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  1. #1
    Registered User Nrvrlrli23's Avatar
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    Infraspinatus and teres minor pain, help please.

    Hi guys, 25 years old, i'm not all that new to lifting weights but i've never been strong. Have had multiple injuries in the past, all shoulder related due to bad pull up form, lack of flexibility and from what i recently found out, hyper flexibility as well in some spots, which ends up in ****ed up push up form if i get tired. I went to a doctor, did a soft tissue ultrasound and she told me my muscles have no pathological modifications and they are in perfect state however another therapist told me my tissue isn't probably top notch quality and i should find another hobby, like jogging or swimming. Now that is a problem since i wish to ignore her advice but i keep getting super ****ing sore. Atm i'm feeling acute pain in my teres minor and infraspinatus. Also, my supraspinatus tendonitis and teres major pain only recently subsided (i have no tears, doctors assured me of it) and i expect after i get well again, it will repeat itself and i don't know what to do to prevent it. I did shoulder exclusive exercises with bands for a long time, warm up, cool down, i take fish oil, magnesium have a super diet with fats, 6g protein/pound, 2g carbs/pound, green veggies, fruits, water ANYTHING. My last workout was 12 super sets of 3 pullups/5pushups (different variations of each with 5 min rest between) after which i was sore for like a week and a half. I could almost complete it without any problems, i started feeling a bit of pain about 80% in the workout, even though my form didn't suffer i don't think. I also do krav maga 5 days a week but it's mostly punching air, albeit rather fast and with some strength but not THAT much stress, also no ballistic punches like in boxing that pop stuff out from your sockets. What should i do? Thanks a lot for any advice and sorry for the wall of text! Oh and i forgot, i'm 1.85, 65kg, impossible to put on fat and if i grease my hands and push it a bit, i could clean pipes.
    Last edited by Nrvrlrli23; 11-19-2016 at 08:46 PM.
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    Registered User Berkush's Avatar
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    Seems like you answered your own question in the start of your post! Fix your flexibility issues in your shoulder and make sure each area is strengthened equally.

    The shoulder is a complicated joint and if you have teres minor, teres major, infraspinatus, and supraspinatus pain you have an underlying imbalance or problem that needs to be assessed.

    Also did you only get an US? Did you decide to get an MRI?
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    Originally Posted by Nrvrlrli23 View Post
    Hi guys, 25 years old, i'm not all that new to lifting weights but i've never been strong. Have had multiple injuries in the past, all shoulder related due to bad pull up form, lack of flexibility and from what i recently found out, hyper flexibility as well in some spots, which ends up in ****ed up push up form if i get tired. I went to a doctor, did a soft tissue ultrasound and she told me my muscles have no pathological modifications and they are in perfect state however another therapist told me my tissue isn't probably top notch quality and i should find another hobby, like jogging or swimming. Now that is a problem since i wish to ignore her advice but i keep getting super ****ing sore. Atm i'm feeling acute pain in my teres minor and infraspinatus. Also, my supraspinatus tendonitis and teres major pain only recently subsided (i have no tears, doctors assured me of it) and i expect after i get well again, it will repeat itself and i don't know what to do to prevent it. I did shoulder exclusive exercises with bands for a long time, warm up, cool down, i take fish oil, magnesium have a super diet with fats, 6g protein/pound, 2g carbs/pound, green veggies, fruits, water ANYTHING. My last workout was 12 super sets of 3 pullups/5pushups (different variations of each with 5 min rest between) after which i was sore for like a week and a half. I could almost complete it without any problems, i started feeling a bit of pain about 80% in the workout, even though my form didn't suffer i don't think. I also do krav maga 5 days a week but it's mostly punching air, albeit rather fast and with some strength but not THAT much stress, also no ballistic punches like in boxing that pop stuff out from your sockets. What should i do? Thanks a lot for any advice and sorry for the wall of text! Oh and i forgot, i'm 1.85, 65kg, impossible to put on fat and if i grease my hands and push it a bit, i could clean pipes.
    I have a very similar problem : despite following popular strength routines and having a good diet, I have never been able to get strong, and I recently noticed my problem comes from some kind of tissue or joint problem (at first, I thought it was hormone-related, but turns out it wasn't). I wasn't lucky and was born with some genetic condition which warranted a surgery, which fixed my legs, but I have a shoulder problem that remains elusive. My right shoulder gets extremely sore and hurts after upper-body work outs (especially after bench press). At first I thought it was normal because it felt like soreness, but it lasts twice as long in my right side than it does on my left side, and I can feel some kind of tingling even after months of rest on my right side and not on my left, where the pectoral meets the arm-pit.
    I went to the doctor, which was kinda useless. He just told me to rest a few weeks even if I told him I had done it before, and that I just had some mild tendonitis. Few weeks later I go to the same doctor and he tells me I should rest more than that (few months), did, still not gone. He eventually had me do Xray and ultrasound : Xrays revealed nothing (of course, it was obvious it wasn't bone-related... but at least I know I don't have any calcification). Ultrasound revealed a larger pectoral major tendon (1.75x size of left one), which seems consistent with "tendonitis" (they use this term, but I am pretty sure it is actually tendinOSIS, but yeah, they don't even know what it is and get very offended when told about it). They didn't find any tear.

