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-   -   Soreness in the "front" of Shoulder? (http://tt.tennis-warehouse.com/showthread.php?t=432530)

Fuji 07-16-2012 09:10 AM

Soreness in the "front" of Shoulder?
 
Hey all,

I'm here looking for some stretching and medical advice! The last few times I've gone out to hit some serves, I start out very very stiff. I'm not sure if this is due to overuse/not enough recovery time, or something completely different. I've had a hard time figuring out the exact source of my soreness until the last time I hit (Saturday Morning.)



The place I'm feeling the soreness is "middle glenohumeral ligaments" and the "Transverse humeral ligament"

Since I've completely cut out weight lifting during the past month or so, I'm curious if I should start up again, doing something as basic as flies to help strengthen them, or if there are any specific stretches to help with that area. It is only when I move my shoulder into the trophy position where I feel the soreness coming on. My serve technique has been checked and gone over by one of the best coaches in the area and he said it's "mechanically very clean" so I do not believe that is the problem.

Thanks in advance. Sorry if I misused the medical terms, that was the only way to describe the area of soreness!

-Fuji

Say Chi Sin Lo 07-16-2012 12:40 PM

It definitely sounds like one of three conditions, and it's possible to be a combination of them and then some:

1) General tendinitis of the tendons around the shoulder.

2) Shoulder impingement syndrome.

3) Rotator cuff issues.

MOST posters here are not qualified to do a diagnosis with just a written statement, and even if they are, that's very little information (about you) to make a proper diagnosis. I think it's best that you go see a shoulder specialist and have it checked out.

Sadly, because of the outrageous ROM and flexibility of the shoulder joint, comes instability. You can have the most perfect service motion and still get shoulder injuries.

Fuji 07-16-2012 10:05 PM

Hey bud,

I know it's very little to work off of, but your post actually helped a great deal. I'm on the waiting list for my sports doctor to get back in town next week. From what I've read my symptoms are closest to "2) Shoulder impingement syndrome" which makes it a lot easier for me to see what to do on my own until I can see the doctor.

Thanks again!

-Fuji

Chas Tennis 07-17-2012 01:31 AM

Bicipital Tendinitis might be one candidate. ?
 
I'm not familiar with bicipital tenditinis because I have never had it. The location of pain might somewhat match your location. ?

http://emedicine.medscape.com/articl...overview#a0101

http://emedicine.medscape.com/articl...overview#a0107

See reply #7 on "biceps tendonitis" possibly related.

http://tt.tennis-warehouse.com/showthread.php?t=428642


Say Chi Sin Lo 07-17-2012 02:01 AM

Quote:

Originally Posted by Fuji (Post 6732482)
Hey bud,

I know it's very little to work off of, but your post actually helped a great deal. I'm on the waiting list for my sports doctor to get back in town next week. From what I've read my symptoms are closest to "2) Shoulder impingement syndrome" which makes it a lot easier for me to see what to do on my own until I can see the doctor.

Thanks again!

-Fuji

The thing is though, and I'm not trying to discourage you, if anything I'm encouraging you to get to the bottom of it.

It's unlikely that you JUST have impingement syndrome. Almost always it's associated with some degree of rotator cuff issue (from a simple muscle imbalance to soft tissue damage). And in most cases, it's the aftermath of rotator cuff issues.

Some people are naturally born with a narrow passage way for the supraspinatus to operate, and that's just bad luck. But if you're not those individuals, then chances are you have an imbalance and/or tears which then reduces strength of those tendons. Thus, sending the humerus along with the supraspinatus crashing into the acromion.

Orion3 07-17-2012 02:32 AM

I had a rotator cuff problem (sounded very similar to you).

Again, coach said that my serve was technically sound...just my body disagreed!

It was the same motion I'd had as a junior and through to early adulthood when I stopped playing. Coming back to the game as a 40+ year after a long, long break, I found my body couldn't cope.

My original motion was fairly linear; left shoulder down, right shoulder over. My new motion is centred around rotating more around my trunk. The 'serve doctor' from Bolletteri's IMG camp released a couple videos on youtube worth looking at.

http://www.youtube.com/watch?v=GgdXawklcZk

http://www.youtube.com/watch?v=Ixx-MCC7D88

My serve is now as big as it ever was and I'm pain free.

Hope you get past this.

TennisCJC 08-02-2012 11:10 AM

I have had my shoulder go dead in that front spot right at the joint. It happened twice over 35 years of playing. And, I most always have a very minor amount of pain there - probably micro-tendinitos.

By dead, I mean I could not lift my arm from the hanging postion - arm just dangling and you can not control it. Literally could not lift my arm to make my dangling hand move more than 6-8 inches from my side/waist. Both times, pregnazone (spelling?) helped cure it in a few days with rest and ice.

Search internet for "throwers 10 exercies" for exercises. I do several of these but not all 10 with low weight 2-4 times per week. I use either 5 or 8 lbs weights - 2 sets of 15 reps. I do bicep curls, pull overs, chest flies, back flies, back rows, chest presses, and shoulder lift to side. I have done the rubber band rotator cuff pulls - both directions - in the past too. Note, I try to balance front and back - chest flies vs back flies, chest press vs back rows, bicep curls with tricep pull overs. The shoulder lift to the front doesn't have a matching reverse exercise.

You also need to rest if you feel pain. If the area is inflamed and weakened, you are prone to injure it more seriously if you don't rest it. I did not rest as once warmed up, I could play tennis until I woke up one morning and my arm would just dangle by my side.

Chas Tennis 08-02-2012 12:31 PM

Quote:

Originally Posted by TennisCJC (Post 6772123)
I have had my shoulder go dead in that front spot right at the joint. It happened twice over 35 years of playing. And, I most always have a very minor amount of pain there - probably micro-tendinitos.

By dead, I mean I could not lift my arm from the hanging postion - arm just dangling and you can not control it. Literally could not lift my arm to make my dangling hand move more than 6-8 inches from my side/waist. Both times, pregnazone (spelling?) helped cure it in a few days with rest and ice.

............................. The shoulder lift to the front doesn't have a matching reverse exercise.

............................................I could play tennis until I woke up one morning and my arm would just dangle by my side.

There are nerves that get pinched and can cause some unusual things. Suggest that you research nerves. They have illustrations in anatomy books that show the body part that is affected by various nerves. The shoulder is one of the areas that can cause problems as well as neck and spine vertebra.

TennisCJC 08-13-2012 06:34 AM

Quote:

Originally Posted by Chas Tennis (Post 6772324)
There are nerves that get pinched and can cause some unusual things. Suggest that you research nerves. They have illustrations in anatomy books that show the body part that is affected by various nerves. The shoulder is one of the areas that can cause problems as well as neck and spine vertebra.

Went to doctor and he diagnosed tendinotis thus the pregnazone treatment which speeds healing. I kept playing thru the pain, and lost movement in the shoulder joint until I received treatment and let it rest.

Chas Tennis 08-13-2012 09:09 AM

Which tendon?
 
Quote:

Originally Posted by TennisCJC (Post 6803111)
Went to doctor and he diagnosed tendinotis thus the pregnazone treatment which speeds healing. ..................

There are several tendons in the shoulder. Did the Dr identify which tendon has the injury?

In reply #4, I mentioned bicipital tenditinis from other recent threads on the forum. Was it that or one of the rotator cuff tendons that often get inflammed?


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