Weightlifting injuries
Hello Doctor: Two weeks ago, I was doing weight training and the weights fell on my chest, causing pain in my left arm and left shoulder.
At that time, lifting my left arm would cause pain.
After applying topical ointments, massaging, and resting for two weeks, the pain has decreased, but there is still pain at the junction of my arm and shoulder when I lift my arm at certain angles.
I would like to ask the doctor: can this condition heal naturally over time, or should I definitely go to the hospital for a consultation? If I need to go to the hospital, which department should I visit? Thank you.
Zhuang, 40~49 year old female. Ask Date: 2014/04/30
More Info
When it comes to weightlifting injuries, understanding when to seek medical attention is crucial for ensuring proper recovery and preventing further complications. Based on your description, it sounds like you experienced a significant injury while lifting weights, which has led to persistent pain in your left arm and shoulder. Here’s a comprehensive overview of what you should consider regarding your injury and when to seek medical help.
Understanding Your Injury
From your account, it seems that the injury occurred when a weight fell on your chest, leading to pain in your left arm and shoulder. The fact that you experienced immediate pain upon lifting your arm suggests that there may be an underlying issue, such as a muscle strain, ligament injury, or even a more serious condition like a rotator cuff injury or shoulder impingement.
Symptoms to Monitor
While you mentioned that the pain has decreased with rest and topical treatments, it’s important to monitor the following symptoms:
1. Persistent Pain: If the pain continues to be significant, especially when lifting your arm at certain angles, this could indicate that the injury is not healing properly.
2. Swelling or Bruising: Any visible swelling or bruising around the shoulder or arm can be a sign of a more serious injury.
3. Limited Range of Motion: If you find it difficult to move your arm in certain directions or if you experience weakness, this warrants further evaluation.
4. Numbness or Tingling: If you experience any numbness or tingling in your arm or hand, this could indicate nerve involvement and requires immediate medical attention.
When to Seek Medical Attention
Given your symptoms, it would be advisable to seek medical attention if:
- The pain does not improve significantly with rest and conservative treatment over the next few days.
- You experience any of the concerning symptoms mentioned above.
- You have difficulty performing daily activities due to pain or limited range of motion.
Which Specialist to See
If you decide to seek medical attention, you should consider visiting an orthopedic specialist or a sports medicine physician. These specialists are trained to diagnose and treat musculoskeletal injuries, including those related to weightlifting. They can perform a thorough physical examination and may recommend imaging studies, such as X-rays or MRI, to assess the extent of the injury.
Treatment Options
In the meantime, here are some general recommendations for managing your injury:
1. Rest: Avoid activities that exacerbate the pain, particularly lifting weights or performing overhead movements.
2. Ice Therapy: Apply ice packs to the affected area for 15-20 minutes several times a day to reduce swelling and pain.
3. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and inflammation.
4. Physical Therapy: Once the acute pain subsides, a physical therapist can guide you through rehabilitation exercises to restore strength and flexibility to your shoulder and arm.
Conclusion
While it’s encouraging that your pain has decreased somewhat, the persistence of discomfort when lifting your arm suggests that further evaluation may be necessary. Don’t hesitate to consult a healthcare professional if your symptoms do not improve or worsen. Early intervention can make a significant difference in your recovery and help you return to your weightlifting routine safely. Remember, it’s always better to err on the side of caution when it comes to injuries, especially those involving the shoulder and arm.
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