The shoulder joint is one of the most mobile and is subject to active stress every day. As a result of injuries or various diseases, patients often come for consultation to a traumatologist with a complaint about why their shoulder hurts. There are many factors that lead to this symptom.

Causes of shoulder pain

When the shoulder hurts, it may be a manifestation of arthritis or arthrosis. In the first case, an inflammatory process occurs. By arthrosis of the shoulder we mean a degenerative disease when the nutrition of the cartilage and ligaments is disrupted, and a lack of important substances appears in the joint.

Inflammatory diseases develop after injuries, various infectious diseases, and physical overload of the joint. Arthrosis occurs due to age-related changes in the shoulder joint, disorders of its blood circulation and innervation.

The most common causes that lead to shoulder pain symptoms are:

• tendinitis;
• bursitis;
• salt deposition in the joint;
• various acute and chronic injuries;
• reactive arthritis of viral and bacterial origin;
• degenerative changes;
• cervical osteochondrosis;
• muscle spasm;
• tumors;
• habitual shoulder dislocation;
• other factors.

Inflammation of the tendons around a joint is called tendonitis. The most common cause of shoulder tendonitis is excessive stress on the joint. Therefore, this disease often occurs in athletes or those people who do not calculate the load when doing fitness in the gym.

Symptoms of biceps tendinitis are chronic pain, aggravated by movement of the shoulder joint and pressure on it.

Inflammation of the joint capsule is called bursitis. This pathology also develops due to excessive overload of the joint. Symptoms of the disease appear in the form of pain and swelling of the shoulder joint.

If calcium salts are deposited in the shoulder joint, the patient is bothered by pain in the shoulder when raising the arm. Due to such calcification of the ligaments, their normal functioning is disrupted.

This pathology has medical term"collision syndrome" It develops more often after 35-50 years. The disease manifests itself as sudden severe pain after exertion, when moving the arm upward at a right angle.

If salts have just begun to be deposited, then this may not cause pain, and calcification of the joint becomes a finding on x-ray for another reason.

A common cause is injury from falls or blows. The result can be a bruised shoulder, dislocation of the shoulder joint, sprains and torn ligaments.

When people fall, they instinctively stick their arm out, which sometimes causes damage to the rotator cuff. Such injuries should not be left without proper attention, otherwise permanent limitations on the function of the shoulder joint will appear in the future.

The shoulder joint often becomes inflamed some time after suffering viral and bacterial diseases. Such a phenomenon in medical practice called reactive arthritis.

Older people may develop habitual shoulder dislocation due to wear and tear of the joint, previous repeated injuries and osteoporosis. A certain load on the shoulder is accompanied by its dislocation, which is accompanied by pain.

People who engage in bodybuilding, in addition to pain in the lower back, knees and elbows, are often accompanied by the problem of shoulder pain. This happens due to exercises that place a lot of stress on the shoulder joint.

The exercises that are considered particularly traumatic are exercises such as lying arms with dumbbells, bench press, overhead barbell press, and hand curls on a machine, and most often lead to shoulder pain after training.

Shoulder pain can be caused by a tear in the cartilage ring, which serves to deepen the socket. It serves as additional support.

Diseases internal organs often cause pain in the shoulder. This symptom is observed in liver pathology, pneumonia, cervical radiculitis, and chest tumors.

If, against the background of well-being, a sudden burning pain appears in the shoulder of the left arm, which radiates under the collarbone and left shoulder blade, this may be a symptom of an attack of angina pectoris and myocardial infarction.

Unexpected pain in the right shoulder is often the first symptom of an attack of cholelithiasis. In other cases, pain may arise from its spread due to diseases of the nerves, muscles, displacements and herniations of vertebral discs in the cervical and thoracic spine.

If the inflammation occurs due to the friction of the muscle tendons against the process of the shoulder blade, called the acromion, then the condition is called impingement syndrome.

Humeroscapular periarthrosis

This pathology is very common when shoulder pain occurs when raising the arm. Factors include previous injuries from falls on the shoulder and blows to it. Common reason- a fall with an outstretched arm and excessive unusual work of the shoulder joint.

Diseases of the cervical segment of the spine also contribute to the occurrence of the disease. This disrupts the innervation and blood circulation of the shoulder joint, causing spasm of the muscles and blood vessels supplying the joint.

Periarthrosis of the right shoulder is a consequence of liver disease. In women, it develops after undergoing surgery to remove the mammary gland.

Duration of this disease varies: from several weeks to months, and sometimes it lasts for years. The outcome of the disease manifests itself from full recovery function of the shoulder before it becomes blocked.

The disease is divided into three forms:

• light;
• acute;
• chronic.

Mild cases are called simple humeroscapular periarthrosis. In this case, at first the pain in the shoulder is not severe, and it is provoked only by certain movements of the arm: raising it to the side or rotating it.

As the disease progresses, hand mobility decreases. Shoulder mobility becomes limited: it is difficult or impossible for the patient to raise his arm higher right angle, bring it behind your back.

Raising your hand becomes especially painful if the doctor is holding it and the patient is trying to overcome resistance. But with a mild form, these same movements without resistance may not initially cause pain.

If the patient applied in a timely manner and was prescribed correct treatment, light form goes away in 3-4 weeks. If left untreated, acute periarthrosis may develop.

The acute form often develops independently following significant trauma. It manifests itself sudden pain in the shoulder with spread to the neck and arm, it becomes the reason why the shoulder hurts and the arm cannot be raised. Painful sensations become stronger at night and interfere with sleep.

If you try to raise your hand or rotate it, sharp pain. To alleviate suffering, the patient strives to press his hand to his chest and keep it bent at the elbow. The anterior surface of the shoulder appears swollen. Sometimes the body temperature rises slightly.

An attack of acute periarthrosis lasts up to several weeks, and then the pain gradually subsides, and the movements of the arm in the shoulder are partially restored.

The most unfavorable course is the transition of the disease to a chronic form, which is facilitated by the lack of treatment for early stages. Chronic periarthrosis causes shoulder pain, which can still be tolerated without significant stress.

But as soon as you load your hand, make an unsuccessful movement or turn your hand, a sharp pain shooting character. The pain intensifies in the second half of the night and closer to the morning, which disturbs the patient's sleep.

The chronic form lasts several months or years. IN in rare cases the disease can go away on its own even without treatment.

A severe complication of chronic glenohumeral periarthrosis is the development of ankylosis of the shoulder joint - the so-called “frozen shoulder”. At the same time, attempts to move lead to excruciating pain in the shoulder, and the arm cannot be raised.

