Shoulder Issues: When to Seek Medical Advice

Q: Shoulder Issues: When to Seek Medical Advice

Hello： Many joints make sounds during movement. <br>If there is no pain or limitation in movement, you can observe it for now. <br>However, if you find it bothersome and notice asymmetry in your shoulders, it is advisable to consult a physician. <br>Dr. <br>Li Wen-Hong, Orthopedi

Shoulder problems

This year in my senior year of high school, I've been experiencing a loose sensation in my right shoulder.
I'm not entirely sure what it is, but sometimes when I move my shoulder slightly, it makes a cracking sound, like bones popping.
For instance, if I shrug my right shoulder towards my neck, it makes that noise.
I'm not sure if it's a dislocation, but it doesn't affect my daily life.
My left shoulder has no such issues, and I've noticed that my shoulders are uneven in height.
I'm not sure if this is due to a slight hunchback or something else.
I've actually had this problem for several years, but since it doesn't interfere with my life, I haven't paid much attention to it.
However, I still care about it.
Am I overthinking this, or should I really see a doctor?

Mu Mu, 10~19 year old female. Ask Date: 2021/04/06

Dr. Li Wenhong reply Orthopedics

Hello: Many joints make sounds during movement.
If there is no pain or limitation in movement, you can observe it for now.
However, if you find it bothersome and notice asymmetry in your shoulders, it is advisable to consult a physician.
Dr.
Li Wen-Hong, Orthopedics, Changhua Hospital.

Reply Date: 2021/04/06

More Info

Shoulder issues can be quite common, especially among adolescents and young adults. Based on your description of a "loose" feeling in your right shoulder, occasional popping sounds, and the difference in height between your shoulders, it is understandable that you are concerned. While it may not currently affect your daily life, there are several factors to consider when deciding whether to seek medical advice.

Understanding Shoulder Issues
1. Popping or Clicking Sounds: The sounds you hear when moving your shoulder could be due to several reasons. In many cases, these sounds are benign and can occur due to the movement of tendons or ligaments over bony structures. However, if these sounds are accompanied by pain, weakness, or instability, it may indicate an underlying issue such as a rotator cuff injury or shoulder impingement.

2. Feeling of Instability: The "loose" sensation you describe could suggest shoulder instability. This condition occurs when the shoulder joint is not properly stabilized, which can lead to dislocations or subluxations (partial dislocations). While you mention that it does not affect your daily activities, persistent instability can lead to further complications if left untreated.

3. Posture and Shoulder Height: The difference in shoulder height and your mention of possible slouching could indicate muscular imbalances or postural issues. Poor posture can lead to uneven muscle development, which may contribute to shoulder discomfort or instability. Strengthening exercises and proper ergonomic adjustments can help alleviate these issues.

When to Seek Medical Advice
Given that you have experienced these symptoms for several years, it is wise to consider a consultation with a healthcare professional, especially if:
- Symptoms Worsen: If you start to experience pain, swelling, or a decrease in range of motion, it is essential to seek medical advice. These could be signs of a more serious condition that requires intervention.

- Impact on Daily Life: Even if your current symptoms do not significantly affect your daily activities, if they begin to interfere with sports, exercise, or other activities you enjoy, it may be time to consult a doctor.

- Concerns About Posture: If you are worried about your posture and its potential long-term effects on your shoulder and overall health, a physical therapist can provide guidance on exercises to improve posture and strengthen the shoulder muscles.

Recommended Actions
1. Consult a Healthcare Professional: A visit to a primary care physician or an orthopedic specialist can provide clarity on your shoulder condition. They may recommend imaging studies, such as X-rays or MRI, to assess the structures of your shoulder.

2. Physical Therapy: If instability or muscular imbalances are diagnosed, physical therapy can be beneficial. A physical therapist can design a personalized exercise program to strengthen the shoulder muscles, improve stability, and correct posture.

3. Monitor Symptoms: Keep track of any changes in your symptoms. If you notice increased discomfort or limitations in movement, make sure to report these to your healthcare provider.

4. Practice Good Posture: Being mindful of your posture while sitting, standing, and engaging in activities can help prevent further issues. Consider ergonomic adjustments to your workspace and incorporate stretches and strengthening exercises into your routine.

In summary, while your current symptoms may not be severe, it is always better to err on the side of caution when it comes to musculoskeletal issues. Seeking medical advice can provide peace of mind and ensure that any potential problems are addressed before they become more serious.

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