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Shoulder Pain

Terrence C. Tsui, DO and J. Herbert Stevenson, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Shoulder pain commonly affects patients of all ages.

  • Causes include acute trauma, overuse during sports, and activities of everyday living.

  • Age plays an important role in determining t...

DIAGNOSIS

HISTORY

  • Pain characteristics location:

    • Superior: AC pathology, trapezius strain

    • Lateral: RTC pathology

    • Anterior: biceps tenosynovitis

    • Diffuse pain: RTC pathology, adhesive capsulitis, glenohumera...

TREATMENT

  • Treatment is based on underlying diagnosis.

  • In general, conservative therapy includes activity modification, analgesics, and/or anti-inflammatory medicines in association with appropriate reh...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Limit overhead activity to reduce impingement symptoms. 

PATIENT EDUCATION

Refer to specific diagnosis for shoulder pain. 

PROGNOSIS

Shoulder pain generally has a fav...

REFERENCES

1
Greenberg DL. Evaluation and treatment of shoulder pain. Med Clin North Am.  2014;98(3):487–504. [View Abstract on OvidMedline]
2
Gross C, Dhawan A, Harwood D, et al. Glenohumeral joint...

ADDITIONAL READING

  • Bodin J, Ha C, Chastang JF, et al. Comparison of risk factors for shoulder pain and rotator cuff syndrome in the working population. Am J Ind Med.  2012;55(7):605–615. [View Ab...

CODES

ICD10

  • M25.519 Pain in unspecified shoulder

  • S43.429A Sprain of unspecified rotator cuff capsule, init encntr

  • M19.019 Primary osteoarthritis, unspecified shoulder

  • M75.00 Adhesive capsulitis of unspeci...

CLINICAL PEARLS

  • RTC disorders (tendinopathy, tears) are the most common cause of shoulder pain in individuals >30 years of age.

  • Shoulder instability (acute dislocation/subluxation or chronic instabi...

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