Survey

If your shoulder hurts, you should not delay consulting a traumatologist, as some diseases can progress and lead to permanent dysfunction of the joint. In addition, untreated diseases sometimes go away on their own, but with age they will definitely make themselves known.

First of all, the doctor will collect anamnesis and clarify what exactly is causing the pain. If the patient has suffered an injury, the doctor will ask to show in detail how it happened. The doctor will examine and palpate the shoulder and identify pain points.

Depending on the specific disease, an increase in the size of the joint and redness of the skin over it may occur. The traumatologist will ask you to perform certain movements to see the degree of dysfunction of the shoulder. An important method Diagnosis of diseases of the shoulder joint is by performing radiography, as well as a more informative method - MRI.

For various diseases, the images will show salt deposits, changes in the size of the joint space, ligament tears, swelling, and fluid accumulation in the joint. Humeral periarthrosis is characterized by the accumulation of salts in the places where the tendons are attached to the bones.

Treatment

Start to fight shoulder pain it is necessary as early as possible, without waiting for complications and chronicity of the disease. Self-medication is unacceptable, and how to treat shoulder pain should be determined by a traumatologist.

If shoulder soreness is due to internal disease, the underlying cause must be found and treated aggressively. Otherwise, the result will be ineffective, and the pain will soon return.

So, for liver diseases, diet, hepatoprotectors, and enzymes are prescribed. Heart diseases are treated with drugs that dilate the blood vessels of the heart.

In case of traumatic lesions of the shoulder, special bandages are applied, the arm is given rest, and the active actions of the affected shoulder are limited for some time.

In case of a shoulder injury, you absolutely cannot diagnose the dislocation on your own and try to make a reduction! Inept actions will only lead to even greater injury. And the most dangerous are ligament ruptures, which will require further surgical treatment.

For arthrosis, the patient is prescribed medications containing chondroitin. These substances nourish the joint, improve metabolic processes and are involved in the construction of cartilage.

Periarthrosis can be treated quite successfully, except for the ankylosing form. Therefore, it is very important to begin treatment of this disease on time in order to prevent its transition to chronic forms and permanent loss of shoulder function.

When the shoulder hurts when raising the arm up, treatment is carried out with anti-inflammatory drugs (diclofenac, nimesulide, rofecoxib). If this is ineffective, steroid drugs (prednisolone, hydrocortisone) are used. A course of injections of such drugs together with an anesthetic is carried out in the area around the joint.

For better penetration of drugs deep into the joint, you need to make compresses with dimexide. Make warm and wrap the shoulder with bischofite (except acute stage).

Laser therapy and other physiotherapeutic techniques are also used. Widely used therapy medical leeches. 5-6 courses of hirudotherapy can improve the condition. IN recovery period a course of exercise therapy consisting of specially selected exercises is prescribed.

An effective method of treating glenohumeral periarthrosis is post-isometric relaxation. This method, in 10-15 sessions, allows you to help even advanced cases. The best effect can be achieved by combining this technique with therapeutic massage and light manual therapy.

Conclusion

There are many reasons that cause shoulder pain. Define correct diagnosis and only a professional can prescribe qualified treatment. Therefore, you should not hesitate or self-medicate, because this is fraught with serious consequences.

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Pain in the shoulder joint when raising the arm: types and treatment

If a person's shoulder begins to hurt when raising his arm, then this is probably a symptom of inflammation of the shoulder joint. The shoulder is one of the most unique mechanisms of the human body. Injuries, hypothermia and severe physical activity lead to the development of inflammation in the shoulder joint. In the future, tendon ruptures, swelling, and changes in the skin may appear in the affected area of ​​the body.

• Pathologies that cause pain in the shoulder joint
• Gymnastics classes
• Treatment with traditional methods
• Conclusion

The joint in the shoulder can withstand quite heavy loads for a certain period of time. Heavy lifting, frequent manipulation, and incorrect movements can provoke pain in the shoulder joint and interruptions in its function. In the background various violations Various diseases may appear in the functioning of the joint.

If a person’s shoulder hurts when raising his arm, this means that some kind of inflammation process is occurring in the body. Feelings of pain in the neck and upper shoulder may indicate damaged intervertebral discs. Accompanied by these painful sensations limited movement, numbness of the limbs, and these symptoms are a sign of the development of an intervertebral hernia.

Destruction of the structure of the spinal discs can cause them to lose their elasticity and increase in volume. As a result, the distance between them is significantly reduced. In this case, pain in the shoulder joint is due to pinched nerve endings spinal cord. Swelling forms in the affected area, which further compresses the nerve, and the pain becomes more severe.

This process occurs involuntarily. This disease is very rare and difficult to detect immediately. As a rule, even a directly sick person does not pay attention to the fact that his muscles are already in a tight state. With this pathology, a person cannot raise his arm; it is quite difficult to place it behind his back. If the disease continues to progress, then sometimes the patient is not even able to perform normal hand manipulations.

Shoulder pain is sometimes a symptom of a rotator cuff injury. This disease may appear if for a long time hold your hands in an unnatural position. As a rule, sensations of pain appear only after a few days. In case of this lesion, you should immediately consult a doctor so that he can diagnose how overstrained the shoulder muscles are and prescribe necessary treatment. It is most often possible to make a diagnosis and indicate the causes of the disease only by palpation, since x-rays do not see this pathology.

Painful sensations in the shoulder can be caused by severe inflammation of the joint box. This disease is called tendobursitis. The initial cause of the disease is damage to the muscle tendons. The pain with tendobursitis is sharp and sharp, appears even when the hand is in calm state. Swelling may spread to the neck or entire arm.

Pathologies that cause pain in the shoulder joint

If a person experiences frequent pain in the shoulder joint, this may indicate that bursitis is beginning to develop. This disease most often occurs simultaneously with tendinitis. The cause of this pain is joint overstrain and swelling of the joint capsule. These symptoms may occur as a result of the development of a tumor in the forearm.

Painful sensations in the shoulder joint can be caused by the deposition of calcium salts. As a result, the ligaments of the joint begin to suffer. These processes can take place both in the joint box and in the tendons. Most often, this disease affects the collarbones and shoulder blades. A person develops a characteristic pain in the shoulder, he cannot raise his arm high. Manifestation painful sensations does not occur immediately, so it is advisable to start treatment before they begin.

If a shoulder joint injury occurs, the bone in the shoulder becomes displaced and changes position. This damage can cause long-term pain. The person cannot move their arm or lift it normally. Sometimes tendons can become damaged when injured. If you do not consult a doctor with this injury in a timely manner, the dysfunction of the joint begins to progress.

