[29F] With sudden onset sharp left shoulder pain

Patient Description

A 29-year-old female presents with sharp left-sided shoulder pain that began suddenly 2 days ago. The pain is rated at 5-6 out of 10 in intensity and worsens with abrupt movements or extending the arm too far. There is no associated swelling, bruising, or redness, but the patient reports difficulty moving the shoulder through its full range of motion. There is no numbness, tingling, or weakness in the arm or hand. The patient denies any recent injuries or chronic conditions affecting the shoulder. She consumes alcohol 3-4 times a month and is not currently taking any medications. No pre-existing conditions or chronic illnesses are reported.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your shoulder pain:

  • Rotator Cuff Strain or Tendinitis: This is a common cause of shoulder pain, especially if the pain worsens with arm movement. The rotator cuff is a group of muscles and tendons that stabilize the shoulder. Overuse or sudden movements can cause inflammation or small tears.

    • Treatment: Rest, ice, and over-the-counter pain relievers like ibuprofen or acetaminophen can help. Physical therapy exercises may also be recommended to strengthen the shoulder muscles.

  • Shoulder Impingement Syndrome: This occurs when the tendons of the rotator cuff become compressed during shoulder movements, leading to pain and inflammation.

    • Treatment: Similar to rotator cuff strain, rest, ice, and anti-inflammatory medications can help. Physical therapy may also be beneficial.

  • Bursitis: Inflammation of the bursa (a small fluid-filled sac that cushions the shoulder joint) can cause sharp pain, especially with movement.

    • Treatment: Rest, ice, and anti-inflammatory medications are typically recommended. In some cases, a doctor may recommend a corticosteroid injection to reduce inflammation.

  • Frozen Shoulder (Adhesive Capsulitis): This condition involves stiffness and pain in the shoulder joint, often worsening over time.

    • Treatment: Physical therapy is the mainstay of treatment to improve range of motion. Pain relievers and anti-inflammatory medications can also help manage symptoms.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to alleviate your symptoms:

  1. Rest: Avoid activities that exacerbate the pain, especially abrupt or extensive arm movements.
  2. Ice: Apply an ice pack to the affected shoulder for 15-20 minutes several times a day to reduce inflammation and pain.
  3. Over-the-Counter Pain Relievers: Medications like ibuprofen (Advil) or acetaminophen (Tylenol) can help manage pain and reduce inflammation.
  4. Gentle Stretching: Perform gentle shoulder stretches to maintain range of motion, but avoid any movements that cause pain.
  5. Use MDandMe: Journal your symptoms, track your progress, and get insights. This can help you share detailed information with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe Pain: If the pain becomes unbearable or significantly worsens.
  • Swelling or Redness: If you notice swelling, redness, or warmth around the shoulder, which could indicate an infection or more serious condition.
  • Numbness or Tingling: If you develop numbness, tingling, or weakness in your arm or hand.
  • Limited Range of Motion: If you are unable to move your shoulder at all or if the range of motion significantly decreases.

Remember, while these tips can help manage your symptoms, it's crucial to consult a healthcare professional for a proper diagnosis and treatment plan.

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3 mo ago

People Also Ask

What are common causes of sudden shoulder pain without injury?

Common causes of sudden shoulder pain without a specific injury include rotator cuff strain or tendinitis, shoulder impingement syndrome, bursitis, and frozen shoulder. These conditions can result from overuse, sudden movements, or inflammation.

How can I differentiate between rotator cuff strain and shoulder impingement?

Rotator cuff strain often involves pain that worsens with specific arm movements and may be accompanied by weakness. Shoulder impingement syndrome typically causes pain when lifting the arm, especially overhead, due to compression of the tendons. A healthcare provider can perform specific tests to differentiate between these conditions.

What home remedies can help alleviate shoulder pain?

Home remedies for shoulder pain include resting the shoulder, applying ice packs for 15-20 minutes several times a day, taking over-the-counter pain relievers like ibuprofen or acetaminophen, and performing gentle stretching exercises to maintain range of motion.

When should I seek medical attention for shoulder pain?

You should seek medical attention if the shoulder pain becomes severe, if you notice swelling, redness, or warmth around the shoulder, if you experience numbness, tingling, or weakness in the arm or hand, or if you are unable to move your shoulder or if the range of motion significantly decreases.

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