Visited the physiotherapist, Tammy, at her home this afternoon to see if we can determine what’s causing my shoulder pain and what can be done to fix it. Being the first visit, I went through my background – mostly a litany of injuries to my back, shoulder, arm, wrist, etc, along with the current problems – what I do both for work and pleasure/fitness, what the doctor had advised/suspected, and so on.
Following that was an exploration of my range of motion, then some specific movements that Tammy said were to examine the median nerve (twisting and push/pull motions of wrist and elbow, and a check of the strength of my arm, wrist and fingers), after which she agreed with the doctor’s assessment: damaged or trapped median nerve. The majority of the pain is on the inside of the left scapula (feels like a jagged stone is wedged between the blade and ribs) with secondary pain in the back-upper arm, and then there’s all sorts of tertiary stuff: light forearm skin numbness, pain radiating down to my elbow joint, occasional shooting pains to my fingertips, and when I’m driving it makes my fingers feel arthritic.
The immediate prognosis was for Tammy to give me some exercises to do, continue as I have been, and to come back next Friday. The exercises are similar to muscle stretches – designed to take me to where the pain starts and then to gently push slightly beyond it. There are two types she’s given me:
- The first is a group of exercises that should be done every hour or so and involve me seated upright with crossed arms. I twist my shoulders and torso to the right as far as I can, then point my head down as far as is comfortable, and return to normal. Then do the same to the left. Then arch my back slightly and left my head back until I’m looking at the ceiling, and return to normal. Then dip my chin forward and roll my head and spine forwards. The head back is instant sharp pain.
- The second exercise should be done maybe three times a day, and also has me starting seated upright. From there I lay my palm flat on the chair/bench/bed next to me and twist the hand outwards until the fingers are pointing as far backwards as is comfortable (while keeping the palm flat), then lean my head over to the right onto my shoulder. This causes instant sharp pain, too.
That’s it, really. And my pain management, sleeping reclined, etc, is to continue as normal. Then we’ll address it again in a week. In the meantime I’m to do nothing that uses my arms to much extent, so that means no archery, weight-lifting, motorcycling, shooting, etc. She did say that I could continue with the cardio part of my gym programme (perhaps substituting the run with a walk on the treadmilll) and even ride my pushbike if I want.
Shame there’s no magic pill or manipulation, really. Still, Tammy was confident this is permanently repairable, so it’s not like I’m going to have to live with constant pain or permanently-reduced mobility/activity.