Shoulder Pain: Is It Frozen Shoulder or Something Else? - Neurology

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Shoulder pain can be a complex issue, and it’s important to consider various potential causes, especially in the context of your mother’s symptoms. Given that she is experiencing pain in the right shoulder joint, along with discomfort radiating down to the arm and fingers, and a limitation in her ability to raise her arm, there are a few possibilities to consider.

One common condition that could be at play is adhesive capsulitis, commonly known as "frozen shoulder." This condition typically presents with pain and stiffness in the shoulder joint, making it difficult to move the arm. It often occurs in individuals aged 40 to 60 and can develop gradually, sometimes following an injury or surgery, but it can also arise without a clear cause. Symptoms usually progress through three stages: the freezing stage (increased pain and stiffness), the frozen stage (stiffness with less pain), and the thawing stage (gradual improvement in range of motion).

However, the symptoms you describe could also indicate other conditions, such as a rotator cuff injury, tendinitis, or even referred pain from cervical spine issues. Given that your mother has difficulty lifting her arm and experiences pain radiating down her arm, it would be prudent to consider a thorough evaluation by a healthcare professional.

In terms of which specialty to consult, an orthopedic surgeon specializing in shoulder conditions would be the most appropriate choice. They can perform a physical examination, review her medical history, and potentially order imaging studies such as X-rays or an MRI to assess the shoulder's structure and rule out any significant injuries or degenerative changes.

Treatment options will depend on the specific diagnosis. For frozen shoulder, physical therapy is often the first line of treatment, focusing on stretching and strengthening exercises to improve range of motion. In some cases, corticosteroid injections may be recommended to reduce inflammation and pain. If conservative measures fail, surgical options may be considered, such as arthroscopic release of the shoulder capsule.

If the pain is due to a rotator cuff injury or tendinitis, similar conservative treatments apply, including physical therapy, anti-inflammatory medications, and possibly injections. Surgery may be indicated if there is a complete tear of the rotator cuff or if conservative treatments do not provide relief.

It’s also important to consider lifestyle factors that may contribute to shoulder pain, such as posture, repetitive activities, or underlying health conditions like diabetes, which can increase the risk of frozen shoulder.

In summary, your mother’s symptoms warrant a thorough evaluation by an orthopedic specialist to determine the underlying cause of her shoulder pain. Early intervention can lead to better outcomes and help restore her range of motion and quality of life. Encourage her to seek medical attention promptly to address her discomfort and prevent further complications.