Soreness

Boris

Active Member
Soreness

After my shoulder injury (which has come back again, but that is a tale for another day) pace bowling has come to me a lot more and I have taken to bowling that more often than my offies.

The problem is that I have quite a large amount of soreness down the right side of my back, particularly to the top, the next three days after I bowl a decent amount of it at full pace.

We have a half decent coach, but is much better with the batting than bowling. He said he couldn't help me much, but said it might have something to do with the way I half jog into the crease and put a lot of power through the ball to make it come out as one of the faster bowlers in the grade. I have an unorthodox technique as well, if you remember the videos I put up a while ago.

It's more of a stiffness/spasm type feeling. Nothing too bad, if I warm up I can bowl at 3/4 pace with it without much of a problem. The muscle itself tenses up (making for uncomfortable sitting with one side of your back larger than the other) and has an ache.

Not much information to go from, but wondering if anyone could provide a bit of an insight into lessening this problem.
 
Re: Soreness

Your post concerns me Boris; I do know what your issue is but before I cover it, could you please confirm that it is your left shoulder that has the difficulty again. I know it probably does not appear important to you but I would really like to know how you reinjured it. It may have relevance.
 
Re: Soreness

My shoulder injury is to my left shoulder, but the soreness is on the right side.

I have only just started getting back to cricket at a more competitive level and found that my left shoulder is a little stiff and due to my off spin action, it has taken to pace bowling better, and such it has come to me quite easily and better than ever before.

I do a bit of mountain biking with mates and 4 days ago I came off, put my left arm out to cushion the fairly soft fall, and it jerked my arm back so when my chest was touching the ground my left elbow was up in the air, like a push up. Can't recall exact details because I was, of course, in the middle of a stack.

This left my shoulder feeling a little sore, was stiff the next day. Nothing I considered bad enough to see a doctor, felt like a sprain of sorts. The night after the accident I happened to also just trip and landed on my shoulder, once again reasonably softly, but it seemed to make it a little worse.

The pain is mostly at the front of the shoulder with a fairly deep aching feel. Also a touch of light bruising that discolours that general area.

Just ask if you need more info on anything, as I know you will.
 
Re: Soreness

Boris;384816 said:
Just ask if you need more info on anything, as I know you will.

:D


No worries Boris; you've completed the picture for me.

I really wish I could reach into the computer and get my hands on you; I know I could really help. However, as we are on opposite ends of this great blue planet, the best I can do is tell you what I would do for you so you can see if you can do any of it yourself or get help locally.

Firstly, I would teach you how to fall :D. Seriously, it would do you the world of good, especially as this appears to be your favourite past time next to cricket! Never put your arm out to save yourself; roll over your shoulder. There are so many bones you can break and joints you can separate. It sounds like you have a Grade I Acromioclavicular (AC) joint 'issue' [separation] on the left side and you really need to rest. I assume you followed the RICE protocol.

Secondly, I would treat your left side. You have quite a bit of tension in your pecs, across your shoulder and down the left back. A sport/remedial massage will help enormously.

Mainly due to this tension, but also your lifestyle, you have quite a bit of muscle imbalance and you need to address this or the issues will get worse. They are already chronic. If you do not sort out the left shoulder, your right side will go on compensating for its malfunction. This is not good at the best of time but is really bad if your activities concentrate on this [one] side too.

Next I would treat your right side. Not only are the right muscles larger but it sounds as though you have some myofascial trigger points in your upper traps and scalenes with considerable tension in the erector spinae. Your pecs will also need to be released in this area and work on your rhomboids to correct posture.

I would then write a strength programme for you to try to address the muscle imbalances. As mentioned above, you are working the right side far more than the left. You must always treat both sides the same; when there is hypertrophy in the muscles of one side and not the other, injury is just waiting to happen. However, you cannot really benefit from any programme until you release the issues in your muscles and rested your AC joint.

