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I've had a shoulder issue for the last 15 months.

Symptoms are vague and fluctuating: neck pain + stiffness, shoulder pain + weakness, arm pain + weakness.

Some days are completely pain free, others it bothers me all day.

No one (4 osteopaths, 2 physiotherapists, 2 myotherapists and 1 GP) can give me a clear diagnosis, which makes me think there isn't one.

I can usually reproduce symptoms by lifting weights (esp overhead), wearing a heavy backpack.

Sometimes weights don't hurt and driving does.
My next step was to see a neurologist for a nerve conduction test, to rule out compressive neuropathy.

Indications: weakness, atrophy.

However, before that, I wanted to quantify my weakness, so I had an @sbntechnology AxIT session with @phsyioyves.

Results below.
@sbntechnology Test 1: shoulder flexion
@sbntechnology Test 2: shoulder abduction
@sbntechnology Test 3: shoulder external rotation (neutral)
@sbntechnology Test 4: shoulder push (I can't remember the movement this tested)
@sbntechnology As you can see, there is a clear strength deficit L to R, and interestingly, an even bigger difference in rate of force development.
@sbntechnology After the testing session, I spoke with my GP (who had written the referral to the neurologist) and told him the results.

He said "That's interesting, but what do the results mean?"

Until recently, I didn't actually know.
@sbntechnology What changed?

I listened to this podcast with @davidkpope and @AdamMeakins: clinicaledge.co/podcast/physio…
@sbntechnology @davidkpope @AdamMeakins I didn't change my thoughts on diagnosis - I had "non-specific shoulder pain" after all, but rather my approach to management.

This was thanks to Adam's shoulder pain classifications:

- Painful and stiff
- Painful and weak
- Painful and unstable
@sbntechnology @davidkpope @AdamMeakins Before hearing this I had been trying to use the specific task (kettlebell sport training) to rehab ala Eyal Lederman.

I should have developed 'comprehensive capacity' ala @GregLehman to deal with my painful + weak shoulder.

It seems for this issue #youcantgowrongettingstrong
@sbntechnology @davidkpope @AdamMeakins @GregLehman What helped me tie this all together was doing a kettlebell sport competition yesterday.

I did a 5 minute triathlon with 28 kg.
@sbntechnology @davidkpope @AdamMeakins @GregLehman My L shoulder has some issues with lockout and stability in the jerk/long cycle.

In the snatch, there is not only an asymmetry in numbers (34L/41R), but I was at my limit for my L, but not my R.

However I could still lift decent weights for decent reps overall. #adaptation
@sbntechnology @davidkpope @AdamMeakins @GregLehman After the comp, my shoulder and arm were throbbing all night into today.

This makes me think.

If I had just got my shoulder strong again, I would either have no pain anymore, or a strong and painful shoulder (then what?).

In searching for a shortcut, I took the longer route.
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