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Need Some Shoulder Advice...

ZGzaZ

New member
Okay, so my left shoulder has been absolutely killing me during flat bench the past 4-5 weeks, but I've got through them, its a sharp pain at certain points in the lift. I figure I have a few options here, and was wondering what you guys think will be the best way to proceed. Btw, I'm currently on 5x5...

1) Deload the weight drastically, and focus on tucking my elbows completely (as this might be playing a role in the pain).

2) Switch incline barbell for flats on day 1 and 3, and subbing military press for my current inclines which I do on day 2.

3) Stop flats altogether for now, keep inclines on day 2, and do something like hammer strength machine until my shoulder gets better than resume flats again.

Which option do you think would be best for maintaining my current strength in flats, and still helping with chest development?
 
Stop any lifts causing pain.

Learn to tuck elbows with just the bar, proceed with progression of weights as soon as you've got the form down pat and shoulders don't hurt.

Possibly continue pressing using Decline bench, least ROM and still put heavy stimulus on your upper body.

Avoid cables at all costs.
 
i think finding out whats actually wrong first would be the best way to go about it... after that you can contemplate about your next step

other than that the only thing i would suggest is to stretch with bands for like 10 mins every possible way ...up, down, out, lift, pull, etc...
 
slaughter, and lex, neither of you think it would be a better idea to sub inclines in for day 1 and 3, as they cause me absolutely NO pain, and re-rotating flats back in later?
 
Lextasy said:
i think finding out whats actually wrong first would be the best way to go about it... after that you can contemplate about your next step

other than that the only thing i would suggest is to stretch with bands for like 10 mins every possible way ...up, down, out, lift, pull, etc...

the only reason I'm not too worried about what's wrong is it causes me NO pain doing anything else...no other lifts hurt besides pullups and flats...and it feels fine after the workout, and the next day and beyond. Until I set foot on the bench again is the only time it hurts.
 
That's strange the incline provides no pain.

I'd do incline then. I'd go heavy with decline if those don't provide pain too.

Try to examine your form very closely on how you bench incline and see if it's different from flat? Maybe you can find your problem that way...
 
bro...get it checked! the longer you wait the worse it will get. my shoulder only hurt on flat's and inclines...nothing else really. it didn't hurt during the day or any normal daily movement. i waited about 7 monhts before i got an mri...turns out it was a torn labrum that was shot to shit b/c i didn't get it looked at when i first noticed the pain. for that i now pay a penalty price of not being able to do inclines even post surgery b/c there is still alot of pain when i do them. if you have insurance i would make an appointement just to be safe.
 
Look in my log bro - Treilin just did a work up on my left shoulder. Look up Tendenosis on google.

I agree - diagnosis is pretty key as somethings can do more damage where others can help and vise versa depending on what's going on in there.
 
im no doctor, but id take the advice and get it checked... other than that, it sounds like maybe RC problem, which sometimes occur only in a certian position --for me its MP's, for you, flat bench... stretch that bitch...both shoulders, for 10-15 mins before you bench with some strong bands and you might notice a difference... also keep those elbows in as you stated...

i know before i started those bands... military press killed my left shoulder...those stretches really work that rc... and you might really notice a big difference in pain~no pain...
 
Aside from of course getting a diagnosis....Just train whatever doesn't hurt it. If tucking your elbows is an issue, when you get a clean bill of health, learn to tuck them, even if it means using just the bar and working up.....if you still can't tuck them properly, switch to close-grip (~16") until you can tuck.

Make sure to ask a sports doc or an orthopedist with experience with ATHLETES.....ask the wrong Doc and you'll either get "stop lifting" or "use the Smith" or some other equally gay answer.....or they'll give you a bunch of 1000mg Ibuprofen horse tabs and send you on your merry way without addressing anything, then you can come back in 6 months to address a stomach ulser along with your now totally unfunctional shoulder, lol/jk.

It is most likely nothing and related to flaring the elbows.....but better be armed with a diagnosis than be screwed in the long-term.
 
