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Pain in the Cape Muscle and Shoulder: Advice, diagnosis, information and investigation

Have you hurt your shoulder and cape muscle? Learn more about what these pains may be caused by and how this reader's symptoms presented in relation to pain.

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Reader: Hi - is a 50 year old woman, has trained all her life, but had a stay of 5 years, exercised of course, but did not train, started this fall with very light strength training and has otherwise trained cross country, obviously I have not been strong enough in tendons or muscles since I now have pain in the shoulder, mantle muscle, biceps and down to the attachments down to the elbow. Now I sew suits and model on busts, some hand stitching. The pressure is therefore a bit big - this is my job! How to train this in a way silk that it can get better. Has access to sling as well. But my big question, can I ski easily without this getting worse? I can barely keep myself inside. The trip entices… Using Voltarol right now..and it stings in the muscles. So I wonder why I have pain in the shoulder and mantle muscle? Can you help me with some advice?

ANSWER # 1

It sounds as if you have suffered a strain injury in the mentioned areas. You should therefore consider whether there are any exercises you have done that should not be performed - or whether you have the correct technique when performing. As you describe it, there is no time for healing of muscles and tendon attachments for you as of dd - your age also makes muscle fibers repair more slowly than they did before. Loads from skiing, work and strength training will simply be too much for you at the time of writing it sounds like.

1) How long have you been hurting?

2) Do you have pain all the time - or only with certain movements / specific loads?

3) Why are you using Voltaren? The said drug and its means (diclofenac) can cause an even slower healing in both muscles and tendons. And how often do you use the latter?

RESPONSIBILITY OF THE READER

1) and 2) Skied a lot at Christmas, without it hurting. It is true that I felt a little pain with an exercise during strength training, so I dropped it as soon as I felt pain on the mantle muscle on one shoulder, just as I felt it in the tendon inside the elbow. It was all nice as I said at Christmas. Got a type of frozen shoulder January 1st. Where one shoulder locked. Has therefore moderated the exercises during strength training. Actually, it feels good during a ski trip today too mør a little tender in the biceps and a little pain at the end of the shoulder attachment, but does not hurt all the time. It hurts the most when I have to work at height with my arm when modeling on the bust. Is it the case that some exercises that are correct for these areas cause new cells to form and that in a way with moderate exercises you can heal faster?
3) Voltaren - someone who gave me well-meaning advice. Have used the cream for 4 days. Have used it twice a day.

ANSWER # 2

So you have pain when you work above shoulder height? And the pain is on the outside of the shoulder with accompanying pressure soreness? It sounds like you have a tendon injury in the rotator cuff - possibly the supraspinatus muscle.

Reader: I have normal pain threshold, but are you saying I should just drop the cream?

ANSWER # 3

I can not say whether you should drop it or not, as I have not seen you in a clinical context. However, starting with the use of inflammation and painkillers without the advice of a doctor or pharmacist is not advisable. You must train the rotator cuff muscles using a training elastic - a link to exercises follows here . You should also consult a modern chiropractor or manual therapist for clinical evaluation. They can make the diagnosis based on their functional examinations which also involve a number of orthopedic tests. Do you recognize this: Supraspinatus tendon injury

Reader: Yep, that's right I feel a little sore in the rotator cuff area… Should I drop skiing - I manage not to use one shoulder as well - the pole vault itself feels really good - the pain tells me if I have to be completely calm or not , not true - but it has been said that with proper exercises new cells are formed which are also positive with the whole process.

ANSWER # 4

Yes, but this should be considered by a public health clinic. For here, imaging diagnostics may be necessary to see the extent of the injury. Chiropractor and manual therapist are the two publicly licensed professions with referral rights to imaging and muscle / skeletal expertise. Wishing you good improvement and happiness for the future.

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