Recurrent shoulder dislocation is a painful condition for most athletes and young people. This pathology may not be immediately detectable, but the pain does not subside, but will only intensify. In the future, the joint will come out of the box even with slight strain on the arm. In older people, this injury can occur as a result of wear and tear on the joint box.

Painful sensations in the shoulder joint can be caused by dysfunction of the internal organs of the human body. Severe shoulder pain may be a sign of:

• Heart attack;
• Angina pectoris;
• Tumors in the thoracic region;
• Radiculitis.

It is absolutely necessary to visit a doctor during severe and prolonged pain in the arm and muscle spasms.

Gradual sensations of pain that increase daily may be a sign of glenohumeral periarthrosis. This disease is not provoked by anything, but it progresses quite quickly and prevents a person from living full life. As a rule, the disease worsens at night.

During sleep, a person may experience severe pain symptoms. After a certain time, painful sensations appear not only in the shoulder joint, but also in the hand joint. Periarthrosis can last a couple of days or more than a year.

It is best to begin treating shoulder pain as quickly as possible. This can bring more tangible results. Until the disease has advanced, you need to seek help from a specialist. Prolonged pain in the arm appears if certain disease is at an acute stage and needs immediate treatment. It is necessary to consult a doctor so that he can establish an accurate diagnosis.

Treatment of displacement, inflammation and other joint damage can be performed using a course manual therapy. If blood circulation in the shoulder joint is impaired (as a result of surgery or a heart attack), then the person may be prescribed angioprotective drugs that will help improve blood circulation. Treatment may also include anti-inflammatory drugs, which will begin to fight the infection and relieve swelling. For these painful symptoms, treatment involves special diet for the patient.

A doctor may prescribe a person non-steroidal drugs, relieving inflammation. They are usually prescribed at the initial stage of disease development. Sometimes a person is prescribed special medicinal compresses and laser therapy. If there is excess fluid in the joint box, the doctor may prescribe hirudotherapy - treatment using leeches. If a person is not allergic to them, then this method treatment shows excellent results. Swelling and pain in the arm quickly disappear.

If a person cannot raise his arm up, then special injections can help him. As a rule, in these cases, injections with hormonal drugs are given. These injections are made into the area of ​​the injured tendon, or the injection is made directly into the periarticular bursa. Full recovery from this procedure is not possible, but almost all patients benefit from this treatment. To achieve best effect This method of treatment is combined with gymnastics, relaxation and drug treatment. If a person complains of constant pain in his arm, he may be prescribed post-isometric relaxation. This therapy can help even patients with chronic and advanced diseases.

Most often, relaxation is prescribed with:

• laser therapy;
• manual therapy;
• injections.

This significantly speeds up the treatment procedure. Relaxation must certainly be accompanied by a therapeutic massage. It is best to carry out a course of procedures a couple of days after injections with hormones.

Gymnastics classes

Physical therapy can help quickly restore the former strength and mobility of the injured joint.

Therapeutic exercises can help you combat pain in the shoulder joint.

Treatment with traditional methods

Often traditional methods treatments effectively help with any human disease. Also, pain in the hand can be cured using the simplest folk recipes.

Conclusion

You don’t need to endure more than a week if your shoulder starts to hurt when you raise your arm, and you shouldn’t self-medicate - this often ends up worsening the disease with the appearance of various complications. Only by promptly seeking help from an arthrologist, rheumatologist or other doctor can you get rid of the disease with the help of comprehensive and correct treatment.

Periarthritis of the shoulder joint is an inflammatory process of the tissues located around the joint. This disease is the most common form of various rheumatic shoulder diseases. This can be explained by the fact that the tendons of the muscles that attach around the joint are constantly in motion and functional tension, which leads to early degenerative changes.

Most often, the pathology affects middle-aged and older people. Its appearance can be triggered by injuries and blows to the shoulder area. Frequent injury causes vascular changes and disturbances in the functioning of the joint. As a result, calcifications form. They limit the mobility of the hands and cause pain. Sometimes periarthritis of the shoulder can be caused by malfunctions of internal organs.

The pathology was assigned a code according to ICD-10 - M75. ICD-10 is International classification diseases of the tenth revision, which includes 21 sections with codes of diseases and conditions. The international classifier allows you to transform verbal descriptions of diagnoses and various problems, which are related to health, into alphanumeric codes. This makes it possible to conveniently store various data, retrieve them when necessary and analyze them. The classifier number indicates that the tenth revision was carried out.

Why does the disease develop?

Periarthritis of the shoulder joint can be caused by various reasons. All of them provoke inflammation in tissues, negative transformations in tendons, muscles and joint capsule. Whatever the reasons for periarthritis, it does not lead to destruction in the joint. This is its difference from arthrosis or arthritis.

Various injuries to the shoulder, falls on it or the arm, blows to it most often provoke the appearance of the disease. Sometimes it can be the result of excessive physical exertion. Other reasons are pathologies of internal organs and systems. For example, periarthritis of the left shoulder can cause myocardial infarction, and periarthritis of the right shoulder can cause liver failure.

In addition, respiratory and respiratory diseases can cause periarthritis. endocrine system, hormonal imbalances, cerebral circulatory disorders, diabetes mellitus, postoperative conditions, the appearance of inflammation in the neck and shoulder.

The course of the disease can be complicated by:

• constant hypothermia;
• high humidity;
• stressful situations.

Symptoms and treatment depend on what caused it.

Different stages of pathology

Periarthritis of the shoulder joint consists of four stages. Each has its own symptoms and signs. The main factor indicating the onset of inflammation is the appearance of pain and feeling unwell. Only the attending physician can make an accurate diagnosis. But before that, he will conduct a series of studies.

Most mild form The disease is simple brachial periarthritis. It causes a feeling of discomfort every time you try to raise your hand or touch your spine. The joint's ability to move freely deteriorates. Even when performing the simplest movements, noticeable difficulties arise. However, if you stop moving your shoulder, all the unpleasant symptoms quickly go away.

If this form of the disease is left unattended and untreated, it will quickly develop into an acute phase. The manifestation of all negative symptoms will increase. Any, even the simplest movement will cause sharp pain, which will only increase over time. The greatest discomfort will be felt in the mornings and evenings, and the temperature may rise. If you conduct a blood test during this period, you can detect signs of inflammation in it.

If you do not pay attention to the symptoms of the disease, it will soon develop into chronic stage. Her treatment is a long and complex process. The main signs that the pathology has developed into a chronic stage are the appearance of severe pain in the shoulder in the morning and evening, the occurrence of sharp lumbago with awkward movements of the shoulder. The appearance of sharp pain can also occur at night, which significantly reduces the quality of sleep. At this stage of the disease, the patient needs medical attention.