BiggT said:
Aside from of course getting a diagnosis....Just train whatever doesn't hurt it. If tucking your elbows is an issue, when you get a clean bill of health, learn to tuck them, even if it means using just the bar and working up.....if you still can't tuck them properly, switch to close-grip (~16") until you can tuck.

Make sure to ask a sports doc or an orthopedist with experience with ATHLETES.....ask the wrong Doc and you'll either get "stop lifting" or "use the Smith" or some other equally gay answer.....or they'll give you a bunch of 1000mg Ibuprofen horse tabs and send you on your merry way without addressing anything, then you can come back in 6 months to address a stomach ulser along with your now totally unfunctional shoulder, lol/jk.

It is most likely nothing and related to flaring the elbows.....but better be armed with a diagnosis than be screwed in the long-term.
this is very important...my first doc was like stop lifting and just stretch,....and if you need to exercise only go extremely light to go through the motions....fawking ass clown.
 
good advice so far guys, my only problem is I don't have insurance right now. I'll back off them completely, and sub them for inclines, or maybe try declines like slaughter suggested, will take a few weeks to get everything back in routine. And I will definately stretch them longer than other body parts.
 
ZGzaZ said:
good advice so far guys, my only problem is I don't have insurance right now. I'll back off them completely, and sub them for inclines, or maybe try declines like slaughter suggested, will take a few weeks to get everything back in routine. And I will definately stretch them longer than other body parts.
yeah... only do what doesn't hurt...biggt is prob right...it's prob nothing. stretch and do what ya gotta do and hopefully the pain goes away
 
jpt said:
yeah... only do what doesn't hurt...biggt is prob right...it's prob nothing. stretch and do what ya gotta do and hopefully the pain goes away

no doubt, btw..the new av looks good, looks like you dropped some body fat % from last avatar. Nice work bro!
 
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ZGzaZ said:
no doubt, btw..the new av looks good, looks like you dropped some body fat % from last avatar. Nice work bro!
thx bro...i actually haven't checked bf in a while. haven't had a specific goal in a long time...not sure if that's keeping me sane or keeping me from progress...either way i think the lighting was just right the moment that pic was taken lol
 
i had some tor cuff issue ... stretch your pecs and lats, you propably havent and they may be tight and pulling you shoulder ... i have struggled with it for 6 months and now started to stretch my pecs it has scaled back a little.

Worth a try, good luck
 
yeah read that article and the rest of posts below, and follow the links in some of those posts

basicly your suffering from impingemnet, that active impingement test
here will confirm it
http://www.t-nation.com/readTopic.do?id=818555

you probbaly want to stop all lat and bench and press work asap!
then follow pahse one in that article

plus stretch side of neck/upper traps, lats, pecs, and rotate shoudlers abck and down daily

add in scapular pushups and dips to strengthen the serratus anterior

see these articles too - read all parts

http://www.t-nation.com/readTopic.do?id=472224
good stuff, filled with exercies such as scapular pushups that will fix up your posture and thus your cuff/shoulders

part 5
http://www.t-nation.com/readTopic.do?id=535872

and shoulder saver article
http://www.t-nation.com/readTopic.do?id=1053531


everyone should bookmark these articles so I don't have to keep repeating myself!!!!
 
good, you have the right amount of shoulder mobility

how do you go with the impingement test?

do your thumbs point straight ahead when you stand completely relaxed after a deep breath?
 
I will put my 2 cents worth in here, im no doctor but have a bunch of experience with injuries. In fact, over the last twenty years, i would hazard to guess that I have had more injuries than most other 10 lifters put together. A couple of decades of competitive wrestling, scottish highland games, powerlifting, and olympic lifting done both without a coach most of the time, and hell bent for leather to improve at ANY cost will do that to you. multiple torn ligaments in both knees, several shoulder dislocations, torn rotator cuffs in both shoulders, completely torn pec, broken and smashed toes, that is just a small start to the list.

First thing is, most injuries heal if you leave them alone. Thats a fact.

