SHOULDER REGION
Shoulders are rounded forward. The degree is pretty good. Go look in the mirror stand straight you will see that your knuckles on your hands face forward. You shouldn’t be able to see knuckles if you are facing the mirror, the knuckles should face out.
I can visibly see your rt levator scapulae is tighter then the left all the way up even into the neck. Which is why in my last post I thought your cervicals looked out of whack on the Aug 31st pictures. You have one post where your left trap feels especially sore (wicked sore is what u put). As you can see here again the right is tight, left is eccentric. Like my last post more then likely you will feel pain in the eccentric muscle over the concentric.
Also you sit at a desk all day… Meaning I’m sure you are looking at a computer and your posture is horrific. Is your desk ergonomically correct?!? If not look into it!
You have a slight forward head posture with slight thoracic kyphosis meaning upper back rounded…
Side information here… For every inch your head is forward your lower cervical vertebra in the neck are compressed by one time the weight of the head fatiguing the cervical vertebrae. The lumbar (ding ding ding) musculature must then work very hard to maintain erect posture.
I know I know you are like o.k. so I’m a f@ckin postural nightmare get to my d@mn shoulder… LOL
If I am reading everything right you impinged a muscle in your right shoulder.
Does the pain in this shoulder feel similar?
Let me tell you a bit about that rotator muscle… It’s a B!tch.
The muscle you speak of is Supraspinatous. It’s function is to stabilize the head of the humerus, and initiates abduction of the humerus. When this muscle is inflamed the tendon which dives under the bony part of the spine of the scapula called the Acromion process impinges the tendon and you get that lovely pain.
I think this is one of your culprits in this shoulder issue.
The other rotator I think involved is your Infraspinatous. This is the hidden B!tch.
The action of this muscle is to stabilize the head of the humerus again, lateral rotation and extension of the humerus, and horizontal abduction of the humerus.
Now why I think these two:
Supra:
This can be confused with deltoid pain. Involved when you comb your hair, and the tennis serve test I had you do.
Infra:
You said when you reach across the body to the opposite side. It’s affected when you reach into your back pocket, or putting the arm into a coat sleeve, so you have to put this arm in first. Pain refers to the front of the shoulder.
Other’s:
Levator Scapula:
On the right shoulder neck area do you have pain ever?!?
Upper Traps:
Sitting in postures with protracted head (like at your desk all day). Pain is referred upwards and can refer into the back of the eye and temple. Can also be caused if you cradle a phone on that side of your head for long periods during the day.
With that all this means your pecs are overly contracted, your rhomboids eccentric.
First thing would be to like you noticed get your shoulders back into alignment.
The rotaors are going to be REALLY difficult for you to do yourself. I will suggest you see a massage therapist and tell them you want them to work on your shoulder specifically those 2 roators along with pecs. And traps.. and levator.
See once your pecs are released back to there normal tonus the shoulders will fall back to original position. Putting less strain on the Supra and infra which are in an eccentric pattern. Once they release the pecs and work on those 2 muscles they can work the developed trigger points out and help restore you shoulder mobility.
I can also give you some stretches… That will help you to begin all of this on your own. That way you can hopefully make it through the New Year and the kid’s get lots from Santa. Ibuprofen is a good thing and so is ice. Any time you do chest or shoulders I would automatically ice afterwards to help get the inflammation from the work-out down and possibly prevent impinging the supra, and creating adhesions on the tendon which will keep causing you further issues. Now I don’t know how much adhesion you already have on the tendon itself. Friction massage like I mentioned in an earlier post helps to break up the adhesions and help to realign the muscle fibers to get the muscle working properly.
Also Like Shadow mentioned earlier In your log…. Need to work external and internals on your shoulder to create balance. You are way out of balance like most people. Anterior muscles dominate over the back. So if you want all these stretches and strengthening exercises for your hips, back, and shoulders I will do that. I’m going to wait for you to tell me though because that will be a ton more work and I don’t want to do all of that if you don’t want it….
