[27F] Experiencing shoulder and knee pain with fatigue and bruising

Patient Description

A 27-year-old female presents with a 6-month history of shoulder pain that began suddenly and is characterized by a limited range of motion, pain upon waking, and a pain level of 6 out of 10. The pain is localized to the back and side of the shoulder and is exacerbated by lifting, raising arms, or laying on the side. Additionally, the patient reports knee pain, general body aches, fatigue, and bruising. There is no reported history of recent injuries or accidents that could have contributed to the shoulder pain. The patient is not currently pregnant.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Rotator Cuff Tendinitis or Tear: This is a common cause of pain and disability among adults. It occurs when the rotator cuff tendons in the shoulder are irritated or damaged. The pain is usually worse when you raise your arm or lift something above your head. The pain can be severe and may wake you from sleep.

    • Treatment typically involves rest, physical therapy, and pain relievers. In some cases, surgery may be necessary.
  • Frozen Shoulder: Also known as adhesive capsulitis, this condition occurs when the tissues in your shoulder joint become thicker and tighter, and scar tissue develops, reducing the space for your upper arm bone to move around. The pain is usually constant, worse at night, and when the weather is colder.

    • Treatment typically involves pain relievers, physical therapy, and sometimes corticosteroid injections. In some cases, surgery may be necessary.
  • Osteoarthritis: This is a degenerative joint disease that can cause problems with the shoulders, particularly in people over 50. However, younger people can also be affected, especially if they have had a severe shoulder injury.

    • Treatment typically involves physical therapy, pain relievers, and sometimes surgery.

Please note that these are possibilities based on the information you've provided and not a definitive diagnosis. You should consult a healthcare professional for a formal diagnosis.

What you can do

  1. Rest your shoulder and avoid activities that make your pain worse.
  2. Apply a cold pack to your shoulder for 15 minutes at a time, several times a day.
  3. Over-the-counter pain relievers such as ibuprofen can help reduce pain and inflammation.
  4. Gentle range-of-motion exercises can help maintain flexibility and strength in your shoulder.

What you should look out for

Seek immediate medical attention if:

  • Your shoulder pain is accompanied by difficulty breathing or chest tightness.
  • Your shoulder appears deformed.
  • You cannot use your shoulder or arm at all.
  • Your pain is intense and sudden.
  • You have signs of infection, such as redness, warmth, or fever.

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10 mo ago

People Also Ask


What are the common causes of sudden shoulder pain with limited range of motion?

Common causes of sudden shoulder pain with limited range of motion include rotator cuff tendinitis or tear, frozen shoulder, and osteoarthritis. These conditions can cause pain, stiffness, and difficulty moving the shoulder.


How can rotator cuff tendinitis or tear be treated effectively?

Rotator cuff tendinitis or tear can be treated with rest, physical therapy, and pain relievers. In some cases, corticosteroid injections or surgery may be necessary if conservative treatments do not provide relief.


What are the symptoms and treatment options for frozen shoulder?

Frozen shoulder, or adhesive capsulitis, is characterized by pain and stiffness in the shoulder joint. Treatment options include pain relievers, physical therapy, and sometimes corticosteroid injections. Surgery may be considered if other treatments are ineffective.


When should I seek immediate medical attention for shoulder pain?

You should seek immediate medical attention for shoulder pain if it is accompanied by difficulty breathing, chest tightness, deformity, inability to use the shoulder or arm, intense and sudden pain, or signs of infection such as redness, warmth, or fever.


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