Question

Shoulder Pain - Causes, Diagnoses & Treatment Of It!

Dr.Shekhar Srivastav · Accepted Answer

Shoulder pain can be a persistent dull and nagging sensation in the upper arm or shoulder area. It can be easily differentiated from neck pain as it is related to the movement of shoulders i.e. it will increase and decrease with shoulder movements, especially overhead activities. The other signs to identify shoulder pain is if your shoulder movements are reduced.

If you find it difficult to scratch / wash your back, comb your hair or reach your back pocket, it clearly shows you are suffering from shoulder pain. Shoulder pain can happen due to various reasons, it varies from person to person depending on the activities he/she is involved in, for e.g. sports, manual job etc. It can be a single major injury or multiple small injuries due to repetitive usage patterns. Also, degenerative changes in various parts of the shoulder can lead to shoulder pain.

In case of middle to old age, injuries that can cause shoulder pain are:
Biceps Tendonitis
Acromio-clavicular Joint arthritis
Scapular Dyskinesia
Trapezitis
Suprascapular nerve entrapment In young age, injury due to sports or gym activity can cause shoulder pain
Superior labral anterior/posterior (SLAP tear)lesion
Also, traumatic or repeated dislocations of shoulder can cause shoulder pain due to:

Bankart lesion
Diagnose Shoulder Pain

Shoulder pain can be diagnosed only after thorough history taking and clinical examination. However, some imaging studies can be very helpful like:

X-rays: Through an x-ray one can view the shoulder in many different views.
Ultrasound: With an ultrasound, you can also check the damaged caused to the tendons and muscles of the shoulder but the quality of reporting depends upon the expertise of the doctor.
MRI: MRI gives a clear picture of the shoulder as it shows everything related to a shoulder joint that is joints, vessels, tendons and muscles that too from different angles.
Diagnostic Arthroscopy: A surgical procedure often used by orthopaedic surgeons to diagnose and treat issues inside a joint. Arthroscopy has the big advantage that one can use it to diagnose as well as treat at the same time.
Treatment for Various Types of Shoulder Pain

For Shoulder Impingement or Rotator Cuff tear: Give rest to the shoulder for a few days only Dedicated Physiotherapy Protocol Bursal injections If these fail then, (Surgery)Arthroscopic sub-acromial decompression If Cuff tear is found, then one can go for Arthroscopic/Mini-open repair
Labral Lesions: For anterior Labral lesions (Bankart's) following anterior shoulder dislocation then surgery in the form of Arthroscopic Bankart's repair is the only option to reduce risk of recurrence and degeneration.
SLAP Lesions

Pain relief and physiotherapy as first step If this fails then following surgical options are available
Arthroscopic debridement or repair of labrum
Biceps tenotomy or tenodesis
Arthritis

In this case, the joint is already destroyed and has to be resurfaced for pain relief and to maintain ROM. If Rotator cuff muscles are working, then Shoulder resurfacing hemiarthroplasty (preferred in young people), that has a life of 10 to 15 years, Total shoulder replacement (preferred in middle aged to old people) has a life of 10 to 15 years. But, if rotator cuff muscle are not working then Reverse Geometry Shoulder replacement is recommended, that has a life of 10 years.

It is always advisable to get yourself diagnosed properly in case of shoulder pain as management changes depending on clinical situations. Neglecting shoulder conditions can lead to bigger problems later on.

Shoulder Replacement Health Feed

Shoulder Pain - Causes, Diagnoses & Treatment Of It!

Shoulder Arthritis Treatment - All You Should Know About It!

Orthopedic Doctor in Gurgaon!

Recurrent Shoulder Dislocation - What All Should You Know?

Everything You Need To Know About Shoulder Arthritis Treatment

My father have hip injury. His hip bone have broken and doctor said that it needs a hip surgery and my question is how many days will it take to admit in hospital?

I am 38 years old and my issue is 4 fear old I fall on the floor and injured my spine in l2 level after operation my lower body not working properly like not balance on my leg ,urinary problems please tell me treatment details.

I am in my young 20s and my knee ball dislocated just by walking and my doctor asked me to bed rest for 3 weeks. Its been 3 weeks and I still have allot of pain and swelling. I can't walk or put weight on my injured leg. What should I do?

Knee Replacement Surgery - Tests and treatments

Hi I am male 39 years old, I am having cartilage loss in my right knee. My question is ,with this problem shall go for jogging / walking or cycling.

I am 33, I have injured my knee and mri confirms its a complete thickness tear of acl and bucket handle tear of medial meniscus and mild bone contusion. Is the important to get a surgery?

I was accident before one and half month, my left hand injury shoulder muscle nerve and totally dropped shoulder and elbow, this complaint cure or not.

Top 10 Orthopedist In Bangalore