The most serious form is considered to be ankylosing periarthritis. With it, complete fusion of the bone in the joint is observed, which leads to blocking of movements. The patient loses his ability to work and is constantly tormented by severe pain. Any therapy at this stage will be ineffective.

For brachial periarthritis, treatment depends on the form of the disease, the accompanying symptoms and the general condition of the patient. Treatment should begin as early as possible. This will help preserve the joint's ability to move as much as possible.

Forms and their symptoms

Each form of the disease has its own symptoms. For example, with glenohumeral periarthritis, there is pain in the joint, which can torment the patient for a long time. If the pain begins while moving your arms, then these symptoms indicate that another form of the disease is developing.

In the simple form, there is the appearance of minor discomfort and mild pain during basic movements. The patient feels limited movement when he tries to raise his arms or touch his back.

For acute form Characterized by the occurrence of sharp, severe pain that can be transmitted to the neck and arm. Even slight movement causes it to intensify. In the shoulder area, slight swelling and redness of the skin may be observed. There may be fever, poor sleep and general malaise.

The chronic form is characterized by the appearance of moderate pain. Exacerbation occurs only at night and during morning time. Awkward hand movements cause severe pain. A constant feeling of aching shoulders causes sleep disturbances, which leads to insomnia.

Periarthritis of the shoulder joint is characterized by constantly increasing symptoms. For example, when chronic form inflammation and negative symptoms may not appear for several months, or even years. But if treatment is delayed, the patient risks encountering more serious stages of the disease.

Other forms of development

Scapulohumeral periarthritis is an inflammation that has developed in the joint capsule and tendon of the shoulder. However, the structure of the joint and cartilage remain undamaged. This is the main difference between this form.

The formation of scapulohumeral periarthritis can be caused by various reasons:

• mechanical damage to the shoulder;
• various malfunctions in the functioning of internal systems and organs.

For example, myocardial infarction can cause left-sided glenohumeral periarthritis. Pain can also be caused by pathological changes in the liver or cervical spine. Medical statistics claim that signs of glenohumeral periarthritis are diagnosed in every fifth person in the world.

Negative transformations of the cervical spine are the causes of cervicobrachial periarthritis. It is characterized by changes intervertebral discs, severe pain. The symptoms are similar to those of other diseases.

Periarthritis may be a consequence cervical osteochondrosis. In this situation, treatment should be organized in such a way as to treat not only periarthritis, but also the disease that provoked its occurrence.

The development of the disease is accompanied by constant pain and discomfort, which can appear for no reason. They often appear at night. The pain begins in the shoulder area, then spreads to the neck and arm, and then moves to the spine. If you begin to raise your arm, the pain noticeably decreases. In especially severe cases, swelling and slight cyanosis of the hand may appear. In addition, your body temperature may increase. Any touch to the cervical spine will cause pain.

Elbow periarthritis can appear as an independent pathology or be a consequence of another ailment. The main symptoms of its development are pain in the elbow area, which is aching in nature. Any attempt to bend or straighten the elbow ends in a sharp increase in pain.

The muscles in the damaged area are under constant tension, which leads to tissue swelling and movement becoming difficult. When palpating the humeroulnar area, you can detect various subcutaneous seals, the touch of which causes pain.

One of the most common types is periarthritis wrist joint. It provokes damage to the tendons of the brachioradialis muscle. Due to the small quantity blood vessels damaged tendons are difficult to restore. But if therapy is not carried out, then the risk of necrosis and inflammatory reactions. This pathology is often called age-related, since it affects people over 40 years of age. In addition, negative living conditions or concomitant diseases. Often this form of the disease is a consequence professional activity, when the work involves constant repetition of movements in the wrist area.

Diagnostics and treatment methods

With glenohumeral periarthritis, diagnosis is the first thing a doctor does when a patient comes to him with complaints of discomfort. To diagnose and establish the cause of inflammation, use various methods. Except initial examination, the doctor prescribes an x-ray, which helps detect defects or irregularities bone structure. For greater research efficiency, administration may be prescribed contrast agent into the joint cavity.

If radiography shows the formation of bone pathologies, computed tomography. It helps identify muscle and tendon injuries. The method that gives the most full information about the disease - this is an ultrasound. It makes it possible to get results quickly and painlessly. To examine in detail the condition of bones, ligaments, tendons, cartilage tissue and muscles, magnetic resonance imaging is used.

If the etiology of pain in the shoulder joint is unclear and difficulties arise with diagnosis, arthroscopy is prescribed. It makes it possible not only to accurately determine the cause of the disease, but also to remove it.

Only a specialist should determine how to treat periarthritis of the shoulder joint. He conducts a conversation with the patient, where he explains what periarthritis is and what methods of treatment are used in medicine.

For periarthritis of the shoulder joint, complex treatment is used. Therapy includes medication and physical therapy. In especially severe cases, surgery may be prescribed.

Mild forms are treated conservative methods. The patient is given an appointment different drugs, injections, medicinal ointments and creams.

To relieve the patient from pain, painkillers and anti-inflammatory drugs are prescribed. Taking corticosteroids helps stop the progression of inflammation. They are used in the form of injections that are injected into the diseased joint. Any remedy from this group has many side effects, therefore, the appointment and control of the appointment should be carried out by a doctor.

If taking medications does not give the desired result, novocaine blockades can be performed. Injections with anesthetics are administered into the joint area at certain intervals. The number of injections and duration of therapy is determined individually.

One of the most effective ways in the fight against periarthritis of the shoulder is post-isometric relaxation. This method involves the combined use of massages and electrophoresis. You can feel relief after the first sessions, and complete recovery in most patients occurs after 15 sessions.

If a person has constant and periodic aching pain in the shoulder, then he should consult a doctor to find out the cause of the pain and establish an accurate diagnosis. Such pain can have different frequency, be mixed, occur in different times with different strengths and caused by completely different factors.

In most cases, pain in the shoulder joint occurs in the patient after prolonged physical activity or after the arm has been in an unnatural position for a long time. Such sensations are usually accompanied by numbness of the affected area, tingling, and muscle spasms. As a rule, with such complaints, the patient is diagnosed with damage to the musculoskeletal system. Pain in the left shoulder may be a sign of inflammatory processes in the spine, osteochondrosis or radiculitis.

Causes of pain

Right shoulder pain may be caused by various diseases and damage. First of all, it may be deformation and damage to the tendons that are located around the shoulder joint. This disease is called tendonitis. It is caused by excessive physical activity, as a result of which the tendons rub against the bone.

