Shoulder Pain is a common condition that can rectify itself in some cases. However the shoulder is arguably the most complex joint in the body with many muscles attachments. We use our shoulder every time we move our arm and it can become sore/painful as a result. Pain is not a diagnosis but it is a symptom.
We will carryout an examination to determine what is causing the pain.
You will be asked:
- Specific mechanism of injury & forces involved?
- Did you fall on outstretched hand?
- Any numbness, tingling or weakness?
- Type of work, typical posture, sleeping posture?
- Overuse/overhead work? (Impingement)
- Prior injuries?
What can cause Shoulder Pain?
Shoulder Pain can be caused by a number of things including:
- Scapulocostal Syndrome
- Upper & Lower Cross
- Rotator Cuff Strain
- Subscapularis Tendinopathy
- Impingement Syndrome
- Bicipital Tendinopathy
- Calcific Tendinopathy
- Acromioclavicular (AC) Joint Sprain
- Frozen Shoulder
- Glenohumeral (GH) Joint Instability
- Glenoid Labral Tear
- Glenohumeral Arthritis
- Referred pain from Neck, heart or lungs
Here is an explanation of a few of the conditions above.
Rotator Cuff Strain
The stretch or tear of the rotator cuff tendon or muscle belly. Grade of strain depends on amount
of fibers damaged, degree of pain & strength of muscle contraction. This can be caused by Degenerative strain – associated with minimal trauma, often prior to chronic tendonitis or chronic impingement syndrome. Acute traumatic strain – can present following a specific trauma, such as Falling On Out Stretched Hand (FOOSH), or a single violent blow or force to shoulder, Prolonged or repetitive overuse of muscle/tendon over a short period of time, Lifting or pulling, or pre-existing impingement syndrome.
Frozen shoulder, or adhesive capsulitis, is an idiopathic condition of the shoulder associated with marked pain & contracture of the joint capsule. Pain & loss of ROM are hallmark symptoms, this may be idiopathic i.e. no prior injury or visible cause. You may experience gradual increase in shoulder pain & loss of range of motion (patient may be unable to brush hair or raise arm on affected side). Prior history of shoulder immobilisation (sling or
surgery recovery). Possible systemic disease (diabetes).
Glenohumeral (GH) Instability
Glenohumeral Instability is the inability to maintain the humeral head centred in the glenoid fossa due to laxity of the shoulder capsule, ligaments &/or rotator cuff muscle imbalances or congenital joint anomalies
Degrees of instability:
- Apprehension – fear that shoulder will subluxate or dislocate
- Subluxation – transient partial separation of articular surfaces – humeral head usually spontaneously returns to normal position
- Dislocation – complete separation of articular surfaces
Our sports massage treatment may help you.