Shoulder Pain: Why Does My Left Shoulder Hurt When Relaxing? - Orthopedics

More Info

---

Shoulder pain, particularly when it is localized to one side, such as the left shoulder, can be attributed to a variety of factors. Understanding the underlying causes of this pain is crucial for effective management and relief.
In your case, the pain in your left shoulder when relaxing, particularly when you exert force (like pushing down with your palm), suggests that there may be an issue with the shoulder joint or the surrounding soft tissues, including muscles, tendons, and ligaments. This type of pain can often be associated with conditions such as rotator cuff injuries, shoulder impingement syndrome, or even referred pain from the neck or upper back.


Possible Causes of Left Shoulder Pain:
1. Rotator Cuff Injury: The rotator cuff is a group of muscles and tendons that stabilize the shoulder. If these structures are strained or torn, it can lead to pain, especially during movements that require lifting or pushing.

2. Shoulder Impingement: This occurs when the shoulder blade puts pressure on the underlying soft tissues when the arm is lifted. It can cause pain during activities that involve overhead motions or when the arm is extended.

3. Tendinitis: Inflammation of the tendons in the shoulder can lead to pain, particularly when the shoulder is at rest or in certain positions.

4. Bursitis: Inflammation of the bursa, a small fluid-filled sac that reduces friction between tissues, can cause pain and discomfort, especially when lying down or relaxing.

5. Referred Pain: Sometimes, pain in the shoulder can be referred from other areas, such as the neck or upper back. Conditions like cervical radiculopathy can cause shoulder pain that is exacerbated by certain positions or movements.


Management Strategies:
1. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can provide exercises to strengthen the shoulder muscles, improve flexibility, and enhance overall shoulder function. They may also use modalities like ultrasound or electrical stimulation to reduce pain and inflammation.

2. Ergonomic Adjustments: If you spend a lot of time at a computer, ensure that your workstation is ergonomically set up. This includes having your monitor at eye level, using a chair that supports your back, and keeping your arms at a comfortable angle while typing.

3. Stretching and Strengthening Exercises: Regularly performing shoulder stretches and strengthening exercises can help alleviate pain and prevent further injury. Focus on exercises that target the rotator cuff and shoulder blade stabilizers.

4. Rest and Ice: If you experience acute pain, resting the shoulder and applying ice can help reduce inflammation. Avoid activities that exacerbate the pain until it subsides.

5. Medication: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) can help manage pain and inflammation. However, consult with a healthcare provider before starting any medication.

6. Consultation with a Specialist: If the pain persists despite conservative measures, it may be necessary to consult with an orthopedic specialist. They may recommend imaging studies, such as an MRI, to assess for any structural issues within the shoulder joint.


Conclusion:
Understanding the reasons behind your left shoulder pain when relaxing is essential for effective management. It is crucial to listen to your body and avoid activities that exacerbate the pain. Incorporating physical therapy, ergonomic adjustments, and appropriate exercises can significantly improve your shoulder health. If symptoms persist or worsen, seeking professional medical advice is advisable to rule out any serious underlying conditions. Remember, early intervention often leads to better outcomes in managing shoulder pain.