Shoulder injury is one of those real bug bears of any athlete, and especially in BJJ. An injured shoulder, even minor really can put you out for some time. Many of us even stop training on minor injuries as we know that they can be the first warning sign of badness to come. Anyway, today we will cover assessing injury, train and treat, medication and when to see the doctor.
Sometimes shoulder injuries are really obvious with immediate pain after an event like an over extended shoulder lock ect. This type of injury we wont really cover as they are a no brainer and should be seen asap by your doc. The injuries Im talking about are those ones that sneak up on you the next morning after a session, or that become progressively worse over time.
A good way to work out where this injury is originating from is by extending your arms all the way backwards, forwards and over your head. You can also hold your arms out to the side and roll your palms up and down. There are occasions rarely, that you cant pinpoint the pain, or feel it in the actual shoulder. This can occasionaly be known as ‘referred pain’ and usually comes from your neck and into your brachial plexus http://geekymedics.com/brachial-plexus/
Once you happy the pain is likely not too serious, its time for physiotherapy and medication. Two of my favorite first up treatments are ball throwing and open handed swimming. Usually with a cricket ball I will play catch with a willing assisatant. Kids are great as they never get bored!! throw from as many angles as you can, underhand, overhand, sideways, soft and medium. Try not to overhand throw hard. Try this for 30 – 45 mins a day. Add to this swimming with fins on and open handed swimming. You can still maintain fitness and add to shoulder strength at extension with minimal loading. Do short sessions with all strokes except butterfly.
Add to this some simple analgesia such as non steroidal anti-inflammatorys such as diclofenac or ibuprofen. Check of course these are medictions your not allergic too, or cant take for other reasons.
We use these not just so your not in pain, but to improve range of movement, increase training volume and reduce inflammation. You can use these with panadol as directed on the packets.
Try doing this and still rolling, but of course you must inform your partner that you have an injury. And of course, tap or call stop if in pain!! If it remains sore, have a week off the mats. If you return and the pain is not improving pop into your doctor and discuss with them what you have done already. Physios are also a great port of call.