    Soon I'm gonna get an MRI to check for potential SLAP tears, Bankart lesion or tears in the muscles you mentioned. (Had to teach my therapist what a Bankart tear was... *sigh*)
    Since doctors are dumb as **** where I live, they'd rather I get an MRI instead of a CONTRAST mri because "there is a risk of infection" (but it's low as ****... and plain MRIs might miss slap tears), but yeah, I guess it's better than nothing (if I keep arguing, I might get nothing at all. I am dependent on them to order it, if they don't, I'm screwed. **** doctors.)
    I hope you don't have the same issue as I do, because even after 4 months out of the gym with deep transversal massage, TENS therapy and ultrasound therapy I'm still not off the hook and I think it is for life.

    I think I had this problem from the get-go (i.e. not gym related) but did not notice at first

    I am also hyper-flexible, just like you, and just like you my doctor suggested that I find a new hobby, like jogging or swimming. They don't realize how boring these fifty-odd years old are being when they say that to us, twenty-somethings. I am young and I want to be a strong man, not a jogging overweight woman. They just don't get it, that jogging or swimming doesn't measure up to lifting heavy ****.

    Sorry for the rant, hope things go well for you (at least, better than they are going for me right now)
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  4. #4
    Registered User Nrvrlrli23's Avatar
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    Originally Posted by Berkush View Post
    Seems like you answered your own question in the start of your post! Fix your flexibility issues in your shoulder and make sure each area is strengthened equally.

    The shoulder is a complicated joint and if you have teres minor, teres major, infraspinatus, and supraspinatus pain you have an underlying imbalance or problem that needs to be assessed.

