Experts offer insights to pin down pain and guide shoulder pain management in primary care.
The causes of shoulder pain may be as common as a traumatic injury or as rare as a systemic inflammatory condition, according to the.
Primary care providers may not be familiar with examination maneuvers to diagnose shoulder pain, although they are often tasked with evaluating and managing these patients, said Kolfenbach. Potential sources of pain include the joint of the shoulder itself, the structures within it , and the surrounding rotator cuff muscles and tendons, she said. Patients also may experience overlapping pain referred from the neck related to nerve irritation or arthritis, she noted.
Another challenge for primary care providers is identifying the severity of rotator cuff problems, Feeley said. “I like to think of rotator cuff problems along a spectrum — impingement is inflammation above the rotator cuff and suggests an imbalance between rotator cuff strength and deltoid strength,” said Feeley. “Partial thickness tears are often normal age-related problems but can be a source of pain,” he added.
In some cases, a short, consistent course of anti-inflammatory medications can be part of a conservative strategy for the management of shoulder pain, Angelo noted.
Generalized Osteoarthritis OA - Osteoarthritis DJD - Degenerative Joint Disease Degenerative Arthritis Generalised Osteoarthritis Osteoarthritis (OA) Pain Management Shoulder Pain Pain Overuse Injury Repetitive Strain Injury Cumulative Trauma Disorder Occupational Overuse Syndrome WRULD - Work Related Upper Limb Disorder WRULD Sports Medicine Acute Pain Arthralgia
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