T Nation

Huge Shoulder Problem.


My dad was at work Friday, he had to close something that looked like a captain gripper, that is when the pain started.

Later on in the day while lifting some iron pieces at work, he heard a cracking sound and his shoulder started hurting real bad…

We went to the doctor but his results wont be ready for 1-2 days so i am seeing if i can get some possibilities that i can look in to or some form of treatment.

As of now he cannot move his arm in a front rise motion or to the side, but can easily move it towards the back…

Any suggestions??

Picture shows area of pain…

Kind of sounds like a torn bicep tendon, but the test results will (or at least should) tell you exactly what the problem is. Wait the 1-2 days and then start looking.

weird my shoulder feels the same way after i fucked it up over the weekend. debating wether to do chest today or not though idk.

[quote]matso1236 wrote:
My dad was at work Friday, he had to close something that looked like a captain gripper, that is when the pain started.

Later on in the day while lifting some iron pieces at work, he heard a cracking sound and his shoulder started hurting real bad…

We went to the doctor but his results wont be ready for 1-2 days so i am seeing if i can get some possibilities that i can look in to or some form of treatment.

As of now he cannot move his arm in a front rise motion or to the side, but can easily move it towards the back…

Any suggestions??

Picture shows area of pain…[/quote]

Just so you understand the weight of what you asked…let’s start thinking of possible reasons for shoulder pain that we are supposed to guess without a patient in front of us and without so much as a picture of the person in question.

grabs marker and writing tablet
The Differential diagnosis of shoulder pain in a male patient age unknown, height unknown, medical history unknown…shit, patient unknown:

Cancer

Possible movement of some sort of shrapnel he was impaled with back in VietNam as it moved its way through his body using lymph channels and ended up in his shoulder.

Parasite

autoimmune disease of some kind

trauma

Now, where do we start?

[quote]Professor X wrote:

Possible movement of some sort of shrapnel he was impaled with back in VietNam as it moved its way through his body using lymph channels and ended up in his shoulder.
[/quote]

Tony Stark may have something that could help if this is the case.

[quote]Professor X wrote:
matso1236 wrote:
My dad was at work Friday, he had to close something that looked like a captain gripper, that is when the pain started.

Later on in the day while lifting some iron pieces at work, he heard a cracking sound and his shoulder started hurting real bad…

We went to the doctor but his results wont be ready for 1-2 days so i am seeing if i can get some possibilities that i can look in to or some form of treatment.

As of now he cannot move his arm in a front rise motion or to the side, but can easily move it towards the back…

Any suggestions??

Picture shows area of pain…

Just so you understand the weight of what you asked…let’s start thinking of possible reasons for shoulder pain that we are supposed to guess without a patient in front of us and without so much as a picture of the person in question.

grabs marker and writing tablet

First one the list:
Cancer

Possible movement of some sort of shrapnel he was impaled with back in VietNam as it moved its way through his body using lymph channels and ended up in his shoulder.

Parasite

autoimmune disease of some kind

trauma

Now, where do we start?[/quote]

I’d say amputation is the best way to go, just to be safe.

[quote]DoubleDuce wrote:

I’d say amputation is the best way to go, just to be safe.[/quote]

What about leeches? I mean, since we are now diagnosing people over the internet, we might as well go back to the basics.

Maybe it’s just in his head… trepanation. Let all the evil out.

He has already gone to the doctor, and i will wait for the results, just asking man chill out…

He is 40, 5’7, only previous injuries are a hernia which has been taken care of…

But thanks for the ass remarks from everyone…

The diagram highlighting what a shoulder is was particularly helpful.

[quote]matso1236 wrote:
He has already gone to the doctor, and i will wait for the results, just asking man chill out…

He is 40, 5’7, only previous injuries are a hernia which has been taken care of…

But thanks for the ass remarks from everyone…

[/quote]

Just so you know, the true “ass remarks” would be people actually trying to diagnose the problem over the internet. The ones who you would think were so helpful would be doing the greatest harm.

Welcome to reality.

This post was flagged by the community and is temporarily hidden.

[quote]bushidobadboy wrote:

For example, the OPs dad will not get much success from going to see his MD, but instead should see a good ortho PT or manual therapist with a background in treating athletes/recreational lifters, etc.

[/quote]

I’m sorry, but the MD is exactly where he should start at. Maybe you missed it, but shoulder pain does not always relate to a “shoulder injury”. It could literally be ANYTHING considering the info given. We have entire classes on things like this which do nothing but teach us that just because you hear hoof beat, it doesn’t mean you aren’t looking for a zebra.

Some of you need to quit with this “almost a chiropractor only without the schooling” take on everything you read.

This post was flagged by the community and is temporarily hidden.

ooo a med-scrap!

[quote]bushidobadboy wrote:
Professor X wrote:
bushidobadboy wrote:

For example, the OPs dad will not get much success from going to see his MD, but instead should see a good ortho PT or manual therapist with a background in treating athletes/recreational lifters, etc.

I’m sorry, but the MD is exactly where he should start at. Maybe you missed it, but shoulder pain does not always relate to a “shoulder injury”. It could literally be ANYTHING considering the info given. We have entire classes on things like this which do nothing but teach us that just because you hear hoof beat, it doesn’t mean you aren’t looking for a zebra.

Some of you need to quit with this “almost a chiropractor only without the schooling” take on everything you read.

Yeah yeah, we have the same classes too. But, given the history (what there is of it), the serious pathologies are effectively ruled out. Even if they weren’t, in the UK, chiropractors, osteopaths and physiotherapists are primary healthcare practitioners which means we are taught to eliminate red flags before anything else.

Kind of like dentists, except we specialise in the musculoskeletal system.

Most MDs (not all I grant you) would take a quick look (possibly. Some may not even do that) and a brief history, then either prescribe painkillers and anti-inflammatories or possibly refer to a musculoskeletal specialist, which given the state of the NHS in this country could take a long time.

The OP made no mention of night pain, corticosteroid use or vascular pathology, so I’m curious as to what “ANYTHING”, you think it could be.

BBB
[/quote]

I am not sure what doctors you’ve been around, but I don’t know many who would avoid palpation or movement of the area and simply prescribe anti-inflammatories unless all signs pointed to that as the cause and nothing else. In fact, if you actually run into one who does something like that, simply find a new doctor.

The first place most will start is by taking a blood pressure. The reason should be obvious to anyone who has a clue what they are doing given which shoulder it is. If he needs to be referred, he will be.

This current hatred of those in the medical field makes no sense to me.

Put him into an MRI machine and find out for sure!

[quote]PRCalDude wrote:
Possible movement of some sort of shrapnel he was impaled with back in VietNam as it moved its way through his body using lymph channels and ended up in his shoulder.

Put him into an MRI machine and find out for sure![/quote]

Ouch, just ouch.

This post was flagged by the community and is temporarily hidden.

I concur, many GPs in the UK either don’t know anything about musculokeletal, or they just don’t want to boast.

Physical health seems to be defined by ‘not dead’ and “don’t eat too much bad food, and you know, do some exercise.”