or muscle tightness that prevents this. But I didnt dispute any of that, I just disputed the claim about "tendon laxity"

              >Increased lopsided tension on your joints when you are at rest.
              If theres increased tension on his joints at rest why does he only get pain when flat benching and not at rest?

              >physiotherapist
              You can just say you're gay bro, we all know.

              Sure bud

              • 4 months ago
                Anonymous

                >Sure bud
                rent free every day

          • 4 months ago
            Anonymous

            >The baseless claim that impingement is caused by "tendon laxity" is the retarded thing.
            >tendons determine scapula placement alongside muscle
            >tendons determine bicep/tricep placement alongside muscle
            >NOOOO TENDONS CAN'T CAUSE IMPINGEMENT
            sorry to tell you, you're fucking retarded.
            if tendon laxity exist alongside any muscle. the muscle can not in its proper position.
            if this happens near a joint as complex as the shoulder, yeah you can have impingement caused by a tendon at numerous places.

            Tendon laxity is the number one reason for impingement not healing as it changes shoulder kinematic.
            Provide citation if this is really the hill you want to die on newfag.

            • 4 months ago
              Anonymous

              Youre the one claiming tendon laxity is a thing. You provide citation. Unless theres something getting lost in translation youre making shit up.
              You do know that muscles form into tendons and theyre not separate structures? how could a muscle not be in its proper position? its attached to the bony landmarks, its not going anywhere. If youre talking about things like subluxation then sure tendons can move, but its not due to laxity, and avoiding resistance training is not the answer.

              Theres no evidence to show that shoulder kinematics plays a role in shoulder pain

              >Sure bud
              rent free every day

              Love you anon

              • 4 months ago
                Anonymous

                >you're the one claiming tendon laxity is a thing
                and you're the one trying to argue against it.
                burden of proof is entirely on you.
                Provide citations or fuck off newfag.

              • 4 months ago
                Anonymous

                Guideline for diagnosis and treatment of subacromial pain syndrome: a multidisciplinary review by the Dutch Orthopaedic Association
                DOI: 10.3109/17453674.2014.920991
                >Exercise therapy should be specific and should be of low intensity and high frequency, combining eccentric training, attention to relaxation and posture

                Comprehensive impairment-based exercise and manual therapy intervention for patients with subacromial impingement syndrome: a case series
                DOI: 10.2519/jospt.2010.3223
                >A program aimed at strengthening rotator cuff and scapular muscles, with stretching and manual therapy aimed at thoracic spine and the posterior and inferior soft-tissue structures of the glenohumeral joint appeared to be successful in the majority of patients

                Comparison of supervised exercise with and without manual physical therapy for patients with shoulder impingement syndrome
                DOI: 10.2519/jospt.2000.30.3.126
                >Manual physical therapy applied by experienced physical therapists combined with supervised exercise in a brief clinical trial is better than exercise alone for increasing strength, decreasing pain, and improving function in patients with shoulder impingement syndrome.

                Exercise in the treatment of rotator cuff impingement: a systematic review and a synthesized evidence-based rehabilitation protocol
                DOI: 10.1016/j.jse.2008.06.004
                > the data demonstrate that exercise has statistically and clinically significant effects on pain reduction and improving function
                Effect of specific exercise strategy on need for surgery in patients with subacromial impingement syndrome: randomised controlled study
                10.1136/bmj.e787
                >A specific exercise strategy, focusing on strengthening eccentric exercises for the rotator cuff and concentric/eccentric exercises for the scapula stabilisers, is effective in reducing pain and improving shoulder function in patients with persistent subacromial impingement syndrome

                None of these mention tendon laxity

              • 4 months ago
                Anonymous

                Epub 2019 Jan 15.
                Subacromial decompression surgery for adults with shoulder pain: a systematic review with meta-analysis
                >https://pubmed.ncbi.nlm.nih.gov/30647053/
                >There was high certainty evidence of no additional benefit of subacromial decompression surgery over placebo surgery in reducing pain at 1 year following surgery

                Imagine asking for advice and anecdotes then spamming
                >le science
                Just get the surgery you have made up your mind, get cut open, get fucked up, get addicted to pain pills, and repost this exact thread when your doctor tells you he recommends another surgery. Then tell everyone to
                >never bench bros it destroys your shoulders don't be like me
                then give up on fitness and become disabled all because you didn't want to improve mobility and stop benching for 1% of your life.

                because le science will always recommend you remove parts of your body because it's too hard to enforce a consistent mobility regime across a sample size large enough that le science would approve.

                Also get bottom and top surgery while you are at it and go trans.

  11. 4 months ago
    Anonymous

    >solves your impingment and gives you huge forearms

    • 4 months ago
      Anonymous

      >scapula pinned
      Why? Experiment with doing pushups with with a slight shrug and retract/extend you scapula on each rep. Limiting your your ROM at the start of an exercises kinetic chain will maximise the ROM further down the chain, in your case beyond what is comfortable.

      Do more rowing and pulling to stabilise your pushing and pressing, it's not rocket science.

      This

      I dont have shoulder impingement, and i am a physiotherapist. Please show me the studies showing a correlation with "tendon laxity" and shoulder pain.

      ALL shoulders impinge, its just what they do. People with pain have sensitised tissues in the subacromial space, which causes NORMAL impingement to be painful.

      If you want
      >studies
      do a PHD.

      youre the retard if you think all exercise should involve resistance and "gains" is more important than proper body mehanics, IST is fucking full of these insecure Johnny Bravo gays

      He has a point about ROM even though his explanation is kinda autistic. If you would rather get a surgery that can potentially fuck you up for life over taking ROM seriously for a several months then he is right about you being a gay though and you should just accept the fact that unnecessary surgeries like this are designed for retards like you who would rather go under the knife than stop maxing out presses for 6 months.
      > BB bench to slight incline DB
      If this is the only accommodation you make before considering surgery YNGMI

    • 4 months ago
      Anonymous

      How do I program these? I'm in a similar situation to OP except in my case I only feel impingement with horizontal presses when my elbow dips below my body. Pushups, flat bench, and CG bench are all out for me. Incline bench is slightly uncomfortable but not painful, OHP & floor press feel fine, and I have zero discomfort on dips.

    • 4 months ago
      Anonymous

      I think I have shoulder impingement that was caused by dead hangs. What specifically might have caused it is that I made the mistake of doing a reverse shrug motion while doing them. I don't think any other lifts caused it because the pain started during a deload week. Now 5 weeks later the pain still hasn't gone away.

  12. 4 months ago
    Anonymous

    what exercises have u been doing for physical rehab OP?

  13. 4 months ago
    Anonymous

    yall need to see a physical therapist or try this shit at home before u start talking about surgery baka.

  14. 4 months ago
    Anonymous

    up to 50% of patients have persistent nerve pain after surgery. Shoulder arthroscopy puts your brachial plexus at risk of injury, this means that you could wake up without use of your arm permanently.

    I would highly recommend to do everything possible to prevent joint surgery for the shoulder.

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