[44F] Experiencing sharp right shoulder pain

Patient Description

A 44-year-old female reports sharp pain in her right shoulder that began after carrying a ladder yesterday. The pain is severe, rated at a 7 out of 10 in intensity. The patient has not identified any movements or activities that exacerbate the pain, and there are no additional symptoms reported. The patient's medical history is unremarkable with no known chronic illnesses, allergies, or current medications.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Rotator Cuff Injury: This is a common injury, especially in people who perform repetitive or strenuous shoulder movements. It occurs when one of the muscles or tendons that make up the rotator cuff is torn or damaged. This can cause sharp pain in the shoulder, especially when lifting or carrying heavy objects.

    • Treatment typically involves rest, physical therapy, and in some cases, surgery.
  • Strain or Sprain: Overexertion or an awkward movement can cause a strain (muscle or tendon damage) or sprain (ligament damage). This can result in sharp pain, swelling, and difficulty moving the affected area.

    • Treatment usually includes rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers can also help.
  • 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 can cause pain and tenderness around the affected area.

    • Treatment often involves rest, ice, and over-the-counter pain relievers. In some cases, a doctor may recommend physical therapy or injections.

What you can do

You should seek medical attention for a proper diagnosis and treatment plan. In the meantime, you can try the following:

  1. Rest: Avoid using your shoulder as much as possible to allow it to heal.
  2. Ice: Apply ice to your shoulder for 15 minutes every hour to reduce pain and swelling.
  3. Over-the-counter pain relievers: Non-prescription medications like ibuprofen can help manage your pain.
  4. Gentle exercises: Once the acute pain has subsided, gentle range-of-motion exercises can help restore flexibility and strength to your shoulder. However, these should be done under the guidance of a healthcare professional.

What you should look out for

You should seek immediate medical attention if:

  • Your pain is severe or worsening
  • You can't move your shoulder
  • Your shoulder is swollen, red, or warm to the touch
  • You have a fever

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 appropriate examination, diagnosis, and treatment.

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11 mo ago

People Also Ask


What are common causes of sharp shoulder pain after lifting heavy objects?

Common causes of sharp shoulder pain after lifting heavy objects include rotator cuff injuries, strains or sprains, and bursitis. These conditions can result from overexertion or awkward movements.


How can I differentiate between a rotator cuff injury and a shoulder strain?

A rotator cuff injury often involves pain when lifting the arm or performing overhead activities, while a strain might cause pain with general movement and may include muscle spasms. A healthcare provider can perform specific tests to differentiate between these conditions.


What are the initial steps I can take at home to relieve shoulder pain?

Initial steps to relieve shoulder pain include resting the shoulder, applying ice to reduce swelling, taking over-the-counter pain relievers like ibuprofen, and avoiding activities that exacerbate the pain.


When should I seek medical attention for shoulder pain?

You should seek medical attention if the pain is severe or worsening, if you cannot move your shoulder, if there is swelling, redness, or warmth, or if you have a fever, as these could indicate a more serious condition.


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