Shoulder Pain

Shoulder pain can result from a variety of causes, including acute injuries such as fractures or dislocations and chronic conditions like tendinitis or arthritis. Overuse from repetitive movements—common in sports like tennis, swimming, and weightlifting—can lead to inflammation of the shoulder tendons (tendinitis) or bursae (bursitis), causing pain and limited movement.
Age-related degeneration is also a significant factor. Conditions such as rotator cuff tears, frozen shoulder, and osteoarthritis tend to develop gradually over time. Arthritis, for example, causes the cartilage within the shoulder joint to wear down, leading to stiffness, inflammation, and discomfort. Additionally, improper lifting techniques or sudden traumatic events can cause injuries that result in ongoing shoulder pain.

A thorough physical examination is essential in diagnosing the root cause of shoulder pain. During this assessment, our Consultant will check for tenderness, range of motion, and muscle strength. Imaging tests, including X-rays, ultrasound, and MRI, may also be recommended for a more detailed view of the shoulder joint and surrounding tissues.
X-rays help identify bone abnormalities and joint damage, such as fractures or arthritis, while ultrasound and MRI provide insight into soft tissue damage, like tendon tears or inflammation. In some cases, an arthrogram—a special imaging test where dye is injected into the shoulder joint—may be performed to highlight joint structures and identify the cause of pain more accurately.

Treatment for shoulder pain depends on the underlying cause, but generally includes a combination of rest, physical therapy, and, if necessary, injections or minimally invasive procedures. Resting the shoulder is often the first step, as it allows initial inflammation to subside. Activity modification, such as avoiding repetitive or high-impact movements, is crucial to avoid aggravating the condition.
Non-surgical treatments like corticosteroid injections or platelet-rich plasma (PRP) injections can be effective in reducing pain and inflammation. Corticosteroids are commonly used to relieve inflammation, while PRP injections utilise the patient’s own blood to enhance natural healing within the damaged shoulder tissues. These treatments can provide long-lasting relief when combined with other therapies.
Physical therapy is a cornerstone of shoulder pain management. A tailored program of stretching and strengthening exercises can improve flexibility, restore range of motion, and build muscle support around the joint. In more severe cases where conservative treatments are not sufficient, minimally invasive procedures or surgery may be considered to repair damaged tissues.

Booking an initial consultation at The Clinica is the first step in understanding and addressing shoulder pain effectively. During this appointment, our specialist will conduct a comprehensive evaluation, discuss your symptoms, and review your medical history to determine the potential causes of your shoulder pain. This thorough assessment is essential to create a personalised treatment plan.
The consultation may involve physical tests to assess strength and mobility, and, if needed, imaging tests will be arranged for a more detailed diagnosis. By identifying the exact cause of your shoulder pain, we can provide a structured path to recovery that aims to relieve pain, restore function, and improve your quality of life.