Arm injury

henning horn

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Hi, I have had an injury which keeps coming back to me when I do alot of excersise. It has appeared when i have played tennis and done thaiboxing extensively and now it is stopping me from climbing as much as i want to. The problem is that I get a pain in my left arm after having climbed for a bit. The pain is situated right under the shoulder (on the top of the arm) and it travels down towards the elbow. It makes my whole arm feel extremely weak. It has sometimes been felt under the tricep muscle and sometimes closer to the bicep. I am wondering what kind of training one can do to prevent this kind of injury.' thanks henning

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Bjoern Alber

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Hi Henning This is most likely a rotator cuff insufficiency - that is the 4 muscles that make up the "rotator cuff" -keeping the large ball of the upper arm bone rotating on the small joint surface of the shoulder blade- are not in balance with each other. Most commonly it is the Supraspinatus muscle - situated on the upper portion of the shoulder blade (Scapula) with a flat long tendon extending under the high point of the collar bone (Clavicle) and inserting in the inner upper part of the upper arm bone ( Humerus). This will make movements uppwards and outwards (like trowing a ball) painful - the shoulder will be weak and unstable. You will need to stretch your supraspinatus muscle religiously and then streghten it with spcific training. My best advice is to get proper hands on instruction from a physioterapist so you get it right the first time - print this and show it to the terapist Remember - most important - I can only make an educated guess - you should get a sports medicine trained MD to examine and diagnose your injury - this will avoid loosing a lot of time trying remedies for something you actually don't have Best of luck Björn