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Right hand sholder pain
I have been experiencing right shoulder pain for the past one month. I consulted an orthopedic surgeon, and I have been taking the prescribed medicines, attending physiotherapy, and doing my shoulder exercises every day. The pain has improved significantly, but I still cannot lift my arm fully above my head. Some doctors have suggested it may be a rotator cuff problem, while others think it could be frozen shoulder, which has left me confused. My orthopedic surgeon examined me and said that an MRI is not required at this stage because the condition is expected to heal with continued treatment. I would appreciate your opinion on whether I should continue my current treatment or if any further evaluation is needed.
Answers (9)
This is a classic description of how a frozen shoulder can look like especially in the start. And as you have mentioned, it is getting better, it is inclining towards the same diagnosis.
It is always better to get an MRI and rule out if there is any tear in Rotator cuff.
And continue your treatment after that.
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Hi Do you have diabetes? Thyroid?What is your occupation?
Do you have any neck pain and radiating pain to RT hand?
Plain X-ray msk USG has been done?
Next Steps
MRI RT shoulder W/o contrast to be indicated
Health Tips
Apply ice packs and nsaids and gentle stretches and physiotherapy
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Based on the information provided, it is difficult to differentiate between a rotator cuff pathology and frozen shoulder without knowing your age and detailed clinical examination findings. Since your pain has improved with medications and physiotherapy over the past month, continuing conservative treatment is reasonable. If you continue to have difficulty raising your arm after 6 weeks of supervised treatment, develop significant weakness, or your symptoms stop improving, an MRI may then be indicated to evaluate the rotator cuff and other soft tissue structures.
Next Steps
Continue supervised physiotherapy and home exercises. Follow up with your treating orthopaedic surgeon after another 2–4 weeks. If symptoms persist, worsen, or significant weakness develops, undergo a repeat clinical evaluation and consider an MRI.
Health Tips
Please mention your age, whether there was any history of injury, and whether your shoulder has restriction of passive movements in addition to active movements, as these details are essential to distinguish frozen shoulder from a rotator cuff tear.
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How old are you? Did you sustain any injury direct or indirect to the shoulde? Are you a diabetic? If pain has subsided and still not able to lift the upper limb actively there must be rotator cuff tear or SlAP lesion. If passive abduction is not possible think in terms of Frozen shoulder syndrome. Clinical examination and if need be MRI are the musts.
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