A Diagnosis is a Weapon: My First Step Toward Shoulder Recovery

Yesterday I met with a sports medicine physical therapist at Kaiser for the first time. The kind nurse took my vitals, and to my surprise my blood pressure wasn’t bad at all: 127 over 84. My blood pressure always spikes a bit at the doctor’s. 

Then I met the sports doctor. She was affable, direct, and clearly passionate about her work. She examined my left shoulder, noted that the swelling was visible even through my T-shirt, pressed along the biceps groove, and tested my range of motion. After watching me perform several movements, she diagnosed me with rotator cuff syndrome and biceps tendinopathy. She immediately ordered an X-ray (results pending) and scheduled an ultrasound in five weeks to gather more detail. 

Her initial verdict was cautiously optimistic: with proper rehab, she believes I can recover in three months. I told her that unlike my old gym injury—when I tore my rotator cuff doing heavy bench presses and spent nine months in purgatory—this one didn’t begin with trauma. I was simply doing my normal kettlebell chest presses, felt a little tightness, and woke up the next morning with a shoulder that felt like it belonged to someone else. That incident was three months ago. 

She has me on Motrin three times a day to bring down the inflammation so I can tolerate the rehab movements. To my relief, she didn’t ask me to abandon muscle training; she understands the realities of aging and the need to protect lean mass. I just have to avoid chest presses, shoulder presses, and curls. My work will shift to legs, glutes, traps, and lat activation, with shoulder and pec stimulation coming indirectly through rehab. She gave a handout of exercises, some I can do and others I can’t. I also consulted some doctors who do shoulder rehab on YouTube and told her about some, and she agreed I could do them.

So far, I have a long list of rehab exercises I can choose from: cat–cow yog pose, broomstick flexion, wall push-ups, wall flexion, planks, plank taps, narrow push-ups on the knees, light dumbbell rotations, and others. 

Some overhead movements are currently impossible. Hanging from a chin-up bar, the internet’s magic cure, feels like medieval torture. 

I’ll do the exercises that I can tolerate for fifteen minutes daily: integrated on kettlebell days, standalone on the rest. Also, on my non-kettlebell days, the doctor agrees I should take an hour-long walk.

Psychologically, this appointment mattered. A diagnosis means I’m not inventing pain or collapsing mentally. It gives me a plan, an organizing principle, a weapon. When my body fails, I can live with discomfort; what I cannot tolerate is drifting in uncertainty. Seeing this doctor was the first step in taking back control.