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Shoulder Pain

Caitlin G. Waters, MD and J. Herbert Stevenson, MD Reviewed 06/2018
 


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 th...

DIAGNOSIS

HISTORY

  • Pain characteristics location:

    • Superior: AC pathology, trapezius strain

    • Lateral/deltoid pain: RTC pathology

    • Diffuse pain: RTC pathology, adhesive capsulitis, glenohumeral OA

  • Descriptors...

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 N Am.  2014;98(3):487–504. [View Abstract on OvidMedline]
2
Gross C, Dhawan A, Harwood D, et al. Glenohumeral joint in...

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 A...

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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