Managing Shoulder Pain: Solutions for Strength Training Challenges - Orthopedics

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Director Shih, I have a question: Recently, I asked about pain in my left shoulder that occurs when I exert force (the pain happens when I push down with my palm while trying to relax).
The doctor only mentioned inflammation, but I haven't been practicing push-ups for a while, and the pain has subsided.
However, I will be enlisting in the military soon (possibly in a month or two), and I will definitely have to perform this exercise.
How should I manage this?

A Cheng, 10~19 year old female. Ask Date: 2004/11/18

Dr. Shi Qiming reply Orthopedics


Dear netizen: If you rested for a while and no longer experience symptoms after stopping push-ups, it is likely that you are dealing with bursitis.
However, bursitis can occur if the angle of the shoulder during arm movements is too great, leading to compression of the bursa.
Therefore, when performing push-ups, try to keep your arms close to your body and avoid excessive abduction that brings your arms parallel to your shoulders.
Additionally, when throwing, do not allow your forearm to extend above or behind your ear, as this can help prevent injury.
Hsinchu Hospital, Department of Health, Executive Yuan.

Reply Date: 2004/11/18

More Info


Shoulder pain during strength training can be a significant concern, especially when preparing for activities like military training that require upper body strength. It’s essential to address the underlying issues contributing to your shoulder pain and develop a strategy to manage it effectively. Here are some insights and recommendations based on your situation.


Understanding Shoulder Pain
Shoulder pain can arise from various causes, including inflammation, rotator cuff injuries, tendonitis, or even referred pain from the neck. Given that you mentioned experiencing pain when exerting force, it’s possible that you are dealing with shoulder tendonitis or a rotator cuff issue. Inflammation of the shoulder tendons can occur due to overuse, improper technique, or inadequate warm-up before exercise.


Importance of Proper Technique
Before diving into solutions, it’s crucial to ensure that your technique during strength training is correct. Poor form can lead to undue stress on the shoulder joint and surrounding muscles. Consider working with a trainer or physical therapist who can assess your form and provide feedback. They can help you modify exercises to reduce strain on your shoulder while still allowing you to build strength.


Gradual Return to Training
Since you mentioned that the pain subsided when you stopped doing push-ups, it may be beneficial to gradually reintroduce strength training. Start with low-impact exercises that do not exacerbate your pain. Focus on strengthening the muscles around the shoulder, including the rotator cuff and scapular stabilizers. Exercises such as external rotations, scapular squeezes, and wall slides can help build strength without putting excessive strain on the shoulder.


Incorporating Mobility and Flexibility Work
In addition to strength training, incorporating mobility and flexibility exercises into your routine can be beneficial. Stretching the shoulder and chest muscles can help alleviate tightness that may contribute to pain. Consider adding dynamic stretches before your workouts and static stretches afterward to improve overall shoulder function.


Pain Management Strategies
If you experience pain during or after workouts, consider using ice to reduce inflammation. Applying ice for 15-20 minutes after exercise can help manage pain and swelling. Over-the-counter anti-inflammatory medications, such as ibuprofen, may also be helpful, but consult with a healthcare professional before starting any medication.


Consult a Healthcare Professional
If your shoulder pain persists despite these measures, it’s essential to consult a healthcare professional. A physical therapist can provide a tailored rehabilitation program that addresses your specific needs. They may also recommend diagnostic imaging, such as an MRI, to rule out any structural issues in the shoulder joint.


Preparing for Military Training
As you prepare for military training, focus on building overall upper body strength while being mindful of your shoulder. Incorporate exercises that strengthen the back, chest, and arms without aggravating your shoulder. Gradually increase the intensity and volume of your workouts, and listen to your body. If you experience pain, it’s crucial to adjust your training accordingly.


Conclusion
Managing shoulder pain during strength training requires a multifaceted approach that includes proper technique, gradual progression, mobility work, and pain management strategies. By taking these steps and seeking professional guidance when necessary, you can effectively address your shoulder pain and prepare for your upcoming military training. Remember, it’s essential to prioritize your health and well-being to ensure long-term success in your fitness journey.

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