General fitness, health and nutrition · Public discussion

Help Diagnosing & Treating Shoulder Pain

Started by Jim Haselmaier · · Last activity · 6 posts · 2,999 views

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General fitness, health and nutrition
Published
30 September 2003
Last activity
1 October 2003
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Jim Haselmaier
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  1. I started swimming a couple of months ago as an alternative to running. My previous sports (running
    and biking) required no upper-body work, so my arms and shoulders are pretty scrawny. I've been
    swimming 4-5 times / wk. I started out doing about 600 yds/session and have recently gotten up to
    about 1,200/session. When I started I breathed right-side only, but have been breathing bilaterally
    for the last 4-6 weeks.

    I've developed pain in the front of my left shoulder. The point in the stroke where I probably feel
    it the most is as my arm is exiting the water. It tends to be sore throughout the day on swim days,
    although is less on days I don't swim.

    Is it possible to determine in a forum like this is from over-use or bad technique? I have a friend
    that is going to look at my stroke. But I suspect I increased distance too quickly so I need to let
    things rest, and then get back into it at a more moderate ramp.

    Any comments?

    Jim

  2. "Jim Haselmaier" <[email hidden]> wrote in message
    news:W8%db.634764$o%2.291947@sccrnsc02...

    Quoted message said:

    I started swimming a couple of months ago as an alternative to running.


    My

    Quoted message said:

    previous sports (running and biking) required no upper-body work, so my


    arms

    Quoted message said:

    and shoulders are pretty scrawny. I've been swimming 4-5 times / wk. I started out doing about 600
    yds/session and have recently gotten up to


    about

    Quoted message said:

    1,200/session. When I started I breathed right-side only, but have been breathing bilaterally for
    the last 4-6 weeks.

    I've developed pain in the front of my left shoulder. The point in the stroke where I probably
    feel it the most is as my arm is exiting the


    water.

    Quoted message said:

    It tends to be sore throughout the day on swim days, although is less on days I don't swim.

    Is it possible to determine in a forum like this is from over-use or bad technique? I have a
    friend that is going to look at my stroke. But I suspect I increased distance too quickly so I
    need to let things rest, and then get back into it at a more moderate ramp.

    Any comments?

    Jim

    Overuse, stroke technique, lack of conditioning, possibly a bit of tendonitis. Your muscles getting
    tight, and squeezing the tendon that attaches the top of the bicep. The pain is most likely your
    upper bicep attachment getting irritated and inflamed. Considering that you mentioned that
    previously you haven't done a lot of upper body work, in addition to the irritation, you may be
    straining that tendon. As your arm is in a position down next to your body, and swinging upwards, is
    when there is the most tension in that part.

    Breathing on both sides helps your shoulders, because it works your sides more evenly. Also, do a
    lot of stretching, so that the muscles aren't close to spasms, and pushing on that tendon even more.
    Check your stoke technique, make sure you're not twisting your shoulder and arm in an unnatural
    position, and adding stress to that area, that is very tight to begin with (anatomically). Your
    tendons in your upper body could also be little weaker than your muscles, and tendons take longer
    time to heal and strengthen, so give your shoulders plenty of rest.

    Find an anatomical chart online, and study up how the bicep attaches at the upper end, you'll see
    the tendon snaking under couple of other muscles. When you throw your arm too far back, you pinch
    the tendon between the bone and the muscle that is on top of it (I think it's the pec attachment
    that is above it). Do that few hundred times every other day, it's gonna get irritated and hurt,
    even more so if the tendon is being strained by the new exercise.

    Watch the way your arm enters the water, are you placing your hand thumbs first? Don't do that. Hand
    should go in middle finger first. Thumbs first adds to the 'unnatural' position strain in your
    shoulder. If you never swam before, exercise related aches and pains in the upper body do feel
    different than the muscle pain from lifting weights. Lot of smaller muscles at work, and a lot of
    tendon action. They need extra time to build up strength.

