Shoulder Pain
Shoulder Pain can originate in the joint or from the surrounding tissues.
Typically, shoulder pain is aggravated by movement and activities. Shoulder pain can be referred, which means that it comes from somewhere else in the body.
The shoulder is a joint which has three main bones, the humerus, the scapula, and the clavicle.
The Humerus
The humerus is the longer bone in the arm that runs from the shoulder to the elbow. The humeral upper extremity consists of a rounded top, a narrow middle, and two short tubercles, sometimes called tuberosities. The humerus is one of the most commonly damaged bones in the body.
The Clavicle
The clavicle/collarbone is a long bone between the shoulder blade and the sternum. There is a clavicle on each side of your body and it is the only long bone in the body that lies horizontally. It is the most commonly broken bone in the human body. It is easily fractured by impact to the shoulder or by a direct hit.
The Scapula
The scapula/shoulder blade is the bone that connects the humerus with the clavicle. Just like the clavicle, there is a scapula on each side of your body. The scapula is a flat bone resembling the shape of a triangle.
The Joints
There are two main joints, the acromioclavicular joint and the glenohumeral joint. The glenohumeral joint allows the arm to move in circular motions and moves the shoulder back and forth.
Shoulder Pain is considered the third most common cause of musculoskeletal problems. It is a common issue that can highly impact basic occupational or functional work as well as daily motion.
Conditions Associated with Shoulder Pain
- Cancer Pain
- Complex Regional Pain Syndrome
- Fibromyalgia
- Myofascial Pain Syndrome
- Osteoarthritis
- Rheumatoid Arthritis (RA)
- Tendinitis and Bursitis
Common Treatments for Shoulder Pain
- Epidural Nerve Block
- Intra-Articual Joint Injections
- Medication Management
- Trigger Point Injections
Shoulder Pain FAQs
What is the main cause of shoulder pain?
The shoulder is the most movable joint with the least stability. The rotator Cuff provides this free range of movement to the shoulder. Sometimes, the rotator cuff tendon may become pinched under the shoulder bone, which causes tendons to swell. Tendons can become inflamed or damaged. This is the most common cause of shoulder discomfort and is known as rotator cuff tendonitis or bursitis.
How do I know what type of shoulder pain I have?
Your doctor will begin with a basic physical exam to rule out structural problems or problems related to the spine or neck. Next, they might perform basic tests to check your range of motion, flexibility and muscle strength. This will identify the affected area of the shoulder. X-rays and other Imaging tests such as MRIs and ultrasounds may also be performed to look for damage to joints, bones, tendons, ligaments, and cartilage.
When should you be concerned about shoulder pain?
Your doctor will begin with a basic physical exam to rule out structural problems or problems related to the spine or neck. Next, they might perform basic tests to check your range of motion, flexibility and muscle strength. This will identify the affected area of the shoulder. X-rays and other Imaging tests such as MRIs and ultrasounds may also be performed to look for damage to joints, bones, tendons, ligaments, and cartilage.
When should you be concerned about shoulder pain?
Shoulder pain may go away independently with certain home remedies and self-care treatments. However, if your shoulder pain is caused by an injury ( fracture or dislocation), you should seek immediate medical attention. Any of these severe symptoms might accompany your shoulder pain-
- A joint that looks to be twisted
- Inability to lift your arm away from your body or use the joint
- Unbearable pain
- Swelling that occurs suddenly
- Extreme Redness
What is the best treatment for shoulder pain?
It would help if you first tried some home remedies to ease your shoulder pain. Apply ice to the shoulder for 15 minutes, then take it off for another 15 minutes. Repeat 3-4 times each day for 2-3 days. Rest your shoulder over the next few days. Ibuprofen or acetaminophen (such as Tylenol) may also help to reduce inflammation and pain.
However, if the pain persists or gets severe, seek a doctor's advice immediately. They might recommend other common treatments such as Epidural Nerve Block, Intra-Articular Joint Injections, Medication Management and Trigger Point Injections.