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Weird strain/pain. Clavicle/pec/trap/neck tie in hurts.

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  • Weird strain/pain. Clavicle/pec/trap/neck tie in hurts.

    OK. We're working out Thursday last week and doing seated rows for Back Thickness. It's the end of my set and I'm really squeezing the last rep, then letting it go slowly. As my shoulders start coming forward and I lean forward to let the row handle go, I feel a distinct "pop" directly under the middle of my right clavicle. It wasn't excrutiating but I definitely felt some bad pain.
    I stretched it out and couldn't quite get myself to feel it for a few hours after it happened. At work that night, the pain came back on pretty suddenly. I iced when I got home from work that night.

    We went out of town for 4 days and I took ibuprofen (not a fan of anti-inflammatories but I'll take them when needed) and let it rest the whole time. We'll it's still not any better.

    The weird thing is sometimes I can go for hours without feeling it at all, even if I go through all kinds of motions with my arms and shoulders. Then I'll do something like bend over to pick something up and bam, the pain snaps back.

    I can't tell if I've pinched a nerve or something, or if I pulled a muscle there.

    I know there is a muscle that runs from the top of the top rib and attaches along most of the length (in the middle anyway) of the underside of the clavicle (the subclavius). I'm thinking I might have pulled this muscle.

    I've got some left over prescription 800mg ibuprofen and 750mg methocarbamol (Robaxin substitute-muscle relaxer) that I'm going to take to see if it helps.

    Anybody else here had an injury/stain/pain like this?

    Any comments/suggestions.

    Thanks everyone.
    Last edited by The Munster; 07-21-2004, 11:59 PM.
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  • #2
    the muscle you are thinking of is subclavius - sounds like that may have been strained... honestly with all of the strange stories I get from patients, I haven't heard of anyone else with that particular injury. Where exactly is the pain when you feel it? (under the center of the clavicle where the pop was?) I will talk to some people at work tomorrow and see if anyone has any thoughts...

    If the pain persists it might be a good idea to see a sports medicine doctor... if for nothing more than to get some better anti-inflammatories - ibuprofen works fine on pain, but takes around 6 weeks of continuous use before it does anything to inflammation.

    TrueNutrition.com discount code: AAL229 saves you 5%

    Feel free to PM me with injury questions - I'll get back to you soon as I can.

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    • #3
      Bumping for input.

      Inhuman, come on man, don't let me down.
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      • #4
        Originally posted by PTAaron
        the muscle you are thinking of is subclavius - sounds like that may have been strained... honestly with all of the strange stories I get from patients, I haven't heard of anyone else with that particular injury. Where exactly is the pain when you feel it? (under the center of the clavicle where the pop was?) I will talk to some people at work tomorrow and see if anyone has any thoughts...

        If the pain persists it might be a good idea to see a sports medicine doctor... if for nothing more than to get some better anti-inflammatories - ibuprofen works fine on pain, but takes around 6 weeks of continuous use before it does anything to inflammation.
        Yes the pain is exactly where the pop was, directly under the clavicle and the pain spans about a 3 inch area. I'm assuming this is about the length of the subclavius, where it attaches to the clavicle anyway. Thank you very much for looking into this for me.
        Thanks also for the advice/knowledge on ibuprofen.
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        • #5
          Originally posted by The Munster
          Yes the pain is exactly where the pop was, directly under the clavicle and the pain spans about a 3 inch area. I'm assuming this is about the length of the subclavius, where it attaches to the clavicle anyway. Thank you very much for looking into this for me.
          Thanks also for the advice/knowledge on ibuprofen.
          I will take the info to work tomorrow and see if anyone else has any thoughts - but yeah it definitely sounds like something involving the subclavius... with your shoulders rolling forward it could have stretched it to the max and maybe even torn some fibers...

          TrueNutrition.com discount code: AAL229 saves you 5%

          Feel free to PM me with injury questions - I'll get back to you soon as I can.

