Severe Right Shoulder Pain: Causes and Home Remedies

Severe pain in the right shoulder?

Doctor, I have been experiencing a dull pain in my right shoulder before going to sleep, which escalated to severe pain that woke me up in the middle of the night.
I haven't engaged in any intense physical activity recently, but the pain has been persistent and radiates down to my elbow, which is also uncomfortable.
This pain has lasted for about a whole day.
Two days ago, I had a high fever of 39°C (102.2°F), but after taking medication for a day, the fever subsided on its own after I stopped taking the medicine.
What should I do if I don't have time to see a doctor?

Ke, 10~19 year old female. Ask Date: 2015/08/20

Dr. Shi Guozheng reply Orthopedics

Joint pain is often associated with improper movements.
Consider whether you have lifted heavy objects or performed repetitive actions.
Additionally, keeping the joints in the same position for too long can also lead to pain.
Of course, if there is a fever, it is important to consider whether it is related to a cold or an infection.
You can wait a day or two to see if the pain alleviates, and taking one or two pain relievers like acetaminophen may help.
If the pain persists, it is necessary to see a doctor.

Reply Date: 2015/08/20

More Info

Severe right shoulder pain can be a distressing experience, especially when it disrupts your sleep and daily activities. Based on your description, it seems that you are experiencing a combination of shoulder pain that radiates down to your elbow, along with a recent episode of fever. This could indicate a few potential underlying issues, and I will provide some insights into possible causes and home remedies that may help alleviate your discomfort.

Possible Causes of Severe Shoulder Pain
1. Rotator Cuff Injury: This is a common cause of shoulder pain, especially if there has been any recent activity that could have strained the shoulder. Rotator cuff injuries can lead to pain, weakness, and limited range of motion.

2. Tendinitis or Bursitis: Inflammation of the tendons or the bursa (a fluid-filled sac that reduces friction) in the shoulder can cause pain, especially during movement or at night.

3. Referred Pain: Sometimes, pain in the shoulder can be referred from other areas, such as the neck or even the heart. Given your recent fever, it’s essential to consider whether there might be an underlying infection or inflammatory condition.

4. Frozen Shoulder (Adhesive Capsulitis): This condition can develop gradually and lead to stiffness and pain in the shoulder, making it difficult to move.

5. Infection: If your shoulder pain is accompanied by fever, it could suggest an infection, such as septic arthritis or an infection in the shoulder joint itself.

Home Remedies for Shoulder Pain
While it’s crucial to consult a healthcare professional for a proper diagnosis and treatment plan, there are several home remedies you can try to alleviate your shoulder pain:
1. Rest: Avoid activities that exacerbate the pain. Giving your shoulder time to heal is essential.

2. Ice Therapy: Applying ice packs to the affected area for 15-20 minutes every few hours can help reduce inflammation and numb the pain.

3. Heat Therapy: After the initial inflammation has decreased (usually after 48 hours), applying heat can help relax and loosen tissues and stimulate blood flow to the area.

4. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce pain and inflammation. Always follow the dosage instructions on the label.

5. Gentle Stretching and Strengthening Exercises: Once the acute pain subsides, gentle stretching and strengthening exercises can help restore mobility and strength to the shoulder. However, avoid any movements that cause pain.

6. Posture Correction: Poor posture, especially when using computers or mobile devices, can contribute to shoulder pain. Ensure that your workstation is ergonomically set up.

7. Hydration and Nutrition: Staying hydrated and maintaining a balanced diet can support overall health and recovery.

When to Seek Medical Attention
Given that you experienced a high fever and persistent pain, it is crucial to monitor your symptoms closely. If your pain worsens, if you develop additional symptoms (such as swelling, redness, or warmth in the shoulder), or if you experience significant weakness or inability to use your arm, you should seek medical attention promptly.
In your case, since you mentioned that you may not have time for a doctor's visit, consider reaching out to a healthcare provider for a telehealth consultation. They can provide guidance based on your symptoms and may recommend imaging studies or further evaluation if necessary.

In conclusion, while home remedies can provide temporary relief, it is essential to address the underlying cause of your shoulder pain. Early intervention can prevent further complications and promote a quicker recovery.

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