Common symptoms of shoulder pain can manifest as both occasional occurrences and chronic conditions. The appropriate treatment depends on the specific cause and underlying factors. Treatment options may include medication, physical therapy, and surgery.
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Common Shoulder Pain Symptoms
Shoulder pain is a common condition that may present either intermittently or chronically, depending on the underlying cause. It can occur as pain triggered by certain movements or as a constant discomfort. Some types of shoulder pain caused by minor conditions may resolve on their own, while others can persist and worsen over time. Chronic shoulder pain is often associated with conditions such as frozen shoulder, arthritis, or calcific tendonitis.
What Are the Causes of Chronic Shoulder Pain?
Shoulder pain—often accompanied by limited mobility—frequently affects individuals who overuse their arms or use improper lifting techniques. However, in some cases, the pain may arise spontaneously without an identifiable cause.
This discomfort typically results from inflammation around the shoulder joint, involving structures such as the rotator cuff, bursa, synovial fluid, and surrounding muscles. Inflammation in these areas can lead to stiffness and restricted shoulder movement. Women may be more prone to shoulder pain due to certain behaviors, such as carrying heavy bags, wearing high heels, or sitting for long periods in improper posture.
Characteristics of Chronic Shoulder Pain
Chronic shoulder pain may be persistent or episodic. Some individuals experience ongoing pain, while others may notice intermittent symptoms that come and go. Pain often originates from the muscles around the joint and may intensify with movement. Applying pressure on the shoulder or moving it can trigger pain, depending on which muscle group is affected. Inflammation of the joint capsule or tendon impingement may result. In severe cases, range of motion may be significantly limited.
Complications of Chronic Shoulder Pain
If left untreated, chronic shoulder pain can lead to various complications. For instance:
- Calcium deposits may dislodge and enter the synovial sac, causing inflammation.
- Tightening of surrounding muscles may limit arm movement, potentially mimicking stroke-like symptoms (pseudo-stroke).
- The joint capsule may stiffen and contract, leading to frozen shoulder.
- Muscle atrophy and reduced arm function may result from chronic pain and disuse.
Such complications may also be linked to other medical conditions that restrict arm movement, such as breast tumors, cardiac ischemia, or localized strokes affecting only the arm.
Treatment for Chronic Shoulder Pain
Several treatment options are available depending on the severity of symptoms:
- Topical medications to relieve localized pain
- Physical therapy to improve joint mobility and strengthen muscles
- Advanced treatments, including local anesthesia or surgery, for cases with significant joint damage
In cases where pain persists and adhesions form within the joint, surgical intervention may be required. These procedures are typically performed by specialists in orthopedic and joint surgery.
When to Seek Medical Attention
Anyone experiencing chronic or worsening shoulder pain should consult a specialist. Prompt diagnosis and targeted treatment can relieve persistent pain, reduce the risk of complications, and improve overall quality of life.
At Phyathai Sriracha Hospital, our orthopedic and joint specialists are available daily to provide diagnosis and tailored treatment options.