Shoulder Pain Treatment
Shoulder Pain Treatment - Related Videos
10:10
Reverse Total Shoulder Arthroplasty
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Cited by 6 •
2011
Reverse total shoulder arthroplasty is indicated for the treatment of conditions that cannot be treated with conventional arthroplasty or other procedures. These primarily include degenerative and incapacitating conditions with irreparable rotator cuff and loss of the normal biomechanical coupling of the shoulder.
08:57
Shoulder Exam I
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2023
Source: Robert E. Sallis, MD. Kaiser Permanente, Fontana, California, USA Examination of the shoulder can be complex, because it actually consists of four separate joints: are the glenohumeral (GH) joint, the acromioclavicular (AC) joint, the sternoclavicular joint, and the scapulothoracic joint. The GH joint is primarily responsible for shoulder motion and is the most mobile joint in the body. It has been likened to a golf ball sitting on a tee and is prone to instability. It is held in place...
08:30
Intra-articular Shoulder Injection for Reduction Following Shoulder Dislocation
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2023
Source: Rachel Liu, BAO, MBBCh, Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA The anterior shoulder dislocation is one of the most common joint dislocations seen in emergency settings. In anterior shoulder dislocation, the humeral head is displaced out of the glenohumeral joint in front of the scapular glenoid, resulting in a loss of the articulation between the arm and the rest of the shoulder. This can be caused by a fall onto an abducted, extended, and externally...
09:51
Using Point of Care Ultrasound to Augment Acquisition of Physical Exam Skills: Knee and Shoulder
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2023
Source: Joseph H. Donroe, Rachel Liu; Yale School of Medicine, USA Point of Care Ultrasound or POCUS is easy to use, has enhanced mobility due to the smaller equipment needed, and may be carried out in a variety of settings. It is also far safer and cheaper than imaging techniques like computer tomography. POCUS can be helpful when certain physical exam findings are difficult to appreciate by palpation, percussion, or auscultation and can facilitate learning elements of the cardiac, pulmonary,...
01:23
Muscles of the Shoulder
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2024
The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula. Anterior Thoracic Muscles The anterior thoracic muscles include the serratus anterior, subclavius, and...
FAQs
Different shoulder structures can produce discomfort or impaired function, including the rotator cuff, joint, bursae, muscles, and nerves. Clinicians therefore consider the pain’s cause, duration, severity, and effect on movement before selecting care. This approach helps match treatment to the underlying problem rather than applying the same intervention to every patient.
Treatment selection depends on what the evaluation suggests about the source and impact of the pain. Management may focus on reducing irritation, restoring range of motion, strengthening supporting tissues, or repairing structural damage. The duration and severity of symptoms, together with movement limitations, help determine which goal should receive priority.
Physical therapy can support two central treatment goals: restoring shoulder range of motion and strengthening the tissues that support the shoulder. Its role is therefore broader than simply reducing discomfort. By addressing movement and support, therapy may help improve function when the clinical assessment indicates that rehabilitation is appropriate.
Care begins with assessing the likely cause, how long the pain has lasted, its severity, and how it affects movement. Clinicians then select condition-specific management, which may include activity modification, physical therapy, medication, injections, or surgery. The sequence and combination depend on the findings and the need to reduce pain or restore function.
Surgery may be considered when the evaluation identifies structural damage that requires repair, rather than management aimed only at reducing irritation or improving movement. It is one option within a broader treatment plan that also includes activity modification, physical therapy, medication, and injections. The diagnosis and functional effects guide whether repair is appropriate.
Outcomes can be considered in terms of reduced discomfort, improved range of motion, stronger supporting tissues, and better shoulder function. These goals reflect the main purposes of treatment and help clinicians assess whether the selected approach is addressing the patient’s needs. Monitoring function alongside pain is important because symptom relief alone may not restore movement.