Shoulder Pain

Shoulder Pain

Shoulder pain afflicts many, with rotator cuff issues being the most common shoulder malady, afflicting an estimated 25% of people over the age of fifty. The shoulder joint, due to its mobility, allows for a lot of freedom of movement; this freedom, however, comes at a price. The mobility of the shoulder joint also makes it not very stable, which can make it prone to injury. Additionally, the four muscles of the rotator cuff that attach at the shoulder joint aid in mobility, but are also a common source of pain, discomfort, and injury.



Causes of Shoulder Pain

Shoulder pain is most often caused by repetitive, overhead movements like pitching, lifting heavy objects, or playing tennis. Another common cause of shoulder pain is rotator cuff impingement. This occurs most frequently in athletes and middle-aged adults. Rotator cuff pain can cause swelling and stiffness when raising the arm, as well as loss of strength and decreased range of motion.

Shoulder pain can also be caused by:

  • Shoulder dislocation
  • Abnormal shoulder structure
  • Fracture
  • Bursitis
  • Tendonitis
  • Arthritis
  • Tendon tears

Symptoms

Shoulder pain has a wide range of symptoms and can range in severity from a dull, gradual ache to a sharp, severe pain.

Common symptoms of shoulder pain include:

01

Pain or discomfort when raising the arm over the head

02

Pain through the elbow, but not into the hand

03

Tenderness or weakness

04

Reduced range of motion

05

Muscle spasm

06

Numbness

07

Swelling

08

Tingling

Diagnosis

When diagnosing shoulder pain, a visit to a pain management specialist as early as possible is a vital step in preventing more serious injury. In addition to reviewing your medical history and conducting a thorough physical examination, your pain management specialist may administer one or all of the following tests:

• X-ray
• MRI
• ECG to rule out cardiac issues
• CT scan

Possible Treatments

Treatment for shoulder pain typically starts with shoulder exercises to help strengthen the muscle. Hot and cold therapy and anti-inflammatory medication (both OTC and prescription) may also be implemented to help alleviate the pain. Additional treatment options for shoulder pain include:

Joint Injections
Platelet Rich Plasma (PRP) Therapy
Cortisone injections
Physical therapy
In some cases - Arthroscopic surgery, Orthopedic surgery, or shoulder or joint replacement.
Dr.Raju Mantena
Dr. Raju Mantena is an anesthesiologist and pain specialist based in the Houston area and has over 15 years of medical experience which he relies upon each day to successfully treat his patients’ acute and chronic pain.
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