About 3 months ago, while training for the RKC Snatch test doing long sets of 20L/20R with the 24kg I injured my left rotator cuff. I am not exactly sure about the mechanism of the injury, but I was working on the corkscrew descent when I felt the pain. The following day my shoulder range of motion was severely restricted secondary to pain. I had my shoulder examined by one of my orthopedic surgeon friends and was diagnosed with a partial rotator cuff tear. I described kettlebells to my orthopedic friend and told him that I was doing high volume snatches. His response was to give up kettlebells. This was not an acceptable answer.I took 2 weeks off from exercise and was in a deep funk. Kettlebells had changed my life. Before marriage/kids/busy job I was a faithful gym rat. However, once I married and introduced kids into the mix along with busy medical residency and fellowship training and then a new job, working out became more and more difficult. About 18 months ago my father introduced my wife and I to kettlebells and things have never been the same. I am now able to work out at home in a short period of time. I have lost weight, gotten stronger, and my aerobic conditioning is the best it has been in many years. After my injury, I was worried I had lost everything!
That is when I began to communicate with Mark Reifkind, Senior RKC. He shared with me his philosophy concerning rotator cuff rehab which is excellently outlined in the following two articles: A New Component to Rotator Cuff Care
After reading these articles and talking to Rif I started the following shoulder mobility rehab program (all exercises are described and demonstrated with youtube links in the above mentioned articles):
Overhead Stick Stretch
Stick Shoulder Extension
Overhead Hang
I was absolutely shocked at how poor my shoulder mobility was when I first started these exercises. After several weeks, however, I began to notice a significant improvement. These exercises were also supplemented with a heavy dose of Z-Health exercises. As my mobility improved and my shoulder pain subsided I began to introduce shoulder stability exercises including:
Overhead Stick Shrugs (see Rif's articles)
Scapula Pullaparts (see Rif's articles)
External Rotator work with stretch bands
Kettlebell Overhead Walks
Kettlebell TGU
Pullups
(For those of you without a squat rack in your basement, the overhead stick shrugs can be done kneeling in a doorway with the stick gliding over the doorway molding. This simulates the squat rack very well)
Three months post injury, I have made almost a complete recovery. I have returned to snatching and pressing the 24kg without problems. In fact, I think that all of my overhead lifts have benefited from my improved shoulder mobility and stability. I continue to work the above mentioned exercises 2-3 times per week and hope that these improvements will prevent any further shoulder related injuries.
Workout today was quick. Had a very brutal weekend call with long hours spent in the hospital:
32kg one armed swings 10L/10R on 1:00 minute x 12 sets
Felt great!