Shoulder Pain: Causes and Treatment Options - Orthopedics

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Shoulder pain can be a complex issue with various underlying causes, especially when it persists for an extended period, as in your case. Based on your description of being unable to lift your left arm above shoulder level for six months, along with pain localized to the back of your arm, there are several potential causes to consider.


Possible Causes of Shoulder Pain
1. Rotator Cuff Injury: The rotator cuff is a group of muscles and tendons that stabilize the shoulder and allow for a wide range of motion. Injuries to the rotator cuff, such as tears or tendinitis, can lead to pain and limited mobility. Symptoms often include pain when lifting the arm, weakness, and a feeling of instability.

2. Shoulder Impingement Syndrome: This occurs when the shoulder blade puts pressure on the underlying soft tissues when the arm is lifted. It can cause pain and restrict movement, particularly when lifting the arm overhead.

3. Frozen Shoulder (Adhesive Capsulitis): This condition involves stiffness and pain in the shoulder joint, making it difficult to move the arm. It often develops gradually and can last for months or even years.

4. Bursitis: Inflammation of the bursa, a small fluid-filled sac that reduces friction between tissues, can lead to pain and swelling in the shoulder.

5. Cervical Radiculopathy: Sometimes, pain in the shoulder can be referred from the neck due to nerve compression or irritation in the cervical spine. This can cause pain that radiates down the arm and may be accompanied by numbness or weakness.


Recommended Actions
Given the duration and severity of your symptoms, it is advisable to consult with a healthcare professional, specifically an orthopedic specialist. Here are some steps you can take:
1. Orthopedic Evaluation: An orthopedic doctor specializes in musculoskeletal issues and can provide a thorough examination. They may recommend imaging studies, such as X-rays or an MRI, to assess the condition of your shoulder and rule out any serious injuries.

2. Physical Therapy: If a rotator cuff injury or impingement syndrome is diagnosed, physical therapy can be highly beneficial. A physical therapist can design a rehabilitation program that focuses on strengthening the shoulder muscles, improving flexibility, and restoring range of motion.

3. Pain Management: Over-the-counter anti-inflammatory medications (like ibuprofen or naproxen) can help alleviate pain and reduce inflammation. In some cases, corticosteroid injections may be recommended to provide more immediate relief.

4. Alternative Treatments: While you mentioned trying traditional Chinese medicine without improvement, some patients find relief through acupuncture or other complementary therapies. However, it is essential to combine these with conventional medical advice.

5. Surgical Options: If conservative treatments fail and your quality of life is significantly affected, surgical options may be considered. This could include arthroscopic surgery to repair a torn rotator cuff or to relieve impingement.


Conclusion
In summary, your symptoms suggest a possible rotator cuff injury or shoulder impingement, but a definitive diagnosis can only be made through a thorough evaluation by an orthopedic specialist. It is crucial to address this issue promptly, as prolonged pain and limited mobility can lead to further complications. Seeking professional medical advice will help you determine the best course of action for recovery. Wishing you a speedy recovery and relief from your shoulder pain!