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Shoulder pain

MedGen UID:
11415
•Concept ID:
C0037011
•
Sign or Symptom
Synonyms: Pain, Shoulder; Pains, Shoulder; Shoulder Pain; Shoulder Pains
SNOMED CT: Shoulder region pain (45326000); Shoulder pain (45326000)
 
HPO: HP:0030834

Definition

An unpleasant sensation characterized by physical discomfort (such as pricking, throbbing, or aching) localized to the shoulder. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVShoulder pain

Professional guidelines

PubMed

Treatment Strategy for Irreparable Rotator Cuff Tears.
Oh JH, Park MS, Rhee SM
Clin Orthop Surg 2018 Jun;10(2):119-134. Epub 2018 May 18 doi: 10.4055/cios.2018.10.2.119. PMID: 29854334Free PMC Article
Rotator cuff calcific tendinopathy: from diagnosis to treatment.
Chianca V, Albano D, Messina C, Midiri F, Mauri G, Aliprandi A, Catapano M, Pescatori LC, Monaco CG, Gitto S, Pisani Mainini A, Corazza A, Rapisarda S, Pozzi G, Barile A, Masciocchi C, Sconfienza LM
Acta Biomed 2018 Jan 19;89(1-S):186-196. doi: 10.23750/abm.v89i1-S.7022. PMID: 29350647Free PMC Article
Rotator cuff related shoulder pain: Assessment, management and uncertainties.
Lewis J
Man Ther 2016 Jun;23:57-68. Epub 2016 Mar 26 doi: 10.1016/j.math.2016.03.009. PMID: 27083390

Recent clinical studies

Etiology

Scapular movement training versus standardized exercises for individuals with chronic shoulder pain: protocol for a randomized controlled trial.
Kamonseki DH, Haik MN, Camargo PR
Braz J Phys Ther 2021 Mar-Apr;25(2):221-229. Epub 2020 Aug 18 doi: 10.1016/j.bjpt.2020.08.001. PMID: 32855073Free PMC Article
Dynamic scapular recognition exercise improves scapular upward rotation and shoulder pain and disability in patients with adhesive capsulitis: a randomized controlled trial.
Mohamed AA, Jan YK, El Sayed WH, Wanis MEA, Yamany AA
J Man Manip Ther 2020 Jul;28(3):146-158. Epub 2019 Jun 14 doi: 10.1080/10669817.2019.1622896. PMID: 31200629Free PMC Article
Is thoracic spine posture associated with shoulder pain, range of motion and function? A systematic review.
Barrett E, O'Keeffe M, O'Sullivan K, Lewis J, McCreesh K
Man Ther 2016 Dec;26:38-46. Epub 2016 Jul 21 doi: 10.1016/j.math.2016.07.008. PMID: 27475532
Hemiplegic shoulder pain: an approach to diagnosis and management.
Vasudevan JM, Browne BJ
Phys Med Rehabil Clin N Am 2014 May;25(2):411-37. Epub 2014 Mar 14 doi: 10.1016/j.pmr.2014.01.010. PMID: 24787341
Shoulder pain and mobility deficits: adhesive capsulitis.
Kelley MJ, Shaffer MA, Kuhn JE, Michener LA, Seitz AL, Uhl TL, Godges JJ, McClure PW
J Orthop Sports Phys Ther 2013 May;43(5):A1-31. Epub 2013 Apr 30 doi: 10.2519/jospt.2013.0302. PMID: 23636125

Diagnosis

Understanding the physical examination of the shoulder: a narrative review.
Yang S, Kim TU, Kim DH, Chang MC
Ann Palliat Med 2021 Feb;10(2):2293-2303. Epub 2021 Feb 2 doi: 10.21037/apm-20-1808. PMID: 33549026
Rotator cuff related shoulder pain: Assessment, management and uncertainties.
Lewis J
Man Ther 2016 Jun;23:57-68. Epub 2016 Mar 26 doi: 10.1016/j.math.2016.03.009. PMID: 27083390
Evaluation and treatment of shoulder pain.
Greenberg DL
Med Clin North Am 2014 May;98(3):487-504. Epub 2014 Mar 22 doi: 10.1016/j.mcna.2014.01.016. PMID: 24758957
Chronic shoulder pain: part I. Evaluation and diagnosis.
Burbank KM, Stevenson JH, Czarnecki GR, Dorfman J
Am Fam Physician 2008 Feb 15;77(4):453-60. PMID: 18326164
Shoulder pain: diagnosis and management in primary care.
Mitchell C, Adebajo A, Hay E, Carr A
BMJ 2005 Nov 12;331(7525):1124-8. doi: 10.1136/bmj.331.7525.1124. PMID: 16282408Free PMC Article

