All about shoulder pain

Symptoms of shoulder pain

Shoulder pain can present itself in many forms, depending on the cause and the structure affected. The most common symptoms include:

Localized pain in the front, side or back of the shoulder
Limitation of movement (difficulty lifting arm, combing hair, fastening bra, etc.)
Nocturnal pain that interferes with sleep
Feeling of weakness in the arm or loss of strength
Clicking or feeling of instability in the joint
Radiating pain to the neck, scapula, or arm
Inflammation or joint stiffness

These symptoms can appear suddenly (due to injury or overexertion) or progressively, and in many cases worsen over time if not treated correctly.

Causes of shoulder pain

The shoulder is a very mobile but also vulnerable joint. Pain may be due to muscular, tendon, joint or even neurological causes. The most frequent causes of shoulder pain are:

Rotator cuff tendinopathy (supraspinatus, infraspinatus, subscapularis and teres minor)
Partial or total rotator cuff tendon rupture of the rotator cuff
Subacromial bursitis (inflammation of the bursa that cushions movement)
Subacromial impingement syndrome
Adhesive capsulitis (frozen shoulder)
Glenohumeral instability or recurrent dislocations
Shoulder or acromioclavicular osteoarthritis
Biceps tendinitis
Fractures or traumatic injuries
Referred pain from the cervical spine, heart or diaphragm

An accurate diagnosis is key to choosing the most appropriate treatment and avoiding complications.

Types of shoulder pain

Shoulder Arthrosis

Shoulder osteoarthritis is a degenerative disease of the joint that joins the humeral head and the glenoid cavity of the shoulder blade. It occurs “through wear and tear” whereby the degenerative disease triggers a loss of the cartilage covering the articular surfaces, so that the joint space progressively disappears.

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Rotator Cuff Syndrome

The rotator cuff is formed by the tendons of the supraspinatus, infraspinatus, subscapularis and teres minor muscles in their insertion in the different bones that are part of the shoulder joint. Their correct functioning allows performing the wide and complex range of movements that the shoulder is capable of executing. Inadequate postures, trauma or the mere passage of time can lead to its wear and tear, producing the condition commonly known as rotator cuff syndrome. This condition can range from minor alterations in the form of tendinitis to partial or total tendon rupture. Depending on the degree of deterioration, pain and functional impairment will vary.

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Shoulder bursitis

One of the most common pathologies at the level of the shoulder joint is the dreaded bursitis.

Before delving a little deeper into the injury, we can define the bursa as a structure, which is a kind of small sacs filled with synovial fluid placed strategically between different structures (one fixed and the other mobile or both mobile) in order to avoid excessive friction between them.

The suffix -itis is added when the bursa becomes inflamed by some cause external to it, which generates an increase of fluid formation within it and the increase in volume of the bursa. This growth of the structure can compromise the proper functioning of the sliding of adjacent structures and excessive pressure on the bursa causing pain by receptors in the walls of the bursa.

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Treatments for shoulder pain

At MIVI Salud we apply a multidisciplinary and personalized approach to effectively treat shoulder pain. We combine medical expertise with the most advanced therapies in physiotherapy and interventional pain management. The most common treatments include:

Conservative treatment

Relative rest and modification of activities
Anti-inflammatory or analgesic medication
Postural education and ergonomics
Application of cold or heat according to the stage of the lesion

Specialized physiotherapy

Manual therapy to improve mobility and reduce stiffness
Therapeutic exerciserotator cuff strengthening and movement reeducation
Dry needling for myofascial trigger points
Electrotherapy, tecartherapy or laser to reduce inflammation and speed recovery
Stretching and functional retraining adapted to the patient

3. Interventional pain treatments

Ultrasound-guided infiltrations (anti-inflammatories or hyaluronic acid)
Nerve blocks to relieve chronic pain
Radiofrequency in cases of persistent or refractory pain
Minimally invasive treatments to avoid surgery when possible

Recover your mobility with MIVI Salud

At MIVI Salud we understand that shoulder pain can limit you in your daily life. That is why we offer you a specialized diagnosis, a treatment adapted to you and a comprehensive support so that you can get back to moving without pain and with confidence..

