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Dealing with a lingering neck/shoulder injury

Posted on 9/10/23 at 2:53 pm
Posted by VanRIch
Wherever
Member since Sep 2007
11769 posts
Posted on 9/10/23 at 2:53 pm
Been going to PT for it for a couple months. But since June it’s pretty much prevented me from doing anything with any weight over 10 lbs. I’ve lost a lot of muscle mass and it’s really affecting me mentally. I was in the best shape of my life. PT is helping but it’s been slow and every time I feel like I can get back in the gym, I take it VERY easy, like doing low weight machines only, I re-aggravate it and take 2 steps back. I pretty much can’t do ANY movement with my right arm that doesn’t fire it up. Is it time to get some imaging done to see what may be going on? I trust my therapist and what she’s doing but I’m just frustrated and want to get back to where I was. Or do I accept the fact that at almost 45, maybe it’s time to cut back the heavy weights. *sigh*
Posted by h0ll@yaboy
Baton Rouge
Member since May 2013
191 posts
Posted on 9/10/23 at 11:06 pm to
What do they have you doing in PT? Anything that mimics or replicates your workout routine? If not I would look for a more fitness focused PT. You aren’t to old the lift heavy, but may need help with adjusting the how you lift heavy
Posted by tke_swamprat
Houma, LA
Member since Aug 2004
11126 posts
Posted on 9/11/23 at 7:39 am to
Did you get an MRI of your cervical spine and/or shoulder? Typically insurance companies will approve after 4-6 weeks of PT.
Posted by Volt
Midway Island, N Pacific Ocean
Member since Nov 2009
3241 posts
Posted on 9/12/23 at 12:41 am to
What does the therapist think it is? Rotator cuff? Muscular? Labrum? Nerve impingement? Thoracic outlet syndrome?

Depending on what they think it is would/should be the focus of your treatment and/or need for imaging.
Posted by lsu777
Lake Charles
Member since Jan 2004
38031 posts
Posted on 9/12/23 at 7:40 am to
depends on a lot of things but imaging, if covered would absolutely be where i go. If you can find a pt that is also a strength coach, that helps too.
Posted by GhostofLesticleMiles
High Plains Drifter
Member since Sep 2019
1151 posts
Posted on 9/12/23 at 7:56 am to
Get an MRI ASAP. I have had issues with Cervical, Thoracic, and Lumbar spine. Mostly due to lifting really heavy all through college and training like a moron because I thought nothing could hurt me. Getting an MRI diagnosed all of my issues. Torn disc, bulging disc, etc. Take a step back and focus on finding out what is wrong, form a plan for recovery , and execute that plan. Be prepared for not getting the answer you want as well. As I have aged, I have taken the motto of "Lift smarter, not harder".
Posted by lsu777
Lake Charles
Member since Jan 2004
38031 posts
Posted on 9/12/23 at 8:24 am to
quote:

Get an MRI ASAP. I have had issues with Cervical, Thoracic, and Lumbar spine. Mostly due to lifting really heavy all through college and training like a moron because I thought nothing could hurt me. Getting an MRI diagnosed all of my issues. Torn disc, bulging disc, etc. Take a step back and focus on finding out what is wrong, form a plan for recovery , and execute that plan. Be prepared for not getting the answer you want as well. As I have aged, I have taken the motto of "Lift smarter, not harder".




yea alot of us did that as we were younger, luckily i got exposed to greg sheppard and the BFS program as a senior in HS and then in college to dante trudal and his DC program which helped me to understand things and then to Defranco so helped me to understand that you cant just go lifting balls to the walls with no warmup, no prehab and no movement quality at all. just doesnt work like that.
Posted by PrezCock
Florida
Member since Sep 2019
935 posts
Posted on 9/12/23 at 10:33 am to
If you feel that you are not making forward progress after 8+ weeks, get an MRI. Most soft tissue injuries (strain/sprain) you should be feeling a lot better and know that you are on the road to recovery after 6 weeks. Seeing that it is 8+ weeks since your injury, I would order an MRI.

Did the PT/Doc give you a diagnosis or signs/symptoms pointing to a specific dysfunction/pathology? Knowing this, and how the injury occurred, would be beneficial to giving you some decent advice. Without knowing those things, I would suspect something a little more substantial than a minor sprain/strain.
Posted by PrezCock
Florida
Member since Sep 2019
935 posts
Posted on 9/12/23 at 10:43 am to
quote:

yea alot of us did that as we were younger, luckily i got exposed to greg sheppard and the BFS program as a senior in HS and then in college to dante trudal and his DC program which helped me to understand things and then to Defranco so helped me to understand that you cant just go lifting balls to the walls with no warmup, no prehab and no movement quality at all. just doesnt work like that.


I started out the same way with BFS in the 90s, stuck with that for a little bit. I got introduced to the conjugate system when we had Louie Simmons come to my battalion in 2007 and gave a few classes on it. Been using it since.
Posted by lsu777
Lake Charles
Member since Jan 2004
38031 posts
Posted on 9/12/23 at 11:34 am to
(no message)
Posted by Kyrie Eleison
Waco, Texas
Member since Jul 2012
1587 posts
Posted on 9/12/23 at 10:14 pm to
have your PT considered a dislocated first rib?
Posted by VanRIch
Wherever
Member since Sep 2007
11769 posts
Posted on 9/16/23 at 12:05 pm to
My PT thinks it’s my neck, which I agree. But I have an MRI scheduled for early October. She’s a great PT but I think she’s a bit confused as to what the issue is. I am too. In my experience with injuries there’s one specific movement that I couldn’t do and it was a relatively easy to diagnose. This one, I’m having trouble with any movement in any direction.
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