Shoulder Issues -- Therapies, Surgeries, Etc.

[Chas Tennis]

Originally Posted by FastFreddy

I took some serves yesterday for the first time in 10 months since my 4th shoulder surgery. Got my lefty and righty serves working well and no pain or soreness during or the day after. I had a full rom plus when I decelerate I still had no pain and my arm took a natural path. So my service motion was not changed aleast from my point of view. I will have my gf shoot some video and compared it to presurgery to see if their is any difference?
PS: got my free weight bench to 245 for 15 reps. First time benching with freeweights since before my first shoulder surgery back in 1996.

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.

[FastFreddy]

Originally Posted by Chas Tennis

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.

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.

[Chas Tennis]

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...idid=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."

[FastFreddy]

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.

[Chas Tennis]

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.

[FastFreddy]

Originally Posted by Chas Tennis

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.

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.