🩺 Do you have a sore shoulder? Don’t wait any longer.

Book your medical or physical therapy assessment and start your recovery today.

Here begins your life without pain

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Montse Verdú Artufel

Molt bon tracte i una millora important en quan a la reducció del dolor, la qual cosa és molt d'agrair. Absolutament recomanable.

Response from the owner:Moltes gràcies Montse per la teva resenya i confiança en el nostre equip médic. En MIVI Salud estem sempre per donar-te la millor atenció

maria jose cruz

Dr. Ducca es una eminencia, su trato con el paciente y su efectividad en sus tratamientos es excelente. Grandísimo profesional, ha infiltrado a toda mi familia, mi marido, a madre y a mi padre y todos contenstismos con los resultados.

Response from the owner:Muchas gracias María José por tomarte el tiempo de dejar esta reseña tan positiva sobre el Dr. Ducca a y nuestro equipo! Nos alegra saber que has tenido una experiencia satisfactoria en nuestra clínica.

Antonio Blanco López

Solucion perfecta de mis problemas
de piernas y columna

Jessy Martinez

Muy buena 💯 x100 recomendado

Response from the owner:Muchas gracias Jessy ! Nos alegra saber que tu experiencia en MIVI Salud fue excelente. Esperamos poder servirle nuevamente en el futuro. Saludos

Marta Romero Lopez

Llevaba dos años con dolor de cadera por un esfuerzo que hice, fui a muchos médicos y ninguno me ayudaban a remediar este dolor. Fui al doctor Nicolás Sarria, y el ha hecho todo lo posible por qué yo volviera a tener una vida normal. Solo puedo agradecer a Nicolás por todo lo que ha hecho por mi, por su cercanía y su trato. Ojalá te hubiera encontrado antes. También me gustaría agradecer a Paula, por ayudarme a resolver algunas dudas y por ser tan amable siempre. Gracias por todo Nicolás, te quiere tú Martita
❤️

Response from the owner:Gracias Marta por las 5 estrellas y por confiar en nuestros servicios y en el doctor Sarria y equipo. En MIVI Salud estamos para ayudar a nuestros pacientes de la mejor forma posible. Un saludo.

Noa y Dori

Es de agradecer ver, como una persona de avanzada edad, que sale de casa hacia la clínica, desanimada, cansada y dolorida, desde que llega a la clínica y pasa por las manos de Alicia, Maria, Víctor, etc, hasta cuando Carmen en recepción con toda su empatia y cariño, intercambia unas palabras con ella,..hacen que esa persona, en este caso mi suegra, salga de allí con ilusión y ganas de volver. Esto no lo escribe mi suegra, porque ella no puede, pero días como ayer en los que llegué un poco tarde a recogerla y al llegar la veo feliz y sonriente, charlando allí, nada más salir, me lo dice: "yerno, esto es una maravilla "...Gracias a todo el equipo de profesionales. Totalmente recomendables..!!!! En su nombre y en el nuestro..!!

Alicia Torres

Si no existirán deberían inventarlos
Una maravilla encontrar al Dr Jorge Orduña
Su nivel humano y profesionalidad es insuperable
Al día con todos los avances médicos , conocimientos de medicina a todos los niveles
Empatía , claridad y soluciones efectivas siempre
Agradecer también a la Señorita Rocio su atención y cariño
Muy agradecida de ser su paciente

Response from the owner:¡Muchas gracias Alicia por tomarse el tiempo en de dejar esta reseña tan positiva sobre el Dr. Orduña y nuestro equipo! Nos alegra saber que ha tenido una experiencia satisfactoria en nuestra clínica. Saludos