pain in right shoulder blade?

Discussion in 'Health & Fitness' started by Rozroz, Jan 12, 2012.

  1. Rozroz

    Rozroz Legend

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    [​IMG]

    Hi.
    during the past 3-2 months i started to have slight discomfort in this area above (forehand arm)
    the feeling of a little muscle strain.
    but it was not disturbing my game at all (age-38, 4.0, 3 times a week, 1hr).
    last week i played Tuesday-Thursday, and i was feeling a little discomfort afterwards.
    i made a mistake of playing again on saturday (feeling discomfort during play)
    at that night i felt like the entire circled area above got really badly strained (+pain when turning neck sideways, etc..)
    after 24hrs it started to calm down, and i'm resting since.
    well, now i still feel a bit discomfort, and a slight strain feeling when turning my neck at a certain angle.

    any info on shoulder blade injuries/muscle problems/inflammation?
    i plan to play on sunday, and a bit concerned about developing inflammation.

    *sorry, spelled "strung' instead of strain.

    thanks for any tips and info on this matter :)
     
    Last edited: Jan 12, 2012
    #1
  2. Rozroz

    Rozroz Legend

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    bump........
     
    #2
  3. TennisMaverick

    TennisMaverick Banned

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    If it hurts between your spine and shoulder blade, did it occur while hitting slice serves? Or even a flat serve where you threw the ball too far to the right?

    Another reason why players have this issue, especially turning the head toward the right, is that you could have slept on it an awoken with a stiff neck, or sometimes a quick little movement gives the stiff neck, and then you can't play. It stupid but it happens. Usually lasts for 1-3 days. Surprisingly, it happens in the shower for many players. It's due to the fact that muscles get imbalanced and tight from playing, especially from the violent rotational movement while serving. One little wrong turn of the head in an awkward position and they hear a little crack/snap, and then, can't turn their head. Goran Ivanisovic had to bag a final one year because he woke-up with a stiff neck, even after the trainer gave him a massage to loosen it up.
     
    #3
  4. Maui19

    Maui19 Hall of Fame

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    If this has been going on for two-three months, you should condiser seeing a doc. It may be nothing, but it could be something more serious that has nothing to do with tennis.
     
    #4
  5. charliefedererer

    charliefedererer Legend

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    Muscle/tendon strains and ligament strains actually represent small tears in tissue.

    Thankfully, most strains are much smaller than in the picture below.

    [​IMG]

    But tennis injuries are often examples of "overuse injuries". Over time, multiple small tears can suddenly coalesce to form a larger tear.


    Pain is a symptom of active inflammation.


    Inflammation is the initial stage of healing a muscle/tendon tear.


    It represents that white blood cells are attracted to the site of the injury.

    White blood cells secrete chemicals (cytokines) that attract the type of cell (fiboblasts) that will lay down protein threads to heal the small tear.

    The protein threads are like a spider's web (also composed of protein strands).

    Pound for pound, a spider's web is stronger than steel.

    But we all know that to disrupt a spider's web, we just have to wiggle our finger in it.

    So too are the healing protein fibers easy to disrupt.

    It takes weeks for the fibers to "crosslink", essentially braiding themselves together into a strong "rope" like material closing the defect.



    So take more time off to let your injury heal.

    Certainly see a sports medicine specialist if it is not improving rapidly.




    The way back is to first strengthen the area after all pain has gone away.


    Do the thrower's ten: http://www.muhlenberg.edu/pdf/main/athletics/athletic_training/throwers10.pdf


    Here's why:

    "Rotator Cuff and Shoulder Blade Stabilization

    In this article we want to focus on the shoulder and muscles that stabilize that joint. When you talk about tennis and the shoulder the first thing that likely comes to mind is the rotator cuff. The rotator cuff is important in tennis, but often times strength imbalances exist within the rotator cuff that can lead to injury. Most notably, tennis players tend to be weak in the muscles that externally rotate the shoulder. External rotation is an outward rotation and is the opposite of the shoulder motion players make when they serve or hit a forehand. To improve strength of the external rotators you can perform the exercises described in this section of the web page. This exercise should be performed with the dominant arm, but should really be performed with both arms if time permits.

    Not many people think of the upper back when considering how to strengthen and protect the shoulder. But try this simple drill. Place your hand on the shoulder blades of a player and ask him to raise his arms. Can you feel the shoulder blades move? Shoulder movement is very complex and involves movement of the shoulder blade as well as the actual shoulder joint itself. Weakness in the upper back muscles that stabilize the shoulder blades can cause the shoulder to function improperly and may actually contribute to shoulder pain. Exercises that train the stabilizers of the shoulder blade can help tennis players optimize performance and avoid shoulder injury."
    - http://www.usta.com/Improve-Your-Ga...7_Strength__Conditioning_Exercise_Techniques/



    The problem in tennis players is that they develop a "muscle imbalance: the "hitting" muscles get much stronger than the muscles around the shoulder blade and shoulder that resist, or stop, the forward motion.

    Indeed the shoulder blade can begin to slip forward, putting pressure on nerves coming down from the neck.

    [​IMG]

    So do the thrower's ten not just to get back to playing tennis, but to prevent recurrence throughout your tennis playing life.


    Your return to tennis should be gradual after starting the thrower's ten program.

    Hold off serving until it is clear you can do hitting sessions without pain.

    Good luck!
     
    #5
  6. Rozroz

    Rozroz Legend

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    thanks for all your help.
    i'll get right down to those exercises.
     
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