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          • #6
            Originally posted by PTAaron
            I will take the info to work tomorrow and see if anyone else has any thoughts - but yeah it definitely sounds like something involving the subclavius... with your shoulders rolling forward it could have stretched it to the max and maybe even torn some fibers...
            If that is the case, how long should I lay off if at all? Or is this something I can work through?
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            • #7
              Patron does know his stuff here, you can have a problem with your Clavicle right where it touches with the part of your Scapula called the Acromion, if you have a strong or weak Supraspinatus or Infraspinatus you can tweak your Clavicle with a bad movement especially Long Pulley Rows or any Back Thinckness movement.

              I have had my Clav out of placement so to speak for a while or should I say it would bother me for week or so sometimes not paying attention to hand placement or ususally puting a weight down is where it can happen.

              Just my .02 cents worth...
              Last edited by In-Human; 07-22-2004, 12:43 AM.
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              • #8
                Originally posted by The Munster
                If that is the case, how long should I lay off if at all? Or is this something I can work through?
                To be honest bro, I'm not really sure what kind of advice to give you on it... my first instinct is to say "Lay of exercises that aggrevate it" - which is common sense...
                As far as how long you might need to lay off of things - it all depends on what is truly wrong in there. I would suggest looking for a true sports medicine doctor for a quick evaluation - these are doctors that understand the mind of an athlete, and will not give you the normal doctor BS of "Take 2 weeks off, take some Bextra, and here is an injection" ... their goal is to keep you doing your sport, and help you heal.

                Quick question though, any numbness or tingling in your right arm or hand? Try putting your hand up in the air for a little bit and see if it goes numb at all... then while it is still up in the air try looking to the right and holding it there for a bit, and then to the left... see if any of those things provoke it. If your subclavius is injured, chances are it is swollen - and it will compress nerves and blood vessals in the area... so that test will give you an idea.

                TrueNutrition.com discount code: AAL229 saves you 5%

                Feel free to PM me with injury questions - I'll get back to you soon as I can.

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                • #9
                  Originally posted by PTAaron
                  To be honest bro, I'm not really sure what kind of advice to give you on it... my first instinct is to say "Lay of exercises that aggrevate it" - which is common sense...
                  As far as how long you might need to lay off of things - it all depends on what is truly wrong in there. I would suggest looking for a true sports medicine doctor for a quick evaluation - these are doctors that understand the mind of an athlete, and will not give you the normal doctor BS of "Take 2 weeks off, take some Bextra, and here is an injection" ... their goal is to keep you doing your sport, and help you heal.

                  Quick question though, any numbness or tingling in your right arm or hand? Try putting your hand up in the air for a little bit and see if it goes numb at all... then while it is still up in the air try looking to the right and holding it there for a bit, and then to the left... see if any of those things provoke it. If your subclavius is injured, chances are it is swollen - and it will compress nerves and blood vessals in the area... so that test will give you an idea.
                  No problems with the numbness or tingling. Not since it happened and not now doing the above tests. I'm at a loss on this one too. What gets me is how sometimes it feels fine and then I'll do some movement that is completely normal and seemingly insignificant and it will kick in. This makes me think its a pinched nerve of some sort. But when the pain is present, its not a pinpoint zapping pain, its broad over about a 3 inch area under the clavicle, like I mentioned.
                  I think you're right about seeking a sports doctor. I'll probably start calling around tomorrow and stay away from movements that bother it in the meantime.
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                  • #10
                    Originally posted by In-Human
                    Patron does know his stuff here, you can have a problem with your Clavicle right where it touches with the part of your Scapula called the Acromion, if you have a strong or weak Subraspinatus or Infraspinatus you can tweak your Clavicle with a bad movement especially Long Pulley Rows or any Back Thinckness movement.

                    I have had my Clav out of placement so to sprak for a while or should I say it would bother me for week or so sometimes not paying attention to hand placement or ususally puting a weight down is where it can happen.

