Shoulder Pain

usessurgery.  Signs that a shoulder muscle is torn include
but are not limited to pain, weakness, and loss of
Shoulder pain is a common affliction that affects manymotion.
people on a daily basis.  Depending on the severity ofA microtraumatic event or repetitive overuse can lead
the pain this type of problem can have a significant,to injury of the muscle by causing minor tears in the
negative impact on performing your occupation andmuscle fibers.  These are small in degree but enough
your activities of daily living. to cause an inflammatory process to occur which
Shoulder pain is a common affliction that affects manyleads to pain.  This is a condition that we would
people on a daily basis.  Depending on the severity ofcommonly term as tendonitis (an inflammation of the
the pain this type of problem can have a significant,muscle or tendon).  It is not the same as a partial or
negative impact on performing your occupation andfull tear.  The muscle fibers do not actually separate
your activities of daily living.  There are several waysfrom each other.  This type of event can cause
that shoulder pain can develop and I will discuss thosesignificant pain and dysfunction.  Signs that a shoulder
below. muscle is inflamed include but are not limited to pain,
The most recognized way for pain to develop in theweakness, and loss of motion.
shoulder is through trauma.  This could consist ofAnother common cause of shoulder pain is bursitis.  A
something obvious like falling onto your outstretchedbursa is a fluid filled sack that sits between muscle and
arm causing your shoulder to jam or trying to push orbone.  The bursa is designed to protect the muscle
pull on a stuck object.   A less obvious traumaticfrom scraping against the bone, thus it protects it from
event could be forcefully using the muscles of thebecoming irritated against the bone.  The bursa has a
shoulder over time and then pain occurs.  This couldlot of nerve endings in it.  If the bursa becomes
happen during activities such as chopping firewood,inflamed we term this bursitis and it can be very
hammering, or exercising in a repetitive fashion.  Thepainful.  A bursitis can occur in the shoulder as the
first traumatic event is identified as a macrotraumaresult of a macro or microtraumatic event as
meaning it’s a large and obvious event.  Thedescribed above just like a muscle tear or tendonitis
second situation is termed a microtrauma meaningcan develop.  Signs that a shoulder bursa is inflamed
it’s less obvious and occurred with repetitiveinclude but are not limited to pain, weakness, and loss
insults to the muscle tissue.  One does not necessarilyof motion. 
occur more than the other, but both can causeThese are three of the most common pathologies that
significant injury and pain.cause pain in the shoulder.  You will notice that the
The macrotraumatic event can lead to injury of thesymptoms that you may experience as a result of
muscle by causing a major tear in the muscle fibers. these conditions are very similar.  So how do you tell
A muscle tear is exactly what it sounds like.  Thewhich problem you may have?  Well, to determine
muscle fibers actually rip apart and become separatedthat you should consult a competent Physical
from each other or where the muscle tendon insertsTherapist in your area that specializes in the evaluation
on a bone in the shoulder.  You can have differentand treatment of musculoskeletal and/or orthopedic
size tears and these are usually termed partial, full orpathologies.  They will be able to successfully
full thickness tears.  It is important to remember thatdiagnose the source of your pain and treat the
just because a muscle tear is present thatproblem appropriately.
doesn’t always mean you will have to have