Shoulder to neck pain

Ando

Nep status
Mar 12, 2003
732
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the porkroll state
For quite a while I have been experiencing problems on my shoulder near where the wing bone is. The pain sort of hides underneath the bone and massage helps it but does not make it go away. The pain starts there and runs all the way up to my neck. It's extra painful when I sneeze. Do you think this might be caused by the way I paddle? Any ideas on cause or cure? Thanks.
 

JJR

Duke status
Mar 6, 2003
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Hunker down for the long haul ando! I have a very similiar injury, and it's just beginning to really heal(5 1/2) months later! Try having a weekly (deep) massage-jacuzzi helps also. Avoid straining exercises. You may have a strained rotator cuff or other part of the shoulder that I can't pronounce! These things just heal slow. Worse if you are over 30. <img border="0" title="" alt="[Frown]" src="images/icons/frown.gif" /> Good luck!
 

blakestah

Phil Edwards status
Sep 10, 2002
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Yeah - I get something like this too - mine is rotator cuff related. I do neck bridges and rotator cuff exercise and it helps a lot. The best RC exercise (for mine) is lying on the stomach, arm out sideways, hand pointing down, and rotating the forearm up until it is parallel with the ground (while holding 5 or 10 pounds).

I am guessing that if the rotator cuff doesnt' keep the shoulder in place well through the paddle stroke, it sets off a chain reaction.

Also, paddling on a bigger board is not nearly as bad, probably my arm is a little lower.

Lots of over-30 surfers have neck/shoulder probs.

HTH - try the rotator cuff exercise - I was unbelievably weak at it when I started.
 

GWS

Duke status
Jan 11, 2002
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There are two joints in the shoulder. The upper joint where the collarbone ties into the shoulder is the AC joint. The lower area is the rotator cuff area. The area you are describing sounds like the upper AC joint to me. I just had mine operated on. Problems in one area don’t exclude problems in the other area. It could be one or it could be both. I put up with pain for a long long time. After consulting with a few doctors it became obvious that the pain wasn’t going to go away with any kind of exercise or rehab. My rotator was fine. They took a few centimeters of bone out of both sides of my AC joint. Should be a no sweat 100% recovery. From what I have heard, problems in the rotator area can be harder to rehab after surgery.
 

R3W

Phil Edwards status
Feb 19, 2002
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This is probably unrelated to the specific problems you guys are talking about but when I was starting to develop some shoulder pain I did some web searches on swimmer's shoulder. I found some useful tips on how to change your stroke to help avoid/rehab the problem. The focus was on things like how far you should reach, how long your power stroke should be, which fingers to lead with as your hand hits the water, etc. etc.

Shortening my reach helped the most as I think my pain was related to pinching a tendon or bursa sac (or something else I can't remember) as I was paddling.
 

Ando

Nep status
Mar 12, 2003
732
2
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the porkroll state
Thanks for the advice. I think R3W may have the answer. It's almost as if I have a pinched nerve or like a ball or bundle of nerves.
I tried some of the rotator cuff excercise Blakstah recommended and they do seem to help ease the pain a little.
I will try not to paddle so hard and deep.. Yes I am 34. Guess i'm starting to age..
 
Jun 24, 2003
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Hi - with sympathy. The muscle is the supraspanatis - it is one of 5 that control your rotator cuff. It runs along the bone of your shoulder blade and up toward the neck. Yes when injured is causes pain up onto your trap and into the side of your neck. Tjis can also tighten up all the rotator cuff muscles.
Ice it. Lots. See a doc - get some PT to work out the injury and learn to regularly do exercises specifically to strenghten your rotator cuff. This is a common injury. It takes time and care to get ontop of. The right exercises work.Be careful you can get really hosed if you let it go.
 

SurfDoc

Michael Peterson status
Dec 19, 2002
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Some interesting ideas here. Not sure which is best. There are actually 4 muscles of the rotator cuff calledt the SITS muscles (supraspinatus, infraspinatus, teres minor, and the subscapularis).

I'm actually leaning more towards subscapularis problem. Since these limb injuries are so tough to diagnose a visit to the doctor might be warranted for evaluation of nonspecific soft tissue injury of the upper extremity.