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restless, spasm of shoulder/arm

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hthrhrln View Drop Down
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    Posted: Jul 31 2019 at 9:23pm
Evening everyone.
Hx: Separated shoulder about 10+ years ago. No surgery, just some PT.
 
Current: Same shoulder/arm. I haven't had this issue until this year.

After a workout where I use this shoulder/arm I notice, that night, that it feels like it needs to be stretched. Not like it's tight, but like "If you don't stretch me or use me, I will spasm and twitch all night long." Some times it even bothers me before going to bed and sleeping for a couple hours, like tonight. I haven't worked out since yesterday, but I can already feel it coming on ( a lot like RLS).

I eat pretty well. I don't notice more or less dependent on when my nutrition is clean or a had a fun weekend. Fitness Pal says that my potassium is pretty low. Didn't know if it was a vitamin deficiency.

Got a massage today for him to work on it. He did not notice any impingement and it doesn't feel like a pinched nerve. Nothings numb or tingly. Nothing feels painful either. Just restless feeling.
And not happening anywhere else in my body.

I am open to any thoughts as it is becoming quite annoying, especially since it wakes me up often and I already get up at 4:30am to coach people.
Har
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Ask a PT Quote  Post ReplyReply Direct Link To This Post Posted: Aug 06 2019 at 3:33pm
Hi - Often times after my patients that have separated their shoulder (I am assuming your AC joint in this case) will present with weakness after a period of inactivity of the involved extremity. The musculature which could present with weakness are and are not limited to: rotator cuff muscles, rhomboids, deltoids, biceps etc. Often times they may also test strong but don't have the strength/endurance required for increase activity level after the injury. I would also find trigger points in those muscles as well which need to be addressed. This involves performing techniques involving myofascial release or dry needling to release the trigger points. The weakness and trigger points could contribute to inefficient use of the muscle or muscle group and after increase activity level could contribute to "spasms and twitches". Without physically examining you this is what first came to my mind. I hope this helps.
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