11/12/2025
🧑⚕️📣 Hello Everyone,Shoulder pain is one of the most common complaints in my daily clinical practice, second only to low back pain. The shoulder has a complex structure and diverse etiologies. Based on my experience, the main causes and symptoms can be categorized as follows:
⏩Primary Causes of Shoulder Pain
1️⃣Rotator Cuff Injury: This is the most common cause. The rotator cuff is a group of four tendons surrounding the shoulder joint, functioning like a cuff to stabilize and move the shoulder.
✅Causes: Can be acute or chronic. Acute injuries result from lifting heavy objects, falls, or sports accidents. Chronic overuse stems from long-term repetitive overhead activities (e.g., swimming, playing racket sports, painting), causing repeated friction between the tendons and bone, leading to wear, inflammation, or even tears. Age-related degenerative changes are also a underlying factor.
2️⃣Subacromial Impingement Syndrome: Often coexists with rotator cuff tendinitis. Due to anatomical abnormalities of the shoulder joint or tendon thickening, the rotator cuff tendons and subacromial bursa get "pinched" or rub against the acromion bone during arm elevation, causing inflammation and pain.
3️⃣Adhesive Capsulitis (Frozen Shoulder): Refers to chronic inflammation and thickening of the shoulder joint capsule of unknown cause, followed by adhesion and contraction, leading to severe loss of joint mobility.
✅Causes: The exact cause is unknown, but it is highly associated with conditions like diabetes, thyroid disorders, and shoulder immobilization (e.g., prolonged lack of movement after a fracture). It most commonly affects people around 50 years old.
4️⃣Glenohumeral Osteoarthritis: A "wear-and-tear" disease of the articular cartilage. With age, the articular cartilage wears away, resulting in "bone-on-bone" contact, causing pain and stiffness. It is more common in older adults.
5️⃣Biceps Tenosynovitis (Long Head of Biceps Tendinitis): This tendon runs through a groove in the front of the shoulder joint. Repetitive overhead movements can easily cause wear and inflammation, leading to pain in the front of the shoulder.
⏩Characteristic Symptoms
1️⃣Rotator Cuff Injury / Impingement Syndrome:
📍Pain: Deep pain in the outer and front part of the shoulder joint, especially worsened by raising the arm, lifting it to the side (abduction), or reaching behind the back.
📍Night Pain: A classic feature is waking up from pain when lying on the affected shoulder or experiencing significant pain at night.
📍Weakness: In cases of severe tears, weakness occurs when lifting the arm, with a sensation of being "unable to raise it."
2️⃣Frozen Shoulder:
Progressive Loss of Motion: Characterized by restricted active and passive movement, as if the shoulder is "frozen." Patients cannot comb their hair, dress themselves, or reach their back.
📍Pain and Stiffness: Pain is the main issue in the early stages. Later, pain decreases, but joint stiffness becomes the primary problem. The course often lasts 1-3 years.
3️⃣ Osteoarthritis:
Pain with Movement and Stiffness: Pain during activity, relieved by rest. Morning joint stiffness improves slightly after moving. There may be a grating sensation (crepitus) in the joint.
4️⃣ Biceps Tenosynovitis:
Localized Anterior Shoulder Pain: Specific tenderness point in the front of the shoulder. Pain worsens when bending the elbow or lifting objects.
🌈 if you are now suffering any kinds of Shoulder 's pain, Yes 💯, We can help, our Acupuncturist Dr Luke working in Acupuncture for fixing shoulder pain over 45 years. He registered in AHPRA , Ph.D. supervisor, He is very professional and helpful , over 90% of customers can see the effective after first treatment can be done , if you are currently suffering any shoulders 's pain please call us on 📲 0450 547 850 or you can make an appointment through our fresha booking Link , Thanks Everyone, looking forward to see you soon 😀🙏🌹.
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