Diagnosed with Subacromial Bursitis/Mild Impingement of Supraspinatus

[quote]siouxperman wrote:

[quote]Jaybee wrote:

[quote]siouxperman wrote:
I’ve been dealing with subacromial bursitis and supraspinatus issues for about a year and a half now and have had 3 real bad flares ups in that time. Twice I needed cortisone shots into the bursa to calm it down because the impingement was so bad. I’ve literally had to cut out all overhead movements.

Been doing lots of face pulls, band pulls, rows, etc. trying to get everything good and stable, which has helped up to a point but I still get a lot of minor flare ups. Mostly I just work around it now and have resigned myself to not doing a lot of direct shoulder work. Let me know if you come across something that really does the trick for you.[/quote]

Yours seems a lot worse than mine, mine just haunts me like a Bogeyman sporadically in training, and occasionally out of the gym, andsaying, “I’m here, if you don’t want to get injured, go easy, go light, and work around”…fuck that noise!

Did you do everything I did/will? Exercise rehab plus special anti-inflammatory diet? I’ve been doing some stretches for a couple of days and they’ve already had some effect, though they’re supposed to be done for several weeks.[/quote]

I’ve done most of it in some capacity. I try to keep my diet pretty anti-inflammatory. Several grams of fish oil a day, lots of berries, very little processed food. Took curcumin @ about 1.5g/day for about 3 months but didn’t notice enough of a difference to keep on it. I strengthened my rotators quite a bit but haven’t been as diligent with that work lately. I do stretch, but I’m sure I could do more. I mostly focus on lots of warming up with whatever movement pattern I’m going to be doing, especially bench press. I’ve also changed my bench style to more powerlifting setup with scapula back and down and a lot more tricep involvement, which has helped a lot. And i haven’t done an overhead press in about 9 months. I’ve gotten a little lax in my routine because I haven’t had a flare up in a little while and I’ve switched up my training enough I think to avoid one. I probably just got frustrated with slow improvement as well. This thread has inspired me to get back to it some though.
[/quote]

First of all, I’m very glad this thread inspired you, and I hope you’re the first of many that it helps to beat Bursitis. I notice you’re benching - that’s more than I’m doing!! I found Benching very painful, though oddly enough I was doing it 3 years ago, heavy styleee with no worries…I don’t know what happened, perhaps I resumed upright rows with my elbows pointed in front of me. Anyway, I think beating a physical condition is slightly more dependant on the individual than putting on muscle - for muscle, the rules apply largely to everyone, lots of weight, lots of protein, lots of rest, some reps, some sets. Newbie comes up to you and says, “I wanna get huge”, you’re going to tell him you don’t wanna know his damn life story, that the initial advice applies to anyone not at risk of heart attack or over 60 etc; to squat a lot, eat a lot, rest a lot, and come back in 3 months (simplistic, but you get the idea. 90% of guys could build 19" arms, all else being equal, without ever doing German Volume Training.)

But with a physical malady, the invidual ‘tweak’ factor is much greater, and kicks in much earlier, which is why you’ll hear the Doctor telling you at the start, "Let’s see how you get along with that shot, then we’ll review in 1-3 weeks. If like me you want to see progress earlier, you need to do EVERYTHING. All the stretches that were advised (minus those you were told not to, minus those you need to ask the PT why they hurt so much), plus EVERY dietary element that fights inflammation. I didn’t see any mention of cinammon, or Bromelain up there, two out of many. Something will work, it will. You have to try it ALL - you may never find out which one worked for you, but does it matter when you can have your BOULDERS back??!?!?!?

I’m ready to make a list, damn near a blog of my rehab. How about you? Wanna join me?

Also, I can’t STAND raw or cooked Ginger, which is a powerful antiinflammatory…but I got it in me. How? Went out and bought a tube, skinned it, sliced off an inch, then diced that 1" very finely, dropped it into a half glass of water, and chugged it down…barely struck my tastebuds.

:slight_smile:

[quote]Jaybee wrote:

[quote]siouxperman wrote:

[quote]Jaybee wrote:

[quote]siouxperman wrote:
I’ve been dealing with subacromial bursitis and supraspinatus issues for about a year and a half now and have had 3 real bad flares ups in that time. Twice I needed cortisone shots into the bursa to calm it down because the impingement was so bad. I’ve literally had to cut out all overhead movements.

Been doing lots of face pulls, band pulls, rows, etc. trying to get everything good and stable, which has helped up to a point but I still get a lot of minor flare ups. Mostly I just work around it now and have resigned myself to not doing a lot of direct shoulder work. Let me know if you come across something that really does the trick for you.[/quote]

Yours seems a lot worse than mine, mine just haunts me like a Bogeyman sporadically in training, and occasionally out of the gym, andsaying, “I’m here, if you don’t want to get injured, go easy, go light, and work around”…fuck that noise!