If you train hard enough for long enough, you are likely to undergoe some sort of injury, thats also a fact. And with or without surgery, once you injure something, it is unlikely to ever be quite the same. another unfortunate fact.

But heres the thing. 95% of the stupid stuff we do to ourselves in the weightroom can be trained around if we are smart. And 95% of the time, in the end it doesnt really effect the outcome of our training much if we are smart.

If you have the cash or the insurance get it checked out, never hurts. I never did. never had money or insurance, so I had to train around stuff. sometimes I did it smart, sometimes i did it stupid. For instance, the morning after I completely tore my right pec in half, tore the pec at about 10pm at night and trained again at 8am the next morning, I snatched 308lbs. It hurt, but I was determined to not let the injury interfere with my training cycle so I just ignored the injury and went on training. That was stupid. On the other hand, I also at one point squatted 606lbs for a set of 11 (supposed to do 10 but the video later showed I had lost count) with no belt, no wraps, high bar completely ass to ground and close stance even though I had a couple of torn knee ligaments and severe tendonitis and calcification of the left patellar tendon. I did that by being smart, using exercises like the reverse hyper and the good morning and various other things to build the squat without actually having to squat heavy all the time and aggravate my knees. you get the picture.

my advice is to STOP immedietly doing the flat bench. You are not going to lose muscle by stopping benching. Sure you will get temporarily less "skilled" at the bench press, but nothing that wont come back quickly with a little practice. If it hurts, dont do it. switch for a couple of weeks to inclines and military press, exercises that evidently dont hurt. After a couple of weeks maybe try some light benches. see if they hurt.

who knows, you might never be able to bench heavy all the time again. you might still be able to move the bench poundage up though. Kind of like my squat, you might be able to do dumbell benches, military or push press, and inclines heavy, practice light benching every week, and once a month or so do a heavy set of 5 or something and continue to get stronger.

play it by ear and be smart. once the inflammation goes down from whatever is wrong, all may be well and you may have no further problems. these things have a mind of their own and you are basically along for the ride. Be smart, train around it, and youll get to the the end of the line just fine.

Another couple of quick notes. I went for about 3-4 years without being able to raise my right arm above shoulder level because of pain, pain caused by injuries to the shoulder in high school wrestling. I honestly probably couldnt have done a shoulder lateral with more than a 15lb dumbell. this was roughly from the time i was 17 years old to the time i was 21 years old. each rep I ever did on the bench press was very, very painfull. but at the beginning of this period i bench pressed between 275 and 300lbs. at the end of this period i did a 400lb bench press in competition without a powerlifting "bench shirt". At about 25 or 26 years old i bench pressed 512lbs, with completely pain free shoulders, completely lifetime natural and also with no powerlifting "bench shirt". this was done in competition so there was a pause on the chest. At the age of 32 I military pressed 392lbs very strictly very easily also with no shoulder pain. At that age I also did a 440lb push press, also with healthy shoulders. I just mention this to give you hope. I was an idiot and overcame what was most likely a much worse injury than you have. Your getting some good advice and should do much better.

and i promise this time, last thing. this is to those who would say that training balls to the wall and getting injured here and there along the way is stupid and you will regret it. bullshit.

for one thing, at 36 years old, even without training seriously or steadily (honestly without training much at all for the past 3 years) I can still walk up to 400lbs and deadlift it for a set of 20 with no warmup. stupid yeah, but it impresses the newbies and mullets. I can still do things most people cant. I still weigh about 270lbs on a 6'2" frame and still look at least kind of "big". Not like I used to look, but again, at least enough to impress the "newbies" and mullets. I go thru life in better shape than those who have never trained. I am in better shape than those who have never trained, and can physically do things they cant.

Do I have some aches and pains? yeah. but listen to those who have never trained and never done anything. all the complaining about back pain and whatever else their atrophied bodies have going wrong makes me a bit sick. I have a lot less wrong with me than your average couch potatoe who never actually used his body.

