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.

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

Our customers say

Soy paciente de Antonio, no solo es un gran profesional, atento y dedicado, si no también una gran persona, muy amable y cariñoso con sus pacientes.
Maria Dolores Dueñas.
El doctor Nicolas Sarria me brindó un tratamiento increíble para el dolor. Su eficiencia, junto con su carisma, simpatía y buen carácter, hicieron que me sintiera muy bien atendida. Estoy muy agradecida y lo recomiendo especialmente por su atención y profesionalismo.
Response from the owner:Gracias Graciela por tu reseña y recomendación! En MIVI Salud nos enorgullece brindar un trato maravilloso y soluciones efectivas a nuestros pacientes. Saludos
Response from the owner:Muchas gracias por tu valoración Toni! Saludos
Increíble, después de más de 10 años con dolor gracias a Fran y a todo su equipo vuelvo a ser una persona nueva.

Muchísimas gracias!
Response from the owner:Muchas Gracias ! Te agradecemos que manifiestes públicamente tu opinión pues siempre intentamos cuidaros y atenderos con profesionalidad. Saludos.
Gracias al equipo MIVI.
No sabia lo mal que estaba hasta que gracias a la Rizzolisis he dejado de sentir el solor y he ganado calidad de vida.
Response from the owner:Muchas gracias Raquel por tu valoración. Nos alegra saber que tu experiencia en MIVI Salud fue excelente, Siempre estaremos aquí para brindarte la mejor atención Saludos
Buenos días! Hoy quiero dar mi agradecimiento al equipo de fisioterapeuta de la mañana ALICIA, ANDREA Y ESTRELLA. Me llevo tratando con ellas 1 mes y medio y no puedo estar más contenta. Llegas y te atienden siempre con mucho ánimo, cariño y te hacen sentir cómoda, q pesar de su volumen de trabajo. Son unas profesionales, y empatízan con el paciente motivándolo siempre. Las recomendaría 100% . Aún sigo tratándome con Alicia y Andrea y veo mi evolución dia tras días gracias a su trabajo. muchísimas Gracias chicas por ser tanprofesional.
Response from the owner:Nos alegra mucho Virginia, 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
Gran equipo, excelentes profesionales,muchos saludos para todos,os hecho de menos y hoy sobre todo hoy 18 de junio feliz cumpleaños a marta,fue la primera que empezó a tratarme!
Bendito el día que acudí a la consulta. La atención ha sido y es inmejorable en lo profesional y en lo humano.
Mil gracias por atenderme y.. cuidarme !!
Response from the owner:Nos alegra mucho saber que le hemos brindado una experiencia tan positiva! En MIVI Salud nos esforzamos por ofrecer un trato cercano y profesional desde el primer momento Un saludo
Excelente clínica, el trato y la atención recibida ha sido estupenda. Gracias a Juan en especial por lo bien que me ha atendido.
Response from the owner:Muchas gracias Sara ! Nos alegra saber que tu experiencia en MIVI Salud fue excelente. Esperamos poder servirle nuevamente en el futuro. Saludos
Excelente trato y gracias al doctor Nebreda, ya no tengo dolor!!!

Insurance companies

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