What Is Referred Shoulder Pain?

Shoulder pain, pain in the shoulder joints and surrounding muscles and bones is called shoulder pain. Pain in the back of the shoulder that goes to the back and back of the shoulder is called shoulder and back pain; shoulder pain that affects the upper arm or even the elbow is called shoulder and arm pain. Because they all take shoulder pain as the main clinical manifestation, the pain in other parts is caused by shoulder pain, so they can be collectively called shoulder pain. Should find the cause of symptomatic treatment.

Basic Information

English name

Shoulder Pain

Visiting department

orthopedics

Common locations

Shoulder

Common causes

Rheumatoid arthritis, periarthritis, scapular muscle strain, coronary heart disease, lung cancer, cervical spondylosis, cholecystitis, etc.

Common symptoms

Unilateral or bilateral shoulder pain

Causes of shoulder pain and common diseases

Joint disease

Diseases such as rheumatoid arthritis, periarthritis, scapular muscle strain, and mucocystitis and tendinitis can cause shoulder pain.

Coronary heart disease

Coronary heart disease is a heart disease caused by a narrowed or cramped coronary artery. Because the pain in the shoulder, sternum, and left little finger is also transmitted to the brain through the sympathetic ganglia in the front of the thoracic vertebrae and the corresponding spinal nerves, the brain sometimes cannot distinguish whether the pain is from the heart, the sternum, shoulder. Therefore, patients with coronary heart disease often experience symptoms of shoulder pain, and sometimes even cover other areas of pain. In addition to shoulder pain in patients with coronary heart disease, in addition to the sternal or anterior cardiac compression discomfort.

3. Lung apex cancer

When a lung tumor develops in the apex of the lung, the growing cancerous tissue can compress or invade these nerve plexuses. Should the brachial plexus be invaded, shoulder pain can occur. This kind of pain is usually underarms, burning pain radiating to the inside of the upper limbs, especially at night. If the shoulder is severely compressed, it can also affect shoulder and upper limb movements.

4. Cervical Spondylosis

Most of the pain is numbness, and there is a feeling of radiation to the upper limbs and hands. The most common pain areas except the neck are mainly concentrated in the upper shoulder area, that is, above the collarbone, above the acromion, and above the anterior shoulder.

5. Frozen shoulder

Pain is persistent dull pain, which often manifests as soreness and soreness. The most painful areas are located in the deltoid muscle area, that is, the area outside the clavicle, the area below the acromion, and the area outside the scapula.

6. Acute cervical radiculitis

It is more common in young adults who work at the desk or have long bowed heads. The onset is rapid, the pain is severe, and the main symptoms are severe nerve root pain. The pain radiates along the nerves to the shoulders, arms, and fingers, and can be accompanied by a tingling sensation.

7. Cervical spinal tumor

Onset is slow, with severe root pain on one side.

8. Spinal arachnoiditis

Shoulder and arm pain can be bilateral, with a long course and often worsened by fluctuations.

9. Cervical angina

Common features with angina pectoris are pain in the anterior region of the heart, which can radiate to the left shoulder, back, and upper limbs, and can have a feeling of squeezing or suffocation.

10. Lung cancer

Shoulder pain is caused by lung cancer metastasis and compression of the brachial plexus nerve, which can occur before respiratory symptoms such as cough, hemoptysis, and chest pain.

11. Cholecystitis, cholelithiasis

Inflammation or gallstones may cause right shoulder pain. Patients often have a history of recurrent attacks. Ultrasound B can confirm the diagnosis. Anti-infection, antispasmodic and analgesic treatment can relieve shoulder pain.

Shoulder pain check

The supraspinatus tendon rupture test and Spide test. Symptoms The pain of cervical spondylosis is mostly numbness and there is a feeling of radiation to the upper limbs and hands. The most common pain areas except the neck are mainly concentrated in the upper shoulder area, that is, above the collarbone, above the acromion, and above the scapular post. Within the area. Frozen shoulder pain is persistent dull pain, which often manifests as soreness and soreness. The most painful areas are located in the deltoid muscle area, that is, the area outside the clavicle, the area below the acromion, and the area outside the scapula.

Differential diagnosis of shoulder pain

Shoulder and back pain

There are many patients with back pain, and the common cause is local bone or soft tissue disease of the shoulder and back. There is also scapular pain caused by organ diseases reflecting to the back of the shoulder or tumors metastasizing to the back of the shoulder.

2. Continuous severe shoulder pain

Often caused by dislocation of the shoulder joint. Has a clear history of trauma.

3. Pain in the shoulder

Shoulder pain or hyperalgesia due to visceral diseases is called involved pain. Symptoms appear relatively slowly, dull pain, or discomfort, which does not exactly follow the direction of the nerve, the area is blurred, and the pain is blurred.

Shoulder pain treatment principles

Find the cause and treat it symptomatically. Pay attention to daily health care, put an end to bad posture, find out early, and thoroughly treat the neck and shoulder and back soft tissue strain to prevent it from developing into cervical spondylosis. Pay attention to keep the neck and shoulders warm, avoid head and neck weights, avoid excessive fatigue, and avoid the neck facing the air conditioning vents, which can prevent the occurrence of neck and shoulder pain and cervical spondylosis.