Is It Tendonitis or Ligament Injury? Shoulder Pain After Weightlifting - Orthopedics

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Shoulder pain after weightlifting can be a common issue, especially if there has been a history of injury or overuse. Based on your description, it seems that you have been diagnosed with tendonitis in your left shoulder, specifically involving the rotator cuff tendons. The presence of calcification points suggests that there may be chronic changes in the tendon, which can occur due to repetitive stress or injury.

Tendonitis is an inflammation of the tendon, which is the fibrous tissue that connects muscle to bone. In your case, the pain you experience when lifting your arm or holding it in certain positions is likely due to irritation of the tendons in the shoulder, particularly the rotator cuff tendons. The rotator cuff is a group of muscles and tendons that stabilize the shoulder and allow for a wide range of motion. When these tendons become inflamed, it can lead to pain, weakness, and sometimes a cracking or popping sound when moving the shoulder.

On the other hand, a ligament injury typically involves the ligaments, which are the connective tissues that connect bones to other bones at a joint. Ligament injuries in the shoulder are less common than tendon injuries, especially in the context of weightlifting. Ligament injuries often result from acute trauma, such as a fall or a sudden force, rather than repetitive strain.

Given your symptoms, it is more likely that you are dealing with tendonitis rather than a ligament tear. However, if you are experiencing significant pain, weakness, or a feeling of instability in the shoulder, it is essential to consider the possibility of a more severe injury, such as a rotator cuff tear. A tear in the rotator cuff can occur as a result of chronic tendonitis or acute injury, and it may require more intensive treatment, including physical therapy or even surgery in some cases.

To manage your shoulder pain effectively, it is crucial to follow a comprehensive rehabilitation program. This may include:
1. Rest and Activity Modification: Avoid activities that exacerbate your pain, particularly those involving overhead lifting or repetitive shoulder movements.

2. Physical Therapy: A physical therapist can design a specific rehabilitation program to strengthen the shoulder muscles, improve flexibility, and restore function. They may use modalities such as ultrasound or electrical stimulation to reduce pain and inflammation.

3. Medication: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation. Always consult with your healthcare provider before starting any medication.

4. Corticosteroid Injections: If conservative treatments do not provide relief, your doctor may recommend corticosteroid injections to reduce inflammation in the affected area.

5. Gradual Return to Activity: Once your pain decreases and strength improves, gradually reintroduce activities and exercises that involve the shoulder, ensuring to maintain proper form to prevent re-injury.

6. Surgical Intervention: If conservative treatments fail and you have a confirmed rotator cuff tear or significant structural damage, surgery may be necessary to repair the tendon.

In conclusion, while your symptoms suggest tendonitis, it is essential to have a thorough evaluation by a healthcare professional, preferably an orthopedic specialist, to rule out any significant injuries and to develop an appropriate treatment plan. Regular follow-ups and adherence to your rehabilitation program will be key to your recovery and return to weightlifting without pain.