Shoulder Pain: Treatment, Procedure, Cost and Side Effects

Shoulder pain is a health problem that commonly occurs in a person. It is accompanied by several symptoms which are such as:

• Pain, referred to as catching pain, occurs in the shoulder joint and affects the back as well as the front of the shoulder and also the upper arm.
• Difficulty in shoulder movement.
• Weak shoulder.
• Presence of pain which feels like a tingling and burning sensation.
• Shoulder dislocation leads to a lack of movement in the shoulders.

Shoulder pain is usually characterized by a persistent dull and nagging painful sensation that may arise from the shoulder joint itself or from other muscles, ligaments and/or tendon that surrounds the shoulder area. Shoulder pain arising from the shoulder joint itself generally worsens with the movement of the shoulder or upper arm of the person having this symptom.

There are various causes for shoulder pain and the reason may vary from person to person depending upon the physical activities that he/she is involved in. The causes of shoulder pain may be direct as well as indirect. Various diseases and other conditions such as heart problems or gallbladder diseases may indirectly lead to shoulder pain and such a condition is known as referred pain.

Referred shoulder pain generally does not cause much problem during the movement of patient shoulder. On the other hand, direct causes of shoulder pain may be due to one or more major or minor injuries in the shoulder area. Moreover, due to aging, various degenerative changes in different parts of the shoulder can result in shoulder pain.

Some of the major causes that can result in shoulder pain are:

• Impingement
• Bursitis
• Dislocated shoulder
• Osteoarthritis
• Rheumatoid arthritis
• Tendinitis
• Septic Arthritis
• Rotator cuff injury
• Frozen shoulder
• Sprains and Strains
• Multiple sclerosis
• Dislocated shoulder
• Avascular necrosis
• Ankylosing spondylitis

The first step towards the treatment of shoulder pain involves thorough analysis of the patient’s medical history followed by a number of clinical diagnoses which involves imaging study by:

• X-ray imaging
• Magnetic resonance imaging (MRI)
• Ultrasound imaging
• Diagnostic arthroscopy

Once the cause of shoulder pain is found out by various clinical diagnoses, the treatment for this condition is initiated under the guidance of an experienced doctor. The treatment for shoulder pain involves various pain relief medications and physiotherapy. The doctor might recommend taking rest and avoiding any strenuous physical activity that involves movement of the shoulder in order to prevent any further injury.

In addition to this, a few exercises may help the patients by improving their shoulder flexibility and mobility. Injecting cortisone into the affected area can help to reduce inflammation. Applying hot and cold packs on the affected area gives temporary relief from pain. In some cases, the doctor may advise surgical treatment if the medical treatment for this condition is found to fail.

It must be kept in mind that the treatment for shoulder pain varies from person to person depending on the degree of injury or the cause of the pain. Surgical treatment for this condition is not the first option, and hence this treatment is used only if all other medical treatments for this condition fail.

In the case of patients, suffering from shoulder pain due to arthritis or osteoarthritis, the treatment is slightly different. For such patients, shoulder pain arises due to a damaged shoulder joint. Surgical methods of treatment such as realignment bone surgery and joint replacement surgery are the two best methods that have been proved beneficial for treating such patients. After surgery, the patients are recommended to have rest until the condition heals.

There are several OTC painkillers that can be used to get relief from shoulder pain. Medicines such as non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen may be prescribed for controlling the pain.

Shoulder pain is a common joint condition that can affect anyone. The condition can result from daily activities and may involve muscles, tissues, shoulder blade, and nerves. The pain can be mild or excruciating depending on the severity of the underlying damage.

There are a few measures that you can follow at home to relieve shoulder pain:

• Pain Relief Medication: You can ask your physician to prescribe over-the-counter (OTC) non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen to get relief from shoulder pain.
• Apply Heat: Taking a hot shower or applying a hot compress on the affected region of the shoulder can ease the pain.
• Apply cold compression: A cold compress can reduce pain and prevent swelling in the shoulder region. However, ensure that you wrap the cold pack in a towel or a soft cloth before applying on the shoulder.
• Epsom salt bath: Bathing with warm water mixed with Epsom salt can also soothe the shoulder pain.
• Massage the affected region gently: Gently massaging or kneading the affected area of the shoulder is an effective way of easing the shoulder pain.

