OSNA's Expert Q & A - Shoulder Pain
Q: How common is shoulder pain?
A: Shoulder pain is one of the most common complaints that bring patients to an orthopedic specialist.
Q: How do I distinguish between occasional shoulder pain and ongoing pain that warrants medical attention?
A: You should see a doctor if you have shoulder pain which is not associated with known trauma and persists for more than a week or two without improvement or pain which becomes more intense with time. Those who have sustained a minor injury to their shoulder may want to wait a few weeks to see if their symptoms resolve on their own. Of course, patients need to seek immediate attention if they have a history of heart disease or risk factors for heart disease and experience shoulder pain which is associated with chest pain, nausea, and or sweating.
Q: What are the main causes of shoulder pain?
A: The sudden onset of shoulder pain is generally associated with trauma. Adhesive capsulitis or “frozen shoulder” may also have a rather sudden onset. Patients with frozen shoulder may experience the rapid onset of pain and stiffness which is associated with a significant loss of shoulder motion. Chronic shoulder pain is most often associated with arthritis or rotator cuff tendinitis and or bursitis.
Q: How do I know if I have bursitis in my shoulder?
A: Bursitis most often causes pain and discomfort which occurs with movements above the level of shoulder. Patients often complain of difficulty sleeping on that shoulder and experience a dull “achy” toothache-type pain. Those with bursitis generally have little pain with movements at the level of the waist.
Q: What are the main treatments for shoulder pain?
A: Treatment options are based upon the diagnosis but often consist of ice, anti-inflammatories and activity modification. Physical therapy is often prescribed and at times a steroid shot may be administered.
Q: How do I know if I will need surgery?
A: Surgery is generally indicated when the above treatments do not work or fail to provide consistent long lasting relief.
Q: What is your advice for patients with shoulder pain?
A: Your orthopedic specialist can perform an evaluation to determine your treatment options.
