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Saturday, November 7, 2009

Can anyone tell me what my shoulder pain is?

I know for a fact it isnt a muscle because i have a very strong muscular rotator cuff.Ok so this is how i feel the pain. I am a pitcher for starters and i throw a good amount of the time. But i can still throw the baseball very hard. Say i am standing up and my arms to my side. I raise my arm forward in front parallel to the ground. When i turn my hand over like the palm facing outwards the pain occurs around the joint area. Please help
Answer:
When your arm is in front of you (parallel to the ground) and your turn it so that your hand is facing the sky, it's called "pronation."There are a number of things that could be wrong, and having a strong rotator cuff doesn't exclude the possibility that there's something wrong with the rotator cuff (although, there are about a billion other things that could be wrong, too).If you're on a sports team, you no doubt have access to an athletic trainer (who is, no doubt, supervised by a sports medicine physician).Consult the trainer -- he'll probably RICE it . . .Rest, Ice, Compression, Elevation.You may consider seeing an orthopedist, many of them specialize in treatment of sports-related injuries.
There are too many things that could be involved here. For one thing, if your rotator cuff is very strong, the imbalance could have injured the opposing tendon. You could have a small tear in it, or in one of the muscles of your upper arm. Your pitching arm is too important to not get it tended to right away, so check with the team doc ASAP.
Have you had an acute injury to it recently? A fall, hitting someone else's shoulder with yours? At any rate, just because you feel your rotator cuff is very strong, doesn't mean there isn't something wrong with it. I have just had surgery on my right shoulder. I, too, felt I had a strong shoulder. Such was not the case. When they did the MRI, with the dye in my shoulder, they saw a whole bunch of things wrong in there. I play hockey, and had taken a couple of good shots to the shoulder, and I have had the same pain you described. Three separate occasions. I didn't have it fixed after the first two times (STUPID! ) beacuse I thought the same as you. Now, just recently,I injured it again. The doctor told me had I had it fixed when the injury wasn't that bad, I wouldn't be in this position. Arm in a sling for 8 weeks, rehab for up to 9 months. Yes, I said 9 months. They found a completely torn rotator cuff, torn a c joint (separated shoulder grade 7) and a torn bicep muscle.Talk about pain. Go see a doctor, have an MRI, and be around to pitch for a long time. Take care of that arm! Don't make the choice for yourself. Leave it to the professionals.Good luck.Stevo.
Sounds a lot like tendinitis in the supraspinatus muscle, or possibly in the biceps tendon just before it attaches to your shoulder blade. When you rotate your arm the way you describe you are pushing the tendon into the acromion (on your shoulder blade) and since it is inflammed you feel pain. I am willing to bet you have strong rotator cuff muscles but you probably need to work on the flexibility of your shoulder...most pitchers have a tight posterior shoulder capsule which can alter the biomechanics in your throwing. Also, you should have your pitching mechanics examined (with slow motion video from the front and side) to make sure you do not have a flaw that could be placing undue stress on the shoulder.
Sounds like Rotator Cuff to me...or it could be tendonitis. You should have it checked out. By continually pitching, you can cause further problems. Apply ice to the area 3-4 times/day but do not place the ice directly on the skin. You can place a pillowcase or small towel over the area first. have you tried taking an Motrin/Advil ( Ibuprofen ). Definitely, see your Doc. I hope that this helps and Good Luck !!

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