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Study suggests surgery alternative for rotator cuff pain: push-ups, pull-ups

118 点作者 HillaryBriss将近 6 年前

16 条评论

steve_adams_86将近 6 年前
This is anecdotal and people should be extremely cautious if they have RC injuries. Talk to a pro, look into proper exercise progressions, and start with baby steps even if you feel strong enough not to. But:<p>My right shoulder was a piece of trash for over 5 years. I couldn&#x27;t use my trackpad or mouse some days at work because it became incredibly hot and excruciating. I couldn&#x27;t throw rocks at the beach, ride my bike as far as I wanted, drive in comfort, you name it. Just standing could be incredibly painful if my shoulder needed rest. You don&#x27;t know how awesome shoulders are until they stop working.<p>One day I decided to try the exercise route after avoiding it for a very long time. I did because someone shared an anecdote of exercise helping on reddit. I started a pull up progression using elastic straps to assist at first. I did push ups from my knees. I started doing stretches in door ways and on a big inflatable ball. I rolled myself on a lacrosse ball like the cross fitters do. If it fixes them it&#x27;ll fix anything, right?<p>Within a year I was &#x27;cured&#x27;. I was doing pull ups with a 45lb plate strapped to my body and push ups with the same plate resting on my back. I began weight lifting fairly seriously and made it up to a 400lb deadlift by the second year. My shoulder was a limiter in my first year, but once I took up yoga as well it never bothered me again.<p>Now, having said that, this all took a lot of time, energy, and will power. It&#x27;s not easy and it&#x27;s not a silver bullet. Your body will strengthen though and you can overcome biomechanical issues by working the system carefully, methodically, consistently, and with good sleep and nutrition.<p>But again, don&#x27;t jump into it and don&#x27;t expect it to be easy. My experience was positive in the end, but it&#x27;s a total dog along the way. If you have the money, find a trainer who understands injuries and recovery. Get on a program and commit. The best thing you can do for your body is use it. But never go too hard, and go as slow as you can handle at first. You can make it so much worse in one little moment of overdoing it.<p>Hopefully someone is motivated by my anecdote because someone sharing theirs on reddit ten years ago really did change my life.
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ashelmire将近 6 年前
Physical therapy is evidence-based health practice. This is sort of a &quot;no shit&quot; piece. Doctors want to operate on you - it&#x27;s what they are trained for, it&#x27;s how the make money. Hospitals make money off of surgery. Yet physical therapy gets better results.<p>Lookup washout studies vs knee surgery with results like this [1].<p>1. <a href="https:&#x2F;&#x2F;www.scientificamerican.com&#x2F;article&#x2F;study-suggests-common-kne&#x2F;" rel="nofollow">https:&#x2F;&#x2F;www.scientificamerican.com&#x2F;article&#x2F;study-suggests-co...</a>
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dogma1138将近 6 年前
Besides that proper face pulls, ideally a resistive band YTWL[1] (another alternative is to do body weight YTWL by lying down [2]) exercise as well as walking with your thumbs forced straight to the front (if your thumbs point towards your hips when your hands are loose you have improper rotator position in your shoulder) helps wonders with any shoulder issues.<p>[1] <a href="https:&#x2F;&#x2F;www.youtube.com&#x2F;watch?v=ELe4fATl-Jg" rel="nofollow">https:&#x2F;&#x2F;www.youtube.com&#x2F;watch?v=ELe4fATl-Jg</a> [2] <a href="https:&#x2F;&#x2F;www.youtube.com&#x2F;watch?v=3MxHX9j15BU" rel="nofollow">https:&#x2F;&#x2F;www.youtube.com&#x2F;watch?v=3MxHX9j15BU</a><p>Another very good exercise is to stand straight against a wall keeping your shoulder blades, mid back, butt, elbows and wrists touching the wall and doing a shoulder press motion. The motion should be done without the elbows and the wrists coming off the wall, even people in tip top shape find this exercise extremely difficult to perform and most people would top out at just under a 90 degree bend in their elbow at first.<p>Unless there is actual damage to the joint (e.g. scar tissue that gets inflamed and must be removed) surgery should be avoided at all costs, nearly all orthopedics conditions can be resolved by strengthening under developed muscles that would make the joints work as they should.<p>Shoulder issues tend to happen due to weak back&#x2F;rear delts and overdeveloped front delts and chest muscles this is the bane of the modern slouching life style.
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Stronico将近 6 年前
I had a rotator cuff injury that went on for about two years before I went to a doctor. Their medical advice consisted of &quot;Check Youtube&quot; and they handed me two meters of resistance band.<p>I was skeptical, but two weeks of rather easy exercises and everything was fixed. It&#x27;s taken me significantly longer to train myself to remember to use my left arm for anything overhead.
grizzles将近 6 年前
A year ago I had golfer&#x27;s elbow and it seemed like it wasn&#x27;t ever going away. After years of lifting very heavy I thought, this is it - I&#x27;m fucked. Well fast forward to now and it&#x27;s pretty much gone. All I did was knock down my weights, did some physio and have slowly started building back up. I&#x27;m not back on the big big weights yet but I&#x27;m at least on the big weights. Sometimes things have a simple solution.
