Shoulder injury - need help diagnosing.

I've come to this site regularly for advice on a training regimen, and have now injured my right shoulder. Looking for a bit of help diagnosing, and would love to know if there are common errors in form that would cause this (e.g. going too low on a press).

I work out at home, and my strength training was mostly limited to dumbbell presses/flies/curls, pullups, and pushups. Over a 4 month period I was seeing results. In early August I began feeling sharp pain inside my right shoulder. There was no onset that I can recall, I just began noticing pain. I've stopped lifting completely, as I'm afraid to cause more damage. Most days I go through with only minor twinges of pain, maybe twice per day, and only during very specific movements. Hoping that if I lay those movements out it will assist in diagnosing:

Full range of movement, no normal tasks cause me pain.
No aching, throbbing, or non-localized pain.
No noticed reduction in arm strength while lifting heavy objects.
I can put my right arm over my head and push it back with my left arm, hard, no pain.
I can put my right arm across my body and pull my right elbow into my chest (with left arm), hard, no pain.
If I extend my right arm behind me straight and move it up and really, really push, I can feel slight pain. If I hold that position and rotate my hand, sharp pain occurs when my palm faces upwards.
If I put my hand behind my back and move my hand up to the middle of my back, no pain; if I push up, hard, I can feel slight pain.
One things always causes sharp/piercing pain: attempting to scratch the middle of my back with my right hand.
Specifically, the act of turning my hand over to face my palm against my back seems to immediately exacerbate the problem.
Arms rolls cause pain, although not sharp. It's most painful at the top of the roll.
When pain materializes, it is always inside the front of my shoulder. I can't push with my fingers and cause additional pain. It's too deep.
If I sleep on my right shoulder, there is mild soreness in the morning, which quickly dissipates.

Thanks in advance for any help you guys can lend. If there are any range of motion tests I can try to narrow this down further, I'm happy to do so. It's been three full months now, and while this pain was never debilitating, I'm wondering what to expect regarding recovery, whether it's smart to begin light training again, and whether there is anything I can do to speed recovery along.

-Dan
 
I would really recommend that you go to see a sports injury specialist as they will be able to examine you and give you a proper diagnosis. It sounds like a rotator cuff but the fact that you don't seem to have much pain in daily functions suggests it may be something else. The advantage of seeing a specialists is that they should be able to give you rehab exercises you can do too to improve mobility.
 
I agree with Danielle in that you need to actually see someone for an exam and diagnosis. You may have people online try to guess at what might be the issue, but that's all that it will be... a guess.
 
If the pain is posterior and the shoulder is dislocating you may have some rotator cuff damage. You may have bursitis referring to suprascapularis. You may have a bad scap or bad GH, though GH is usually painful in the front. Have you ever landed hard on the shoulder?
I think I would look to a massage person first then if need be (probably do) a good chiro for intervention.





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Caspar
 
I also agree with Danial. You need to consult with your doc and follow his advice carefully since the source of your shoulder pain is unidentified yet. But I would like to tell you some advice which would help you what you exactly need to do right now. Just follow my advice before the pain become out of control:

• Your problem is still unidentified. All I can say that shoulder ache can be caused by muscle knots, which need to be worked out with applied pressure. Self massage, professional massage, or even electric massage equipments (such as a massage mat for the back of your chair) can all be helpful in eliminating shoulder knots.

• Keep in mind that our shoulder experience more motion than any other joint in the human body, so if we want to reduce our shoulder pain then we need to be sure our shoulder becoming stiff. So keep your shoulder flexible as possible as you can.

• Did you apply an ice pack on your shoulder? If not then you should. Doing this for 15 to 20 minutes a day can help relieve your pain.

• Keeping your back, neck and shoulders bent at improper angles for long periods is hard on your body- especially one that is already compromised. Re-situating yourself at your desk is a cheap and effective way to reduce undue stain on your shoulders.

• Please avoid painful activities as possible as you can.

All have said to you it would not help you to get rid of shoulder ache. But it would definitely help you to not to make this problem worse. It would be better for you to sit with the doc in order to identify the possible root of the problem.
 
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