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Shoulder Pains

Discussion in 'Injuries' started by Gosupizza, Apr 12, 2006.

  1. Gosupizza

    Gosupizza Regular Member

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    recently ive been getting some shoulder pains that have been affecting my play quite a bit. it happens everytime i have my arm directly above me at the 12 o clock position when i am making a revolution from the back to the front on attempts to clear or smash. Its really awkward because i used to have it when i first started badminton. It may be due to a recent long tournament but thats been a week now...

    any ways im just wondering if anyone else experiences these kind of pains and if there is any advice available..

    p.s. i will be visiting the doc's when i get the chance..
     
  2. LuckyBoy

    LuckyBoy Regular Member

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    Eh????
    well i have elbow pain when i play after 30 mins
     
  3. Devilicious

    Devilicious Regular Member

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    It can happen when you put too much stress on the affected area or if you don't hit the shots with the proper motion. In the last case, you can be overworking some parts in your shoulder, which can hurt.
     
  4. Xaviman

    Xaviman Regular Member

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    where is exactly you pain...in the joint of in the muscle(deltoids)??
    may be tendinitis if the pain is in the join.
    well...i'm agree with devilicious, he's saying the true.
     
  5. Scoobz

    Scoobz Regular Member

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    I can tell you exactly what it is....

    It is a form of tendonitis. Possibly calcific tendonitis.

    In the shoulder, the humoral head (top of the arm bone) is held into the shoulder socket by the rotator cuff tendons and associated muscles/ligaments. Between the joints there is connective tissue and a bursa (liquid sac).

    It is common for arthritis/bursitis to occur in the region and can often involve the development of calcium deposits around the joint that rub against the tendons when they move in their sheath, causing inflammation and even sometimes small tears.

    Excessive use of the limb (arm) can also cause inflammation of the connective tissues and tendons, again resulting in pain when moving the arm.

    There is a possibility that you have a calcific/bone spur on the end of your acromion (top of the shouler), which has reduced the gap between your humoral head and the acromion. This results in a situation called Impingement, meaning the tendons get trapped between the bones when the shoulder is rotated.

    This can be treated with anti-inflammatory drugs, local anaesthetic injections, steroid injections (into the joint) and physiotherapy.

    It is sensible to visit your Doctor to assess the problem and they may send you for an Ultrasound, which will identify the extent of the damage. If there are only small tears in the rotator cuff tendons, they are unlikely to do surgery as they will heal once the inflammation has receded. If large tears are noticed, they will need surgical reattachment. If you have severe impingement due to bone development on the acromion, they can conduct arthroscopic surgery to 'clean' the debris away and remove impingement.

    Quite often the first line treatments are anti-inflammatory drugs, physiotherapy and possibly steroid injections. These work in most cases.

    I have been suffering for about 18-20 months with calcific tendonitis and impingement in my shoulders that has caused some minor tears of the tendons. I have had 4 steroid injections over that period and two ultrasounds. I have another appointment with my consultant next week. Things are improving though, as at one point I couldn't move my arm at all (frozen shoulder).

    Get to see you Doctor and in the mean-time, make sure you warm-up and warm-down properly to reduce the risks of sudden inflammation.
     
  6. Gosupizza

    Gosupizza Regular Member

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    thnx for replies..

    theres somethign really weird about it tho, the shoulder does not hurt AT ALL unless in certain positions. And i dont think its surface pain so its definately something on the inside.

    Due to the fact that it only hurts in certain positions, im guessing it probably is a joint problem.
     
  7. Gollum

    Gollum Regular Member

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    Probably. Scoobz's description above sounds plausible, though I think calcification/ossification is relatively unlikely compared to more common, milder conditions such as supraspinatus inflammation.

    In any case, how about less of this guessing and more of seeing a doctor ;)
     
  8. Xaviman

    Xaviman Regular Member

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    Scoobz, the calcific tendonitis affect the kness too??
     
  9. Gosupizza

    Gosupizza Regular Member

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    if your referring to pain directly below the knees (like a bump right udner the knee) its most likely osgood schlatter (prob not spelt right) which again is from inflammation (i've got this crapt o deal with too >.<).
     
