A person seen from behind stretches their arm overhead, holding the elbow with the opposite hand. They are wearing a sleeveless black shirt, and the background is blurred, possibly a gym or fitness center.

Shoulder Pain

Shoulder pain is a common condition that can result from problems affecting the bones, muscles, tendons, ligaments, bursae, or nerves around the joint. Because the shoulder is one of the most mobile joints in the body, it relies on a complex system of structures to maintain stability and allow smooth movement. When these structures become irritated, injured, or worn down over time, pain and reduced mobility can occur, and diagnosis typically involves a physical exam, assessment of range of motion and strength, and imaging such as X-rays or MRI when needed.

A person seen from behind stretches their arm overhead, holding the elbow with the opposite hand. They are wearing a sleeveless black shirt, and the background is blurred, possibly a gym or fitness center.

Shoulder pain refers to discomfort, stiffness, or reduced mobility in or around the shoulder joint, which is formed by the humerus, scapula, and clavicle and supported by tendons, ligaments, and bursae that allow smooth movement. Because many structures work together to stabilize the joint, irritation or injury can affect both motion and overall function.

Treatment typically begins with conservative care focused on reducing pain and restoring mobility. This may include activity modification, anti-inflammatory medications, and physical or occupational therapy to improve strength and movement patterns. In some cases, a sling or immobilizer may be used temporarily to protect the joint while symptoms improve.

If pain persists or imaging reveals structural damage, more advanced treatments may be considered. Pain management specialists may provide non-surgical options such as image-guided injections, while orthopedic surgeons evaluate conditions that may require surgical intervention to restore function.

Common Causes

Shoulder pain can result from inflammation, structural damage, or acute injury affecting the joint and surrounding tissues. Common causes include rotator cuff tendinitis or bursitis from overuse, as well as conditions such as impingement syndrome, instability, or arthritis that affect joint mechanics and lead to discomfort.

Traumatic injuries such as fractures, dislocations, or falls can also cause shoulder pain and often require prompt medical evaluation. Repetitive overhead motion, poor posture, and age-related degeneration may further contribute to ongoing irritation and reduced shoulder function over time.

Common Symptoms

Shoulder pain may present as aching, sharp, or burning sensations and is often accompanied by stiffness, weakness, or limited range of motion. Many patients experience difficulty lifting the arm, reaching overhead, or performing daily activities that involve shoulder movement.

Swelling, bruising, or visible deformity may indicate a more serious injury, particularly after trauma. Some individuals also report clicking or radiating pain down the arm. Early evaluation helps determine the underlying cause and guides the most appropriate treatment plan.

Five Step Process from Diagnosis to Recovery

1

Evaluation & Diagnosis

A clinician reviews symptoms, performs a physical exam, and may order imaging such as X-ray or MRI to identify the source of pain.

2

Conservative Management

Initial treatment includes rest, ice, anti-inflammatory medications, and activity modification, sometimes with short-term use of a sling.

3

Physical & Occupational Therapy

Therapy focuses on improving flexibility, strength, and shoulder mechanics to restore function and prevent recurrence.

4

Interventional Pain Management

Image-guided injections or other non-surgical treatments may be used to reduce inflammation and manage persistent pain.

5

Surgical Options & Rehabilitation

When necessary, surgical procedures are recommended to address structural damage, followed by rehabilitation to restore strength and mobility.

Three Common Treatments

1

Physical Therapy

Targeted exercises and manual techniques improve range of motion, strengthen supporting muscles, and enhance shoulder stability.

2

Medication & Injections

Non-steroidal anti-inflammatory drugs reduce pain and inflammation. Corticosteroid injections into the joint or bursae can provide significant but temporary relief, allowing patients to participate in therapy.

3

Arthroscopic Surgery

Minimally invasive procedures allow surgeons to repair damaged tissue and address structural issues with smaller incisions and faster recovery.

Frequently Asked Questions

What causes shoulder pain?

Many problems can cause shoulder pain, including tendinitis, bursitis, impingement syndrome, rotator cuff tears, arthritis, instability, fractures, nerve compression, or referred pain from the neck or internal organs. Understanding the cause of shoulder pain is essential for effective treatment. Our clinicians will ask about symptoms, examine the shoulder, and may order imaging to pinpoint the problem. By tailoring treatment to the underlying cause, we can relieve pain and restore function.

When should I see a doctor for shoulder pain?

You should seek medical attention if shoulder pain arises suddenly after an injury, prevents you from moving your arm, or is accompanied by swelling, deformity, fever, heat, or tenderness. Sudden shoulder pain with chest tightness or shortness of breath may signal a heart attack and requires emergency care. Even chronic or mild pain that persists for several weeks deserves evaluation. Early treatment can prevent worsening damage and speed-up recovery. Our Orthopedic Injury Clinics can accommodate same-day or next-day visits for acute injuries, but chronic issues should be scheduled through our main Orthopedic Clinics.

How is shoulder pain treated at OrthoNY?

Many shoulder conditions improve with conservative care such as rest, ice, anti-inflammatory medications, and physical or occupational therapy. For issues like tendinitis or bursitis, short-term use of a sling or immobilizer may allow tissues to recover. If pain continues, pain management specialists may offer treatments such as corticosteroid injections or other image-guided procedures for patients who are not candidates for surgery. In cases involving more serious structural problems, such as large rotator cuff tears, recurrent instability, or severe arthritis, orthopedic surgeons may recommend surgical procedures to repair damage and restore function.

Can shoulder pain be prevented?

You can reduce the risk of shoulder injuries by maintaining good posture, avoiding repetitive overhead motions when possible, and strengthening the rotator cuff and scapular muscles. Incorporating flexibility exercises into your routine keeps tissues supple and resilient. After episodes of bursitis or tendinitis, performing daily range-of-motion exercises can help prevent frozen shoulder. Using ice after vigorous activities may also limit inflammation. Despite best efforts, accidents and degenerative changes may still occur, but early recognition and treatment minimize long-term effects.

Find a Provider

Find experienced orthopedic doctors near you at OrthoNY.

Make an Appointment

Complete the form below to make an appointment or call our scheduling team 24/7 at (518) 498-2663.

Answer these questions to schedule a same or next day visit at our Albany or Clifton Park Orthopedic Injury Clinic. If all same day slots are filled, next day slots may be available. Times are approximate; wait times may be longer.

Is the patient experiencing any of the following:

  • Open wounds, animal bite, or infection.
  • Head injury or concussion.
  • Facial injury: broken nose, cheekbone, etc.
  • Rib, chest, chest wall, or sternum pain or injury.
  • Pediatric neck or spine injury (18 years or younger).

We are unable to treat your injuries at an OrthoNY Orthopedic Injury Clinic. Please seek care with your primary care physician or go to the nearest emergency room.

Did this injury occur in your workplace or on a job site?

Due to the complexity of worker’s comp insurance, we do not see worker’s comp cases in the Injury Clinic. Please call (518) 489-2663 to schedule your appointment in one of our other offices.