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Shoulder pain | NHS

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Shoulder Pain | NHS

Understanding Shoulder Pain

Shoulder pain is a common issue that can arise from various conditions. It can often impair your daily activities and impact your quality of life. The shoulder's complex structure, involving bones, muscles, tendons, and ligaments, means that pain can originate from several sources, including injuries, overuse, or underlying health conditions. Knowing the potential causes and appropriate treatments can help you manage and mitigate shoulder pain effectively.

Common Causes of Shoulder Pain

The common causes of shoulder pain can range from minor injuries to more serious conditions. Some key causes include:

  • Rotator Cuff Injuries: These injuries involve the tendons and muscles that support shoulder movement. Common issues include tendinitis and tears.
  • Frozen Shoulder: Also known as adhesive capsulitis, this condition leads to stiffness and pain in the shoulder joint.
  • Arthritis: Osteoarthritis and rheumatoid arthritis can affect the shoulder joint, leading to pain and limited mobility.
  • Dislocation: This happens when the upper arm bone pops out of the shoulder socket, often causing immediate and severe pain.
  • Bursitis: Inflammation of the bursae, small fluid-filled sacs that cushion the shoulder joint, can lead to pain and discomfort.

When to See a GP

It's important to know when to seek professional medical advice for shoulder pain. You should see a GP if:

  • The pain persists for more than a few weeks despite home treatment.
  • You experience severe pain or sudden shoulder swelling.
  • You have difficulty moving your arm or shoulder.
  • The pain is accompanied by other symptoms like fever or significant bruising.

A GP may refer you to a specialist, such as a physiotherapist or an orthopedic surgeon, for further evaluation and management.

Treatment Options

Treatment for shoulder pain depends on the underlying cause. Some common treatments include:

  • Physical Therapy: Exercises and stretches can help improve shoulder strength and flexibility.
  • Medication: Over-the-counter pain relievers like paracetamol or ibuprofen can reduce pain and inflammation.
  • Injections: Corticosteroid injections can provide relief for inflammatory conditions.
  • Surgery: In severe cases, surgery may be necessary to repair damaged tissues or address structural issues.

Preventing Shoulder Pain

Prevention is key when it comes to shoulder pain. To reduce the risk of developing shoulder pain, consider the following tips:

  • Maintain good posture, especially during activities that involve repetitive shoulder movements.
  • Perform regular strength and flexibility exercises for the shoulder muscles.
  • Avoid overloading the shoulders with heavy lifting or strenuous activities without proper conditioning.
  • Ensure ergonomic setups at workstations to minimize strain on the shoulders.

For more information and resources on shoulder pain, visit the NHS Shoulder Pain Page on the NHS website.

Frequently Asked Questions

What are the common causes of shoulder pain?

Common causes of shoulder pain include rotator cuff disorders, frozen shoulder, shoulder instability, acromioclavicular joint disorders, and referred pain from the neck or spine.

When should I see a doctor for shoulder pain?

You should see a doctor if your shoulder pain is severe, does not improve with self-care, is accompanied by swelling or redness, or if you have difficulty moving your arm.

How can I relieve shoulder pain at home?

To relieve shoulder pain at home, you can rest the shoulder, apply ice packs for 15–20 minutes several times a day, take pain relief medications like paracetamol or ibuprofen, and gently stretch the shoulder.

What is frozen shoulder?

Frozen shoulder, also known as adhesive capsulitis, is a condition where the shoulder becomes painful and stiff, leading to restricted movement. It typically develops gradually and can take months to years to fully recover.

Can shoulder pain be related to other health conditions?

Yes, shoulder pain can sometimes be a symptom of other health conditions such as gallbladder disease, liver problems, or heart conditions. It's important to consult a doctor for proper diagnosis.

What exercises can help alleviate shoulder pain?

Exercises such as shoulder stretches, pendulum exercises, and rotator cuff strengthening can help alleviate shoulder pain. It's important to perform these exercises gently and avoid any movements that cause pain.

How is shoulder pain diagnosed?

Shoulder pain is diagnosed through a combination of medical history, physical examination, and imaging tests such as X-rays, MRI, or ultrasound. A doctor may also recommend specific tests to identify the cause of the pain.

What treatments are available for shoulder pain?

Treatments for shoulder pain can include physical therapy, medications, corticosteroid injections, and in some cases, surgery. The appropriate treatment depends on the underlying cause of the pain.

Can poor posture cause shoulder pain?

Yes, poor posture can contribute to shoulder pain, particularly if it places extra strain on the shoulder muscles and joints. Maintaining good posture and ergonomic practices can help prevent shoulder pain.

Is shoulder pain common during pregnancy?

Shoulder pain can occur during pregnancy due to changes in posture, hormonal shifts, and increased physical stress on the body. Mild shoulder pain is usually not a cause for concern, but severe or persistent pain should be evaluated by a doctor.

Can stress contribute to shoulder pain?

Yes, stress can contribute to shoulder pain by causing muscle tension and tightness in the shoulder and neck areas. Managing stress through relaxation techniques and exercise can help reduce this type of pain.

How long does it take to recover from shoulder pain?

The recovery time for shoulder pain varies depending on the cause and severity of the condition. Minor injuries may improve within a few weeks, while more serious conditions like frozen shoulder can take months to years to fully recover.

Can arthritis cause shoulder pain?

Yes, arthritis, including osteoarthritis and rheumatoid arthritis, can cause shoulder pain. Arthritis can lead to joint inflammation, stiffness, and reduced range of motion in the shoulder.

What is rotator cuff tendinitis?

Rotator cuff tendinitis is inflammation of the tendons in the rotator cuff, a group of muscles and tendons that stabilize the shoulder. It can cause pain, particularly with overhead movements, and is often due to repetitive strain or injury.

Are there any lifestyle changes that can help prevent shoulder pain?

Lifestyle changes that can help prevent shoulder pain include maintaining good posture, performing regular shoulder-strengthening exercises, avoiding heavy lifting, and taking breaks to rest your shoulders if you perform repetitive tasks.

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