Shoulder Issues -- Therapies, Surgeries, Etc.

Discussion in 'Health & Fitness' started by Spittle, Feb 3, 2008.

  1. Chas Tennis

    Chas Tennis Hall of Fame

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    Have you seen the Todd Ellenbecker video on shoulders, impingement, serving and other issues?

    From another thread -

    "In my interpretation of the Ellenbecker video the issue involves putting the ball of the humerus and attached tissue (suprispinatus tendon, bursa sack?...) in a more confined space under the acromion and then doing the very violent and perhaps sometimes wobbly internal shoulder rotation as shown in this serve video.
    https://vimeo.com/27528701

    The space under the acromion is more confined if the upper arm is high.

    Acromion illustrations
    https://www.google.com/search?q=acro...w=1312&bih=703

    "

    Good luck.
     
  2. FastFreddy

    FastFreddy Semi-Pro

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    Shoulder

    Nah, I wrecked my right shoulder from ice hockey ie(impact) checking without wearing my shoulder pads in practice. I ripped the tendon right off the bone talk about 72 hrs of pure pain!! I wrecked my left shoulder from 12 hrs a week of clay court tennis. Plus my acromion is a type 3 so there was never alot of room to start with.
     
    Last edited: Jan 2, 2013
  3. Chas Tennis

    Chas Tennis Hall of Fame

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    From another thread -

    "Best to view the Ellenbecker video as I could misinterpret. At minute 8 he describes the shoulder orientation to minimize the risk of impingement.

    http://www.tennisresources.com/index.cfm?area=video_detail&vidid=3712&rv=1

    Think of the line between the two shoulders and the line of the upper arm. If those lines fell in a straight line, the angle is 180°, and the shoulder internally rotates (upper arm axial rotation) well and impingement risk is low. As the upper arm rises relative to the shoulders the risk increases. I have read that 170° is still OK. Let's say that it is higher than recommended, at 150° for example - then there is more risk of impingement.

    You can also visualize the angle by extending the shoulder-shoulder line and considering the complementary angle. Then for example, 0° is upper arm straight out, 10° is the upper arm up slightly and still OK, 30° is the upper arm up and at increased risk of impingement.

    I see many players serving well beyond the 10°.

    The shoulder orientation requires lateral trunk flexion which may stress the back for some people."
     
  4. FastFreddy

    FastFreddy Semi-Pro

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    Shoulder

    I checked out the video what year was it made? Was that dude just a USPTA pro talking about shoulder pt? Nothing new in the video that I did not already know from being a CSCS for the past 23 years. Bottom line is any overhead sport is bad for your cuff. If u are like me and have a type 3 u will get impingement sooner.

    First the tendon rubs on the bone the bone protects itself by making a bone spur which cuts the tendon over time. My doc even created more more and even cut off 1cm of my collarbone. Both spurs regrown over a 12 years and so I got both shoulders scoped after having the open style surgery first.

    I opted for the open style first since the retear rate was lower compared to scope jobs at the time 1996 and 1999. I got scoped in 2010 and 2012. Looking back my Doc said they could grow back over time but I had no problems until one day it just pooped and made another hole in the tendon. I could have gotten an mri every year on each shoulder but that would have costed me 800.00 out of pocket every year. Plus staying still in a tube for 30 mins for each one is not fun rather get another surgery haha!!

    Funny thing I only serve slice and flat no kickers. I think the kick serve and american twist is far worse than slice or flat. What I learned is always wear your shoulder pads even in light practice. Also don't play clay court tennis which is good for your knees bad for your cuff. Hitting 5-6 balls chest height on hard court is way better than 8-12 balls shoulder or above your shoulder height on clay. Knee sugery was about 10 years ahead of shoulder surgery last time I checked.
     
  5. Chas Tennis

    Chas Tennis Hall of Fame

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    I don't know when the video was made. He published a paper in 1998 on the subject but I could not locate it.

    As long as you understand the shoulder-shoulder to upper arm alignment as you start back to serving that was the main point.
     
    Last edited: Jan 2, 2013
  6. FastFreddy

    FastFreddy Semi-Pro

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    cuff

    Nah, Iam not buying into that. Even if I had perfect biomechanics and perfect muscle balance I would have still have a tear in my cuff. First impact then overuse and a type 3 ac joint caused my problems. Man was build to climb to to throw overhand.
     

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