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.

For more information click here.

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.

For more information click here.

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.

For more information click here.

Frozen shoulder

Frozen shoulder, also known and named as adhesive capsulitis or retractile capsulitis, is a pathology that affects the shoulder joint.

It could be defined as “freezing of the joint capsule “. Its main characteristic is pain and limitation of movement.

For more information click here.

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 exercise
    rotator 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

Our customers say

Response from the owner:Muchas gracias Dolores! Le agradecemos que manifieste públicamente su opinión. En Mivi Salud la prioridad es el paciente y su bienestar Saludos
Vull agraïr enormement al Dr. Ducca els tractaments que m'ha fet i el seu bon coneixement en apaivagar el dolor i fer que la meva vida sigui més digna. Dr. Ducca el seu bon fer enalteix la seva professió que porta a terme a l'Institut Aliaga amb els seus col·laboradors.
Muy buena atención, totalmente educados y atentos.

Se nota que saben.
Response from the owner:Gracias por tu reseña Armando! Nos alegra mucho saber que te hemos brindado una experiencia tan positiva. En MIVI Salud nos esforzamos por ofrecer un trato cercano y profesional desde el primer momento . Saludos
Excelente atención y trato, especialmente de mi fisio Estrella
Response from the owner:Gracias por tu valoración María José! Saludos
Response from the owner:Gracias Rocio, por tu confianza en MIVI Salud Un saludo
Response from the owner:Gracias Marcos por las 5 estrellas y por confiar en MIVI Salud Un saludo
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.
La clínica del dolor a cambiado mi vida 💛
Los mejores médico y el tratamiento a tus dolencias.
Response from the owner:Nos alegra mucho saber que te hemos brindado una experiencia tan positiva! En MIVI Salud nos esforzamos por ofrecer un trato cercano y profesional desde el primer momento

Insurance companies

Ask your MIVI centre for information on the agreements with insurance companies.