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.

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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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Franciele Corti

El tratamiento para el dolor que he realizado con el Dr. Fran Duca fue fundamental para que volviera a "ser persona" después de un periodo de ingreso hospitalario por dolor intenso. En un segundo momento, su seguimiento, una vez realizado el tratamiento, me dió seguridad y me aportó tranquilidad. Es realmente un profesional excelente y su lado humano es excepcional. Es un lujo contar con un médico de su magnitud en Cataluña.

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

David Moulder

Estoy muy contenta con el trato que estoy recibiendo, tanto por las/los profesionales como de las chicas en la recepción. Muchas gracias a tod@s💐

ikel Asna Bocanegra

Increíble experiencia, daría más estrellas pero no se puede. Destacaría el servicio de atención por parte de la administrativa que hay en la consulta, derrocha profesionalidad y atención.

Response from the owner:Gracias por tu reseña y recomendación Ikel! En MIVI Salud nos enorgullece brindar un trato maravilloso y soluciones efectivas a nuestros pacientes. ¡Esperamos verte de nuevo en nuestra clínica cuando nos necesites!

patricia alvarez

El Dr. Manuel David Garcia, tiene unas manos de oro! Llevo años de dolor en las cervicales y un día una clienta me habló de él y me comentó que había infiltrado a su marido y que estaba estupendamente, así que me visitó y me infiltró, desde entonces mi dolor se ha reducido un 90%!! Alucinante! Así que lo recomiendo al 100%.

Response from the owner:Muchas gracias Patricia que manifiestes públicamente tu opición sobre el Dr. García. Nos alegra que hayas tenido una experiencia satisfactoria en MIVI Salud

Mercè Adell

Després de molt dolor i amb poques possibilitats de caminar, un cop feta la primera intervenció del dr. Manuel David Garcia, he passat de la nit al dia.
Moltes, moltes gràcies!

Ruben Navarro mendez

Excelente, y un 10 para la doctora

Response from the owner:Muchas gracias Rubén! En MIVI Salud, nos esforzamos por ofrecer siempre el mejor cuidado para nuestros pacientes. Saludos

Maria Carmen Lopez Ferrandez

5 estrellas porque no hay más, les daría 10.
Gracias al fabuloso equipo de profesionales,
destacando el trato de Juan y Clara , muy atentos en todo momento.
Sin duda, la mejor clínica de fisioterapia en Fuengirola.

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

javier perez

Hola, he sido tratado por una hernia discal, con rizolisis hace 30 dias y el resultado ha sido optimo, ya he dejado la medicacion y seguire las recomendaciones de ejercicios para prevenir una posible recaida, una especial mencion al personal medico que me ha tratado de la mejor manera....adelante!

Carmen García Feria

No dudaría en venir cuando me haga falta. Gracias a la profesionalidad y al buen trato de mi fisioterapeuta Alicia.Una gran persona y profesional.Gracias a todo el equipo.