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Shoulder pain. Guidelines to diagnosis and management
Postgraduate Medicine
|July 1, 1987
Summary
Diagnosing shoulder pain involves understanding anatomy and performing a physical exam. Common causes like supraspinatus tendinitis are treated with rest and anti-inflammatory medications or corticosteroid injections.
Area of Science:
- Orthopedics
- Rheumatology
- Sports Medicine
Background:
- Shoulder pain is a common complaint with diverse etiologies.
- Accurate diagnosis is crucial for effective management.
- Understanding shoulder anatomy is fundamental for evaluation.
Purpose of the Study:
- To outline the diagnostic approach to shoulder pain.
- To enumerate common causes of shoulder pain.
- To describe typical treatment modalities.
Main Methods:
- Clinical evaluation including patient history.
- Physical examination focusing on shoulder anatomy.
- Differential diagnosis of shoulder pain conditions.
Main Results:
- Supraspinatus tendinitis is the most frequent cause of shoulder pain.
- Other common causes include bicipital tendinitis, impingement syndromes, and arthritis.
- Referred pain must also be considered in the differential diagnosis.
Conclusions:
- A thorough history and physical exam are key to diagnosing shoulder pain.
- Conservative treatments like rest, NSAIDs, and corticosteroid injections are often effective.
- Knowledge of shoulder anatomy aids in accurate diagnosis and management.