  3. Here's a link below to a site with some information and you can also do a Google group search under
    this newsgroup for threads on "impingement", "shoulder pain", etc.

    physsportsmed.comkammer.htm

    Steve Curtis

  4. Jim Haselmaier said:

    I've developed pain in the front of my left shoulder. The point in the stroke where I probably
    feel it the most is as my arm is exiting the water. It tends to be sore throughout the day on swim
    days, although is less on days I don't swim.

    Is it possible to determine in a forum like this is from over-use or bad technique? I have a
    friend that is going to look at my stroke. But I suspect I increased distance too quickly so I
    need to let things rest, and then get back into it at a more moderate ramp.

    The most likely cause is that you are doing open turns (ie not flip turns), and you always coast
    into the wall on your left side and grab the wall with your left hand. Then you use your arm as a
    lever to lift your body through the turn. This places a lot of tork on your shoulder. The solution
    is to learn flip turns. In the meantime, don't grab the wall and lift your body. Just touch the wall
    underwater with your fingertips, let your legs curl under your body and then plant your feet on the
    wall and push off.

    The scond most likely cause is that you are beginning your pull too early in the stroke. The result
    is that your hand and forearm are pushing down instead of pulling back. Again you are placing a tork
    force on the shoulder. To correct this, reach over the barrel. ie when you swing your arm forward,
    keep the elbow very high and imagine you are reaching over a barrel as you drop your hand and
    forearm into the water. Let your hand spear down over that barrel before beginning the pull back.

    martin

  5. Thanks for all the info.

    Jim

    "Jim Haselmaier" <[email hidden]> wrote in message
    news:W8%db.634764$o%2.291947@sccrnsc02...

    Quoted message said:

    I started swimming a couple of months ago as an alternative to running.


    My

    Quoted message said:

    previous sports (running and biking) required no upper-body work, so my


    arms

    Quoted message said:

    and shoulders are pretty scrawny. I've been swimming 4-5 times / wk. I started out doing about 600
    yds/session and have recently gotten up to


    about

    Quoted message said:

    1,200/session. When I started I breathed right-side only, but have been breathing bilaterally for
    the last 4-6 weeks.

    I've developed pain in the front of my left shoulder. The point in the stroke where I probably
    feel it the most is as my arm is exiting the


    water.

    Quoted message said:

    It tends to be sore throughout the day on swim days, although is less on days I don't swim.

    Is it possible to determine in a forum like this is from over-use or bad technique? I have a
    friend that is going to look at my stroke. But I suspect I increased distance too quickly so I
    need to let things rest, and then get back into it at a more moderate ramp.

    Any comments?

    Jim

  6. "Jim Haselmaier" <[email hidden]> wrote in message
    news:<W8%db.634764$o%2.291947@sccrnsc02>...

    Quoted message said:

    I started swimming a couple of months ago as an alternative to running. My previous sports
    (running and biking) required no upper-body work, so my arms and shoulders are pretty scrawny.
    I've been swimming 4-5 times / wk. I started out doing about 600 yds/session and have recently
    gotten up to about 1,200/session. When I started I breathed right-side only, but have been
    breathing bilaterally for the last 4-6 weeks.

    I've developed pain in the front of my left shoulder. The point in the stroke where I probably
    feel it the most is as my arm is exiting the water.

    Are you "feathering" your hand at the end of the stroke? If you push straight back with your hand,
    you can get a "wring-out" effect in a small artery that feeds the shoulder. You need to rotate your
    hand as it approaches the surface of the water so that the pinky side is closest to the end of the
    pool that you are swimming away from, and thumb is in front. Even elite swimmers, such as Ian
    Thorpe, do this, so I wouldn't worry too much about propulsion.

    The other thing is what DaKitty said - never swim thumb down. On your breathing side, you should be
    able to see your palm. Enter pinky first, or at least with hand flat, not thumb down.

    Eric

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