Might I pay for what I have done at some point 20 years in the future? Sure I might. but I tell you what, it was worth it. I pushed my limits. I might not have gotten quite to the point I wanted to, but damn I got all I could out of my body, and I believe that with all my heart. It was a fun ride. It was a great ride. It was worth it. Physically at least, I LIVED!!! who wants to go thru life and tell the grandchildren, "yeah, if i had wanted to, I could have benn great". Ill never say that. I knew what I wanted and I gave it my best shot. gave it all I had. I will grow old KNOWING what I had in me, never wondering.

Ill get off my soapbox now. I guess this thread struck a coard in me.

Be smart and youll laugh about this in 5 years, if you remember it at all.

Glenn
coolcolj said:
good, you have the right amount of shoulder mobility

how do you go with the impingement test?

do your thumbs point straight ahead when you stand completely relaxed after a deep breath?
 
glennpendlay said:
I will put my 2 cents worth in here, im no doctor but have a bunch of experience with injuries. In fact, over the last twenty years, i would hazard to guess that I have had more injuries than most other 10 lifters put together. A couple of decades of competitive wrestling, scottish highland games, powerlifting, and olympic lifting done both without a coach most of the time, and hell bent for leather to improve at ANY cost will do that to you. multiple torn ligaments in both knees, several shoulder dislocations, torn rotator cuffs in both shoulders, completely torn pec, broken and smashed toes, that is just a small start to the list.

First thing is, most injuries heal if you leave them alone. Thats a fact.

If you train hard enough for long enough, you are likely to undergoe some sort of injury, thats also a fact. And with or without surgery, once you injure something, it is unlikely to ever be quite the same. another unfortunate fact.

But heres the thing. 95% of the stupid stuff we do to ourselves in the weightroom can be trained around if we are smart. And 95% of the time, in the end it doesnt really effect the outcome of our training much if we are smart.

If you have the cash or the insurance get it checked out, never hurts. I never did. never had money or insurance, so I had to train around stuff. sometimes I did it smart, sometimes i did it stupid. For instance, the morning after I completely tore my right pec in half, tore the pec at about 10pm at night and trained again at 8am the next morning, I snatched 308lbs. It hurt, but I was determined to not let the injury interfere with my training cycle so I just ignored the injury and went on training. That was stupid. On the other hand, I also at one point squatted 606lbs for a set of 11 (supposed to do 10 but the video later showed I had lost count) with no belt, no wraps, high bar completely ass to ground and close stance even though I had a couple of torn knee ligaments and severe tendonitis and calcification of the left patellar tendon. I did that by being smart, using exercises like the reverse hyper and the good morning and various other things to build the squat without actually having to squat heavy all the time and aggravate my knees. you get the picture.

my advice is to STOP immedietly doing the flat bench. You are not going to lose muscle by stopping benching. Sure you will get temporarily less "skilled" at the bench press, but nothing that wont come back quickly with a little practice. If it hurts, dont do it. switch for a couple of weeks to inclines and military press, exercises that evidently dont hurt. After a couple of weeks maybe try some light benches. see if they hurt.

who knows, you might never be able to bench heavy all the time again. you might still be able to move the bench poundage up though. Kind of like my squat, you might be able to do dumbell benches, military or push press, and inclines heavy, practice light benching every week, and once a month or so do a heavy set of 5 or something and continue to get stronger.

play it by ear and be smart. once the inflammation goes down from whatever is wrong, all may be well and you may have no further problems. these things have a mind of their own and you are basically along for the ride. Be smart, train around it, and youll get to the the end of the line just fine.

Another couple of quick notes. I went for about 3-4 years without being able to raise my right arm above shoulder level because of pain, pain caused by injuries to the shoulder in high school wrestling. I honestly probably couldnt have done a shoulder lateral with more than a 15lb dumbell. this was roughly from the time i was 17 years old to the time i was 21 years old. each rep I ever did on the bench press was very, very painfull. but at the beginning of this period i bench pressed between 275 and 300lbs. at the end of this period i did a 400lb bench press in competition without a powerlifting "bench shirt". At about 25 or 26 years old i bench pressed 512lbs, with completely pain free shoulders, completely lifetime natural and also with no powerlifting "bench shirt". this was done in competition so there was a pause on the chest. At the age of 32 I military pressed 392lbs very strictly very easily also with no shoulder pain. At that age I also did a 440lb push press, also with healthy shoulders. I just mention this to give you hope. I was an idiot and overcame what was most likely a much worse injury than you have. Your getting some good advice and should do much better.