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SketchySeaBeast将近 6 年前
Push-ups and pull-ups are exercises that get you above that &quot;barely acceptable&quot; level of strength that physiotherapy seems to aim to get people to - to perform those movements you need to actually have a level of strength that you can&#x27;t develop simply with bands. It makes absolute sense that the solution to having a hurt joint is to make that joint significantly stronger.
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Ididntdothis将近 6 年前
I think the most important thing is to not think that one recipe will work for everybody. There are a lot of different types of shoulder problems that are all getting lumped into &quot;rotator cuff&quot;. Try a few different things and see what helps. Also keep watching your shoulders. It&#x27;s really easy to mess them up again.
rsync将近 6 年前
Any discussion of shoulder injuries should include, somewhere, the PT exercise known as &quot;plate halos&quot;:<p><a href="https:&#x2F;&#x2F;www.youtube.com&#x2F;watch?v=ZG0N6JKNUQU" rel="nofollow">https:&#x2F;&#x2F;www.youtube.com&#x2F;watch?v=ZG0N6JKNUQU</a><p>Very, very beneficial and also time efficient as it hits your shoulder from all degrees of motion with a single exercise.<p>Further, the popularity of crossfit &quot;bumper plates&quot; means that a full diameter plate can be very lightweight. The idea is to work up to a normal 45 pound plate but if you are injured or a smaller female, you can find a 10 or 20 pound bumper plate that is the same diameter. (It&#x27;s not very effective to use a smaller diameter plate, such as a standard 25 pound plate.)<p>I would recommend plate halos as a core piece of any upper body strength routine - I do them in my warmups every time I am in the gym.
sp332将近 6 年前
A friend of mine is a personal trainer who put together an incredibly thorough personalizable program for pull-ups. It&#x27;s aimed at beginners and includes instructions on building strength even if you can just support part of your weight hanging from the bar. It covers warm-ups, stretches, injury prevention, lots of technique (which is extra important if you&#x27;re already injured), and how to avoid tensing up and causing more soreness the next day.<p>The program is at <a href="https:&#x2F;&#x2F;thepullupsolution.com&#x2F;" rel="nofollow">https:&#x2F;&#x2F;thepullupsolution.com&#x2F;</a> (He doesn&#x27;t talk like a content marketer in real life.)
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whytaka将近 6 年前
My own anecdote is that for 7 months I didn&#x27;t exercise. My shoulders hurt as I slept on my side and rested my header on my pillow with my arm cradling it underneath.<p>It went away just a week into me restarting my exercise regimen.
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simlevesque将近 6 年前
I don&#x27;t know if they ever tried that but I play with a yoyo, looping style (2A) and it is a wonderful exercise for the shoulder area.<p>I broke my collarbone two years ago and couldn&#x27;t use my right arm for almost two months. After that I picked up yoyo and I&#x27;m certain that it helped me recover my strength and flexibility.
Fjolsvith将近 6 年前
I experienced a period of forced inactivity which caused a calcium buildup in my right knee. It was very painful to bend past 15 degrees with my weight on it and would collapse under weight. A friend I had who was a big fitness buff suggested I start walking stairs to fix it.<p>I started out with 5 minutes a day for the first week, then 10 for a week, then 15. I climbed a single story flight of stairs and then turned around and descended, repeating for the workout time.<p>After a month, the calcium buildup was gone. After three, my legs were so strong I felt like I was bouncing on springs when I walked. I was taking the steps two at a time when I climbed and didn&#x27;t get winded at all. Great aerobic workout!
jeremyw将近 6 年前
The trial registration: <a href="https:&#x2F;&#x2F;clinicaltrials.gov&#x2F;ct2&#x2F;show&#x2F;study&#x2F;NCT02750176?show_desc=Y#desc" rel="nofollow">https:&#x2F;&#x2F;clinicaltrials.gov&#x2F;ct2&#x2F;show&#x2F;study&#x2F;NCT02750176?show_d...</a>
sunstone将近 6 年前
I&#x27;ve had frozen shoulder in both shoulders in the recent past. Neither was injured beforehand in any physical manner. I agree with the exercise treatment. It worked for me both times. In the end I found that swimming, breast stroke and then freestyle, worked best for me. For me the first couple of lengths were searingly painful but after ten or fifteen minutes it was really surprising how quickly the pain diminished. Each swimming session kind of followed the same pattern, acute pain at first that slowly faded. After maybe a dozen sessions over six weeks it was pretty much gone. One more anecdote.
camkego将近 6 年前
Has anyone determined the exact six exercises used in the study? This article mentions: &quot;including push-ups, pull-ups, dips and reverse rows — while the end of the limb is braced.&quot; But according to the trial registration, six exercises were used.<p>Does anyone know where to find the exact exercise regimen used in the trial? Why is this so tricky to find?
joker3将近 6 年前
The thing to keep in mind here is that studies can only compare the average effects of any treatments they consider. You don&#x27;t care about that. Instead, you want to know what&#x27;s going to work for your particular shoulder pain, which might be helped by exercise, or might be something that generally requires surgery.