Shoulder pain
Table of contents
Shoulder pain is a common ailment that can affect both daily activities and quality of life. The shoulder joint is one of the body's most mobile joints, making it vulnerable to injuries and overuse. The pain can vary from mild to intense and can appear suddenly or develop gradually over time.
Symptoms of shoulder pain
Common symptoms include:
- Pain with movement, especially when the arm is lifted outwards or above the head
- Stiffness in the shoulder joint
- Weakness in the arm
- Pain radiating down the upper arm
- Difficulty sleeping on the affected side
Causes of shoulder pain
Shoulder pain can be due to several different causes. A common cause is impingement, where tendons and bursae are pinched between the upper arm bone and the shoulder blade during movement. This can lead to inflammation and pain. Another cause is rotator cuff injuries, where one or more tendons in the shoulder's muscle group are injured or torn, which can cause pain and reduced mobility. Frozen shoulder is a condition where the joint capsule in the shoulder becomes stiff and inflamed, leading to pain and limited mobility. Bursitis can also cause shoulder pain, especially with movement. Other causes include osteoarthritis, where the cartilage in the shoulder joint breaks down, and overuse injuries from repetitive movements or heavy work.
Treatment for shoulder pain
Treatment for shoulder pain depends on the underlying cause. In many cases, self-care can be effective. It is important to keep the shoulder moving to prevent stiffness, but avoid activities that worsen the pain. Physiotherapy can help strengthen the muscles around the shoulder and improve mobility. Pain relievers, such as paracetamol or anti-inflammatory drugs, can alleviate the pain. In more severe conditions, such as rotator cuff rupture or frozen shoulder, cortisone injections or surgery may be necessary. It is important to consult a doctor for a correct diagnosis and treatment plan.
Preventive measures
To prevent shoulder pain, it is important to maintain good posture and avoid overuse. Regular exercise that strengthens the shoulder muscles can reduce the risk of injuries. For work that involves repetitive movements or heavy lifting, it is important to use the correct technique and take regular breaks. Avoiding sleeping on the affected side and using an ergonomic pillow can also help reduce the strain on the shoulder.
When should you seek care?
You should seek medical help if the shoulder pain is intense, does not improve with self-care, or if you experience weakness, numbness, or loss of mobility in the arm. If you have difficulty sleeping due to the pain or if the shoulder feels unstable, you should also contact a doctor. If there are signs of infection, such as fever or redness and swelling in the shoulder, it is important to seek immediate care.
Can I exercise with shoulder pain?
It depends on the cause of the pain. Light exercise and movements that do not worsen the pain can be beneficial. However, it is important to avoid activities that cause pain and to consult a physiotherapist for customized exercises.
How long does it take to recover from shoulder pain?
Recovery time varies depending on the cause of the pain. Mild overuse injuries can improve within a few weeks with proper treatment, while conditions like frozen shoulder can take several months or longer to heal.
Is it common for the pain to worsen at night?
Yes, many people experience shoulder pain worsening at night, especially when lying on the affected side. Using an extra pillow to support the arm or sleeping on your back can help reduce the pain.
When is surgery necessary for shoulder pain?
Surgery is usually considered when conservative treatments have not provided sufficient relief, or for severe injuries such as rotator cuff rupture. The decision regarding surgery should be made in consultation with an orthopedic surgeon.