Bursitis can cause pain in the right shoulder in patients. This disease also appears as a result of constant physical activity, but the affected area is much larger. The disease affects the tendons, joints and joint box. Pain in the right shoulder is a bad sign. In many cases, this indicates the deposition of calcium salts on the joints. This can lead to complete immobilization of the patient. This can cause severe pain. Patients over 35 years of age are susceptible to this disease. The pain is aching but intense and lasts constantly.

Right shoulder pain can be caused by any injury. Less commonly, the cause of such sensations can be inflammation, tumor or hereditary pathology. If the bone comes out of the joint due to injury, it will cause severe misalignment and cause severe pain in the left or right shoulder. When a person falls, he can try to soften the fall and put his palm forward. The arm rotates and tendon injuries may occur.

Painful sensations in the left shoulder can be triggered by an injury not only of a domestic nature, but also of a sports nature. Quite often, both young and adult athletes receive such injuries during competitions and training. Pain in the left shoulder is common for those who frequently lift heavy objects. 80% of bodybuilders suffer from such joint damage. Main reason- instability of the joint box.

Unpleasant aching sensations in the left shoulder can be caused by damage to internal organs. If a patient has pneumonia, liver disease, or a tumor in the chest area, this may cause pain in the right or left shoulder. The manifestation of periarthrosis in a patient may begin with pain in the right shoulder. While the disease progresses over several months, all this time the pain in the right shoulder will begin to intensify.

The cause of pain is usually arthritis, arthrosis, hernia, excessive stress on the spine, tendon rupture, and radiculitis.

Methods of treating diseases

If pain in the shoulder joint appears from time to time and does not cause any particular inconvenience, its appearance may be associated with various physical activities or staying in one position for a long time. If the pain in the shoulder joint is constant and has been tormenting you for some period, then the reasons may be different. This means it's time to see a doctor.

Most often, shoulder pain may indicate a curvature of the spine. Therefore, at home you need to do everything in order to consolidate productivity drug treatment. Try to keep your back straight and work on your posture. Buy special orthopedic insoles. You can ask your doctor to write a prescription. Special corrective corsets have a very effective effect on shoulder pain. They help the spinal muscles, straighten the back and reduce stress on the shoulder joints.

The causes of aching sensations can be very different, but there are many ways effective treatment. To reduce the impact on your shoulders, you can use special pillows and bolsters that are used while sleeping or sitting. Such devices reduce the impact on the joints and promote normal blood circulation, which helps reduce pain in the shoulder joint. In addition to rollers, there are also special collars. But you can only wear such a device during prolonged pain in your left shoulder for 2 days in a row.

If the patient suffered from a severe injury and a long-term injury appeared because of this, then the doctor prescribes several massage sessions. Such treatment can only be performed by a certified and experienced specialist. Otherwise, the damage to the shoulder may worsen.

At classical treatment The doctor usually prescribes anti-inflammatory and painkillers for patients. Ointments and gels can act on the body in different ways. But in most cases they do not bring the desired result. What to do? If, in addition to painful sensations, the patient’s temperature rises in the right shoulder and general weakness is observed, then it is necessary to go to the hospital without delay.

It is advisable to immobilize the patient for a while and avoid loading the spine and shoulder area.

Prevention of pain symptoms

The causes of aching sensations can be completely different. In some cases, the triggers are injuries and illnesses. But in certain situations, the appearance of such sensations is the patient’s fault. You need to take care of your shoulders and spine just as much as other parts of your body. In order to prevent shoulder pain, it is necessary to minimize the possibility of developing such an ailment:

1. Try to reduce physical activity if there is a lot of it during the day.
2. Balance your diet. Try to avoid high salt intake.
3. Choose correct poses for sleeping, reading, watching movies.
4. Try to always keep your back straight.

Consider the fact that proper separation of mental and physical activity during the day is the key to a healthy spine, neck, and shoulders. Get up from your computer regularly after every 2 hours of work. Walk, stretch your back, do exercise therapy. If you spend a long time at home at the computer, then find 5 minutes to lie on the floor and let your back relax. When you sit, try not to arch your back, but sit straight. Get a relaxing massage every evening.

Use special massage rollers and pillows. This will improve the effect of the procedures.

Folk remedies

What to do if pain in the shoulders does not go away? It is possible, in addition usual treatment, take advantage of the tips traditional medicine. These methods will help relieve shoulder pain and reduce inflammation. Be sure to make a decoction of nettle and rosemary. Both of these products are very useful. Take 50 g of this decoction every day. In addition, compresses can be made from it. To do this, soak a cloth in a decoction of herbs and apply it to the sore spot. Wrap the compress in plastic and wrap it with a warm scarf.

Pain in the shoulder joint can be neutralized with an alcohol tincture of lilac. Every day at night, wipe the affected areas of your hands with this infusion. After long-term regular use of the medicine, the discomfort should go away. Prepare a decoction of viburnum. After it, your joints will no longer ache. Pour 2 tbsp. l. viburnum 1 liter of boiling water. Let the broth brew for 1 hour.

Shoulder pain can be relieved with coffee. Only it needs to be made from dandelion roots. Take some fresh roots and wash them well, dry them, cut them into small pieces and place them in the oven for half an hour. When the roots turn brown, it means they are ready. Grind the root pieces in a coffee grinder and brew like coffee. The drink should infuse for 20 minutes. You need to take the medicine at least 3 times a day.

Mix 100 g of honey and 1 liter of vodka. Let the mixture brew for 14 days and use the tincture as compresses every day. This medicine neutralizes pain in the shoulder joint. Be sure to wrap the area with a compress for greater effect. Try walnut compresses. They are good for relieving shoulder pain. Take the shells of 10 large nuts, chop them and pour vodka. Place the tincture in a dark, dry place for 25 days. The infusion must be stirred every day. Take the medicine 3 times a day, 1 tsp. before meals.

In order to relieve pain in the shoulder joint, you need to eat a lot of dairy products. To make the medicine, take 250 ml of fresh cow's milk and add 2 ml of alcohol or vodka to it. You need to drink this mixture every day in the morning.

Treatment will not be effective immediately. But after 2-3 weeks the result will be noticeable.

Therapeutic gymnastics

Pain in the shoulder joint can be overcome and prevented with the help of a special course of exercises that is aimed at strengthening the muscles of the back and neck. Such elements must be performed for any disorders in the spine and inflammation of the joints to normalize processes in the body. Shoulder pain will go away if the patient performs these exercises regularly and conscientiously.

For the first exercise, sit on a chair or stand with your back straight. Lower your arms down and keep your head straight. Turn your head all the way to the right. Hold for 2 seconds and return to the starting position. Now turn your head to the left. Make 6 turns in each direction. Now tilt your head down and try to press your chin to your chest as tightly as possible.

