[48F] Experiencing sharp right shoulder pain

Patient Description

A 48-year-old female reports a sharp pain in her right shoulder that has been ongoing for a week. The pain intensifies with certain movements and is also present at rest, particularly during the night. She rates the pain severity as an 8 out of 10. There is no reported weakness, clicking, swelling, or redness in the shoulder. The patient has a medical history of hypertension diagnosed in 2010 and diabetes type 2 diagnosed in 2022. Current medications include Lisinopril, Neurontin, Pantoprazole, and Glimepiride. No recent injuries were reported, and the patient did not mention any allergies or adverse reactions to medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, your right shoulder pain could be due to a number of conditions:

  1. Rotator Cuff Tendinitis or Tear: The rotator cuff is a group of muscles and tendons that surround the shoulder joint, keeping the head of your upper arm bone firmly within the shallow socket of the shoulder. A rotator cuff injury can cause a dull ache in the shoulder, which often worsens with certain movements or when you try to sleep on the involved side.

  2. Frozen Shoulder (Adhesive Capsulitis): This condition restricts motion in the shoulder. It can start out with mild pain and worsen over time. It might be the result of an injury or come on gradually with no specific cause.

  3. Bursitis: Bursae are small fluid-filled sacs that can be found near your joints. They act as cushions between your bones and the overlying soft tissues, and help reduce friction between the gliding muscles and the bone. Sometimes, excessive use of the shoulder leads to inflammation and swelling of the bursa between the rotator cuff and part of the shoulder blade known as the acromion. The result is a condition known as subacromial bursitis.

Please note that these are potential causes and it's important to see a healthcare professional for an accurate diagnosis.

What you can do

  1. Rest and avoid activities that aggravate your pain: If certain movements or activities seem to worsen your shoulder pain, try to avoid them as much as possible to allow your shoulder to heal.

  2. Apply ice: You can apply an ice pack to your shoulder for 15 minutes at a time, several times a day, to help reduce inflammation and ease pain.

  3. Over-the-counter pain relievers: Non-prescription medications like ibuprofen or acetaminophen can help reduce pain and inflammation.

  4. Physical therapy: Once your acute pain improves, a physical therapist can work with you to strengthen your shoulder muscles and improve your range of motion.

What you should look out for

  • If your pain is severe or if it doesn't improve after a week of home treatment, you should seek medical attention.
  • If you notice any redness, swelling, or warmth around the joint, or if you develop a fever, these could be signs of an infection and you should seek medical attention immediately.
  • If you experience sudden arm weakness or numbness, or if you develop chest pain, shortness of breath, or difficulty speaking or seeing, these could be signs of a stroke and you should seek emergency medical attention immediately.

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 shoulder pain that worsens at night?

Common causes of shoulder pain that worsens at night include rotator cuff injuries, bursitis, and frozen shoulder. These conditions can cause discomfort that intensifies with certain movements or when lying on the affected side.


How can I differentiate between rotator cuff tendinitis and a rotator cuff tear?

Rotator cuff tendinitis typically presents as a dull ache that worsens with movement, while a rotator cuff tear may cause more severe pain and weakness in the shoulder. A healthcare professional can perform specific tests and imaging to differentiate between the two.


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

Initial steps to manage shoulder pain at home include resting the shoulder, applying ice to reduce inflammation, and taking over-the-counter pain relievers like ibuprofen or acetaminophen. Avoid activities that exacerbate the pain.


When should I seek medical attention for shoulder pain?

You should seek medical attention if your shoulder pain is severe, does not improve with home treatment after a week, or if you notice redness, swelling, warmth, or develop a fever. Immediate medical attention is necessary if you experience sudden arm weakness, numbness, or symptoms suggestive of a stroke.


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