25M clavicle locking out during incline bench/ bench

[Bobbylee99]

I'm relatively weak, but not new to lifting. I'm 6ft 155 lbs. and 3 years ago i could bench 225lbs. now i cant bench 65. Ive seen 3 specialists/orthopedic surgeons for this and they ended up performing surgery on my shoulder and 6 months out it hasnt changed a thing.

I don't know if anyone has had this issue but im going to give every single detail possible. When I bench (same form as when i did 225) during the entire process my right clavicle feels like its dislocated. It doesnt really "hurt" moreso than it just feels wrong and physically makes it impossible to move the weight (especially incline position like literally impossible where i can try as hard as possible but cant push up 65lbs).

They performed surgery they thought it was my bicep insertion into my shoulder and cut that plus i had a small slap tear they repaired. now that im back in the gym its no different.

Other symptoms i have that i think are correlated to it is if i do a chin tuck against a wall then breathe in deeply into my stomach i get a massive nerve cluster pain in that collarbone through the shoulder into the elbow, i am incapable of fully breathing in in that position due to pain. If I am in a chin tuck and press my left ear to my left shoulder, i get tightness in the shoulder, but shooting burning pain up my neck up to right behind my right ear/jaw. This started around the time i had an issue with my right molar, i havent been able to chew on my right side of my mouth for 1.5 years at this point, probably irrelevent but i wanted to mention everything.

I've done surgeries, PT(4 different specialists over 18 months), and they all just keep telling me its my shoulder and that it wont get better which makes no sense cause i never had this issue this isnt something i was born with, its getting increasingly frustrating being tossed around and told the same thing over and over and now they want me to get another surgery but once again for my shoulder when my shoulder doesnt even hurt!

[Mark Rippetoe]

Show us the MRI report summary.

[Bobbylee99]

PROCEDURE: MR SHOULDER RIGHT ARTHROGRAM 10/10/2023 3:33 PM EDT

INDICATION: 24 years old Male patient with right shoulder pain despite PT

COMPARISON: Right shoulder radiographs 7/27/2023.

TECHNIQUE:
Multiplanar, multisequence MR images of the right shoulder were obtained on a 3 Tesla magnet.

FINDINGS:
Intra-articular contrast is present.
Alignment: Normal.

Fluid:
Subacromial/subdeltoid bursa: Mild bursitis.
Glenohumeral: Appropriately distended with intra-articular contrast.
Long head of biceps brachii tendon: Appropriately distended with intra-articular contrast.

Bones: Normal.

Acromial arch:
Shape: Flat.
Subacromial spur: Absent.
Lateral / Anterior downsloping: Absent.
Acromioclavicular joint: Normal.

Rotator cuff:
Supraspinatus: Tendinosis of the insertional fibers and critical zone.
Infraspinatus: Normal.
Subscapularis: Normal.

Rotator Interval and Long head of biceps brachii tendon:
Rotator Interval: Normal.
Biceps-labral anchor: Intact.
Horizontal portion: Tendinosis.
Vertical portion: Normal.

Glenohumeral joint:
Labrum: There is fraying of the mid anterior labrum. There is blunting of the anteroinferior labrum. No displaced labral tear identified. No Bankart lesion.
Glenohumeral ligaments / joint capsule: Intact.
Glenohumeral cartilage: Normal.


IMPRESSION:

1. Mild degenerative labral tearing. No displaced labral tear identified.
2. Tendinosis of the insertional fibers and critical zone of the supraspinatus tendon.
3. Tendinosis of the intra-articular horizontal portion of the biceps tendon.
4. Mild subacromial/subdeltoid bursitis.


for shoulder (prior to the surgery reparing labrum and performing bicep tendonesis)


and for neck

HISTORY: 24M with right shoulder pain.

COMPARISON: None

TECHNIQUE: Multiplanar, multisequence MRI of the cervical spine was performed without the administration of intravenous contrast.

FINDINGS:

Study is mildly degraded by artifacts.

The vertebral body height and alignment is maintained. There is a normal curvature. The bone marrow has a normal signal intensity. The intervertebral disc have normal height.

The posterior elements and paraspinal soft tissues are normal.

The visualized cord and posterior fossa demonstrate normal signal intensity and morphology.

At the level of C5-C6 there is a minimal central disc bulge with a possible small annular fissure (801-31) without spinal canal or neural foraminal narrowing.

Otherwise, there is no disc herniation, or spinal canal or neural foraminal stenosis.

IMPRESSION:
1. At the level of C5-C6 there is a minimal central disc bulge with a possible small annular fissure (801-31) without spinal canal or neural foraminal narrowing.
2. Otherwise, normal MRI of the cervical spine.

[Satch12879]

You cannot “breathe into your stomach.”

[Mark Rippetoe]

Have you done the program in the Blue Book?

[Bobbylee99]

You cannot “breathe into your stomach.”

obviously i am referring to "belly breathing" where you expand your abdomin with your breath...

i have followed your information on how to correctly do the big 3 lifts (as i dont clean), and i also have gone to the gym many times with a powerlifter, and been told from them everything looks fine.

[Mark Rippetoe]

There is nothing wrong with your shoulder that you cannot train through. But you are seriously underweight, you have not done the program, and your powerlifter doesn't seem to know that you haven't done the program -- he hasn't read the book either. The program, very importantly, includes presses.

Starting Strength: Basic Barbell Training, 3rd edition – The Aasgaard Company