Introduction
As a fellowship-trained orthopaedic sports medicine surgeon, I frequently encounter patients who suffer from shoulder pain. The shoulder is a complex joint, and there are numerous factors that can contribute to pain and discomfort. In this blog post, we will explore some of the most common causes of shoulder pain, their typical presentation, and the treatment options available.
1. Rotator Cuff Injuries
One of the most common causes of shoulder pain is a rotator cuff injury. The rotator cuff is a group of muscles and tendons that stabilize the shoulder joint and allow for a wide range of motion. Injuries to the rotator cuff can result from acute trauma, repetitive overhead movements, or age-related degeneration.
Symptoms:
Pain in the shoulder, often worsening at night
Weakness and difficulty lifting the arm overhead
A popping or clicking sensation during certain movements
Treatment:
Rest and activity modification
Physical therapy to improve strength and flexibility
Anti-inflammatory medications
Corticosteroid injections
In severe cases, surgical intervention may be necessary
2. Frozen Shoulder (Adhesive Capsulitis)
Frozen shoulder, also known as adhesive capsulitis, is a condition characterized by stiffness, pain, and limited range of motion in the shoulder joint. It can result from an injury, surgery, or may develop spontaneously without an apparent cause. Frozen shoulder typically occurs in three stages: freezing, frozen, and thawing.
Symptoms:
Gradual onset of shoulder pain and stiffness
Severely restricted range of motion
Pain may initially be mild and worsen over time
Treatment:
Physical therapy to restore range of motion and strength
Anti-inflammatory medications
Corticosteroid injections
In some cases, surgical intervention may be necessary to release the tight joint capsule
3. Bursitis and Tendinitis
Bursitis is the inflammation of the bursa, a fluid-filled sac that reduces friction between tissues in the shoulder joint. Tendinitis refers to inflammation of the tendons. Both conditions can cause shoulder pain and are often the result of repetitive overhead movements or overuse.
Symptoms:
Pain and tenderness in the shoulder, often exacerbated by movement
Swelling and warmth over the affected area
Treatment:
Rest and activity modification
Ice and anti-inflammatory medications
Physical therapy to improve strength and flexibility
Corticosteroid injections
4. Arthritis
Arthritis is a degenerative condition that affects the cartilage within the shoulder joint, leading to inflammation, pain, and stiffness. The most common type of arthritis affecting the shoulder is osteoarthritis, which is typically a result of aging and wear and tear.
Symptoms:
Gradual onset of shoulder pain and stiffness
Limited range of motion
Grinding or clicking sensation in the joint
Treatment:
Conservative measures, such as physical therapy, anti-inflammatory medications, and corticosteroid injections
In advanced cases, shoulder replacement surgery may be necessary
Conclusion
Shoulder pain can be caused by various conditions, each with its own set of symptoms and treatment options. If you are experiencing shoulder pain, it's important to consult with an orthopaedic sports medicine specialist, such as myself, to receive an accurate diagnosis and appropriate treatment. Remember that early intervention can help prevent further complications and speed up your recovery process.
