Shoulder - Slight Lateral downsloping of the Anterior Acromion Process

Shoulder - Slight Lateral downsloping of the Anterior Acromion Process

Could any of you shoulder gurus out there help me translate this to English? It's my results of a shoulder MRI. What is it? And and what exercises can I use to fix it? Any advice is appreciated.

I did ask my doctor all of these questions and he was very vague and just referred me to physical therapy.

This is just a question and I will not regard any responses as medical advice. We are all just some iron heads having a conversation here.


So your Doc is saying that

So your Doc is saying that your shoulders round forward?

If yes, I see this a lot in heavy pressers but they don't do much pulling.

Before I got hurt I did quit

Before I got hurt I did quit a bit of weighted pull ups and dead lifts. Now as an alternative while I heal I have been doing some rows with two different grip variations. Honesty, if I had to guess, I would say it's more likely from keeping my arm outstretched in front my body at my work desk, clicking the mouse for 10 hours a day for the last 12 years.

So is that all this mumbo jumbo means, that my shoulder is rounding slightly forward?

Add more back

If I am remembering correctly this is often a problem in swimmers who have an over developed chest, but their back is not as strong. Take the physical therapy seriously because often the exercises they have you do can be used with greater amounts of weight after a while...Good Luck

Impingement issues?

There is not a lot of info, so it's hard to tell.
If you were getting the MRI for impingement symptoms, biceps tendonosis or similar then the doc might have mentioned the shape of the acromion as a possible culprit.
A downsloping acromion process (the bony bit on the top of your shoulder) can sometimes predispose a person to the above mentioned shoulder problems as it reduces space for the soft tissues between the acromion and humeral head.
In some cases this bone shape is called a hooked acromion.

"Generally speaking", good strategies for shoulder impingement issues are stretching the posterior/inf shoulder capsule and ensuring that your serratus anterior (scap stabiliser) and Teres minor/infaspinatus(lateral rotator cuff stabilisers) are functioning well. Releasing subscap and levator scap can also help.
Stripping of scar tissue on the long head of biceps tendon may also be required. Reducing a hyperkyphosis in the thoracic spine (hunched upper back) will allow better scap positioning too.

HOWEVER...There is not a lot of info.
Perhaps none of this applies to your case.
Not medical advice. Go and see a pro.

Todd Wilson's picture

Lenny, when you look in the

Lenny, when you look in the mirror, is the bilateral difference significant?

This can be due to structural damage, or bilateral muscular imbalance.

Todd- I have always noticed

Todd- I have always noticed my right shoulder looks a little different than my left but I always ignored it because I figured no two sides was ever a perfect match. I could send you a picture if you give me your email for your non-medical opinion? I would prefer not to post myself on the web.


Todd Wilson's picture

toddwilson24 at

toddwilson24 at

Make sure your clothed from the waste down though.

Thanks for the explanation.

Thanks for the explanation. I don't have such problems but it was interesting to read. It has never occurred to me that swimmers have developed chest but weak back. It is even strange. As for me, I'm following the program by Joe Weider (I downloaded some of his books from SE ). Till now I didn't have any injuries. But sometimes I feel pain in my knees. Hope it will pass.