Pain in the shoulders: causes, symptoms, and effective treatment
About the Symptom
Pain in the shoulders is a common symptom that can be caused by various factors. It can present itself both acutely and chronically and is often accompanied by limited mobility, discomfort, and even increased pain with certain movements. It is important to note that the cause of shoulder pain can be not only an injury or muscle strain but also joint diseases, such as osteoarthritis, bursitis, or tendonitis. This condition often occurs as a result of poor posture or prolonged work at a computer, leading to muscle spasms and inflammation.
The symptoms related to shoulder pain can vary from mild discomfort to severe pain that may radiate to the neck, back, or even the arm. Sometimes, patients report a burning or tingling sensation, which may indicate nerve compression. Determining the exact cause of the pain is important for choosing the correct treatment method. Therefore, if shoulder pain persists for more than a few days or is accompanied by other symptoms, such as numbness or weakness in the arms, it is recommended to seek medical help.
Diseases
Pain in the shoulders can be a symptom of various diseases that often require qualified medical assistance. One of the most common causes of discomfort is shoulder peritendinitis, which is associated with inflammation of the tendons, or shoulder arthritis, which is characterized by joint pain, limited movement, and swelling. It is important to note that shoulder pain can be related not only to local diseases but also to pathologies of internal organs, such as heart or lung diseases.
Another common condition leading to shoulder pain is frozen shoulder syndrome. This condition is accompanied by significant stiffness and limited movement, causing considerable discomfort in daily life. It is important to consult a doctor in a timely manner to avoid complications and restore mobility.
- Shoulder peritendinitis
- Shoulder arthritis
- Frozen shoulder syndrome
- Shoulder joint injuries
- Impingement syndrome
- Osteoarthritis of the shoulder joint
- Herniated intervertebral discs in the cervical region
- Cardiovascular diseases
- Lung problems (e.g., pleurisy)
Diagnosis
The correct diagnosis of shoulder pain is a key step in determining its cause and prescribing effective treatment. Specialists at our medical clinic conduct a comprehensive examination taking into account the individual characteristics of the patient. It is important to consider that shoulder pain can arise from various reasons, ranging from physical injuries to inflammatory diseases, so accurate diagnosis helps avoid ineffective treatment approaches.
We use modern diagnostic methods that help not only identify the source of pain but also assess the overall condition of the musculoskeletal system. During the initial consultation, the doctor will collect medical history, conduct a physical examination, after which additional tests may be scheduled to clarify the diagnosis.
- X-ray of the shoulder joint
- Ultrasound examination (US)
- Magnetic Resonance Imaging (MRI)
- Computed Tomography (CT)
- Electromyography (EMG)
- Complete blood count and biochemical studies
Which doctor to consult
If you experience shoulder pain, it is extremely important not to delay visiting a specialist in order to prevent possible complications and improve your quality of life. There are many reasons that can cause this symptom, ranging from simple muscle strains to serious illnesses. Therefore, consulting a specialist doctor will help identify the cause and choose the correct course of treatment.
At the first stage, it is advisable to consult a therapist who will conduct a preliminary assessment of the patient’s condition. Depending on the examination results and the need for further investigations, the therapist can refer the patient to narrow specialists. It is important to remember that ignoring shoulder pain can lead to chronic illnesses and difficulties in everyday life.
- Therapist
- Orthopedist
- Neurologist
- Rheumatologist
- Physiotherapist
- Chiropractor
Types of Shoulder Pain
Shoulder pain can manifest in various forms, and understanding these types of pain is crucial for accurate diagnosis and treatment. Acute, chronic, and sharp pains are distinguished. Acute pains typically arise suddenly and may result from injury or excessive strain. They are often accompanied by swelling and limited mobility. Chronic pains can develop gradually and persist for long periods, sometimes lasting for months or even years. Such pains may be associated with degenerative changes in the joints or muscles.
Sharp pains can also arise due to nerve irritation or inflammatory diseases. These pains can feel burning or shooting and often cause significant discomfort, interfering with daily activities. Additionally, shoulder pains can radiate to the neck or back, complicating diagnosis and treatment.
- Acute pain
- Chronic pain
- Sharp (shooting) pain
- Dull or aching pain
- Radiating pain
Causes of Shoulder Pain
Shoulder pain can have many causes, and proper diagnosis is a key step in choosing the most effective treatment. One of the most common reasons is overexertion and injuries, which can occur as a result of physical activity or an awkward movement. Athletes and people engaged in physical labor are particularly susceptible to these problems when they use their shoulders in unnatural positions for extended periods of time.
Additionally, shoulder pain can arise from various diseases such as osteoarthritis, bursitis, or tendinitis. These conditions can lead to inflammation of the joints or soft tissues, causing discomfort and limiting movement. It is also worth noting that diseases of internal organs, such as heart or lung disorders, can also manifest as shoulder pain, creating a false impression of a local problem.
- Shoulder joint injuries
- Osteoarthritis and arthritis
- Bursitis
- Tendinitis
- Spinal pathologies (e.g., hernias)
- Myofascial syndrome
- Co-existing diseases of internal organs
Common Related Pathologies
Shoulder pain can be caused by various diseases and conditions that are not always directly related to the shoulder area itself. One of the most common related pathologies is osteoarthritis, which can cause degeneration of the joint cartilage and, as a result, pain during movement. Shoulder osteoarthritis often makes everyday activities difficult, such as raising an arm or turning the torso.
