[42M] Experiencing shoulder pain without recent injury

Patient Description

A 42-year-old male reports a dull pain in the middle of his shoulder that started yesterday. The pain, rated a 4 out of 10, is exacerbated when lying on it or moving the arm above the head. The patient also reports a sensation of soreness in the arm but denies any recent injuries, clicking, locking, or giving way of the shoulder. There is no observed weakness, difficulty lifting objects, swelling, or redness. The patient has a medical history of osteoarthritis and high blood pressure, diagnosed in October 2020, and is currently taking Lisinopril 10mg daily. No known drug allergies have been reported, and no other medications are being taken.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your shoulder pain include:

  • Rotator Cuff Tendinitis: This is inflammation of the tendons in your shoulder joint. It's often caused by repetitive shoulder activities, aging, or sports. The pain is usually dull and located in the shoulder itself. It can be worse when you lift your arm overhead or lay on it.

    • Treatment typically involves rest, physical therapy, and pain relievers. In severe cases, surgery may be needed.
  • Osteoarthritis: Since you have a history of osteoarthritis, it's possible that this condition is affecting your shoulder. Osteoarthritis is a type of joint disease that results from breakdown of joint cartilage and underlying bone. Pain, swelling, and reduced motion in the joint are common symptoms.

    • Treatment typically involves lifestyle changes, physical therapy, and medications. In severe cases, surgery may be needed.
  • Bursitis: This is inflammation of the bursa, a small, fluid-filled sac that acts as a cushion between a bone and other moving parts, such as muscles, tendons, or skin. Bursitis is often caused by repetitive, minor impact on the area, or from a sudden, more serious injury.

    • Treatment typically involves rest, ice, and nonsteroidal anti-inflammatory drugs (NSAIDs). Physical therapy may also be helpful.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

  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.

What you should look out for

Reasons to see a doctor more urgently:

  • If your pain is severe or lasts for more than a few days
  • If you have difficulty moving your shoulder
  • If you notice redness, swelling, or warmth around the joint

Please remember that while I strive to provide accurate information, I'm an AI and not a substitute for professional medical advice. Always consult with a healthcare provider for a formal diagnosis and treatment.

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1 yr ago

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People Also Ask


What are common causes of shoulder pain without recent injury?

Common causes of shoulder pain without recent injury include rotator cuff tendinitis, osteoarthritis, and bursitis. These conditions can result from repetitive movements, aging, or inflammation.


How can rotator cuff tendinitis be treated at home?

Rotator cuff tendinitis can be managed at home by resting the shoulder, avoiding activities that worsen the pain, applying ice for 15 minutes several times a day, and taking over-the-counter pain relievers like ibuprofen.


What are the symptoms of shoulder osteoarthritis?

Symptoms of shoulder osteoarthritis include pain, swelling, and reduced motion in the joint. The pain may be dull and worsen with activity or at the end of the day.


When should I see a doctor for shoulder pain?

You should see a doctor for shoulder pain if it is severe, lasts more than a few days, if you have difficulty moving your shoulder, or if you notice redness, swelling, or warmth around the joint.


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