Pain With External Rotation of Shoulder: Causes, Symptoms, and Treatment

Dec 5, 2023

Introduction

Pain with external rotation of the shoulder is a common issue that affects many individuals. This medical condition can significantly impact one's daily activities and overall quality of life. At IAOM-US, we specialize in providing top-notch health and medical services, including chiropractic care and physical therapy, to help individuals effectively manage and overcome shoulder discomfort. In this comprehensive article, we will explore the causes, symptoms, and various treatment options available for pain with external rotation of the shoulder.

Understanding the Shoulder Joint

The shoulder joint is one of the most complex and mobile joints in the human body. It consists of several bones, including the humerus, scapula, and clavicle, along with an intricate network of ligaments, tendons, and muscles. The primary function of the shoulder joint is to facilitate a wide range of movements, including flexion, extension, abduction, and external rotation.

Causes of Pain with External Rotation of Shoulder

Various factors can contribute to the development of pain with external rotation of the shoulder. These causes include:

  • Rotator cuff injury: The rotator cuff is a group of four muscles and tendons that surround the shoulder joint. Overuse, trauma, or degenerative changes can lead to rotator cuff tears, resulting in pain and restricted external rotation of the shoulder.
  • Shoulder impingement syndrome: This occurs when the structures within the shoulder, such as the rotator cuff tendons or bursa, become compressed during specific movements. The repetitive nature of external rotation can lead to inflammation, pain, and limited mobility.
  • Glenohumeral instability: Instability in the shoulder joint can arise from ligament laxity or previous dislocations. Individuals with glenohumeral instability may experience pain during external rotation due to subluxation or excessive movement of the joint.
  • Labral tear: The labrum is a cartilage ring that lines the rim of the shoulder socket. Tears in the labrum can result from trauma, repetitive strain, or shoulder dislocation. Such tears may lead to pain and discomfort, especially during external rotation of the shoulder.
  • Shoulder arthritis: Arthritis is the degeneration of joint cartilage, leading to pain, stiffness, and limited range of motion. Osteoarthritis and rheumatoid arthritis can both affect the shoulder joint and contribute to pain with external rotation.

Symptoms of Pain with External Rotation of Shoulder

The symptoms experienced by individuals with pain during external rotation of the shoulder can vary depending on the underlying cause. Common symptoms include:

  • Localized shoulder pain, especially during external rotation or specific activities.
  • Weakness and limited range of motion in the shoulder.
  • Swelling, tenderness, or bruising around the shoulder joint.
  • Difficulty performing daily tasks or physical activities that involve the affected shoulder.
  • Popping or clicking sensations during shoulder movement.
  • Loss of strength and function in the affected arm.

Treatment Options for Pain with External Rotation of Shoulder

At IAOM-US, we offer a range of effective treatment options to address pain with external rotation of the shoulder. Our skilled healthcare professionals, chiropractors, and physical therapists work closely with patients to develop personalized treatment plans. Some common treatment approaches include:

  • Physical therapy: Targeted exercises and manual therapy techniques can help strengthen the shoulder muscles, improve flexibility, and alleviate pain.
  • Chiropractic care: Manipulative techniques performed by chiropractors can help restore proper shoulder joint alignment, relieve pressure on affected structures, and promote healing.
  • Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs), analgesics, and corticosteroid injections may be recommended to manage pain and reduce inflammation.
  • Rest and immobilization: In some cases, resting the affected shoulder and using a sling or brace can aid in the healing process and prevent further aggravation.
  • Surgical intervention: In severe cases or when conservative approaches fail, surgical options such as arthroscopy, rotator cuff repair, or shoulder replacement may be considered.

Prevention and Self-Care Tips

While some causes of pain with external rotation of the shoulder cannot be prevented, several self-care measures can help minimize the risk and manage symptoms:

  • Avoid repetitive overuse of the shoulder joint and practice proper ergonomics during physical activities.
  • Warm-up before engaging in any strenuous exercise or sports activities involving the shoulder.
  • Perform regular shoulder strengthening and stretching exercises to maintain flexibility and optimize joint stability.
  • Maintain a healthy weight to reduce stress on the shoulder joint.
  • Practice good posture and avoid prolonged periods of sitting or standing in one position.
  • Use proper lifting techniques and avoid lifting heavy objects without assistance.

Contact IAOM-US for Expert Assistance

If you are experiencing pain with external rotation of the shoulder, do not hesitate to reach out to the experienced professionals at IAOM-US. Our dedicated team of healthcare providers specializes in diagnosing and treating various musculoskeletal conditions, including shoulder discomfort. We prioritize patient care, and our comprehensive approach aims to restore your shoulder's function and improve your overall well-being. Contact IAOM-US today to schedule an appointment and take the first step towards a pain-free and active lifestyle.

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