Your shoulder joint is made up of three bones: the clavicle (collarbone), the scapula (shoulder blade), and the humerus (arm bone). Your shoulders are the most mobile joints in your body. Ligaments, muscles, and tendons stabilize the shoulder joint. Shoulder pain can result from injury or overuse of any of these structures, and may also be due to arthritis.
The shoulder specialists at Orthopedic Associates of Hartford have specific training in the diagnosis and treatment of shoulder problems such as tendonitis, rotator cuff tears, dislocations, fractures, frozen shoulder, arthritis, as well as other less common shoulder disorders.
Some of the most common shoulder problems include:
Sprains and Strains are tears to the ligaments or muscles caused by being stretched beyond their capacity.
Dislocation of joints occurs when one of the two bones that make up a joint separates from the other bone.
Tendonitis is inflammation or pain along a tendon. Tendons are the structures that connect your muscles to your bones. Tendons in the shoulder that can experience tendonitis are the rotator cuff tendons and upper part of the biceps muscle.
Bursitis is inflammation of a bursa. A bursa is a fluid-filled sac that is found where tendons pass by bony surfaces. Bursitis in the shoulder commonly causes pain on the side or front of the arm, and is worse with activities that place the hand at or above shoulder level.
Torn Rotator Cuffs are a group of four muscles that cover the top part of the arm bone (humerus) and help stabilize and move the arm. These muscles have tendons that can tear and cause shoulder pain and/or weakness.
Frozen Shoulder is a condition that causes painful loss of motion in the shoulder. It often occurs without any known cause of injury or, occasionally, after minor trauma.
Fractures of the bones, or broken bones.
Arthritis occurs when the cartilage of a joint surface is injured. Arthritis can cause pain, swelling, and loss of motion.
Symptoms associated with shoulder pain depend on the cause and may include:
- Dull, aching shoulder pain
- Pain and weakness with shoulder use
- Problems sleeping at night due to shoulder pain
- Stiffness in the shoulder
- Discomfort when performing overhead activities
- Feeling that the shoulder could pop out of the socket
- Problems with activities of daily living that are encountered due to lack of shoulder strength
- Symptoms vary in intensity from mild to severe.
Medical History & Examination
The art of diagnosing shoulder problems involves getting a good history from the patient and a comprehensive shoulder exam. During the medical history, your doctor will want to understand the nature of your pain, how it started, the impact on daily living, and activities that increase the pain. An exam is conducted and there are dozens of shoulder exam tests that can be used to identify the issue. Follow-up tests such as X-ray, ultrasound, MRI, CT scan or nerve conduction studies are often required to confirm shoulder pain diagnosis and rule out other injuries.
Dense structures, such as bone, show up clearly on x-rays. X-rays may show problems in your shoulder, such as arthritis or dislocation.
Magnetic resonance imaging (MRI) and/or ultrasound: These studies can create better images of problems with soft tissues, such as a torn rotator cuff.
There are a number of non-surgical and surgical options to restore mobility and reduce pain.
Many shoulder problems can be approached in a non-operative manner with medications, rest, ice, and use of slings to alleviate pain. For local inflammation, sometimes an injection of cortisone medication (steroids) is used to quiet the inflammation. Physical therapy can be beneficial and provide specific exercises to restore motion and strengthen the upper extremities.
Initiating early treatment for shoulder problems is often the best curative course. When symptoms interfere with your lifestyle or result in persistent, severe, or intermittent pain, it is important to make an appointment to have your shoulder evaluated.
If an operation is needed, most of these conditions can be treated by arthroscopic (scope) techniques, with limited incisions, and usually can be done as a same-day surgery.
Our surgical team is adept at the most advanced surgical techniques to inspect, diagnose, and repair shoulder problems.
The most common causes of shoulder pain can be seen here
Shoulder impingement and tendonitis are discussed here
Shoulder instability, the causes, and treatment options
Injuries to the acromioclavicular joint
Dr. Clifford Rios provides information about the evaluation and treatment of the unstable shoulder
The following videos provide useful information about the wide range of treatment options that can be used to treat injuries and conditions of the shoulder.
Click on an area to learn more.