So there you have it!
Shoulders are rounded forward. The degree is pretty good. Go look in the mirror stand straight you will see that your knuckles on your hands face forward. You shouldn’t be able to see knuckles if you are facing the mirror, the knuckles should face out.
I can visibly see your rt levator scapulae is tighter then the left all the way up even into the neck. Which is why in my last post I thought your cervicals looked out of whack on the Aug 31st pictures. You have one post where your left trap feels especially sore (wicked sore is what u put). As you can see here again the right is tight, left is eccentric. Like my last post more then likely you will feel pain in the eccentric muscle over the concentric.
Also you sit at a desk all day… Meaning I’m sure you are looking at a computer and your posture is horrific. Is your desk ergonomically correct?!? If not look into it!
You have a slight forward head posture with slight thoracic kyphosis meaning upper back rounded…
Side information here… For every inch your head is forward your lower cervical vertebra in the neck are compressed by one time the weight of the head fatiguing the cervical vertebrae. The lumbar (ding ding ding) musculature must then work very hard to maintain erect posture.
I know I know you are like o.k. so I’m a f@ckin postural nightmare get to my d@mn shoulder… LOL
If I am reading everything right you impinged a muscle in your right shoulder.
Does the pain in this shoulder feel similar?
Let me tell you a bit about that rotator muscle… It’s a B!tch.
The muscle you speak of is Supraspinatous. It’s function is to stabilize the head of the humerus, and initiates abduction of the humerus. When this muscle is inflamed the tendon which dives under the bony part of the spine of the scapula called the Acromion process impinges the tendon and you get that lovely pain.
I think this is one of your culprits in this shoulder issue.
The other rotator I think involved is your Infraspinatous. This is the hidden B!tch.
The action of this muscle is to stabilize the head of the humerus again, lateral rotation and extension of the humerus, and horizontal abduction of the humerus.
Now why I think these two:
Supra:
This can be confused with deltoid pain. Involved when you comb your hair, and the tennis serve test I had you do.
Infra:
You said when you reach across the body to the opposite side. It’s affected when you reach into your back pocket, or putting the arm into a coat sleeve, so you have to put this arm in first. Pain refers to the front of the shoulder.
Other’s:
Levator Scapula:
On the right shoulder neck area do you have pain ever?!?
Upper Traps:
Sitting in postures with protracted head (like at your desk all day). Pain is referred upwards and can refer into the back of the eye and temple. Can also be caused if you cradle a phone on that side of your head for long periods during the day.
With that all this means your pecs are overly contracted, your rhomboids eccentric.
First thing would be to like you noticed get your shoulders back into alignment.
The rotaors are going to be REALLY difficult for you to do yourself. I will suggest you see a massage therapist and tell them you want them to work on your shoulder specifically those 2 roators along with pecs. And traps.. and levator.
See once your pecs are released back to there normal tonus the shoulders will fall back to original position. Putting less strain on the Supra and infra which are in an eccentric pattern. Once they release the pecs and work on those 2 muscles they can work the developed trigger points out and help restore you shoulder mobility.
I can also give you some stretches… That will help you to begin all of this on your own. That way you can hopefully make it through the New Year and the kid’s get lots from Santa. Ibuprofen is a good thing and so is ice. Any time you do chest or shoulders I would automatically ice afterwards to help get the inflammation from the work-out down and possibly prevent impinging the supra, and creating adhesions on the tendon which will keep causing you further issues. Now I don’t know how much adhesion you already have on the tendon itself. Friction massage like I mentioned in an earlier post helps to break up the adhesions and help to realign the muscle fibers to get the muscle working properly.
Also Like Shadow mentioned earlier In your log…. Need to work external and internals on your shoulder to create balance. You are way out of balance like most people. Anterior muscles dominate over the back. So if you want all these stretches and strengthening exercises for your hips, back, and shoulders I will do that. I’m going to wait for you to tell me though because that will be a ton more work and I don’t want to do all of that if you don’t want it….
So there you have it!