  10. eizmed

    eizmed Regular Member

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    Hi,

    I am a doctor but not a sports specialist. I assume badminton is very important to you as you are writing on this forum, the best thing for you is to see a Sport medicine specialist and get an MRI of the right shoulder done.

    X-rays will often not pick up soft tissue / tendon injuries and bone scans will tell you something is wrong but is non-specific.

    It is important to rule out bad things that warrants medical treatment first, then you can put it down to minor things and treat conservatively and heal with rest, warm up, streching etc. etc.

    Good luck.
     
  11. eizmed

    eizmed Regular Member

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    P.S - Ultrasound is good too, but it is very operator dependent. Meaning that if you have a unskilled / inexperienced person doing it, it'll be no good for other doctors to interpret it as the images taken may be undiagnostic, it is a real-time study sometimes.

    So, for ultrasound, you need to go to places where there are good musculoskeletal radiologist, again, sport physician / orthopedic surgeons with special interest in shoulder / sports medicine would know exactly where to refer for a shoulder ultrasound.

    But the safest bet is MRI shouler with a good magnet, as you can seek second opinion with the images captured.
     
  12. Xaviman

    Xaviman Regular Member

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    oh thanx.
    but.....osgood schlatter?? is like an inflammation only??
     
  13. Scoobz

    Scoobz Regular Member

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    The comments regarding MRI and Ultrasound are indeed very true. I have a very good consultant (Mr Shaw) and he specialises in shoulder problems. The Ultrasound Consultant (Mr Taylor) I went to see is also very talented and hence I obtained accurate results regarding my situation.

    I have also been seeing a rheumatologist for about 18 months about my problems (in several places around my body) and results indicate a high uric acid level in my blood and I have had several flare-ups of gouty arthritis in some locations (foot, fingers and shoulder). I also have bursitis flare-ups in my hips, so I suffer a variety of annoyances.

    The company I work for has a respected name in the manufacture of JointCare products ranging from simple Cod Liver Oil through to mixtures of Glucosamine, Chondroitin, Cod Liver Oil and Amino Acid complexes, all recognised as being beneficial in maintaining healthy joints. The issues faced in relation to joint pain are therefore my daily routine and include my own health issues.

    I actually have an appointment with my consultant on Tuesday to review my previous Ultrasound and determine whether I need surgery to repair the number of small tears in my rotator cuff that has been caused by the calcific tendonitis and acromial impingement. I wonder what is said.. hopefully it is good news.
     
  14. eizmed

    eizmed Regular Member

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  15. Gosupizza

    Gosupizza Regular Member

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    keep in mind that it may not be osgood that you have... its just osgood is freakishly common...
     
  16. Xaviman

    Xaviman Regular Member

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    i have no idea about the osgood schlatter
     
  17. Xaviman

    Xaviman Regular Member

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  18. Scoobz

    Scoobz Regular Member

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    I thought I would keep those of you with shoulder pains up to date with my plight...

    I saw my consultant on Tuesday and I am now scheduled for surgery on June 15th. I will be having Sub-Acromial Decompression and repair to some minor tears of my rotator cuff (tendon).
    It would appear that the problem has now developed in my opposite shoulder (now in my playing shoulder) and will probably need similar treatment in the future.

    It is likely I will now be out of the game yet again for a period of time and will be unable to play for a few months after surgery (despite it not being my racquet hand). I'll therefore hold off on buying a new racquet until recovered fully and decided what I am doing about my left shoulder also (racquet hand).

    I'm 29 years old and falling apart already... heheh
     
  19. Gosupizza

    Gosupizza Regular Member

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    man thas gotta suck scoobs:crying:

    hope your surgery goes well and have a speedy recovery :D
     
  20. Brave_Turtle

    Brave_Turtle Regular Member

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    I have exactly the same problem in my shoulder. It's been 4 months now and completely stopped playing badminton.

    This is also why I come less and less to this forum :(

    I'm did MRI test and I should have result in the next few days. I really hope and wish my arm can become like before.

    Keep us informed and good luck to You!
     

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