I would then get you in the nets and work on your biomechanical malfunctions and get your technique 100%.

I know this all sounds quite daunting but its really cool and you would notice the difference; not only in your health but also your fitness, pace and accuracy.

Does any of this help?
 
Re: Soreness

It does help, and thank you for spending such time on this.

When it comes to cricket I do know how to dive and fall properly, but when taking a full stretch diving catch, sometimes I get preoccupied with other things :p. As for everywhere else I tend to not think about what I'm doing and it ends in a very clumsy lifestyle.

I know it would be best, but in lieu of costs and time issues, would you suggest me seeing a proffesional (of what sort I'm not sure) to get these issues sorted?

I had been doing exercises for my shoulder (some of which you suggested actually) up until I hurt it again, although I had been tapering off slowly. I felt good again, it felt stronger and as such I decided to start cricket again, but then again I would have started cricket three months after injuring it originally had you not reprimanded me for doing it :D

So summing it all up:

I need some sort of treatment on both areas
A programme focusing on strength
And most of all rest

That's about right is it not?

Before injuring my shoulder I had been involved in quite a large amount of power based training and activities as well, if that has any effect on anything.
 
Re: Soreness

Tbh Boris, if you are dedicated, most of this can be done by yourself. However, if at all possible, try to get at least one session with a soft tissue specialist. I am afraid I do not know what they charge in your neck of the woods... Google 'Sports Massage' and try to find a Level 4 or 5 qualified. This should get you off to a good start and you can follow on from there.

In the meanwhile, bend over [you can rest your right hand on a bench/table/chair] and swing your left arm from the shoulder. 'Swing' not 'push'. If possible, swing to 90 degrees, forward and backward, then sideways.

Let me know how it feels.
 
Re: Soreness

Ok, tried it.

It hurts in pretty much any direction, but some directions are worse.

I had my palm facing my body the whole time. When I swung it to the right onto the inside of my body the outside of the joint felt tightish, but not all that sore. As I swung it to the left there is a sharp pain on the inside front of the shoulder, not actually the joint as such but just inside the 'bump' at the front, and it felt unusually tight. Swining back towards my body ached the shoulder but didn't seem a problem in terms of restrictiveness or specific pain. Swinging away from the body, however, is the biggest problem. A sharp pain develops at the front of the shoulder running straight down the arm. This also hurts when I bend my elbow or even move some of my fingers when at the right (or wrong) angle. The shoulder is very tense and movement feels restricted. I can move it, just the willpower fails me. Also swinging it in a circular motion also brings on tightness in the shoulder as a whole, and a general ache.
 
Re: Soreness

Boris, it is really difficult not being able to feel your shoulder and I would be negligent if I did not suggest you get this checked out by your GP... for peace of mind more than anything.

Your work on your shoulder prior to the stack stumble was great and it would have made a huge difference; without it, the last fall would have been worse. However, your shoulder's stability would have still been compromised and your last fall most probably would have undone all your good work.

Having said this, I can only guess on a Grade I [AC] separation, it is possible it could be higher, in which case, if this injury is neglected and allowed to heal out of place this could increase the wear and tear on your joint causing you problems in the future.

Get the 'all clear' and then we can work on strengthening your upper body - in balance.
 
Re: Soreness

I have just worked out to have just gotten the information you have just given me that it would have cost me around $150 (85 pounds google tells me), let alone treatment. The treatment would be covered by health insurance though, so would have gotten 75% of the price off. Could get it done completely for free if I want to wait 4 months on a public waiting list... I'm still actually waiting for the public specialist to call from when this first all started in May. Have since gone private thankfully, but information is not covered for some odd reason.

I have made an appointment with the GP for Thursday, so hopefully that brings up nothing nasty.

Thanks again Liz, this help is invaluable.
 
Re: Soreness

phil2oo8;385098 said:
Don't count on public services... I've been on a back physio list since aprill 2007.