    Also did you only get an US? Did you decide to get an MRI?
    Yeah only US, had to get both my knees checked as well (also perfect muscle condition and insertion she told me, just tendonitis) and an MRI would've been too expensive for all 4 areas, i have a ton of things going... When i mentioned flexibility related issues it was me doing an active swing on a bar where one of the positions is similar to the overhead part of the shoulder dislocates, which i can't do at all, but that doesn't explain why it's a problem with pull ups, i have all the flexibility i need for them and pull from the scapula.
    Minor detail i forgot in my post - the arm that troubles me more often rests lower then my other one, sort of falls down and shrugs and i can move it more freely, but it's also the hand i use on the mouse so maybe my pec is looser there idk.
    Last edited by Nrvrlrli23; 11-20-2016 at 05:34 AM.
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  5. #5
    Registered User Nrvrlrli23's Avatar
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    Originally Posted by Akbaa View Post
    I have a very similar problem : despite following popular strength routines and having a good diet, I have never been able to get strong, and I recently noticed my problem comes from some kind of tissue or joint problem (at first, I thought it was hormone-related, but turns out it wasn't). I wasn't lucky and was born with some genetic condition which warranted a surgery, which fixed my legs, but I have a shoulder problem that remains elusive. My right shoulder gets extremely sore and hurts after upper-body work outs (especially after bench press). At first I thought it was normal because it felt like soreness, but it lasts twice as long in my right side than it does on my left side, and I can feel some kind of tingling even after months of rest on my right side and not on my left, where the pectoral meets the arm-pit.
    I went to the doctor, which was kinda useless. He just told me to rest a few weeks even if I told him I had done it before, and that I just had some mild tendonitis. Few weeks later I go to the same doctor and he tells me I should rest more than that (few months), did, still not gone. He eventually had me do Xray and ultrasound : Xrays revealed nothing (of course, it was obvious it wasn't bone-related... but at least I know I don't have any calcification). Ultrasound revealed a larger pectoral major tendon (1.75x size of left one), which seems consistent with "tendonitis" (they use this term, but I am pretty sure it is actually tendinOSIS, but yeah, they don't even know what it is and get very offended when told about it). They didn't find any tear.

    Soon I'm gonna get an MRI to check for potential SLAP tears, Bankart lesion or tears in the muscles you mentioned. (Had to teach my therapist what a Bankart tear was... *sigh*)
    Since doctors are dumb as **** where I live, they'd rather I get an MRI instead of a CONTRAST mri because "there is a risk of infection" (but it's low as ****... and plain MRIs might miss slap tears), but yeah, I guess it's better than nothing (if I keep arguing, I might get nothing at all. I am dependent on them to order it, if they don't, I'm screwed. **** doctors.)
    I hope you don't have the same issue as I do, because even after 4 months out of the gym with deep transversal massage, TENS therapy and ultrasound therapy I'm still not off the hook and I think it is for life.

    I think I had this problem from the get-go (i.e. not gym related) but did not notice at first

    I am also hyper-flexible, just like you, and just like you my doctor suggested that I find a new hobby, like jogging or swimming. They don't realize how boring these fifty-odd years old are being when they say that to us, twenty-somethings. I am young and I want to be a strong man, not a jogging overweight woman. They just don't get it, that jogging or swimming doesn't measure up to lifting heavy ****.

    Sorry for the rant, hope things go well for you (at least, better than they are going for me right now)
    Yeah i have the same issue with the shoulder pain, my triceps and chest or whatever heals after push up day in like 4 days but i feel a knife in my shoulders for 2 weeks.
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  6. #6
    Registered User Nrvrlrli23's Avatar
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    Originally Posted by Akbaa View Post
    I have a very similar problem : despite following popular strength routines and having a good diet, I have never been able to get strong, and I recently noticed my problem comes from some kind of tissue or joint problem (at first, I thought it was hormone-related, but turns out it wasn't). I wasn't lucky and was born with some genetic condition which warranted a surgery, which fixed my legs, but I have a shoulder problem that remains elusive. My right shoulder gets extremely sore and hurts after upper-body work outs (especially after bench press). At first I thought it was normal because it felt like soreness, but it lasts twice as long in my right side than it does on my left side, and I can feel some kind of tingling even after months of rest on my right side and not on my left, where the pectoral meets the arm-pit.
    I went to the doctor, which was kinda useless. He just told me to rest a few weeks even if I told him I had done it before, and that I just had some mild tendonitis. Few weeks later I go to the same doctor and he tells me I should rest more than that (few months), did, still not gone. He eventually had me do Xray and ultrasound : Xrays revealed nothing (of course, it was obvious it wasn't bone-related... but at least I know I don't have any calcification). Ultrasound revealed a larger pectoral major tendon (1.75x size of left one), which seems consistent with "tendonitis" (they use this term, but I am pretty sure it is actually tendinOSIS, but yeah, they don't even know what it is and get very offended when told about it). They didn't find any tear.

