Shoulder pain can have several causes
Shoulder symptoms can involve tendons, muscles, the joint or surrounding tissues, and sometimes the neck. A painful movement does not by itself prove a rotator cuff tear. The way symptoms began, strength, movement and medical history help guide assessment. Imaging is considered when it would change management or when a more serious injury is suspected.
What an assessment may involve
Describe reaching overhead, dressing, lifting at work and sleep. Mention a fall, a popping sensation, previous dislocations or a sudden loss of strength. Your osteopath can assess relevant movement and strength and discuss whether a GP, imaging or specialist opinion is needed.
Care and rehabilitation
A rehabilitation plan may use graded strengthening, temporary changes to aggravating loads and a gradual return to specific tasks. Hands-on treatment may be one part of care. For an existing rotator cuff diagnosis, bring the report and any specialist recommendations so the plan follows the relevant restrictions.
Shoulder pain at night
Night pain can disrupt sleep, but it does not identify one condition. Discuss positions that ease symptoms, whether supporting the arm is comfortable, and how symptoms change over time. Persistent or worsening night pain warrants assessment.
After a shoulder dislocation
A suspected new dislocation needs urgent medical care. Do not try to force it back into place. Rehabilitation begins after medical management and follows advice about protection, movement and returning to sport.
When to seek medical help
Get urgent medical help for a visibly deformed shoulder, sudden severe pain, inability to move the arm, major swelling, persistent numbness, an unusually hot or cold arm, or fever with a painful joint. Chest pain with arm or shoulder discomfort can be an emergency: call 000.
Related information
Further reading
General information from Muscle Joint Bone Epping. Your clinician will discuss how it applies to you.