Shoulder Pain (Rotator Cuff, Labrum, etc.)
Why Shoulder Pain Can Feel So Limiting
From lifting a bag to reaching overhead, the shoulder plays a role in almost every arm movement. Pain here may come from the rotator cuff, labrum, or other structures in the joint.
Why the Shoulder Is Prone to Pain
The shoulder is the most mobile joint in the body, and that flexibility comes at a cost. Because it moves in so many directions, the supporting tendons, muscles, and cartilage are vulnerable to strain, injury, and wear over time.
Common Causes of Shoulder Pain
Some causes are sudden, while others build up slowly:
- Rotator cuff injuries – tears or tendinopathy in the group of tendons stabilising the shoulder
- Labral tears – injury to the cartilage rim that cushions and stabilises the joint
- Impingement syndrome – tendons pinched by surrounding bone and tissue
- Arthritis – gradual wear-and-tear of the shoulder joint
- Repetitive strain – overhead activities in work or sports
When Shoulder Pain Needs Medical Attention
Mild shoulder aches may settle with rest, but you should see a doctor if you notice:
- Pain lasting more than a few weeks
- Difficulty lifting your arm or reaching overhead
- Weakness or a “giving way” sensation in the shoulder
- Clicking, catching, or locking of the joint
- Pain after an injury, fall, or sports accident
How Doctors Diagnose Shoulder Conditions
Because shoulder pain can come from different sources, accurate diagnosis is key. Assessment may involve:
- Physical examination: testing strength, range of motion, and stability
- Imaging: X-rays for bone changes, MRI or ultrasound for tendons and cartilage
- Special tests: checking for impingement or instability
Treatment Options for Shoulder Pain
Treatment depends on the cause and severity, but usually begins with conservative care:
- Lifestyle adjustments: rest, activity modification, posture correction
- Physiotherapy: strengthening and mobility exercises
- Medications: for pain and inflammation
- Injections: targeted relief for inflamed tissues
- Surgery: arthroscopic (keyhole) repair of rotator cuff or labrum, or joint replacement in severe arthritis
Living with Shoulder Pain
Shoulder pain can make daily life frustrating, even simple tasks like combing hair or reaching into a cupboard can become difficult. Gentle stretching, posture awareness, and avoiding repetitive overhead strain may help. But if pain persists or mobility worsens, seeking care ensures you don’t lose long-term function.
Frequently Asked Questions (FAQ)
1. How do I know if my shoulder pain is from the rotator cuff or something else?
Rotator cuff pain often causes weakness and difficulty lifting the arm overhead. However, shoulder pain can also come from the labrum, arthritis, or even the neck. A medical assessment with examination and imaging is the best way to know for sure.
2. Can shoulder pain go away on its own?
Mild shoulder pain may improve with rest, ice, and simple activity modification. But if pain lasts more than a few weeks, or if you struggle with daily movements, it’s best to get checked to avoid worsening of the condition.
3. What treatments are available without surgery?
Most shoulder problems are first managed without surgery. Options include medications, physiotherapy, injections, and lifestyle changes. Surgery is usually considered only if symptoms persist or the injury is severe.
4. Is shoulder pain always caused by an injury?
Not necessarily. Some cases develop slowly due to repetitive movements, poor posture, or age-related changes in the tendons and joints. Sudden pain, however, can follow injuries such as falls, sports accidents, or heavy lifting.
5. When should I see a doctor urgently for shoulder pain?
Seek prompt care if the shoulder looks deformed after an injury, if pain is severe and sudden, or if there is significant weakness or numbness in the arm. These could suggest dislocation, fracture, or nerve involvement.
Book a Consultation for Ongoing Shoulder Pain
If shoulder pain is affecting your daily life, schedule an appointment at Mash Spine & Orthopaedics for a detailed diagnosis and personalised treatment plan.
