[20M] Experiencing shoulder popping with occasional pain

Patient Description

A 20-year-old male reports a month-long history of his right shoulder making a popping sound, sometimes followed by pain. This usually occurs when he is laying down or sitting and moves his shoulder back. The popping is not consistent with every movement but is more likely in the mentioned positions. Occasionally, a grinding sound is heard, but there is no associated swelling. The patient does not report any weakness or difficulty lifting objects, and there has been no noted limitation in the range of motion or interference with daily activities.

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Arora's Assessment

What might be happening

Based on the information you provided, possible explanations for your shoulder popping include:

  • Shoulder Impingement: This condition occurs when the tendons of the rotator cuff muscles become irritated and inflamed as they pass through the subacromial space, the passage beneath the acromion. This can result in pain, weakness, and loss of movement at the shoulder.

    • Treatment typically involves physical therapy to strengthen the muscles and tendons in the shoulder, improve flexibility, and encourage blood flow to speed healing. In some cases, medication or injections may be used to reduce inflammation and pain.
  • Rotator Cuff Tear: This is a tear in one of the tendons of the rotator cuff, a group of muscles and tendons that stabilize the shoulder. This can cause a popping or clicking sensation in the shoulder, along with pain and weakness.

    • Treatment often involves physical therapy, pain relievers, and possibly surgery if the tear is severe.
  • Shoulder Instability: This is a problem that occurs when the structures that surround the shoulder joint do not work to maintain the ball within its socket. If the joint is too loose, it may slide partially out of place, a condition called shoulder subluxation. If the joint comes completely out of place, this is called a shoulder dislocation. Patients with shoulder instability often complain of an uncomfortable sensation that their shoulder may be about to slide out of place – this is what doctors call apprehension.

    • Treatment typically involves physical therapy to strengthen the shoulder muscles. In some cases, surgery may be required.

What you can do

Please consult a healthcare professional for a formal assessment. They may order imaging tests like an X-ray or MRI to get a better look at your shoulder joint. In the meantime, you can try the following:

  1. Rest your shoulder and avoid activities that cause pain.
  2. Apply ice to your shoulder for 15 minutes at a time, several times a day, to reduce inflammation and pain.
  3. Over-the-counter pain relievers like ibuprofen can help reduce pain and inflammation.

What you should look out for

Please seek immediate medical attention if:

  • The pain in your shoulder becomes severe or unbearable.
  • You notice a significant decrease in your range of motion.
  • You experience numbness or tingling in your arm or hand.
  • Your shoulder joint looks deformed or out of place.

Remember, I am an AI and this advice is not a substitute for professional medical advice.

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1 yr ago

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People Also Ask


What causes a shoulder to make a popping sound?

A shoulder popping sound can be caused by several factors, including shoulder impingement, rotator cuff tears, or shoulder instability. These conditions can lead to the tendons or ligaments moving over the bones in the shoulder, creating a popping or clicking sound.


Can shoulder popping be a sign of a serious condition?

While shoulder popping is often harmless, it can sometimes indicate a more serious condition like a rotator cuff tear or shoulder instability. If the popping is accompanied by pain, weakness, or a decrease in range of motion, it is advisable to seek medical evaluation.


What are some common treatments for shoulder popping and pain?

Common treatments for shoulder popping and pain include rest, ice application, physical therapy to strengthen shoulder muscles, and over-the-counter pain relievers. In some cases, more advanced treatments like corticosteroid injections or surgery may be necessary.


When should I see a doctor for shoulder popping and pain?

You should see a doctor if the shoulder popping is accompanied by severe pain, significant loss of motion, numbness or tingling in the arm, or if the shoulder appears deformed or dislocated. These symptoms could indicate a more serious underlying issue that requires medical attention.


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