Another frequent cause is bursitis, which is inflammation of the synovial bursa located in the joint. This condition can arise from overloads or injuries to the shoulder and manifest as sharp, intense pain, especially when trying to raise the arm. It is also worth mentioning tendonitis, which affects the tendons of the muscles surrounding the shoulder joint. The pathology often manifests as pain syndromes during physical exertion and can lead to restricted mobility if not addressed appropriately.
- Osteoarthritis
- Bursitis
- Tendonitis
- Radicular syndrome
- Shoulder neoplasm
- Injuries such as dislocations or sprains
Expert Opinion
Shoulder pain is a symptom that often raises many questions and concerns for both patients and doctors. The most common cause of pain in this area is overstrain and micro-injuries of the muscles and ligaments, which can occur due to poor posture, physical activity, or injuries. It is important to remember that ignoring the pain can lead to more serious chronic conditions, such as frozen shoulder syndrome or tendinitis.
As noted by our leading specialist, relieving shoulder pain requires a comprehensive approach. It is necessary not only to address the symptom itself but also to identify and eliminate the underlying cause. Diagnostic procedures, such as MRI and ultrasound, can help in identifying disturbances that are not always visible during a standard examination. An individual approach to each situation, based on consideration of the patient’s lifestyle, helps to best address the issue and restore shoulder joint function.
When consulting a specialist, it is important not to postpone the visit until the pain becomes unbearable, as early diagnosis and treatment significantly increase the chances of complete recovery. Remember, your health is in your hands!
Treatment of Shoulder Pain
The treatment of shoulder pain depends on the underlying cause of the symptom and can range from simple home methods to professional medical assistance. It is important to note that self-treatment can lead to worsening conditions, so it’s advisable to consult a doctor before taking any measures. Typically, the initial stage involves alleviating symptoms such as pain and inflammation using anti-inflammatory medications or heat treatments.
In more serious cases, physical therapy may be required to restore joint function and strengthen the shoulder muscles. The therapist will develop an individualized exercise program aimed at improving mobility and reducing pain sensations. In situations where pain is caused by deep pathologies such as arthritis or injuries, surgical intervention may be recommended.
Some common methods of treating shoulder pain include:
- Physical therapy and therapeutic exercises
- Massage and manual therapy
- Analgesics and anti-inflammatory medications
- Corticosteroid injections
- Surgical intervention if necessary
Complications
Pain in the shoulders can lead not only to discomfort but also to serious complications if not diagnosed and treated in a timely manner. Chronic pain syndrome can limit the mobility of the shoulder area, which will result in a deterioration of quality of life. People suffering from constant shoulder pain may experience difficulties in performing daily tasks, such as lifting weights; even simple movements can become challenging.
In addition, prolonged pain can cause psycho-emotional tension, leading to the development of depression and anxiety disorders. This, in turn, can exacerbate the pain syndrome, creating a vicious cycle that is hard to break. It is also important to note that some complications may require surgical intervention if conservative treatment methods prove ineffective.
- Limitation of shoulder joint mobility
- Chronic pain syndrome
- Development of contractures (shortening of ligaments and muscles)
- Onset of depression and anxiety disorders
- Need for surgical intervention
FAQ
What can cause shoulder pain and how to deal with it?
Shoulder pain may be caused by various factors, including injuries, muscle strain, osteoarthritis, tendovaginitis, or even diseases of internal organs. It often arises from poor posture, prolonged sitting in one position, or physical activities that place a strain on the shoulder girdle. To alleviate the pain, it is recommended to rest, apply cold or warm compresses, perform light stretching and strengthening exercises, and consult a doctor to determine the causes and develop an individual treatment plan.
What diagnostic methods can help determine the causes of shoulder pain?
Pain in the shoulders can be caused by various factors, including injuries, inflammatory processes, or degenerative changes in the joints and soft tissues. To adequately assess the cause of shoulder pain, medical professionals use a variety of diagnostic methods. X-rays are often used to identify bone damage, ultrasound examinations to evaluate the condition of soft tissues, and magnetic resonance imaging (MRI) for a detailed study of joint structures. Additionally, clinical studies and tests can help rule out systemic diseases, such as arthritis or inflammatory processes, that play a role in the emergence of the pain syndrome.
How long can shoulder pain last and when should you see a doctor?
Pain in the shoulders can last from several days to several weeks and depends on the cause of its occurrence. If the discomfort does not go away within a few days, increases, or is accompanied by other symptoms such as numbness, loss of arm function, or severe pain, it is recommended to see a doctor. It is important not to ignore intense and persistent pain, as this may indicate more serious problems that require professional treatment.
What is frozen shoulder syndrome and how is it related to shoulder pain?
Frozen shoulder syndrome, also known as adhesive capsulitis, is a condition characterized by limited mobility and pain in the shoulder joint area. This condition occurs when the capsule surrounding the joint becomes inflamed and thickened, leading to the formation of adhesions and reduced mobility. Shoulder pain in this syndrome can be sharp and debilitating, while movements such as lifting the arm or rotating become limited and painful. Proper diagnosis and treatment of this syndrome are crucial for restoring normal shoulder function.