    Soon I'm gonna get an MRI to check for potential SLAP tears, Bankart lesion or tears in the muscles you mentioned. (Had to teach my therapist what a Bankart tear was... *sigh*)
    Since doctors are dumb as **** where I live, they'd rather I get an MRI instead of a CONTRAST mri because "there is a risk of infection" (but it's low as ****... and plain MRIs might miss slap tears), but yeah, I guess it's better than nothing (if I keep arguing, I might get nothing at all. I am dependent on them to order it, if they don't, I'm screwed. **** doctors.)
    I hope you don't have the same issue as I do, because even after 4 months out of the gym with deep transversal massage, TENS therapy and ultrasound therapy I'm still not off the hook and I think it is for life.

    I think I had this problem from the get-go (i.e. not gym related) but did not notice at first

    I am also hyper-flexible, just like you, and just like you my doctor suggested that I find a new hobby, like jogging or swimming. They don't realize how boring these fifty-odd years old are being when they say that to us, twenty-somethings. I am young and I want to be a strong man, not a jogging overweight woman. They just don't get it, that jogging or swimming doesn't measure up to lifting heavy ****.

    Sorry for the rant, hope things go well for you (at least, better than they are going for me right now)
    hey i sent you a PM, check it out, fixed my problems
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    Need more specific info on the symptoms. Usually when I have patients with posterior scapular pain, it's radial nerve compression in the triangular interval, and not primarily muscular.

    Not saying it's definitely not muscular in your case, but need more info.
    Kjetil Larsen
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    � Did I answer your injury question? Please supply the following info: 1) EXACT spot of pain(s)? (put a mark on a picture); 2) what type of pain is it? (burning, radiative, lightning, aching, jamming up, etc); 3) EXACTLY what movement(s) provocate the same pain? Specifics matter!

    � Read my articles - https://treningogrehab.no/category/articles-in-english/
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    Originally Posted by Nrvrlrli23 View Post
    Hi guys, 25 years old, i'm not all that new to lifting weights but i've never been strong. Have had multiple injuries in the past, all shoulder related due to bad pull up form, lack of flexibility and from what i recently found out, hyper flexibility as well in some spots, which ends up in ****ed up push up form if i get tired. I went to a doctor, did a soft tissue ultrasound and she told me my muscles have no pathological modifications and they are in perfect state however another therapist told me my tissue isn't probably top notch quality and i should find another hobby, like jogging or swimming. Now that is a problem since i wish to ignore her advice but i keep getting super ****ing sore. Atm i'm feeling acute pain in my teres minor and infraspinatus. Also, my supraspinatus tendonitis and teres major pain only recently subsided (i have no tears, doctors assured me of it) and i expect after i get well again, it will repeat itself and i don't know what to do to prevent it. I did shoulder exclusive exercises with bands for a long time, warm up, cool down, i take fish oil, magnesium have a super diet with fats, 6g protein/pound, 2g carbs/pound, green veggies, fruits, water ANYTHING. My last workout was 12 super sets of 3 pullups/5pushups (different variations of each with 5 min rest between) after which i was sore for like a week and a half. I could almost complete it without any problems, i started feeling a bit of pain about 80% in the workout, even though my form didn't suffer i don't think. I also do krav maga 5 days a week but it's mostly punching air, albeit rather fast and with some strength but not THAT much stress, also no ballistic punches like in boxing that pop stuff out from your sockets. What should i do? Thanks a lot for any advice and sorry for the wall of text! Oh and i forgot, i'm 1.85, 65kg, impossible to put on fat and if i grease my hands and push it a bit, i could clean pipes.
    1st, I suggest to take a month off from doing any exercise that aggrevates that area. Just work around it. Then start incorporating rotator cuff exercises to strengthen those smaller muscles.
    Also, lower your protein intake. 6g of protein per pound of body weight is a ton.
    Seeing that this is an older thread, I hope you're better now.
    Alexander Witthft -- WBFF-PRO-Muscle Model
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