Chronic Shoulder Pain - What Does the History Tell Us?

Have you been suffering from chronic shoulder pain?shoulder (towards the neck) may be due to a problem
The history behind your pain may hold important clueswith the acromioclavicular joint or more commonly the
that will help a trained clinician uncover what theneck itself. If you have pain that radiates below your
source of your pain may be. When describing yourelbow into your forearm or hand may be due to a
shoulder joint pain it is important that you don't leaveproblem with the neck. In cases of prolonged problems
out any details, no matter how small or insignificant youwith the shoulder you could have pain below the elbow
think they are. To accurately reach a diagnosis everyas well.
detail counts.It is also important to discuss any previous treatments
When your problem shoulder is being evaluated youthat you have had and things that may aggravate or
will be asked about your occupational and recreationalalleviate your shoulder joint pain. Sleeping on the painful
activities. The details of these activities can suggest toside which causes increased pain is suggestive of
the clinician what type of problem you may have thatrotator cuff pathology. Pain experienced when lifting
is causing your symptoms. Some examples includeyour arm overhead indicates a milder form of a rotator
collision type sports (football, rugby, etc). Someonecuff problem or bursitis. If you have had a previous
involved in this may be predisposed to instability. Ashoulder surgery you may have developed some
person that performs overhead activities on adegree of a frozen shoulder or an early onset of
repetitive basis at work may be more prone to rotatorarthritis.
cuff symptoms.As you can see when taking a history of chronic
You will also be asked about the location of yourshoulder pain every detail counts towards figuring out
chronic shoulder pain. This is necessary becausewhat the source of the pain might be. A thorough
where you feel your symptoms can be correlated tomedical history is important as previous or current
the structure that is causing your pain. Some examplesillnesses can predispose a patient to certain types of
- pain that is felt in the upper arm is indicative of ashoulder problems as well.
rotator cuff problem. Pain that is felt above the