                    Just my .02 cents worth...
                    Thanks IH, I knew you'd throw in some long anatomy words (gotta go look them up in my anatomy and physiology book when I get home) before long.
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                    • #11
                      Sounds like a good plan. I would tend to think an injured nerve would give you more of a shooting, radiating, or burning sensation. A broad area of pain that doesn't radiate further down the line seems to make the most sense as a strain of the muscle at its clavicular attachment.
                      Movements like leaning forward do make sense to aggrevate that muscle, because it would cause your clavicle to move away from your rib cage, and put a stretch to the muscle.
                      Alright, well its time for my pre-bedtime shake and some sleep before hitting bis/legs tomorrow...
                      Good luck, and keep us updated!
                      I will post anything I find out from my co-workers when I get home tomorrow night...

                      TrueNutrition.com discount code: AAL229 saves you 5%

                      Feel free to PM me with injury questions - I'll get back to you soon as I can.

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                      • #12
                        Thanks again PTAaron. Nighty-night.
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                        • #13
                          OK... no new spectacular advice for ya... but talking with some folks at work and after some brainstorming the most likely 3 options based on your mechanism of injury and the location of pain are subclavius, upper fibers of pec major, or even a clavicle fracture (although this one is really unlikely - I did learn that it only takes something like 2.5 pounds of direct force to fracture a clavicle!).

                          My thought is, if it is pec major - you would see bruising and would have pain with a "most muscular" crab style pose - so that is a test you can try to rule things out.

                          Might be referred pain from the sterno-clavicular joint (joint in the middle of the chest with the collar bone and breastbone) - but again, thats a longshot.

                          Sorry I couldn't give you something more definitive and give you more of a direction to go in for rehabing it...

                          EDIT: fixed spelling errors - but there probably still are a lot...

                          TrueNutrition.com discount code: AAL229 saves you 5%

                          Feel free to PM me with injury questions - I'll get back to you soon as I can.

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                          • #14
                            Aaron,
                            Thanks for looking into it for me.
                            If it were upper pec muscles or a fractured clavicle, I think the pain would be much more substantial than it is. I went ahead and trained today (Chest, Delts, Tris, Back-W, Back-Th) and didn't have any trouble as I made sure my form was dead on and I made sure I didn't let my shoulders roll forward and down.
                            I'll be calling for an appointment tomorrow with a sports medicine doctor to have it checked out.
                            Thanks again, Aaron, for taking the time. It's much appreciated.
                            CrossFit Champions
                            Champions Combat Arts

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                            • #15
                              Did you figure out your pain

                              Munster, I hope your still viewing this site.......I found myself up late searching the net for a solution to my problem which sounds very close to what you were experiencing. I to am a lifter, and one day when stretching my back muscles from a the previous days back workout. I felt a pinching feeling in my back between my clavicle and my spine. I didnt feel that I over stretched the area but I can say that I was very tight when doing it. As time went on (several months), just like you, would experience a sharp pain in that area when doing nothing of significance. I remember bending to my right side and reaching down to get my wallet out of my cargo shorts and absolutely getting zapped. The pain would come and go and if I was feeling it I would normally mess with it ( like try to stretch it out) which would only make it worse. Some workouts I would feel nothing, and others would be a nightmare because I was always hitting it. When I mean hitting it, its like doing an exercise such standing single armed barbell curls and Im straining for the last couple reps and I get zapped from that area due to squeezing. Im not an obnoxious lifter and pride myself with form and proper lifting mechanics and still get hammered with the sharp pain. I sometimes feel like its a pulled muscle because I have pulled my hamstring before, and other times it hits me like a pinched nerve. Messages work but only temporarily and I have seen the chiropractic more than a dozen times. Still I cant seem to get rid of this nagging problem. The chiro seems to think I have a pinched nerve in my spinal cord but I have been there done that too, and its just not the same. He has performed stem and myofascial release in that area which once again is only temporary. I was hoping you figured out what was causing your issue and or have some remedies to help alleviate the problem. Im going stir crazy because it affects my workouts and has become this never ending pest. Thank you in advance for any suggestions
                              Cheers
                              Last edited by flipdrip; 12-14-2012, 04:29 AM.

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