Bodybuilding.com Information Motivation Supplementation
in:

    The World’s #1 Bodybuilding And Fitness Forum - Save Up To 50% Off Retail Prices In Our Bodybuilding.com Store!

Reply
Results 1 to 4 of 4
  1. #1
    Au Naturale cjogro's Avatar
    Join Date: Aug 2011
    Age: 25
    Posts: 24
    Rep Power: 0
    cjogro will become famous soon enough. (+50) cjogro will become famous soon enough. (+50)
    cjogro is offline

    Training the for the arthritic shoulder...

    Hello all,

    I have a new client coming in. He is 65 and though he hasn't been diagnosed with arthritis, he complains of joint pain in his right shoulder and has difficulty with shoulder abduction above the head. He does a lot of work in the woods around his home--woodchopping. He also complains of a generally tense back; he couldn't pinpoint the tension to one area. He said that he would like to work on his back strength.

    I'm planning on doing an overhead squat (having him raise the arm from the front), single leg balance, push, and pull assessments to see if I can piece together anything about muscle imbalances. Depending on how these go, I have some ideas to choose from:

    SMR:
    Lats and back
    Maybe a chest opener

    Stretches:
    Supine assisted flexion and internal/external rotation (with elbow bent) or sliding arm on table assisted flexion (can bend elbow to do ER)
    Wall assisted abduction to test ROM
    Ball lat stretch
    Towel or band assisted external rotation stretch (towel might be difficult if he can't do overhead well)
    Pectoral doorway stretch

    As he wants to stay active with his work in the woods, I'd like to make sure we're getting some core in (bridges, cobra/back extension, ball crunch, maybe cable rotations if they don't cause the shoulder pain).

    Resistance:
    1) Freemotion/Cable Cross seated and/or standing chest press within comfortable ROM
    2) some kind of row (I'd like to get to standing, not sure where he'll be at with balance and core)
    3) Dumbbell or cable scaption
    4) Cable or band internal/external rotation (again depending on pain)
    5) Tricep pull downs
    6) Cable or dumbbell curls

    Restrictions:
    I thinking no lateral pull downs or wide pull overs. Might be able to do a close grip pull over or down in time but this is not something I would try on the first go around.

    Does anybody have an input or suggestions? Has anyone else run into similar issues with the shoulder? How did you handle them? Will take any and all advice. Want to make sure I'm thinking this one through because the shoulder is a tricky joint... And, yes, I understand that the assessments will likely alter this. I just want to go in with some ideas.

    Thank you!
    NASM-CPT
    Reply With Quote

  2. #2
    Registered User Damini's Avatar
    Join Date: Nov 2012
    Location: New York, United States
    Age: 24
    Stats: 5'11", 192 lbs
    Posts: 38
    Rep Power: 0
    Damini will become famous soon enough. (+50) Damini will become famous soon enough. (+50) Damini will become famous soon enough. (+50)
    Visit Damini's BodySpace
    Damini is offline
    If he has not been properly diagnosed, then the smart thing to do would be to refer out to a medical professional. Playing around with something that you cannot be absolutely sure of is extremely high risk and you do not want to put your career in jeopardy for that. Plus, after he is diagnosed you will have a better idea of what exactly you can do with him without worsening the condition.
    Reply With Quote

  3. #3
    ur weird E-Tank's Avatar
    Join Date: Dec 2006
    Location: California, United States
    Stats: 6'2", 265 lbs
    Posts: 10,772
    BodyPoints: 1204
    Rep Power: 10365
    E-Tank has reached the pinnacle! Best possible rank! (+1000000) E-Tank has reached the pinnacle! Best possible rank! (+1000000) E-Tank has reached the pinnacle! Best possible rank! (+1000000) E-Tank has reached the pinnacle! Best possible rank! (+1000000) E-Tank has reached the pinnacle! Best possible rank! (+1000000) E-Tank has reached the pinnacle! Best possible rank! (+1000000) E-Tank has reached the pinnacle! Best possible rank! (+1000000) E-Tank has reached the pinnacle! Best possible rank! (+1000000) E-Tank has reached the pinnacle! Best possible rank! (+1000000) E-Tank has reached the pinnacle! Best possible rank! (+1000000) E-Tank has reached the pinnacle! Best possible rank! (+1000000)
    Visit E-Tank's BodySpace
    E-Tank is offline
    Originally Posted by Damini View Post
    If he has not been properly diagnosed, then the smart thing to do would be to refer out to a medical professional. Playing around with something that you cannot be absolutely sure of is extremely high risk and you do not want to put your career in jeopardy for that. Plus, after he is diagnosed you will have a better idea of what exactly you can do with him without worsening the condition.
    this
    BAMA--USC--SDSU--BOLTS-BUCKS

    [OFFICIAL San Diego Brah]

    NSCA Certified Personal Trainer

    585/435/615

    Left labrum surgery 4/28/07 (4 anchors), Right labrum surgery 12/15/09 (5 anchors)
    Reply With Quote

  4. #4
    Registered User ericzimmerman34's Avatar
    Join Date: Nov 2006
    Location: Texas, United States
    Age: 26
    Stats: 5'8", 189 lbs
    Posts: 574
    BodyPoints: 903
    Rep Power: 35
    ericzimmerman34 has much to be proud of. One of the best! (+20000) ericzimmerman34 has much to be proud of. One of the best! (+20000) ericzimmerman34 has much to be proud of. One of the best! (+20000) ericzimmerman34 has much to be proud of. One of the best! (+20000) ericzimmerman34 has much to be proud of. One of the best! (+20000) ericzimmerman34 has much to be proud of. One of the best! (+20000) ericzimmerman34 has much to be proud of. One of the best! (+20000) ericzimmerman34 has much to be proud of. One of the best! (+20000) ericzimmerman34 has much to be proud of. One of the best! (+20000) ericzimmerman34 has much to be proud of. One of the best! (+20000) ericzimmerman34 has much to be proud of. One of the best! (+20000)
    Visit ericzimmerman34's BodySpace
    ericzimmerman34 is offline
    First off having a doctor check it out would be smart. Everything you have there seems just like what I would do/recommend. I will say make sure you do the SMR for the lats and do chest openers. Also don't do to many chest exercises as it could tighten the chest preventing range of motion. Also consider prone cobras and exercises such as the bird dog and superman. Also explain that if anything causes pain (theres a difference between a muscular burn and actual pain) to let you know and stop that exercise.
    Obssession is a word lazy people use to describe dedication.

    If your not nervous before going to the gym your probably not working out hard enough (my new favorite quote)

    B.S. in Exercise and Sports Science
    Cooper Functional Trainer Cert.
    NASM CES in progress
    Reply With Quote

Reply

Similar Threads

  1. the 24th year...
    By ArchAngel'73 in forum Over 35 Workout Journals
    Replies: 980
    Last Post: 11-19-2012, 02:53 PM
  2. Anyone dislike the Rippetoe routine? If so, why?
    By wimp2pimp in forum Workout Programs
    Replies: 112
    Last Post: 01-18-2012, 11:02 PM
  3. Rotator cuffs scream at me when I do OH presses
    By Jaycee41 in forum Powerlifting/Strongman
    Replies: 7
    Last Post: 10-13-2011, 07:35 AM
  4. An intelligent approach to building a big, strong chest
    By Jack3dMuscle in forum Exercises
    Replies: 46
    Last Post: 07-12-2010, 11:16 AM
  5. Sore collar bone / shoulder
    By TransformerTony in forum Injury Recovery And Prevention
    Replies: 4
    Last Post: 03-25-2009, 12:40 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Home Store Products Careers Help Contact Us Terms of Use Checkout