Shoulder pain will go away if you focus on doing the exercises, put as much effort into it as possible, and then give your body a rest. Straighten your back and lower your arms down. Lower your head back and try to tuck your chin in. Do this exercise very carefully.
Sit on a chair and place one palm on your forehead. Tilt your head down and at the same time press your forehead with your palm. If you are experiencing pain in your left shoulder, then perform this exercise with your left hand.

The duration of one stage is 15 seconds. After this, you can change hands. It is advisable to perform the exercise with both hands for prevention. Now do a similar exercise. Place your palm against your temple and bend to the left and right. At this time, lightly press your palm on your temple.
To perform the following exercise, you can be standing or sitting. Lower your arms down and raise your shoulders all the way. Stay in this state for 15 seconds. Take a deep breath and slowly lower your shoulders. Relax your entire body completely. Your hands should become heavy. Give yourself a rest for 10 seconds and repeat the exercise.

Now in the last exercise, do self-massage. This will relieve shoulder pain well. You can sit or lie down for this exercise. Massage the back of your head and its muscles. Don't be afraid to hurt yourself. The massage should be strong and last 4-5 minutes. Then go down to the neck and shoulder blades. Massage this area for 4 minutes.

Making any movement with your hands, the shoulder joint is loaded, which, due to physiological characteristics, is the most vulnerable among all the others. The likelihood of injury or the development of degenerative diseases is diagnosed in about 45% of young people and 90% of older people.

Diseases of the shoulder joint of the left arm

Moreover, the shoulder joint of the left arm can be damaged not only as a result of lifting heavy objects, but also by simply driving a car or moving too suddenly. These consequences are temporary and can be easily eliminated by means of external influence, which cannot be said about other probable degenerative disorders:

1. Tendinitis. This is a dystrophic lesion of the tendon-ligamentous tissues of the joint, which is also accompanied by a strong inflammatory process. The reason for the appearance and development of this disease is the loss of natural extensibility of the ligaments and tendons. The pain is especially pronounced when there is a load on the limbs, and is transmitted specifically to the shoulder girdle.
2. Arthritis. An inflammatory disease that occurs as a result of infection of the joint cavity. With significant damage, hand movement becomes problematic, and the pain quickly turns from acute to aching.
3. Humeroscapular periarthritis. Also an inflammatory disease, but with a wider affected area - including periarticular tissue. Severe pain in the left shoulder appears after moving the arm to the side, up or behind the back, over the shoulder. At the same time, the intensity of pain directly depends on the degree of complexity of the inflammatory process. The most difficult situations differ in that pain occurs even in an immobilized state. With glenohumeral periarthritis, it is important to sleep in a comfortable bed, preferably on your back or stomach.
4. Bursitis. This infectious disease preceded by tendonitis. Thanks to infectious pathogenic microflora, inflammation develops very quickly in the joint capsule, thereby causing pain, which can only be removed with painkillers. In addition to this manifestation, in almost 79% of cases, swelling and hyperemia develop, which significantly reduce a person’s quality of life.
5. Capsulitis. It got its name due to the targeted destruction of the capsule and synovial membrane surrounding the joint. Eventually, the capsule hardens, preventing joint movement. This causes very severe pain, in which left hand You can no longer lift it above your chest.

Other reasons

In addition to diseases, most of which are infectious, there are other causes that are the primary source of pain in the joint of the left hand, namely:

• Operations upon diagnosis cancerous tumor mammary gland.
• Intervertebral hernia of the cervical spine.
• Angina pectoris.
• Myocardial infarction.
• Sarcoma of the joint.
• Stagnation of bile with subsequent inflammation.
• Upper lobe pneumonia of the lungs.
• Liver dysfunction (extremely rare).

Diagnostics

Determining the cause of pain begins with a visit to a therapist, who issues a referral for diagnostics that confirm or refute the presence of the above-mentioned causes. If there are no problems with the heart and the functioning of other organs, the patient is redirected for a thorough examination by a traumatologist. Regardless of the first results of the visual and tactile examination, the following diagnostic measures will have to be completed:

1. Radiography. In addition to the spot shot, presumably damaged joint, several more are done: the cervical region, in the chest area, in the area spinal column.
2. Ultrasound shoulder girdle . Allows you to accurately determine sprains and tears of ligaments and tendons.
3. CT scan of the shoulder girdle of the left arm and spinal column. This method is used as a last resort if both of the above did not give the desired results or did not indicate the nature of the pain at all.

Effective treatment

For successful treatment First of all, you will need to relieve pain. This is done in two ways. The first is means of external influence. To these, according to the most high rates annual use among similar clinical cases, can be attributed to:

• Diclofenac.
• Ibufen.
• Voltaren.

The second group, which occurs in cases with complex inflammatory processes, includes painkillers:

• Ibuprofen.
• Diclofenac.

Further, in the aspect of treating each of the mentioned diseases, you will need to purchase and take, in accordance with the doctor’s prescription, the following medications (the dosage, its adjustment and the duration of the course are prescribed exclusively by a traumatologist):

1. Tendenitis - non-steroidal Nimesil, Ibumet, Gepatrombin S, Diclofenac (gel 5%), Ketoprofen organic, Fastomed and Indomethacin.
2. Arthritis – Stop arthritis, Methotrexate 2.5 mg, Arava, Plaquenil, Neoral, Imuran.
3. Humeroscapular periarthritis – Arthropant, Meloxicam, Indomethacin, Ketoprofen.
4. Bursitis - Betaspan, Nimesil, Ibumet, Ketotop, Diclofenac, Troxitacin, Sextafag, Flexen.

In all other cases, a combination of this list of medicinal and non-hormonal anti-inflammatory drugs occurs. Their unification and definition optimal dosage can only be handled by the treating specialist.

Are you worried about pain in your left shoulder joint? Is it difficult to raise your arm even without additional load? This may be a sign of a serious pathology. If the pain does not go away for several days or weeks, you should immediately consult a doctor to determine the nature of the problem. Correct diagnosis in this situation is necessary for successful treatment, which is carried out both at home and in the hospital.