Therapy

Kinesiotaping for the Rehabilitation of Rotator Cuff-Related Shoulder Pain: A Randomized Clinical Trial.
de Oliveira FCL, Pairot de Fontenay B, Bouyer LJ, Desmeules F, Roy JS
Sports Health 2021 Mar;13(2):161-172. Epub 2020 Sep 28 doi: 10.1177/1941738120944254. PMID: 32986531Free PMC Article
Acupuncture for Chronic Pain: Update of an Individual Patient Data Meta-Analysis.
Vickers AJ, Vertosick EA, Lewith G, MacPherson H, Foster NE, Sherman KJ, Irnich D, Witt CM, Linde K; Acupuncture Trialists' Collaboration
J Pain 2018 May;19(5):455-474. Epub 2017 Dec 2 doi: 10.1016/j.jpain.2017.11.005. PMID: 29198932Free PMC Article
Effectiveness of conservative interventions including exercise, manual therapy and medical management in adults with shoulder impingement: a systematic review and meta-analysis of RCTs.
Steuri R, Sattelmayer M, Elsig S, Kolly C, Tal A, Taeymans J, Hilfiker R
Br J Sports Med 2017 Sep;51(18):1340-1347. Epub 2017 Jun 19 doi: 10.1136/bjsports-2016-096515. PMID: 28630217Free PMC Article
Comparison of three types of exercise in the treatment of rotator cuff tendinopathy/shoulder impingement syndrome: A randomized controlled trial.
Heron SR, Woby SR, Thompson DP
Physiotherapy 2017 Jun;103(2):167-173. Epub 2016 Sep 21 doi: 10.1016/j.physio.2016.09.001. PMID: 27884499
Exercise for rotator cuff tendinopathy: a systematic review.
Littlewood C, Ashton J, Chance-Larsen K, May S, Sturrock B
Physiotherapy 2012 Jun;98(2):101-9. Epub 2011 Oct 5 doi: 10.1016/j.physio.2011.08.002. PMID: 22507359

Prognosis

Incidence, Prevalence, and Risk Factors of Hemiplegic Shoulder Pain: A Systematic Review.
Anwer S, Alghadir A
Int J Environ Res Public Health 2020 Jul 9;17(14) doi: 10.3390/ijerph17144962. PMID: 32660109Free PMC Article
Effect of a Shoulder Movement Intervention on Joint Mobility, Pain, and Disability in People With Diabetes: A Randomized Controlled Trial.
Mueller MJ, Sorensen CJ, McGill JB, Clark BR, Lang CE, Chen L, Bohnert KL, Hastings MK
Phys Ther 2018 Sep 1;98(9):745-753. doi: 10.1093/ptj/pzy070. PMID: 29893977Free PMC Article
Influence of psychological factors on the prognosis of chronic shoulder pain: protocol for a prospective cohort study.
Martinez-Calderon J, Struyf F, Meeus M, Morales-Ascencio JM, Luque-Suarez A
BMJ Open 2017 Mar 6;7(3):e012822. doi: 10.1136/bmjopen-2016-012822. PMID: 28264825Free PMC Article
The effectiveness of a neck and shoulder stretching exercise program among office workers with neck pain: a randomized controlled trial.
Tunwattanapong P, Kongkasuwan R, Kuptniratsaikul V
Clin Rehabil 2016 Jan;30(1):64-72. Epub 2015 Mar 16 doi: 10.1177/0269215515575747. PMID: 25780258
Childhood and adolescent sports-related overuse injuries.
Cassas KJ, Cassettari-Wayhs A
Am Fam Physician 2006 Mar 15;73(6):1014-22. PMID: 16570735

