This is one of those exercises that looks really easy but it is anything but easy. A great assessment tool but keep in mind it may be too difficult for those with a lot of pain so you may need to regress to much less demanding exercises. Stay tuned for another video where I expand upon this for you with other variations.
@rykercarlson295
Ай бұрын
Hey, 4 years ago, I used to do pullups and pushups at home without any problems. But one day all of a sudden, I finished a set of pushups and something felt off. I had burning pain on both outer pecs, which was strange because normally when I did pushups I would get a chest pump. The next day, I had severe sharp pain on both outer pecs and also both front shoulders. Up until this day, the pain never really went away. It has become chronic. I have not even worked out or exercised ever since. There is pain and pinching at the outer chest (at the front of the armpit) and the part where it connects to the shoulder and bicep. It is tender to touch. The pain is just at rest, but any shoulder movement that involves either stretching or contraction of the pecs can exacerbate the pain, or at best feel uncomfortable. For example: extending arms behind the body, or fly motion. Sometimes there is also pinching at the inner bicep, sometimes at the front shoulder, but most of the pain is at the outer pec up to where it inserts at the arm. If I attempt any chest exercise (even if something simple like wall pushups or isometric pec squeezes), I can no longer get a chest pump. Instead, I get burning pain at the outer edge of the pecs at the end of the set (and then sharp pain the next day), while the rest of the pecs feel dead. Furthermore, my shoulders and arms feel weak and dead. I went to an orthopedist, did an ultrasound, and he diagnosed me with chronic bilateral pec major inflammation. He prescribed some supplements which did not work. I went to another orthopedist and he said I have long head of biceps tendonitis. I've been to several physical therapists that prescribed light pec stretching and strengthening with no results. I’ve also been doing scapular upward rotation and elevation exercises like wall slides, overhead shrugs, and lat stretches every day for 6 weeks without results. It seemed pointless anyway because I don’t have an issue with overhead motion. I’m not asking for advice as I know you would have to assess me in person. I would just like to ask you have you ever had a client with this problem (pain at the outer pecs)? If so, what was the reason and how did you fix it?
@Noregretspt
Ай бұрын
Yes I have seen a few cases similar to this and in each case it was not a musculoskeletal reason for it. One case was an auto-immune disease causing an inflammatory response to the thoracic region affecting the nerves. Another was a nerve related disease affecting a different area of the body. And another case was thoracic outlet syndrome. The fact you have the problem on both sides is very unusual and leads me to suspect something to do with nerves or an inflammatory response. I could be wrong as it could be something else but they would be the things I would explore with your doctor to rule them out as a possibility. Maybe you have irritated the connective tissue that connects to the bone. Hope that helps.
@vigneshk9554
6 ай бұрын
Thankyou sm, I had a labrum tear and got operated couple years ago. I have reached full rom in all planes but my shoulder is uneven in pullups and the back of my shoulder hurts during pushups any specific tips?
@Noregretspt
6 ай бұрын
Without assessing you it is difficult to be sure what your main problem may be. I would assume that there is a weakness with the serratus anterior and that you have excessive activation from the middle traps and rhomboids keeping your scapula in retraction. Often the solution is a combination of thoracic mobility, trigger point release of the external rotators of the shoulder, combined with various serratus anterior drills. The exercises that focus on strengthening serratus will have the greatest effect long term but they can often be very hard to get right while the stiffness and trigger points are active which is why I try to release them prior to any strengthening. You can get a good idea of this in the article here www.noregretspt.com.au/index.php/resources/blog/43-2014/272-top-5-shoulder-stability-exercises
@vigneshk9554
6 ай бұрын
@@Noregretspt thanks again I'll look into the strengthening regime, keep up the good work
@Noregretspt
6 ай бұрын
@@vigneshk9554 No problem. Glad I could help you out
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