and i promise this time, last thing. this is to those who would say that training balls to the wall and getting injured here and there along the way is stupid and you will regret it. bullshit.

for one thing, at 36 years old, even without training seriously or steadily (honestly without training much at all for the past 3 years) I can still walk up to 400lbs and deadlift it for a set of 20 with no warmup. stupid yeah, but it impresses the newbies and mullets. I can still do things most people cant. I still weigh about 270lbs on a 6'2" frame and still look at least kind of "big". Not like I used to look, but again, at least enough to impress the "newbies" and mullets. I go thru life in better shape than those who have never trained. I am in better shape than those who have never trained, and can physically do things they cant.

Do I have some aches and pains? yeah. but listen to those who have never trained and never done anything. all the complaining about back pain and whatever else their atrophied bodies have going wrong makes me a bit sick. I have a lot less wrong with me than your average couch potatoe who never actually used his body.

Might I pay for what I have done at some point 20 years in the future? Sure I might. but I tell you what, it was worth it. I pushed my limits. I might not have gotten quite to the point I wanted to, but damn I got all I could out of my body, and I believe that with all my heart. It was a fun ride. It was a great ride. It was worth it. Physically at least, I LIVED!!! who wants to go thru life and tell the grandchildren, "yeah, if i had wanted to, I could have benn great". Ill never say that. I knew what I wanted and I gave it my best shot. gave it all I had. I will grow old KNOWING what I had in me, never wondering.

Ill get off my soapbox now. I guess this thread struck a coard in me.

Be smart and youll laugh about this in 5 years, if you remember it at all.

Glenn

Some awesome stories and advice Glenn, I've decided to go the way you recommend. Hit inclines on Monday and Friday, and at first try dumbell flats and see how those feel, if they hurt, then back off completely for a couple weeks, then resume again very light with elbows even more tucked. Thank you for the stories and post!
 
coolcolj said:
good, you have the right amount of shoulder mobility

how do you go with the impingement test?

do your thumbs point straight ahead when you stand completely relaxed after a deep breath?

CoolColJ, I just did the impigement test, and I have a full range of motion in that also, my elbow rises well above parallel with no pain, what does this suggest?
 
ZGzaZ, have you tested your strength at external rotations as discussed in Poliquin's article Achieving Structural Balance? See Table 1 for "Optimal Strength Ratios". I think this is covered a bit in some of the links that coolcolj posted, just thought I'd bring it up since strengthening RCs seems especially important and many are deficient here.

Glenn, great post. I (fortunately) don't have nearly your experience with injuries but really agree with the point that those who are active suffer less than the couch potatoes. Case in point is a guy whose journal I've been reading lately, who arrived at his mid 20s skinny and with a back that hurt and was always popping and cracking. Started lifting hard, 4 years later his back doesn't hurt and he's closing in on a 700 lb deadlift. Seems to be the kind of thing that a lot of folks experience.
 
ZGzaZ said:
CoolColJ, I just did the impigement test, and I have a full range of motion in that also, my elbow rises well above parallel with no pain, what does this suggest?


well then your lucky, which is kinda strange.

it looks like it's not a cuff issue, so you should be ok after a period of time

but yeah I woudl suggest you start strengthening your external rotations if you haven't and maintain you current range of motion, don't even let it decrease like I did....

and add some scapular pushups or just fully extend the pushup at the top if yoru already doing em
 
This won't be popular on this board, but if you are any kind of athlete (sports, not weight lifting - that is training) STOP doing flat bench. PERIOD. Anything you use your shoulders for is fucked once you tear your rotator cuff... until you A. find a competant shoulder surgeon (which there are about 5 of in the US) then complete a long rehab. But thats just the baseball player in me talking.
 
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