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Chronic shoulder pain.

Thomas Crookes1, Chris Wall2, Jason Byrnes3

  • 1MBBS, BMedSc, MTrauma, Accredited Registrar, Department of Orthopaedics, Toowoomba Hospital, Darling Downs Health, Toowoomba, Qld; Deputy Chair, Queensland Orthopaedic Registrar Research Collaborative, Brisbane, Qld.

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Chronic shoulder pain management often responds to non-surgical treatments. A multidisciplinary approach is key for optimal care, with specialist referral for acute injuries or persistent cases.

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Area of Science:

  • Orthopaedics
  • Pain Management
  • Primary Care

Background:

  • Chronic shoulder pain is a frequent complaint in general practice.
  • Diagnosis is broad and age-dependent.
  • Effective management strategies are crucial.

Approach:

  • Structured history and physical examination guide diagnosis.
  • Appropriate investigations are discussed.
  • Review of non-surgical and surgical treatment options.

Key Points:

  • Non-surgical treatments are often successful for chronic shoulder pain.
  • A multidisciplinary approach (physiotherapy, occupational therapy, psychology) optimizes care.
  • Urgent referral is necessary for acute injuries or 'red flag' diagnoses.

Conclusions:

  • Many chronic shoulder pain cases can be managed effectively without surgery.
  • Multidisciplinary care enhances patient outcomes.
  • Referral to orthopaedics is indicated after failed conservative treatment.