Quick history: three months ago suffered a suspected tendon pinch in the right shoulder following work on the heavy bag. This was building up through over-use (a lot of extra martial arts training, as well as conventional hypertrophy work, e.g. dips, presses, etc; not to mention poor posture as a result of being a desk jockey). I'd had similar issues before, especially in the left shoulder but it had healed quickly.
Despite conventional physio (ultrasound, etc) and ART, the nagging pinch has never quite dissipated, although I have trained around it with few issues but a return to martial arts is a pipe dream at the moment.
I saw an orthopaedic shoulder specialist yesterday. He prescribed a flowchart type of treatment progression, which goes something like:
typical rotator cuff strengthening work with bands, in addition;
get an x-ray - if nothing detected and no further improvement;
if no further improvement and/or suspected bone issue or calcium build up then it's MRI scan
depending what that shows it's surgery.
The good news is my symptoms are typical of a pinch and not a tear. The bad news is, as I've read recently from a respected sports club doctor, such injuries even when fixed are 30% more likely to recur.
My takeway is this: prevention is better than cure. If I could turn back the clock I would have eased off stuff like dips and pull-ups (even though they were on more shoulder-friendly rings), while doing more pre-hab rotator cuff stuff as the push ratio, especially with all the bag work, etc, takes its toll.
Will update this forum if there is anything further of interest from the recovery journey.