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Dr 8a

Chronic shoulder pain

I'm a 29-year-old climber (mostly sport climbing and bouldering) who's been battling on-again-off-again posterior shoulder pain since about 2005 (I started climbing in 2000). The pain is an aching, hard-to-pinpoint pain all around the left scapula and posterior shoulder that builds gradually during a climbing session and is most noticeable (at first) during rests between climbs/problems. The pain seems to be more correlated with volume and frequency of climbing than intensity of movement: it doesn't happen every time I climb but is much more likely if I'm climbing regularly than if I'm taking 2-3 days off between days of climbing. The pain typically subsides after an hour or two of rest but can remain noticeable as a low-level soreness for days. On light-pain days, it tends to respond relatively well to ibuprofen. I've seen several PTs and orthopedic specialists over the years and have tried a host of shoulder-stabilizing exercises and stretches. The ortho I saw several times last year suspected a torn labrum, but my MRI showed no evidence of a torn labrum, just an area of persistent inflammation in the area of the supraspinatus. A steroid shot, followed by a period of rest, physical therapy, and more shoulder stabilization exercises, seemed to keep the pain at bay for several months. Once I started increasing the frequency of my climbing/bouldering sessions to more than once every three days, however, the pain returned. For bouldering season (winter here in North Carolina), I was able to minimize the frequency of painful sessions by always taking two days off between sessions. Now, however, even that strategy seems to be failing despite continued attention to shoulder stabilization exercises and stretches. Although climbing infrequently is better than not climbing at all, not being able to climb more than once every three days makes it virtually impossible to take a weekend roadtrip. Any ideas?
I´ve been with a shoulder pain last few mounths but at the end I´ve realized it´s due how I ussually sleep, I´m sure is not really your problem but this advice maybe help you... put a slim pillow under your arm (just a little) when you are sleeping and try not to turn to the side of the injured shoulder...the pillow have two goals: 1- keep the arm more stable and avoid contact between the bone and tendon when the muscle get relaxed. 2- and avoid you to turn to the injured side when you are asleep. good luck dude!!!
Hi  I would have to agree that this most likely is a labrum injury - maybee a second opinion with a shoulder specialist versed in atroscopic examination would do the trick. Labrum injuries are infamed for being persistent and hard to heal. A physician with a handball or baseball team experience would have the nessecary qualifications Björn
Thanks Dr 8a, for replying to all these various injury threads. I find your comments to be the most useful of any of the 8a posts. I'd much rather see your constructive advice re: injuries, therapy, preventative exercises, and training tips than another debate of ratings etc. Thanks for all the good advice!
Pain іѕ part оf life but whеn іt bесоmеѕ frequent аnd regular, іt muѕt bе dealt wіth decisively. Yоu muѕt find ways іn whісh tо alleviate thе pain оr eliminate іt altogether. Thе treatment fоr chronic shoulder аnd neck pain hаѕ eluded mаnу people bесаuѕе оf thе sensitivity аnd complex nature оf thе body parts. Yоur shoulders mау bе subjected tо а lot оf stress whеn уоu uѕе уоur hands оr shoulders tо bear heavy burdens. Arthritis іѕ а major саuѕе оf shoulder pain іn people оf аll ages but еѕресіаllу adults. Due tо thе nature оf work thаt уоu mау bе doing, уоu соuld bе vulnerable tо shoulder pain. Neck pains аrе а result оf years оf turning уоur neck аѕ thе process wears оut thе cartilages cushioning уоur neck bones. Medical complications ѕuсh аѕ nervous complication саn аlѕо mаkе уоu develop shoulder аnd neck pains аnd thіѕ hарреnѕ whеn thе discs bесоmе dry аnd constrict thе spinal column space whеrе thе nerves protrude. Yоu саn uѕе painkillers оr opt fоr alternative shoulder аnd neck pain relievers ѕuсh аѕ acupuncture. adhesive capsulitis treatment 
Dear Edwin, I faced the same problem. I started climbing in 2010 and by the end of 2011 I started feeling pain in my left shoulder. After injections and PT it started to get better when it started in my right shoulder in late 2012.  I spoke to a friend who had to stop climbing for half a year due to chronic elbow pain and he adviced me to train the antagonists. For me that basically meant doing push ups (in 5-8 different variations) every evening. Since I have started doing these Push Ups I feel way better  and don't experience pain anymore. I only have to be consequent and do the exercises every day and I will be fine. This procedure worked for me better than any PTs or injections and maybe it helps you as well.  krStefan