Did you do everything I did/will? Exercise rehab plus special anti-inflammatory diet? I’ve been doing some stretches for a couple of days and they’ve already had some effect, though they’re supposed to be done for several weeks.[/quote]

I’ve done most of it in some capacity. I try to keep my diet pretty anti-inflammatory. Several grams of fish oil a day, lots of berries, very little processed food. Took curcumin @ about 1.5g/day for about 3 months but didn’t notice enough of a difference to keep on it. I strengthened my rotators quite a bit but haven’t been as diligent with that work lately. I do stretch, but I’m sure I could do more. I mostly focus on lots of warming up with whatever movement pattern I’m going to be doing, especially bench press. I’ve also changed my bench style to more powerlifting setup with scapula back and down and a lot more tricep involvement, which has helped a lot. And i haven’t done an overhead press in about 9 months. I’ve gotten a little lax in my routine because I haven’t had a flare up in a little while and I’ve switched up my training enough I think to avoid one. I probably just got frustrated with slow improvement as well. This thread has inspired me to get back to it some though.
[/quote]

First of all, I’m very glad this thread inspired you, and I hope you’re the first of many that it helps to beat Bursitis. I notice you’re benching - that’s more than I’m doing!! I found Benching very painful, though oddly enough I was doing it 3 years ago, heavy styleee with no worries…I don’t know what happened, perhaps I resumed upright rows with my elbows pointed in front of me. Anyway, I think beating a physical condition is slightly more dependant on the individual than putting on muscle - for muscle, the rules apply largely to everyone, lots of weight, lots of protein, lots of rest, some reps, some sets. Newbie comes up to you and says, “I wanna get huge”, you’re going to tell him you don’t wanna know his damn life story, that the initial advice applies to anyone not at risk of heart attack or over 60 etc; to squat a lot, eat a lot, rest a lot, and come back in 3 months (simplistic, but you get the idea. 90% of guys could build 19" arms, all else being equal, without ever doing German Volume Training.)

But with a physical malady, the invidual ‘tweak’ factor is much greater, and kicks in much earlier, which is why you’ll hear the Doctor telling you at the start, "Let’s see how you get along with that shot, then we’ll review in 1-3 weeks. If like me you want to see progress earlier, you need to do EVERYTHING. All the stretches that were advised (minus those you were told not to, minus those you need to ask the PT why they hurt so much), plus EVERY dietary element that fights inflammation. I didn’t see any mention of cinammon, or Bromelain up there, two out of many. Something will work, it will. You have to try it ALL - you may never find out which one worked for you, but does it matter when you can have your BOULDERS back??!?!?!?

I’m ready to make a list, damn near a blog of my rehab. How about you? Wanna join me?[/quote]

Hah, I like the passion here. I’d be interested in your progress since you’ve just found out the diagnosis and are starting somewhat fresh on the problem. I don’t know how helpful I’d be at this point since I’ve kind of found what works for me. Hopefully adding rotator work back in will stave off any big issues in the future though. And maybe I can get back to overhead presses at some point, but I don’t think I’ll push that any time soon. The one biggest thing for me has probably just been listening to the cues I would’ve overlooked before. I’m not so apt to “push through” anymore.

I just have a question… Why does everybody come on here and ask questions instead of asking their doctors and physical therapists questions. Assuming they aren’t assholes or terrible at their jobs, they can actually provide real individualized answers.

Well if the guy is already seeing somebody… it doesn’t cost more to get questions answered. They should take phone calls for free as well.

I’ve had shoulder issues for years, and have gone to GPs and Specialists with limited/little success. I’ve found more answers and had more results through these forums than with any of the Dr. visits.
With that said, I’ve had pretty good success since being diagnosed with bursitis, worn sockets/joints from lifting over the years. I could put on my shirt without pain, I’d grimace doing little things, couldn’t throw a ball, etc. First off I stopped presses for several weeks and any other exercise that hurt.

I did many of the exercises suggested on the Over 35 Forum thread: Mobility for old farts…face pulls, black burns, warm ups, etc. I’ve found that spending 15 or so minutes before my workouts doing shoulder work, roller, etc. has helped me from re-injury and helped me rehab completly.

I also starting doing the “Defranco built like a badass workout” It’s similar to the 5/3/1 workout but seems to incorporate work that strenghens areas that often lead to injuries. It also keeps me from overtraining those areas (chest/knees) that are prone to injury. I really wish I had this information available to me 20 years ago…my joints would be in much better shape today.

[quote]bushidobadboy wrote:

[quote]Jaybee wrote:
[, and I’m willing to give them up to 2hrs per day[/quote]

Sometimes more does not equal better, especially if you are not doing the exercises 100% correctly.

BBB[/quote]

I have an array of shoulder exercises I do every day, most 2x a day. I can get through all of them in 15 minutes per session. On my PT days, I only do my morning exercises.

BG

[quote]beefcakemdphd wrote:
Consider looking at your lifting mechanics. Perhaps training mechanics are putting your shoulder into positions of impingement. I.e. on bench press, pull your shoulders backwards (scapular retraction). What this does is actually open up the subacromial space.

Consider cycling your exercises. I find that dips and military are the exercises that get me in trouble, but I rotate them in and out of my regimen.

beef[/quote]

I absolutely swear by my scapular retraction exercises. I have a lot less pain now, so something is easing my impingement. Right now, I’m out of the bench press and dip business until I make more progress. I was advised to replace the standard bench press with inclined bench press, also doing the scapular retraction.

BG