Monday, July 11, 2011

Shoulder impingement

Originally I was going to do this 7 days a week, but I think I'm going to take Saturday and Sunday off.

"Shoulder impingement" is a garbage diagnosis for pain. It doesn't signify exactly what's going on in the shoulder but it generalizes something gets impinged. That's it. Click here to read some of Weingroff's thoughts on sciatica and shoulder impingements.


Here are some factors that may influence the diagnosis from "Human Kinetics"
"Several factors can contribute to shoulder impingement. Structural or anatomic abnormalities might result in a narrower subacromial space. For example, some people are born with a curved or hook-shaped acromion that narrows the subacromial space. With aging, development of AC joint arthritis and bony spurs underneath the acromion can also narrow the subacromial space. The less room there is for the rotator cuff and bursa to travel, the more likely it is that these structures get pinched during shoulder motion.

A second factor is inflammation. Overuse or repetitive irritation of the rotator cuff underneath the acromion can lead to inflammation and swelling of the rotator cuff tendons and overlying bursa (tendinitis and bursitis). Not only are the inflamed tendons and bursa painful, but pain is aggravated when these inflamed and swollen structures get pinched or impinged underneath the acromion during overhead motions.

A third factor is shoulder instability, especially in young athletes. If the structures of the shoulder are ineffective in stabilizing the humeral head within the socket (glenoid fossa) during overhead motions, the humeral head might migrate upward out of the socket, causing impingement. Underlying shoulder instability is likely a primary cause of impingement symptoms in young athletes."

Click here to read more.

Saturday workout
WS4SB Day 5
A. Max 16" box squat, cambered bar, 90x3, 140x3, 160x3 170x3 (wts do not include bar wt) Very interesting how with the cambered bar you realize how much upper body momentum you use to get out of the bottom of a squat.
B. Db rev lunge 40# 3x12
C. Rev Hyper 3x12 50#,70#,90#
D. Ab Circuit 3x10 dragonflags, ghd sit-ups, ab wheel (limited Rom on all because still sore from TTB and feeling like I was going to get a hernia).

Monday workout
WS4SB Day 7
A. 2 board press (actually 1/2 foam roller on chest) 235x3
B. 12" incline bench 55# 2x15 (need heavier)
C1. BB row 155# 4x8
C2. T's 12" incline 10# 4x12
D. BB shurgs 155# 4x12
E. Hammer curls 25# 4x12

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