Shoulder Pain : Cause, Symptoms, Physiotherapy Treatment

Shoulder Pain
Shoulder Pain

A common cause of shoulder pain is pain in the rotator cuff tendon (the ligament that connects muscle and bone). Pain in your shoulder when you raise your arm above your head could mean you have a problem with your rotator cuff. Or you may not remember any specific injuries but still have shoulder pain.

In some cases, movement may be limited and shoulder misalignment may cause pain. In most conditions, it is painful to use or move the shoulder, but in some cases, the shoulder becomes stiff. The pain is usually felt at rest and does not worsen with shoulder movement. Because of this mobility, the shoulder is more likely to be injured or cause problems.


A problem with any part of this shoulder joint architecture can cause shoulder pain, weakness, or instability. Problems with the joints and associated nerves in the neck and upper back can also be a source of shoulder pain. There are many causes of shoulder pain, and not all of them are due to problems with the shoulder joints or related structures. Shoulder pain can be caused by osteoarthritis, muscle tears, tendonitis, and many other causes.

Swelling, injury, or bone changes around the rotator cuff can cause shoulder pain. The most common cause of shoulder pain occurs when the rotator cuff tendons get pinched under the bony area of ​​the shoulder.

If you experience pain in your shoulder at night that makes it difficult for you to sleep or wakes you up, you may have a torn one or more rotator cuff tendons. To address a rotator cuff problem, the doctor will check your shoulder for tenderness and raise your arm to see what position you're in for pain. Treatment for rotator cuff tendinitis involves resting the shoulder and avoiding activities that cause pain.

Rotator cuff problems are related to a group of muscles and tendons that help attach the head of the arm bone to the shoulder socket. The most common fractures are the clavicle (collarbone) and the humerus (the arm bone closest to the shoulder). This injury affects the joint where the clavicle and shoulder blade meet.

Shoulder avulsion most commonly occurs from a blow to the shoulder or a fall on the shoulder, or from an outstretched arm or arm. Sudden (acute) injury can result from a fall onto an outstretched arm, a direct blow to the shoulder, or abnormal twisting or flexion of the shoulder. Shoulder injuries most often occur during sports, work, household chores, or falls. This type of injury often occurs in people who play contact sports such as football and get hit in the shoulder.

With this type of injury, you may feel pain when you reach above your head, and your shoulder may feel weak. You can also have this type of injury if you feel pain when you raise your arm above your head and weakness in your shoulder when you try to lift something above shoulder level. You can injure your shoulder while doing manual work, playing sports, or even repeating movements.

When you have a problem with your shoulder, it prevents you from moving freely and can cause a lot of pain and discomfort. Degenerative and other diseases of the body can also cause shoulder problems or cause pain that travels along the nerves to the shoulder.

Although many shoulder conditions, including rotator cuff tendinitis, can be associated with a frozen shoulder, the cause is often unknown. There is no known cause of frozen shoulder, which presents with progressive pain on movement and stiffness. Frozen shoulder, called adhesive capsulitis, is a common condition that results in joint stiffness and pain that can be constant.

Frozen shoulder rarely recurs on the same shoulder where it originally started, but people can reappear on the opposite shoulder. Adhesive capsulitis occurs when the connective tissue around a joint thickens and becomes stiff, limiting the movement and function of the joint. The shoulder sac thickens and contracts, creating discomfort.

In the shoulder, the bursa, which is located between the rotator cuff tendon and the acromion (acromion), can become inflamed, most commonly with repetitive motion. Another common cause is pain in the subacromial bursa (a buildup of fluid under the top of the shoulder). The most common cause of upper shoulder pain is an abnormality of the acromioclavicular (AC) joint.

Tendinitis and bursitis cause pain in the front and sides of the shoulder, and stiffness can also occur. Shoulder pain can sometimes be described as a stabbing pain.

Pain in the rotator cuff usually means rotator cuff tendinitis or inflammation of these tendons and inflammation of the bursa, the smooth, slippery sacs that the tendons slide over; or a rotator cuff tear, where one of the tendons is torn due to overuse or injury. In addition to spinal or disc problems, you may also experience shoulder pain due to other health problems, ranging from pneumonia, pancreatitis, and gallstones to inflammation around the heart and heart attack. Shoulder pain can also be caused by problems affecting the abdomen (such as gallstones), the heart (such as angina or a heart attack), and the lungs (such as pneumonia). The doctor may also examine other areas of your body, such as your neck or abdomen, to rule out non-shoulder causes.

Ultrasounds can show swelling, damage, and problems with tendons, muscles, or other soft tissues in the shoulder. MRI uses radio waves to create images that show what's going on inside the bones and soft tissues of the shoulder, such as muscles and tendons. X-rays can show any changes caused by arthritis of the shoulder joint (such as bone spurs or narrowing of the joint space) or fractures.

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