Shoulder pain

Shoulder pain may arise from the joint itself or from surrounding muscles, ligaments, and tendons; it can also be referred from chest or abdominal structures.

Pathway
Pain — interventional
Reviewed by
Hussein Imran Mousa, consultant neurosurgeon
Reading time
1 min read

At a glance

What it is

Pain arising from the shoulder joint or from surrounding muscles, ligaments, and tendons; may also be referred from chest or abdominal structures.

Symptoms

Joint-related pain worsens with arm or shoulder movement; referred pain usually does not worsen when the shoulder is moved.

Approach

Clinical examination to distinguish local from referred causes; imaging and targeted treatment only when indicated.

Overview

Shoulder pain may arise from the shoulder joint itself or from any of the many surrounding muscles, ligaments or tendons. Shoulder pain that comes from the joint usually worsens with activities or movement of your arm or shoulder.

Various diseases and conditions affecting structures in your chest or abdomen, such as heart disease or gallbladder disease, also can cause shoulder pain. Shoulder pain that arises from another structure is called referred pain. Referred shoulder pain usually doesn't worsen when you move your shoulder.

Causes

Shoulder pain causes include: - Avascular necrosis (death of bone tissue due to limited blood flow) - Brachial plexus injury - Broken arm - Broken collarbone - Bursitis (joint inflammation) - Cervical radiculopathy - Dislocated shoulder - Frozen shoulder - Heart attack - Impingement - Osteoarthritis (disease causing the breakdown of joints) - Polymyalgia rheumatica - Rheumatoid arthritis (inflammatory joint disease) - Rotator cuff injury - Separated shoulder - Septic arthritis - Sprains - Tendinitis - Tendon rupture - Thoracic outlet syndrome - Torn cartilage

Book a consultation

The secretary schedules first appointments during clinic hours; please have prior imaging, operative notes and a current medication list available at the time of the call.

This page provides general information about shoulder pain and is not a substitute for individual medical assessment. If your symptoms are severe or worsening, contact a clinician promptly.