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My labrum can't be healed; I forget the exact nature of the tear since there are different types of tear. I am not a candidate for surgery for multiple reasons (two different sports medicine practices, same opinion; I . Maybe one day there will be some sort of other treatment which insurance would pay for, but I am old and by then I'll be dead. The cortisone shots reduced the pain enough so I could at least put on a shirt and start PT; fortunately it's not the arm I use the most. I haven't been back to the doctor about it in over a year. The PT has been amazing and my shoulders now are stronger than in decades.
While I don't have a SLAP, I met younger people, that's most of the population on earth now, who have had the surgery and almost everyone says they still have pain and limited movement.
Point is, going back to the original post, there is a lot going on in the shoulder and a lot can go wrong; when pain persists a good look-see by a medical professional is warranted. I did not do that, but pushed through and it was the wrong decision.
It should also be noted that there are different kinds of cortisone shots and different ways they are administered. Cavaliere's videos are good, sometimes funny and in the video above he gives good insight as to why even the grip and angle can affect what's going on. He's an example of why I like a PT who goes to the gym; they know what you are talking about when you ask questions about a particular exercise and the equipment.
I have a posterior SLAP tear and was a candidate for surgery. In fact, it was pushed on me aggressively. But I declined. As of today, I have no limited movement and no pain. Yes, the tears are still torn. But other connective tissue and muscle probably strengthened to compensate.
With a lot of these orthopedic surgeries, there is actually no conclusive evidence they're good for you. If you think about it, it's incredibly hard to do a blinded randomized control trial involving these surgeries. Most are based on "common sense." But, the few of these surgeries that were tested (using 'sham' surgeries) have always shown they do more harm than good.
But going back to cortisone shots, it's impossible to do a blinded randomized trial with cortisone shots because everyone getting the cortisone shot will be unblinded due to the effects of the shot. But, all the shots do is reduce pain. If that's your goal, that's fine. It's good to understand they don't heal you in anyway.
Last edited by WaikikiWaves; 11-28-2023 at 08:37 AM..
Machines are generally not a good thing over time, as they are on set tracks; creating repetitive movements you can't work around.
You're much better off with cables, bands, and free weights.
While what this vid shows may not be the cause, as he states; the corrective exercises generally help with most issues. And stay away from upright rows, as the combination of internal rotation plus upright position is simply not a good movement; there are many other ways to work delts safely.
The last exercise is really good, you'll feel it; it's also a routine part of PT shoulder rehab.
I never heard of anyone in the gym getting injured from upright rows. Bench press, yes. Behind the neck press, yes. Squat, yes. Deadlift, yes. None of these are bad movements, just when pushed too far (too much weight, bad form) some people get injured.
Anyways, OP can try upright rows and see how he feels. If his shoulder hurts, don't do it. If he feels no pain, then why avoid it? If you want to strengthen your rotator cuff you need to put some stress on it in the internally rotated position.
As for machines, because of the instability of free weights, they can keep people on track and with good form. If you have problematic shoulders, I much rather see you in a machine doing shoulder pressing than pressing with dumbbells.
I never heard of anyone in the gym getting injured from upright rows. Bench press, yes. Behind the neck press, yes. Squat, yes. Deadlift, yes. None of these are bad movements, just when pushed too far (too much weight, bad form) some people get injured.
Anyways, OP can try upright rows and see how he feels. If his shoulder hurts, don't do it. If he feels no pain, then why avoid it? If you want to strengthen your rotator cuff you need to put some stress on it in the internally rotated position.
As for machines, because of the instability of free weights, they can keep people on track and with good form. If you have problematic shoulders, I much rather see you in a machine doing shoulder pressing than pressing with dumbbells.
You sound like an ACSM certified trainer, while vids were made by a sports med. doctor; and former strength and conditioning coach for the NY Mets. I'll leave it at that, as I do not wish to debate science; but rather assist the OP et al:
You sound like an ACSM certified trainer, while vids were made by a sports med. doctor; and former strength and conditioning coach for the NY Mets. I'll leave it at that, as I do not wish to debate science; but rather assist the OP et al:
Jeff Cavaliere is not a "sports med doctor" but a MS PT CSCS. Anyways, you can find on youtube people with credentials saying all sorts of things. If you want, I can pull youtube videos advocating the upright row. What I do know from experience is I never heard of anyone getting injured doing that movement.
PS
Jeff was called out in the fitness community because a lot of his lifts he does in his videos use fake weights.
Location: Formerly Pleasanton Ca, now in Marietta Ga
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I’ve had a cortisone shot in each shoulder. Both have severe arthritis and were in constant pain from years of heavy weight training. One shot has lasted three years and the other is on 10 months. Both game changers for me. I imagine both will be done again, but I try to avoid getting them unless needed.
It aches slightly when I raise my arm, but doesn’t hurt badly. When I do a chest fly where my arm is extended out and I push a weight forward, THAT is when the pain gets a bit sharper.
Your problem was possibly caused by extending too far on the chest fly machine. Virtually all of these machines allow you to set a range of motion that is too far. Set the machine so that your elbows are not going behind your shoulders.
I'm not critical of the chest fly machine. I was not able to build muscle in my chest doing bench presses alone. The chest fly machine allowed me to isolate the pectoral muscles. Just be careful with the machine settings.
Your problem was possibly caused by extending too far on the chest fly machine. Virtually all of these machines allow you to set a range of motion that is too far. Set the machine so that your elbows are not going behind your shoulders.
I'm not critical of the chest fly machine. I was not able to build muscle in my chest doing bench presses alone. The chest fly machine allowed me to isolate the pectoral muscles. Just be careful with the machine settings.
Your problem was possibly caused by extending too far on the chest fly machine. Virtually all of these machines allow you to set a range of motion that is too far. Set the machine so that your elbows are not going behind your shoulders.
Yes, that's a strong possibility.
After not exercising my arms for 5 days, my shoulder is started feeling a little better yesterday and slowly getting even better today. So looks like my shoulder needs rest and lots of it. It's still not 100% so need to lay off the weights a little longer.
After not exercising my arms for 5 days, my shoulder is started feeling a little better yesterday and slowly getting even better today. So looks like my shoulder needs rest and lots of it. It's still not 100% so need to lay off the weights a little longer.
Do some mobility work (stretching etc). That always helps me recover faster than just 100% resting alone.
Jeff was called out in the fitness community because a lot of his lifts he does in his videos use fake weights.
Yadda yadda
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