Shoulder pain without injury: the key components

Written by: Mr David Thyagarajan
Published:
Edited by: Aoife Maguire

What are the most common causes of shoulder pain which have not resulted from injury? 

 

There are several ways that shoulder pain can occur; it is not always due to injury. The following are common causes of shoulder pain not resulting from injury:

  • Acromioclavicular Joint Arthritis.
  • Long head of Biceps Pathology.
  • Calcific Tendonitis.
  • Frozen Shoulder.
  • Shoulder Arthritis.
  • Shoulder Instability.
  • SLAP Tear due to degenerative disease.
  • Subacromial Impingement/Bursitis.
  • Sternoclavicular Joint Pain.
  • Rotator Cuff Tear due to degenerative disease.
  • Shoulder infection.
  • Shoulder tumour.
  • Pain referred from neck or other sources.

 

 

What are the dos and don’ts of shoulder pain while recovering at home?

There are numerous ways that you can care for yourself while recovering pain from home. Some things you should do are as follows:

  • You should take simple pain killers.
  • You should take anti-inflammatory medicines if tolerated.
  • You should exercise as tolerated.

 

While there are several things you should do to aid shoulder pain, there are also things you should avoid. Some things you should not do are as follows:

  • You should not push through pain.
  • You should not ignore symptoms that are not settling.

 

When should you see a doctor about shoulder pain?

There are a few reasons why you should visit the doctor due to shoulder pain.

 

Firstly, you should visit the doctor when treatment with simple analgesics and anti-inflammatory medicines have not alleviated your symptoms. 

 

You should also visit the doctor if pain is caused by injury or if it’s severe.

 

Furthermore, if you are worried about an infection, it is advisable to visit the doctor.

 

How is the cause of recurrent shoulder pain determined?

A few methods are implemented to determine recurrent shoulder pain. It can be determined thorough history, clinical examination and basic investigations like X ray.

 

In select cases, specialist scans are required.

 

When is treatment required for shoulder pain? What does it typically consist of?

Treatment is required to reduce pain or stiffness. It consists of:

  • Pain killers.
  • Anti-inflammatory medication.
  • Steroid. Local anaesthetic injections.
  • Physiotherapy.

 

In some cases, key hole surgery is necessary as treatment.

By Mr David Thyagarajan
Orthopaedic surgery

Mr David Thyagarajan is a highly respected consultant orthopaedic surgeon based in Sheffield who specialises in shoulder and elbow surgery. He is renowned for his expertise in shoulder and elbow pain, shoulder injection and shoulder arthroscopy as well as elbow and shoulder joint replacement, including both primary and secondary revision surgery.

After qualifying in medicine in 1994, Mr Thyagarajan undertook his higher surgical training in trauma and orthopaedic surgery in Bristol and he gained a specialist fellowship from the Royal College of Surgeons within the trauma and orthopaedics section. He was awarded a highly sought-after advanced shoulder and elbow fellowship at Nottingham Shoulder and Elbow Unit where he gained invaluable experience in treating a high volume of complex cases. Additionally, Mr Thyagarajan travelled to centres for excellence in shoulder and elbow surgery in Houston and San Antonio, Texas, USA to acquire detailed knowledge and expert skill in performing innovative surgical techniques from renowned leaders in the field of orthopaedics.

With his wide-ranging expertise in shoulder and elbow surgery, Mr Thyagarajan’s areas of interest include sports injuries, instability, degenerative disease and related joint replacement, including highly complex cases. He sees private patients at the Circle Health Group Thornbury Hospital in Sheffield.

In addition to his clinical responsibilities, Mr Thyagarajan remains actively involved in research in his key areas of interest and is a leading name in the field of trauma and orthopaedics. He has published numerous academic papers which appear in esteemed peer-reviewed journals and also acts as a reviewer for The Journal of Shoulder and Elbow Surgery. He frequently speaks at national and international conferences and has shared his research at key meetings of the American Academy of Orthopaedic Surgeons and the British Shoulder and Elbow Society. Mr Thyagarajan was also an invited speaker at the 2016 International Congress of Shoulder and Elbow Surgery in South Korea, sharing his expertise in arthritis and arthroplasty symposium sessions.

Mr Thyagarajan is also an esteemed educator and is a senior clinical lecturer at the University of Sheffield. He regularly teaches students and surgical trainees in orthopaedics and also delivers key training for fellow medical professionals. Additionally, he is a faculty member on shoulder and elbow advanced surgical techniques courses and supervises specialist trainees in orthopaedics and shoulder and elbow fellows within his role at Sheffield Teaching Hospitals NHS Trust. He is a member of a number of prominent professional bodies, including the British Orthopaedic Association, British Shoulder and Elbow Society and the European Society of Shoulder and Elbow Surgery.

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