Causes of pathology

The shoulder joint includes several functional elements. Each of them is regularly exposed to physical activity, because with the help of hands a person performs most everyday tasks. And in the normal state of things, pain does not occur in the left shoulder joint. However, various disorders provoke unpleasant sensations that sometimes bother you for quite a long time. Doctors associate the reasons for this course of events with changes in the structure of the joint or systemic disorders of the body:

1. Inflammation of the tendons of a joint - tendonitis. It usually appears as a result of intense physical activity, but other factors also contribute to the disease.
2. Inflammation of the mucous membrane of the joint capsule - bursitis. The disorder often acts as a companion to tendonitis and also develops due to overexertion.
3. Inflammation of the periarticular tissues of the shoulder - glenohumeral periarthritis. Occurs due to hypothermia, injury or overexertion.
4. Infectious diseases. Bacterial infection provokes an inflammatory process and the formation of pus. A common reason for this course of events is weak immunity a person who is unable to withstand the attack of microbes.
5. Arthrosis. The destruction of cartilage cells and damage to joint tissue provokes pain that increases over time. There are many types of such disorders, and some of them are very difficult to get rid of.
6. Salt deposits - calcification. A common pathology in people over 30 years of age. If calcium salts are localized in the shoulder area, then a person is sometimes bothered by aching pain that does not depend on the position of the arm.
7. Sprain. For bodybuilders, such a disorder is even common, because they regularly expose themselves to musculoskeletal system heavy loads. However, there is a risk of stretching the articular fibers sufficiently, and then acute pain cannot be avoided.
8. Physical trauma. A dislocation, bruise, bone fracture or tendon rupture never occurs without physical impact. At best, the patient will be diagnosed with capsulitis (joint stiffness), and at worst, serious damage, which will require the application of plaster.
9. Osteochondrosis or hernia in the intervertebral discs. Pain in the cervical and thoracic spine often extends to the shoulder blades and shoulders.
10. Diseases of internal organs. Pain in the left arm is sometimes a symptom of myocardial infarction or ischemia. Sometimes this sign indicates dysfunction of the liver, lungs and other organs.
11. Pathology nervous system. If the transmission of impulses along nerve fibers is disrupted, then the sensitivity and tone of a person changes in the direction of both increasing and decreasing. In this regard, pain is possible even for no apparent reason.
12. Neoplasms. Benign or malignant tumors provoke pain in the joints and other parts of the body.

As you can see from this list, the causes of shoulder pain are quite varied. At the same time, unpleasant sensations in the left and right hand rarely differ. Such disorders often occur in people involved in physical labor or weightlifting. However, age cannot be written off, because after 40-50 years it is much more difficult for the body to resist the development of diseases.

Still, there is one point that needs to be paid attention to: after excluding possible physical injuries and related factors, systemic disorders come first. And if the pain is localized in the left arm, then doctors require a heart examination due to the risk of developing myocardial infarction and coronary artery disease.

Treatment methods

Although the pain may not bother you much, you will have to go to the hospital to determine the nature of the pathology. A slight bruise of the shoulder usually goes away on its own, but all other causes of the disease can cause serious complications. That’s why it’s so important to get tested in a timely manner! So, what therapeutic measures are prescribed in certain cases?

Treatment of inflammation

If an inflammatory process is detected in the tendons, bursa of the shoulder joint or surrounding tissues, it is necessary to ensure rest of this part of the body. This means that you will have to forget about physical activity during the treatment period. Doctors also advise the use of medications, among which ointments have proven themselves to be effective:

1. Preparations based on pepper components (Finalgon, Vietnamese balm « Golden star"). The active ingredients warm the damaged area, restore blood flow and eliminate swelling, which leads to a reduction in pain.
2. Ointments with snake venom (Viprosal). Snake venom helps relieve inflammation, relieve pain and resolve swelling.
3. NSAIDs – non-steroidal anti-inflammatory drugs (Finalgel, Diclofenac). Prescribed for joint pain, but not as a first-line remedy.
4. Preparations based on dimexide. This substance is used as a solvent for other components, and in its pure form it perfectly relieves inflammation.

Treatment of injuries

If the patient only slightly bruises his shoulder, then soon discomfort there will be no trace left: they will pass on their own. However, stretching of muscles and tendons is very painful, and in the case of ligament rupture or bone fracture, without medical care and there’s no way around it at all. In extreme cases, they even prescribe surgery. What to do if you sprain your shoulder joint?

1. Attach cold compress, but no more than 20 minutes.
2. The joint is fixed using a bandage or orthopedic splint.
3. Drink anabolic drugs (Ibuprofen, Ketorolac).
4. Apply non-steroidal anti-inflammatory drugs to the damaged area.

If the patient complains of very severe pain, then a fracture is quite possible. In such situations, an X-ray examination of the joint is mandatory, and after confirming the diagnosis, a plaster cast is usually applied. As drug therapy Painkillers and anti-inflammatory drugs are prescribed, and calcium-containing drugs are prescribed for better bone healing.

Treatment of other diseases

The causes of pain in the left shoulder are not always associated with local inflammation or injury. If the pathology develops as a result of arthritis or arthrosis, then treatment will need to be aimed at restoring cartilage tissue. Therapeutic measures in this case are as follows:

1. Taking NSAIDs.
2. They warm the joint to increase blood flow and, as a result, nutrients.
3. Chondroprotectors are used to start the cartilage repair process (Arthra, Theraflex).
4. They improve phosphorus-calcium metabolism in cartilage with the help of drugs based on chondroitin sulfate.
5. A set of therapeutic exercises is prescribed.

A similar course is prescribed for osteochondrosis, but treatment of this disease cannot do without spinal traction and massage, mud therapy, electrophoresis and other procedures. From physical exercise Of particular benefit are swimming in the pool and special physical education - exercise therapy.

For pain in the left hand

For pain in the left arm, the doctor general practice is obliged to eliminate the risk of myocardial infarction, for which the patient is urgently sent for an ECG. If heart failure If confirmed, the patient will then be treated by a cardiologist. Timely diagnosis in such a situation saved the lives of many people, so it is so important not to waste precious minutes.

In some cases, blood and urine tests are also performed to determine whether bacterial infection in the body. This type of pathology is also accompanied high temperature body and severe swelling of the joint, so if the results laboratory analysis If the doctor's fears are confirmed, then antibiotics will be used for treatment.

Proper nutrition will also help normalize the patient’s condition with shoulder pain: the diet should consist of foods containing calcium and proteins. But don’t forget about vitamins, because the lack of biological data active substances will slow down the healing process.

Conclusion

Pain syndrome in the shoulder joint of the left arm develops according to various reasons, on which the complex of therapeutic measures depends. Often the patient is prescribed anti-inflammatory and painkillers, but if the pathology is provoked by systemic disorders, then a more serious approach will be required.

Shoulder joint This is the most unique joint of the human body in terms of its structure and functional ability. At the same time, incorrect and excessive physical loads on the shoulder joint lead to local inflammatory processes, leading to local swelling, joint effusion, and even partial ruptures tendons and muscles surrounding the shoulder joint.