I don't know what it's like in England, but here in Queensland we have the worst health system in the country, as caused by twelve years of a Labour Government, and there are some people even flying to New Zealand just for normal, run of the mill treatments because they are on a 4 year waiting list. And New Zealand isn't that much better, but it is the best of a bad bunch.

The good thing is that once a month you get a letter while you are on a waiting list saying it will only take another month at the minimum. Three more letters later and it seems like an advertising campaign, advertising something that doesn't quite work but they are trying to sell it anyway.

The only time I got full and satisfactory treatment through public services was two years ago when I burnt almost my whole right side of my right side to 2nd and some 3rd degree. Lucky that burns get immediate treatment.

Unfortunately Private Hospitals have some long waiting lists on their own.

Anyway, enough of me complaining...
 
Re: Soreness

The other problem is... if you do get seen by the public sector, you will most probably be seen by the wrong type of professional.

These sort of issues are usually passed on to physiotherapists, where in fact, you need to see a soft tissue specialist, then a strength and conditioning practitioner, then a performance analyst.

Another problem... if you go private but have to pay for the services separately, the cost mounts. You need to find somebody who can provide all these services and combine them all within just a few sessions.
 
Re: Soreness

Saw the GP today, after some more analysis, which did seem like it was done to make it seem like something was being done (she was saying rest was the only thing to really make a difference), I was then reffered to see a phyio as you said. I have seen three different phyios in the past 10 months, and they have helped so I'm hoping maybe I can get the treatment you are almost willing to provide from across the globe.
 
Re: Soreness

Shoulder surgery two days ago.

Hoping you might be able to explain further what they might have done, wasn't really explained to me and I just went with the flow (just nodding and smiling, hoping they were doing the right thing :p).

There was refererances to suture anchors, and a ligament of some sort at the front of the shoulder. Plus it was keyhole surgery.

Are you able to draw conclusions from that?
 
Re: Soreness

Boris;390940 said:
...and a ligament of some sort at the front of the shoulder. Plus it was keyhole surgery.

Are you able to draw conclusions from that?

Hi Boris, hope you're feeling well after the op.

When you say, '...front of the shoulder.', are you talking about the ball of the ball-and-socket joint, or do you mean around the collar bone area?
 
Re: Soreness

Liz Ward;390942 said:
Hi Boris, hope you're feeling well after the op.

When you say, '...front of the shoulder.', are you talking about the ball of the ball-and-socket joint, or do you mean around the collar bone area?

The incision was made just in front of the actual ball part of the joint at the front of the shoulder, plus the soreness is in the joint itself.

I've tried the wonders of Google in the meantime and come up with nothing. :confused:
 
Re: Soreness

It sounds like... but not necessarily... a repair to a distal tear of the subscapularis. This inserts at the lesser tubercle of the humerus; right at the front of the humeral head [ball]. The action of this rotator cuff is to medially rotate the shoulder [glenohumeral joint] and to stabilise the head of the humerus in the glenoid cavity [socket].

If this is the one... and I cannot be sure without knowing exactly where the incision was... this would probably have occured from overuse, or abuse; constantly taking your arm back, possibly out of alignment.
 
Re: Soreness

This was to correct my original dislocation injury last May where I landed on it after diving in cricket and twisting it backwards behind my back.

Then after abusing it and dislocating it 5 more times since May last year they decided it best to correct the issue through this unknown surgery.

The incision is about 1cm below the point at the top of the shoulder at the very front, almost inline with an imaginary line drawn up intersecting the armpit.

I have had 4 operations in the past and I must say this is the least worrying of them. Only two days has passed and i have movement and only aching pain, not too much sharp pain when it is moved, more just the pain of the actual cut than whatever was done. I must say whatever it is, it wasn't too serious a deal.

Without any offence intended to anyone, my doctor is Indian and the accent is VERY thick. Just nod, smile and agree...

Thank you once again.
 
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