Shoulder Sounds and Muscle Changes After Sports Injury - Rehabilitation

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Injury while playing sports?


Last month, while playing basketball, I lost my balance and fell backward, landing on both hands.
It hurt at the moment, but the pain subsided after a while.
Later, I noticed that when I raise my right arm, there is a strange noise coming from my upper arm and shoulder (I can't describe the sound).
Additionally, I can feel the muscles in my right upper arm moving, which feels different from my left upper arm, but there is no pain.
What could this issue be, and which specialist should I see?

bang bang mang, 10~19 year old female. Ask Date: 2015/08/17

Dr. Zhou Jianwen reply Rehabilitation


Hello, sir: Based on the symptoms you described, it could be tendonitis, muscle inflammation, or muscle spasms.
A definitive diagnosis requires an actual clinical evaluation.
I recommend visiting a nearby rehabilitation clinic for further examination and treatment.
Wishing you a speedy recovery.

Reply Date: 2015/08/17

More Info


Based on your description, it sounds like you may be experiencing a combination of shoulder instability and muscle changes following your recent sports injury. When you fell and braced yourself with your hands, it's possible that you may have strained or injured the muscles, tendons, or ligaments around your shoulder joint. The unusual sounds you hear when raising your arm, often described as popping or clicking, can be attributed to several factors.

One common cause of these sounds is the movement of tendons or ligaments over bony structures in the shoulder. This phenomenon is known as "crepitus." It can occur when the shoulder joint is not functioning optimally, possibly due to muscle imbalances or instability resulting from your fall. The fact that you feel a difference in the texture or firmness of the muscles in your right upper arm compared to your left could indicate that the muscles are compensating for an underlying issue, such as weakness or tightness in certain muscle groups.

Even though you are not experiencing pain, it is essential to address these symptoms, as they could lead to further complications if left untreated. The shoulder is a complex joint that relies on a delicate balance of muscles and tendons to maintain stability and function. If there is an imbalance or injury, it can lead to chronic issues, including rotator cuff injuries or shoulder impingement syndrome.

Given your symptoms, I recommend that you see an orthopedic specialist or a sports medicine physician. These professionals can conduct a thorough examination, which may include physical assessments and imaging studies such as an MRI or ultrasound, to determine the exact nature of your injury. They can evaluate the integrity of your shoulder joint, the condition of the surrounding muscles and tendons, and any potential structural issues that may be contributing to the sounds and sensations you are experiencing.

In the meantime, it may be beneficial to avoid activities that exacerbate the symptoms, particularly those that involve overhead movements or heavy lifting. Gentle stretching and strengthening exercises for the shoulder, as advised by a physical therapist, can help improve muscle balance and stability. Ice therapy can also be useful to reduce any inflammation that may arise from overuse or strain.

In summary, while the absence of pain is a positive sign, the unusual sounds and changes in muscle texture warrant further investigation. Seeking the advice of a medical professional will provide you with a clearer understanding of your condition and the appropriate steps for recovery. Early intervention can help prevent more severe injuries and ensure that you can return to your sports activities safely and effectively.

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