[41F] Experiencing shoulder pain with movement

Patient Description

A 41-year-old female presents with a one-week history of dull pain in the left shoulder, specifically at the top and back, extending towards the elbow. The pain and associated mild stiffness are provoked by lifting the arm, reaching across the body, or holding the arm out horizontally. The patient reports mild weakness but no significant impact on daily activities, although there is discomfort with arm movement. Additionally, the patient experiences some numbness and tingling in the arm and fingers. There is no reported neck pain. The patient has a medical history of dysautonomia and cardiac arrhythmia diagnosed two years ago and is currently taking Metoprolol (25mg daily) and Vitamin D3 (2000 IUs daily). No recent injuries, new medications, or over-the-counter products have been introduced. The patient has been engaging in moderate to mild weightlifting activities.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Rotator Cuff Tendinitis or Tear: This condition occurs when the tendons in your shoulder become inflamed or torn, often due to overuse or injury. Your symptoms of pain when lifting your arm and reaching across your body, as well as the location of your pain, are consistent with this condition.

    • Treatment typically involves rest, physical therapy, and pain relievers. In more severe cases, surgery may be necessary.
  • Frozen Shoulder (Adhesive Capsulitis): This condition involves stiffness and pain in your shoulder joint, often developing slowly over time. It's more common in people with certain medical conditions, such as diabetes or a recent shoulder injury or surgery.

    • Treatment typically involves physical therapy and pain relievers. In more severe cases, surgery may be necessary.
  • Shoulder Impingement: This condition occurs when the top of your shoulder blade puts pressure on the underlying soft tissues when you lift your arm away from your body. As the arm is lifted, the shoulder blade rubs or "impinges" on the rotator cuff, leading to pain and limited movement.

    • Treatment typically involves rest, physical therapy, and pain relievers. In more severe cases, surgery 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, 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

Please seek immediate medical attention if:

  • Your shoulder pain is accompanied by intense chest pain, difficulty breathing, or sudden tightness in the chest.
  • Your shoulder pain is severe and was caused by an injury.
  • You have difficulty moving your shoulder.
  • Your shoulder is swollen, red, warm, or tender to the touch.

Remember, I'm an AI and this advice is based on the information you've provided. It's always a good idea to consult with a healthcare professional who can evaluate your symptoms and condition more thoroughly.

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10 mo ago

People Also Ask


What are the common causes of shoulder pain and stiffness?

Common causes of shoulder pain and stiffness include rotator cuff tendinitis, frozen shoulder, shoulder impingement, arthritis, and bursitis. These conditions can result from overuse, injury, or underlying health issues.


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

Rotator cuff tendinitis typically presents with pain when lifting the arm and reaching across the body, while a frozen shoulder is characterized by a gradual increase in stiffness and pain, often limiting the range of motion significantly. A healthcare professional can provide a definitive diagnosis through physical examination and imaging tests.


What are the recommended treatments for shoulder impingement?

Recommended treatments for shoulder impingement include rest, physical therapy to improve range of motion and strengthen the shoulder, and pain relievers such as NSAIDs. In severe cases, corticosteroid injections or surgery may be necessary.


When should I seek immediate medical attention for shoulder pain?

You should seek immediate medical attention if your shoulder pain is accompanied by intense chest pain, difficulty breathing, sudden tightness in the chest, severe pain from an injury, difficulty moving the shoulder, or if the shoulder is swollen, red, warm, or tender to the touch.


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