All about 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.

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.

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

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.