Suffering from shoulder pain? Contact us to learn about treatment options.
How Your Shoulder Works
Shoulder bones are:
• The shoulder blade (scapula);
• The collarbone (clavicle); and
• The upper arm bone (humerus).
The shoulder blade and the collarbone come together on top of the shoulder to form the acromioclavicular (AC) joint.
The upper arm bone is shaped like a ball to fit neatly into a socket on the shoulder blade. This is called the glenohumeral joint. The socket is shallow to allow a wide range of motion of the arm. Inside the socket is a flexible rim of soft tissue called the labrum, which helps increase the stability of the shoulder.
Four muscles surround the shoulder joint to help to rotate the arm and provide additional stability. Together, these muscles form the rotator cuff. Many other muscles help move the shoulder, such as the pectoralis muscles (pecs) on the chest or the latissimus dorsi (lats) on the back. In order for the shoulder to function properly, the bones, joints and muscles must all work in unison.
Evaluating Shoulder Pain
Evaluation for shoulder pain starts with you giving us a history of your problem: when and how it started, how it currently feels, and which treatments you have tried. We also ask you about other medical conditions that may contribute to your pain.
We do a physical exam to test your shoulder structures, check your shoulder’s range of motion and strength, and do special tests that can uncover specific problems.
Based on the findings, we may recommend a cortisone injection as a clinical test and pain treatment. The numbing medicine in the injection helps determine the source of your pain, while the cortisone can provide pain relief.
Sometimes we order X-rays or MRIs to visualize bones and soft tissues. X-rays can show us fractures, spurs, and changes from arthritis. MRIs can show us more bone detail, as well as soft-tissue damage like tears of the rotator cuff or labrum.
In some cases, we need input from other specialists, particularly neurologists, who can evaluate and test the nerve supply to the shoulder.
Whatever the cause of your shoulder pain, we are dedicated to helping you find the best treatment. Request an appointment today.
Causes of Shoulder Pain
- Bone Spurs
- Less common causes ? infection, tumors, or nerve problems
Treatment of shoulder pain is very specific to the diagnosis and severity of your symptoms.