Dumbbell Internal/External rotations - very concerned, please help!

[hjohnstone]

Okay, on tuesday 17th February I decided to work my RC muscles to strengthen them for my weight training. I used 7kg Dumbbells and did 8-10 reps, and to be fair was probably using too much (should have gone for 10-12 reps really on a lighter weight). Anyway, I had no pain during or after the exercise, and was sore the following day around the deltoid region - most probably the subscapularis. this was sore for about 2 days (normal for most muscles), and by yesterday (Friday) it was completely gone. However, yesterday at around midday a strange ache in my deltoid region started to come on (not painful), but sporadic and occasional i.e. maybe every couple of hours for a few minutes on and off. It then went until the evening again. I had no trouble sleeping as it seemed to go before that stage. The only other thing I can think could have triggered it was a friend lightly punching me on my deltoid region (although not by any means hard). There is no bruising, nor educed ROM, no pain whilst exercising. I had a workout today, and as no soreness remained did my arms (biceps and triceps). No exercise caused any pain, although the ache did come on during the session, and eased whilst I was exercising. I must emphasise however that on exercises such as the bench press etc (close grip bench press) ones shoulders are obviously used quite a lot, yet there was no pain or increased aching from that. So is this just muscle fatigue, or an RC issue? I am not having another gym session until Thursday anyway, so have a good rest until then. i also have an ultrasound machine ( a mini 1Mhz one, which I might run over the area 2x a day until then). Any advice would be great, as I am getting concerned!!

Thank you!

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[hjohnstone]

Why won't anyone reply, is it because it involves weights and physios are scared of anything involving weights?

[Canuck Physio]

Hi there,

I don't think it is the subscapularis as it is a very deep muscle.

It could the supraspinatus, anterior deltoid, or a move involved issue.

If you were using 7kg of weight, I would imagine that during the isolation movement it would have caused the recruitment of the deltoids, and it may be the anterior deltoid that is strained, but I can't figure that out from the movement described. Were you completing both movements at the same time?

Could you describe exactly your position and movements?

Regards

[hjohnstone]

Hi there,

I don't think it is the subscapularis as it is a very deep muscle.

It could the supraspinatus, anterior deltoid, or a move involved issue.

If you were using 7kg of weight, I would imagine that during the isolation movement it would have caused the recruitment of the deltoids, and it may be the anterior deltoid that is strained, but I can't figure that out from the movement described. Were you completing both movements at the same time?

Could you describe exactly your position and movements?

Regards

Dumbbell Shoulder Internal Rotation

Dumbbell Lying Shoulder External Rotation

[alophysio]

hi - it could be many things. Honestly it is hard to say what it is...
1. Muscle strain/fatigue
2. Nerve strain
3. Shoulder impingement
4. Rotator Cuff dysfunction causing any of the above
5. rib dysfunction causing any of the above
6. referred pain from the neck
7. AC joint issue
8. tight shoulder capsule
9. Fatigue causing a strain causing any of the above
10. Poor technique causing strain

the list goes on and on.

Seriously, get a good assessment and diagnosis if it continues to bother you...