[23F] Experiencing severe shoulder pain with weakness and limited range of motion

Patient Description

A 23-year-old female presents with severe, sharp pain located in the shoulder blade and top of the shoulder that has gradually worsened over a period of two months. The pain is described as constant and not specifically exacerbated by movement, but there is an associated weakness and difficulty lifting objects. The patient also reports stiffness and a reduced range of motion in the shoulder. There are no accompanying symptoms such as numbness or tingling in the arm or hand. The patient denies any recent trauma to the shoulder, has no known allergies or adverse reactions to medications, and is not currently taking any medications. There is no past medical history of chronic illnesses or pre-existing conditions.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes of your symptoms include:

  • Rotator Cuff Tendinitis: This condition occurs when the tendons in your shoulder become inflamed or irritated. It's common in people who perform repetitive or overhead arm movements. Symptoms typically include a dull ache deep in the shoulder, arm weakness, and difficulty with certain movements.

    • Treatment usually involves rest, physical therapy, and pain relief methods such as ice and over-the-counter pain relievers. In some cases, corticosteroid injections or surgery may be necessary.
  • Frozen Shoulder (Adhesive Capsulitis): This condition involves stiffness and pain in your shoulder joint. Symptoms begin gradually, worsen over time and then resolve, usually within a two-year period.

    • Treatment often involves physical therapy and pain relief methods. In some cases, medications or surgery may be necessary.
  • Shoulder Bursitis: This condition occurs when the bursa, a small fluid-filled sac that reduces friction in your shoulder joint, becomes inflamed. Symptoms include pain, swelling, and difficulty moving the shoulder.

    • Treatment usually involves rest, physical therapy, and pain relief methods. In some cases, corticosteroid injections may be necessary.

What you can do

  1. Rest your shoulder and avoid activities that make your pain worse.
  2. Apply ice to your shoulder for 15 minutes at a time, several times a day.
  3. Over-the-counter pain relievers, such as ibuprofen (Advil, Motrin IB) or acetaminophen (Tylenol), may help reduce pain and inflammation.
  4. Gentle range-of-motion exercises may help prevent a frozen shoulder.

What you should look out for

Please seek immediate medical attention if:

  • Your shoulder pain is accompanied by difficulty breathing or chest tightness.
  • Your shoulder pain is sudden and intensely painful.
  • You're unable to move your shoulder.
  • Your shoulder is swollen or significantly bruised.
  • Your symptoms don't improve after a few weeks of home treatment.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.

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10 mo ago

People Also Ask


What are the common causes of shoulder pain without recent trauma?

Common causes of shoulder pain without recent trauma include rotator cuff tendinitis, frozen shoulder (adhesive capsulitis), and shoulder bursitis. These conditions can result from repetitive movements, inflammation, or stiffness in the shoulder joint.


How can I differentiate between rotator cuff tendinitis and frozen shoulder?

Rotator cuff tendinitis typically presents with a dull ache deep in the shoulder, arm weakness, and difficulty with certain movements, often related to repetitive or overhead activities. Frozen shoulder involves stiffness and pain that gradually worsens and limits the range of motion, often resolving over a longer period.


What are the recommended treatments for shoulder bursitis?

Treatment for shoulder bursitis usually involves rest, physical therapy, and pain relief methods such as ice and over-the-counter pain relievers. In some cases, corticosteroid injections may be necessary to reduce inflammation.


When should I seek immediate medical attention for shoulder pain?

Immediate medical attention for shoulder pain is necessary if the pain is accompanied by difficulty breathing or chest tightness, is sudden and intensely painful, if you are unable to move your shoulder, if there is significant swelling or bruising, or if symptoms do not improve after a few weeks of home treatment.


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