Its sounds almost like the same type of injury I am rehabbing through right now. Almost same symptoms as you have verbatim. I have been lifting for about two years seriously when my impingement happened. If there is one piece of advice to take:
***** DO NOT CONTINUE TO TRY TO WORK THROUGH THE PAIN****
I felt pain in my shoulder, like a “Twinge” and it progressively got worse as I struggled through my workouts, thinking it was just a minor strain or pull, it would go away. Well, it didn’t and if your injury matches close to mine, this is what you can probably expect as the norm for your treatment.
After pain when lifting my arm behind my back, pain when performing Lat raises, Dips, Pushups, Bench —basically progressing into any form of push or pulls from trying to work through it-- I saw a doctor. If you go to a walk-in clinic or family practice, you will probably receive some type of anti- inflammatory to take for a couple of weeks and told to rest the arm and alternate times of heat and ice. That did not work for me so they referred me to a Orthopedic Specialist. The Ortho I was referred to was a very respected MD that handled all of the shoulder injuries for LSU athletics and from what I understood the routine for treatment goes like this:
Started one month of Physical therapy which consisted of a very thorough examination and a plan of rehab that revolved around strengthening the muscles of the rotator cuff. All lifting heavy was abandoned and I began with band resistance with exercises that focused on internal and external rotation which progressed into wall climbs and pendulum and stick raise exercises, this was 2 hours a day 4 days a week. The focus was to try and loosen the impingement and and keep the muscle from rubbing bone in my shoulder and fraying the muscle.
PT helped unfreeze an impingement for me but I had other issues going on. The next step was steroid injections directly into the shoulder, which did not help.I then took and MRI of my shoulder which revealed a tear in the cuff. Long adventure summed up: The only thing that helped me was arthoscopy surgery.
My ortho went in and removed bone spurs, tightened loose ligaments, repaired a tear,and performed Subacromial Decompression which is widening the space in a bone which is the pathway that some muscles move in the shoulder, they burrow it out,widening it–so the muscle cant impinge when it is worked.
Sooooooo— what are we looking at so far: anti- inflammatory first, then PT, then Steroid injections and if all else fails, surgery then rehab
If it can be avoided I suggest surgery be a last resort because it will disrupt your life and your quality of living will drastically be reduced for A LONG FREAKIN’ TIME. My procedure was done August 22 and I am still in an immobilizer now and looking at the least 2 months of rehab before I am able to lift ANY type of weight overhead. And if my rehab goes as scheduled I am still 4 months out before being able to return to work and start my normal everyday life. I don’t mean to be all doom and gloom on you, but just trying to give insight on an injury that may be resembling my own. Please update us on your doctor visit and if I can help out anyway by sharing any experience please let me know, PM or something and please…
IF YOU FEEL PAIN OUT OF THE ORDINARY, STOP LIFTING AND GET TO A DOCTOR!!! Best wishes friend.