The shoulder has one thing in common with a conventional mechanism: it can withstand abuse only up to a certain limit, after which its functions become impaired. For you, such violations result in pain.

Mechanism of pain in the left shoulder

Pain in upper section shoulder may come from the neck. This pain spreads along the entire length of the arm (including the hand), intensifies with neck movement, and may be accompanied by numbness or parasthesia. Examination of the cervical or thoracic spine often reveals intervertebral hernia.

Damaged intervertebral discs of the cervical or thoracic spine lose their elastic properties over time, become flattened, and the distance between the vertebrae decreases. And this means that those departing from spinal cord The nerve roots become pinched and pain occurs. At the same time, in the area of ​​clamping of the neurovascular bundle, a edema, which leads to even greater infringement and increased pain.

Capsulitis this is a rare condition painful stiffness muscles of the shoulder girdle. In this condition, there is a limitation in the amount of abduction of the arm to the side when it is raised up and the impossibility of placing the affected arm behind the back. This condition often develops gradually, unnoticed by the patient.

A rotator cuff injury occurs after abnormal movements of the arm. On the day the work is completed there are usually no complaints. The next day, sharp pain in the left shoulder when trying to remove something from the top shelf.

During the examination, the degree of tension in the muscles of the shoulder girdle, the volume of movement in left shoulder joint. Radiographs of the joint will usually show no changes.

Tendobursitis occurs with reactive inflammation of the shoulder joint bursae caused by calcifications of muscle tendons. Characteristic acute pain in the left shoulder and a significant limitation of both active and passive movements in it. Usually severe pain in the neck, shoulder and arm areas.

Causes of pain in the left shoulder

One of the most common causes of left shoulder pain is inflammation of the tendons surrounding the shoulder joint. These disorders are called tendinitis. Most often they arise from excessive load. When you cut wood or play golf, tendons rub against bone. Hence the occurrence of irritation and pain.

Biceps tendinitis(the muscle on the inside of the shoulder that runs from the shoulder to the elbow area) is manifested by chronic pain that increases with movement and palpation. In the case of a complete rupture of the biceps tendon, a balloon-shaped swelling appears on the shoulder.

Bursitis, this partner tendonitis and the culprit of left shoulder pain is also associated with overuse. However, it manifests itself in a wider range of disorders: pain is accompanied by swelling in the area of ​​the joint capsule - a soft sac surrounding the joint.

If you have pain in your left shoulder when you lift your arm, the cause may be calcium deposits that cause calcification of the joint ligaments. These salt deposits occur in the tendon that runs under the shoulder blade and collarbone. These disorders are called “collision” syndrome. Most often these processes occur at the age of 30-50 years. Left shoulder pain usually occurs suddenly, is intense and constant. Movements in the joint to abduct the shoulder from the body by 30-90 become painful. Sometimes the deposition of calcium salts in the joint is discovered by chance, while still asymptomatic, when X-ray examination on another occasion.

Pain in left shoulder may be related to traumatic injuries, less often tumors and hereditary anatomical anomalies. This type of displacement may occur during a fall. humerus, at which upper part the hand literally flies out of the socket of the joint. When trying to break a fall while leaning on the arm, the tendons of the muscles that rotate the arm may rupture. If such damage is left untreated, it may develop over time. persistent dysfunction of the shoulder.

Joint injuries In addition to accidents, they often occur in athletes or young people. In the latter case, recurrent shoulder dislocation often occurs. In adults, injuries to the structures of the shoulder joint occur due to aging, tissue wear, or developed osteoporosis(disorder of calcium metabolism in bones).

Left shoulder pain- one of the most common problems among bodybuilders, along with pain in the lower back, knees and elbows. A shoulder injury like this can make a number of exercises in your training program impossible. There are many reasons for this, the main one being instability of the shoulder joint.

The likelihood of a shoulder hyperextension increases significantly in key movements such as the bench press, dumbbell flyes, machine curls, and overhead presses. Pain may result from stress in the joint capsule of the shoulder girdle and excessive work of her muscles, which are trying to maintain central position the head of the humerus in the articular capsule for proper operation joint In addition, pain can result from a tear in the cartilage ring located along the glenoid cavity.

Cartilage ring performs several functions: it deepens the articular cavity and serves as additional support for the articular capsule and the tendon of the long head of the biceps.

Often, pain in the left shoulder develops in connection with a disease of the internal organs and spreads to the shoulder with the following diseases:

liver pathology;

myocardial infarction;

angina pectoris;

pneumonia;

cervical radiculitis;

tumors of the chest organs.

Main manifestation glenohumeral periarthrosis- pain in the left shoulder. The pain often begins gradually without an obvious trigger, is progressive, often wakes the patient up at night, and significantly affects the performance of daily activities. Movement of the joints is painful in several directions.

Arm pain may include pain in the left shoulder, forearm and hand and wear different character: burning, aching, shooting. Pain in other parts of the body may radiate to the arm. The course of the disease varies from several weeks to several months. The outcome is also different - from full recovery(even without treatment) until the pattern of a blocked shoulder develops, and in case of “shoulder-hand” syndrome - also hand dysfunction.

Depending on which shoulder tendons are diseased, pain in the left shoulder occurs with various movements. Limited muscle function results in indicating the cause of the limitation. Pain in left shoulder when moving the arm to the side or when moving it then forward, indicate changes in supraspinal tendon.

Pain in the left shoulder when externally rotating the upper arm when pressed against the body elbow joint indicate changes in infraspinal tendon. Pain in the left shoulder during internal rotation of the upper arm with the elbow joint pressed to the body indicates changes in subscapularis tendon. Pain in the front of the shoulder when internally rotating the forearm against resistance often indicates long biceps disease. Other causes of left shoulder pain:

Impigmentation syndrome (narrowing syndrome).

Tendon rupture/rotator cuff tear.

Forearm calcification/tendon calcification.

Inflammatory shoulder diseases are an important exclusion diagnosis.

Pain in the left shoulder can also be caused by neurogenic pathology, which is manifested by paresis, muscle wasting and sensitivity disorders (cervical radiculopathy, cervicobrachial plexopathy, neuropathy, complex regional pain syndrome, neuralgic amyotrophy, myelopathy).

The presence of protrusions or herniations of intervertebral discs in the cervical and thoracic spine.

Pain in the left shoulder may be reflected pain of a muscle in myofascial syndrome, the tendon of which is woven into the joint capsule.

Arthrosis, arthritis of the left shoulder.

At pain in left shoulder you need to consult a doctor. Consult with orthopedist(preferably with experience in sports medicine) or see a sports doctor who specializes in joint problems. There can be many causes of left shoulder pain, and you need an accurate diagnosis to determine treatment options.