Weightlifter’s Shoulder [Guide for Physical Therapists] AC Joint Pain

By dpope2020

July 19, 2024

AC joint, ac joint dysfunction, ac joint dysfunction treatment, ac joint injury, ac joint pain, ac joint rehab exercises, ac joint separation, acromioclavicular joint, acromioclavicular joint pain, dan pope, fitness pain free, physical therapist, physical therapy, physio, physiotherapy, rotator cuff exercises, Shoulder Pain, shoulder pain bench press, shoulder pain when bench pressing, strength training, weight training, weightlifter's shoulder, weightlifting

Weightlifter's Shoulder [Guide for Physical Therapists] AC Joint Pain FPF Show Episode 120

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In today's video we go over Weightlifter's Shoulder [Guide for Physical Therapists] AC Joint Pain: FPF Show Episode 139: 

  • 0:00 Introduction
  • 3:36 What is Weightlifter's Shoulder? [Distal Clavicle Osteolysis] AC Joint Pain
  • 4:38 What is the theorized mechanism of injury for weightlifter's shoulder?
  • 5:09 Where is weightlifter's shoulder most common?
  • 8:05 Anatomy of weightlifter's shoulder
  • 9:40 Does heavy bench pressing increase your risk of weightlifter's shoulder?
  • 11:54 What are the risk factors for weightlifter's shoulder?
  • 19:40 Clinical examination: History and subjective information
  • 26:02 Objective tests for weightlifter's shoulder (palpation, special tests, MMT, imaging, injections)
  • 29:30 What are the best treatments for weightlifter's shoulder?
  • 34:39 Activity modification and load management
  • 42:10 Injections (cortisone, PRP) and surgery (distal clavicle resection) for weightlifter's shoulder

Big Bench Press > Shoulder Pain,

- Dan Pope DPT,OCS,CSCS

Show Notes / Relevant Articles:

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Thank you!

Dan Pope DPT, OCS, CSCS

References: 

  1. Singh M, Soo Hoo J. A Sports Medicine Clinician's Guide to the Diagnosis and Management of Distal Clavicular Osteolysis. Curr Sports Med Rep. 2023 Jun 1;22(6):230-237. doi: 10.1249/JSR.0000000000001078. PMID: 37294199.

  2. Nevalainen MT, Ciccotti MG, Morrison WB, Zoga AC, Roedl JB. Distal clavicular osteolysis in adults: association with bench pressing intensity. Skeletal Radiol. 2016 Nov;45(11):1473-9. doi: 10.1007/s00256-016-2446-z. Epub 2016 Aug 22. PMID: 27550324.

  3. DeFroda SF, Nacca C, Waryasz GR, Owens BD. Diagnosis and Management of Distal Clavicle Osteolysis. Orthopedics. 2017 Mar 1;40(2):119-124. doi: 10.3928/01477447-20161128-03. Epub 2016 Dec 7. PMID: 27925640.

  4. Kim AR, Covey CJ. Distal Clavicular Osteolysis Treated With Platelet-Rich Plasma: A Case Report. Clin J Sport Med. 2024 May 1;34(3):310-311. doi: 10.1097/JSM.0000000000001196. Epub 2023 Nov 2. PMID: 37921686.

  5. AC Joint Source: https://upload.wikimedia.org/wikipedia/commons/d/d3/Clavicular_facet_of_left_scapula06.png Attribution: BodyParts3D is made by DBCLS., CC BY-SA 2.1 JP <https://creativecommons.org/licenses/by-sa/2.1/jp/deed.en>, via Wikimedia Commons Edited by Fitness Pain Free LLC