Clinical prediction guides

Baseline Kinesiophobia and Pain Catastrophizing Scores Predict Prolonged Postoperative Shoulder Pain.
Suer M, Philips N, Kliethermes S, Scerpella T, Sehgal N
Pain Physician 2022 Mar;25(2):E285-E292. PMID: 35322983
Effects of exercise therapy plus manual therapy on muscle activity, latency timing and SPADI score in shoulder impingement syndrome.
Sharma S, Ejaz Hussain M, Sharma S
Complement Ther Clin Pract 2021 Aug;44:101390. Epub 2021 Apr 19 doi: 10.1016/j.ctcp.2021.101390. PMID: 33901859
Effects of Kinesio taping for stroke patients with hemiplegic shoulder pain: A double-blind, randomized, placebo-controlled study.
Huang YC, Chang KH, Liou TH, Cheng CW, Lin LF, Huang SW
J Rehabil Med 2017 Mar 6;49(3):208-215. doi: 10.2340/16501977-2197. PMID: 28233009
Measures of adult shoulder function: Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH) and its short version (QuickDASH), Shoulder Pain and Disability Index (SPADI), American Shoulder and Elbow Surgeons (ASES) Society standardized shoulder assessment form, Constant (Murley) Score (CS), Simple Shoulder Test (SST), Oxford Shoulder Score (OSS), Shoulder Disability Questionnaire (SDQ), and Western Ontario Shoulder Instability Index (WOSI).
Angst F, Schwyzer HK, Aeschlimann A, Simmen BR, Goldhahn J
Arthritis Care Res (Hoboken) 2011 Nov;63 Suppl 11:S174-88. doi: 10.1002/acr.20630. PMID: 22588743
Shoulder Pain and Disability Index (SPADI).
Breckenridge JD, McAuley JH
J Physiother 2011;57(3):197. doi: 10.1016/S1836-9553(11)70045-5. PMID: 21843839

Recent systematic reviews

Diagnosis, prevention and treatment of common shoulder injuries in sport: grading the evidence - a statement paper commissioned by the Danish Society of Sports Physical Therapy (DSSF).
Liaghat B, Pedersen JR, Husted RS, Pedersen LL, Thorborg K, Juhl CB
Br J Sports Med 2023 Apr;57(7):408-416. Epub 2022 Oct 19 doi: 10.1136/bjsports-2022-105674. PMID: 36261251Free PMC Article
Shoulder Rotator Cuff Disorders: A Systematic Review of Clinical Practice Guidelines and Semantic Analyses of Recommendations.
Doiron-Cadrin P, Lafrance S, Saulnier M, Cournoyer É, Roy JS, Dyer JO, Frémont P, Dionne C, MacDermid JC, Tousignant M, Rochette A, Lowry V, Bureau NJ, Lamontagne M, Coutu MF, Lavigne P, Desmeules F
Arch Phys Med Rehabil 2020 Jul;101(7):1233-1242. Epub 2020 Jan 31 doi: 10.1016/j.apmr.2019.12.017. PMID: 32007452
Effectiveness of conservative interventions including exercise, manual therapy and medical management in adults with shoulder impingement: a systematic review and meta-analysis of RCTs.
Steuri R, Sattelmayer M, Elsig S, Kolly C, Tal A, Taeymans J, Hilfiker R
Br J Sports Med 2017 Sep;51(18):1340-1347. Epub 2017 Jun 19 doi: 10.1136/bjsports-2016-096515. PMID: 28630217Free PMC Article
Physical examination tests of the shoulder: a systematic review and meta-analysis of diagnostic test performance.
Gismervik SØ, Drogset JO, Granviken F, Rø M, Leivseth G
BMC Musculoskelet Disord 2017 Jan 25;18(1):41. doi: 10.1186/s12891-017-1400-0. PMID: 28122541Free PMC Article
Exercise for rotator cuff tendinopathy: a systematic review.
Littlewood C, Ashton J, Chance-Larsen K, May S, Sturrock B
Physiotherapy 2012 Jun;98(2):101-9. Epub 2011 Oct 5 doi: 10.1016/j.physio.2011.08.002. PMID: 22507359

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