The treatment for shoulder pain is more or less safe. However, the anti-inflammatory pain killers prescribed during this treatment may bear some side effects. The common side effects include nausea, vomiting, constipation, bleeding in stomach (ulcers), headache and indigestion. The side effect of stomach upset can be reduced by taking the medicines after meal.

On the other hand, cortisone pills used to treat problems of shoulder pain, have side effects such as weight gain, elevated blood sugar levels, osteoporosis, elevated blood pressure, thinning of skin, cataracts and decreased resistance against infections. It is important to consult a doctor if any of these side effects become serious enough.

It should be remembered that shoulder pain may be due to both direct and indirect causes (also known as referred pain). In case of referred pain, the underlying cause needs to be treated. The post treatment guidelines for shoulder pain include:

• Giving rest to the affected shoulder
• Applying hot and cold packs to the affected area for temporary relief
• Avoiding strenuous activities that may cause further injury
• Taking the prescribed medicines regularly on time
• Physiotherapy
• Practising exercises that helps in improving shoulder mobility and flexibility
• Using braces
• Slings and supports that helps in keeping the shoulder in position and facilitates faster recovery.

Practising simple shoulder exercises can help prevent injury in the shoulder region. The exercises help stretch and strengthen the muscles. Similarly, performing simple range-of-motion exercises every day can help you prevent a frozen shoulder.

A physiotherapist can help you with these exercises. People who have has shoulder injury before should apply a cold pack after exercising for at least 15 minutes to prevent injuries in the future.

The time taken for a patient of shoulder pain to recover depends upon the degree of injury received. For minor injuries like strain or sprain, it takes about a week’s time for the pain to recover.

Shoulder pain resulting from serious issues such as fractures, rotator cuff tear, dislocation and others may require surgical treatment and may take a few months to recover. It is important to consult a doctor if the pain persists or increases even after the treatment.

The price of treatment for shoulder pain varies in different parts of India. The average cost of consulting a doctor regarding such issue may range from Rs. 400 to Rs. 700 (per consultation). The costs of medical as well as surgical treatments are additional. In general, the average cost of full treatment for shoulder pain may range from Rs. 4,400 to Rs. 6,500 in India. This treatment is available in almost all cities and towns of India.

The treatment methods of shoulder pain usually involve physiotherapy, self exercising techniques, medications, home remedies, self-care, and surgery. The results of the treatment depend upon the type of treatment. In the case of treatment with physiotherapy, self-care, and physical exercises, the results that we get are usually not permanent, however, it can get controlled with these methods and techniques.

As long as we follow these methods, the symptoms of shoulder pain will remain controlled, but not completely cured. On the other hand, in severe cases of shoulder pain, the surgical method needs to be followed and the result of treatment is permanent and hence complete cure is possible in this case.

There are certain measures that you consider to help ease your shoulder pain:

• Take an over-the-counter pain reliever
• Opt for heat or cold therapy
• Correct posture
• Limit pressure on the affected shoulder joint
• Take rest
• Perform a few simple range-of-motion exercises
• Consider complementary treatments like acupuncture

It is always important for us to know about the food items which are beneficial in the conditions of shoulder pain by reducing the inflammation. Some examples are:

• Olive oil.
• Whole grains.
• Potatoes, sweet potatoes, and turnips.
• Nuts such as almonds.
• Poultry and fatty fishes like salmon and sardines.
• Green tea.
• Dark chocolate.
• Legumes including beans, peas, peanuts, and chickpeas.

The basic treatment methods usually involve physiotherapy, medications, surgery, and self-care. However, there may be some alternative methods for the management of shoulder pain which mainly include the following:

• Trigger point therapy - It includes massage therapy.
• Stretching forms of exercises.
• Corrective measures.
• A combination of massage therapy and corrective measures.
• Acupuncture therapy.
• Magnet therapy.
• Chiropractic care.

Summary: Shoulder pain is a common problem nowadays but is a serious concern when associated with severe pain. It needs immediate or urgent medical care when it results from an injury. . Application of over-the-counter medicines such as NSAIDS and performing light exercises including basic and mild stretches work well in this case. Some changes to diet and lifestyle also facilitate recovery from the condition.