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Home » IDEA Answers » I have a friend that say's that he hear's a loud pop in his shoulder every time he moves it up as if he was doing a lat raise
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Question asked by Sergio Armenta 209 days ago

I have a friend that say's that he hear's a loud pop in his shoulder every time he moves it up as if he was doing a lat raise

InjuriesInjuryExercisesShouldersShoulder Exercises

what could that be fitness wise and what exercises can he do to correct that?

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Answers (10)

Answered by Debbie Russell 209 days ago
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Most folks who lift seriously have this shoulder popping issue. Make sure your friend is using correct form!
The popping sound ("crepitus")usually is not a problem. However when it is accompanied by pain, weakness or a tearing sensation, then the symptoms point to a injury that requires intervention by a sports medicine specialist or orthopedics specialist.
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Answered by Joanne Duncan-Carnesciali 209 days ago
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He really should go see his doctor.

Properly functioning shoulder joint requires the following to occur:

1. Upward rotation of the scapula.
2. Stabilization of the scapula against the rib cage.
3. Contraction of the rotator cuff to stabilize the humeral head and prevent humeral superior migration.
4. Free rotation of the humerus.

Obviously, something in the mechanics has gone amiss

FYI, Crepitus is not a popping sound. According to Taber's Cyclopecic Medical Dictionary it is a "crackling or rattling sound made by a part of the body, either spontaneously or during physical examination."

If your friend has shared is concerns with you it is obvious that he is worried. He should get it checked out.
3 Comments
I guess I stand corrected ... however my own kinesiologist has told me that I have this condition in my hips (years of martial arts taking its toll) and they "pop" but without actually hearing the "pop" from this individual's shoulder it would be difficult to differentiate.

Comment by Debbie Russell 209 days ago
Debbie, it's all good. We learn from one another.
Comment by Joanne Duncan-Carnesciali 209 days ago
Well, I'm not about to tell my Dr. he's wrong ... he should know better than me! :)
Comment by Debbie Russell 209 days ago
 
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Answered by Karin Singleton 209 days ago
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Having had two shoulder surgeries myself (before I knew better), preventing others from the same fate has been a passion of mine.

You mention that your friend hears that sound 'as if' doing a lateral raise which means to me just raising the arm without load. Sometimes it can be just a strange angle and is the result of the structure of the person. But as it is a potential irritation of tissue, I would not recommend to do that over and over again. However, if this popping is accompanied by pain, it's time to get it checked to make sure he is not causing harm in the rotator cuff.

If that was my shoulder I would begin doing rotator cuff exercises. They may nip a budding problem in the bud.
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Answered by Shawn Fears 206 days ago
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If its a concern see a medical professional
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Answered by Jason Martuscello 204 days ago
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Depending on what degree the shoulder is in when the popping occurs will help answer this question. However, based on the description altered scapular positioning is the cause. Impingement due to lack of clearance of the acromion from the rotator cuff. To confirm this - Assess the scapula ability to upward rotate while performing shoulder abduction.

Fuel the Movement,
JM
2 Comments
Hey Jason, impingement causes pain in and and around 70-120 degrees of abduction. There's no popping with impingement.

This is one of the gems I recently learned with Dr. Michael Jones RPT on the post rehab course.

Best.

Jo
Comment by Joanne Duncan-Carnesciali 204 days ago
I went back and reviewed my notes, texts and studies because i recall reading this somewhere.

Impingement occurs resulting in inflammation of the rotator cuff and bursa. As correctly stated above when abducting (or overhead activities are performed) is when this rubbing occurs further leading to more swelling. The "popping" that some encounter is is between the coracoacromial ligament and the rotator cuff. The thickening of the bursa causes the coracoacromial ligament to snap under it.

However, this is not the only source of the popping.


JM

McLaughlin, H. L., and Asherman, E. G.: Lesions of the musculotendinous cuff of the shoulder. IV. Some observations based upon the results of surgical repair. J. Bone and Joint Surg.,33-A: 76-86, Jan. 1951.33-A76 1951
Comment by Jason Martuscello 204 days ago
 
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Answered by Marlan Eller 203 days ago
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There are a lot of answers here that are great. I've learned a lot. On a personal note, I've recently had some issues with some popping joints based on inflammation. My doctor told me that the most likely cause of my inflammation is bearing heavy loads at those joints, and something has gone amiss in that joint. It could be related to fluids, muscles, tendons, ligaments, etc, etc. The best course of action is, of course, to seek medical attention. They will more than likely tell you to take it easy, take NSAIDs, and it should clear up on its own. That's not medical advice from me, by the way. I hope it works out!
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Answered by Stephen Landrum 203 days ago
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This is a question best presented to his doctor.
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Answered by Danielle Vindez 198 days ago
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In my personal experience crepidation sounds more like particals grinding together, my knees are witness. Between you and I, and our fellow practitioners, shoulder popping sounds are usually an impingment at the acromion. So, there may be a misalignment and/or inflamation.
Check with the doc to be safe.
Danielle
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Answered by Chris Gellert, PT, MMusc &Sports Physio, MPT, CSCS, CPT 88 days ago
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A pop sound particularly moving from a static to dynamic position can be a release of N+ Nitrogen gas being released similarly if you have had a joint manipulated.

However, a loud joint and consistently sounds like instability within the Glenohumeral joint.
Someone with MDI(multidirectional instability) will often display this and this person should not only get examined, but get an x-ray to establish the integrity of the GH joint.

It has NOTHING to do with the position of the scapula. Based on science.

Cheers
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Answered by LaRue Cook 79 days ago
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Hi Sergio. I would highly recommend having your friend or client go for a consultation with his physician. In my opinion one of the greatest "skills" that we as trainers can have (and use) is knowing what we don't know, and not being afraid to refer (particularly when it comes to issues involving our client's health). Good luck!

LaRue, CSCS
www.lecfitness.com
larue.cook@lecfitness.com
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