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Shoulder pain

I am having trouble with my shoulder. I play baseball, and the pain in my shoulder begins after i throw the ball a couple of times. I stopped playing for at least three days, but the pain comes back after three or four times of throwing the baseball. While the pain is active, if I wait ten minutes it will go away, only to come back if i resume throwing. If I do backward circles, it will feel like a guitar string is being pulled when my shoulder makes about a 160 degree angle with my body.
Poster
  • Male | 18 years old
  • Complaint duration: 10 days

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Featured Answer

2 UpVoted this answer David W Anderson, DC Chiropractor, Santa Rosa Shawn Leatherman, BA, BS, DC Chiropractor, Mary Esther
1) Has shoulder been examined and X-rayed? If so what did they find?

2) If not step one exam and X-ray.

3) evaluation should include palpation to determine exact location of pain, I suspect it will be pinpoint tenderness at the origin and or insertion of a specific muscle.

4) calm down the inflammation, pine apple works well.

5) Reset the mechanorecptor which basically means one or multiple joints involved in throwing a baseball, wrist, elbow, shoulder all must accomplish the specific required elongation and contraction. Any failure in proper joint alignment sends aberrant afferent firing which leads to what you perceive as pain.

the body must put literally fire thousands of nerve pathways to accomplish task the properly throwing the baseball. What your brain perceives is the accumulative affect of aberrant mechano-receptors of muscle, joint, tendon, these nerve ending whether fast stretch, deep tendon reflexes, deep pressure. all combine to give you your precieved window of function or neurological dysfunction, depending on how you wish to look at it.

Anything we can do to help please let us know..
Abner Salas
1 UpVoted this answer David W Anderson, DC Chiropractor, Santa Rosa
If there's a dull ache at night more than likely a strained muscle. Supraspinatous is the most common rotator muscle I jured with pitching. Get an ultrasound of the shoulder to assess it for damage. Try laser, massage and or physiotherapy. Shockwave therapy can help for more chronic tendinitis and of calcific buildups. First get an exam, and imaging, then go from there. For now rest and ice, rest for 4-6 weeks as shoulder injuries can become chronic very easily.

Hope this helps.
Chris D. Senko
1 UpVoted this answer David W Anderson, DC Chiropractor, Santa Rosa
This sounds like a tendonitis issue, more than likely the supraspinatus tendon of the rotator cuff or the biceps tendon. You should be evaluated by a provider who deals with sports medicine disorders. Proper diagnosis would probably result in treatment such as appropriate soft tissue work, joint mobilization, PT modalities and shoulder/rotator cuff strengthening. The use of an NSAIDs or natural anti-inflammatories such as omega 3 essential fatty acids may speed up your response time. If conservative care fails after 2 weeks, imaging such as an MRI would be indicated.

Good luck
1 UpVoted this answer David W Anderson, DC Chiropractor, Santa Rosa
More than likely this is not a tendon or joint tear. Usually this will be an overuse injury involving the supraspinatus muscle and the subacromial bursa (i.e. bursitis). Rest alone will not cure this, and DO NOT get steroid injections which only give temporary and weakens the involved tissues. This needs to be evaluated by a Doctor of Chiropractic specifically trained in soft tissue methods of diagnosis and treatment such as transverse friction massage. A few sessions of that and you will be back to throwing like your old self.
1 UpVoted this answer David W Anderson, DC Chiropractor, Santa Rosa
Because you have pain brought on with activity, you may have an impingement type syndrome or possibly bursitis. Since you are young recovery from either problem should not be an issue, however reduction of activity may be needed while recovery takes place. Chiropractic care could help tremendously with this problem. Through manipulation, mobilization, myofascial release, and ancillary procedures the prognosis would be graded good to excellent!
Annette M. Clemente
It seems like there is an instability issue at the rotator cuff. Backward circles are great to loosen up and stretch muscles that are tight and overactive, but if you have an instability issue it won't help. Baseball players do a lot of overhead motion, this puts a lot of stress on the posterior shoulder girdle, often causing dysfunction at the scapula. More focus should be put into stabilizing the scapula to the rib cage. There are many exercises you can do that focus on your Serratus Anterior stability. Make sure you see a sports chiropractor, adjustments, muscle therapy, and strength and stability rehabilitation will keep you playing ball.
Here's a simple test to determine if it's muscle & tendon or ligament and joint.

It's established that you have pain with the throwing motion. Have someone else mover your arm in the same motion and see if it causes pain. If not, it's likely a sprain, strain or tear (to some degree) of muscle and/or tendon. If it does hurt when someone else moves it, you may have a disrupted ligament or sublimed shoulder/clavical.

Seek a chiropractor or PT experienced in sport therapy.
Pain only on activity is early stage tedonosis. A functional evaluation of the shoulder and neck could save you a lot of shoulder problems in the future and maybe even make you a better pitcher. Find a chiropractor with some shoulder testimonials that seem similar to your problem. The right doctor of chiropractic may be your pitching shoulder's secret weapon.
Given your age and activity, it's likely a tear of your labrum. Skip the xray. It's not a broken bone unless they're is some dangerous mechanism we are unaware of.

A good physical therapist will be able to test the stability of your shoulder. If the shoulder is unstable, an MRA (not MRI) will confirm the severity.
Throwing injuries are very common in baseball especially with pitchers and anyone else who throws a ball with force and speed. What generally happens in these cases is that due to the extreme motion required by the pitching the shoulder ligaments get stretched out. This creates instability and opens you up to subluxation ( a small dislocation) over and over to some degree. Your body is telling you that something is wrong. Once you have ligament problems you cannot recover the stability even with surgery. I have seen young athletes like yourself continue to play and end up with permanent instability of the shoulders and lose function. Think about this carefully for your future. Is the love of the sport worth giving up your shoulders?
Mary McHugh