TL Health and Fitness Initiative 2011 - Page 564

2. What exercises hurt? Which shoulder articulations hurt?
http://www.exrx.net/Articulations/Shoulder.html

I think I answered this. Only horizontal pressing- similar to the bench press. Rowing is fine, vertical pressing or pulling (up or down) is fine. Swinging the arms up, as would be done in a snatch actually feels -good-. Any rotation is fine.

3. What type of pain is it? Burning? Ache? Tingling? Sharp?
Consistently, a burning sensation. More intense as the arms are extended forward (it's worse typing than hanging by my side walking, for example.) If I try to actually make a pressing motion (quick forward extension) it's a sharp pain across the area marked orange in the picture (front delt)

4. What would you rate the pain at on a 0/10 scale? 0 being no pain, 10 being go to the emergency room. The burning, a one or a two. The shooting extension makes me wince; it's worse in the mornings then gets better as the day goes on. Probably a 5 in the mornings? I'm pretty bad with pain; I was hospitalized around 9 years old with several record-size (for the hospital) kidney stones, and since then nothing much has hurt "a lot". I would have called those an 8 or 9?

5. Acute or chronic (chronic more than ~4 weeks)? What date was onset? How has the pain improved since the initial injury?
I think I answered this. It's become more constant and more serious since I initially "over stressed" (I think that was the problem) the shoulder in mid august, one month ago. It's only recently (within a week or so) become a constant thing.

6. Have you been training through pain? If so, how long?
Extremely limited bench press. Once a week or so, and that hasn't bothered it. I haven't benched since last week when it started to become a real problem.

7. How deep is the pain? Is it more superficial tissues? Or does it seem to be more inside or around the joint? Describe it.
Definitely inside and around the joint for the ache/burn. The shooting pain feels to be in the muscle above the joint.

8. What have you been doing for recovery purposes?
Decreased workload, Ice, advil/aleive. I find it helps as well when I walk with better posture - shoulders back. I've been working on that all summer, and it's becoming a natural thing for me.

9. What seems to help? What seems to make it worse? Is it constant? Does it increase/decrease with certain activities?
The weight involved in the pressing motion has no effect. there is almost constant low-level burning, but only to the point I notice it if I have nothing else to do. Better posture helps. Ice helps temporarily. Stretching the shoulder as would be done in a snatch helps. Massage of the muscle (front delt) in the mornings helps.

10. Check the tissue quality of the surrounding muscles. Which ones are tight? Which ones are tender? Is there any swelling?
No tightness or tenderness at the moment. A little soreness in the traps from yesterday's workout/rugby, but that seems to be unrelated.

11. How does it feel after exercise (if any)? How does it feel at the beginning of the day? How about the end of the day?
Significantly worse in the mornings than at night. Other than shooting pain during the bench motion, no effect from a workout - neither better or worse immediately after setting down the weight.

12. Any previous injury history?
Not to the shoulder area.

13. How's your posture?
Quite good now, having worked on it seriously for several months. Both in the lower and upper back, although it was bad throughout my childhood and teenage years.

14. What is your current workout routine for that bodypart? Do you play any sports?
During the initial stress, 4x bench/week. Afterwards, I was Barbell benching 1x/week, and DB benching on a slight incline 1x/week. In addition, Push presses 2x/week, I've just started practicing jerks 2x/week (same time the pain started to get worse, but jerks themself don't bother it). Rows 2x/week, chinups 2x/week, pc 2x/week, pullups 1x/week, deadlifts 1x/week. Rugby started three days ago, prior to that no sports for the last four months.

15. Any other information I should be aware of or that comes to mind that may help?
I have a prednisone prescription I was just given after a bee sting. I took one tablet two weeks ago, but was then advised not to continue taking it, because there was not a serious reaction to the bee sting, only a mild one. I still have 9 10mg tablets that were not used.

Also I am apparently mildly allergic to bee stings.