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Heart Attack Symptoms and Warning Signs

A heart attack happens when an artery that feeds oxygen-rich blood to the heart becomes obstructed. The heart muscle begins to die, and heart attack symptoms begin.

Call 911 immediately if you experience the following heart attack symptoms for two minutes or more:

  • Sudden shortness of breath.
  • Sudden sweating or flu-like symptoms, including nausea, clamminess or cold sweats.
  • Unusual fatigue, light-headedness, weakness or dizziness.
  • Pain that radiates. Men and women often experience this pain differently, as explained below.
  • Intermittent pain that lasts more than a few minutes, or goes away and comes back. This sensation can feel like uncomfortable pressure, squeezing or fullness.
  • Anxiety or a feeling of doom.
  • If you have angina: Any change in the frequency, duration or intensity of symptoms, which do not respond to nitroglycerin.

Symptoms Can Be Different for Men and Women

Men and women experience heart attack symptoms in slightly different ways. The main difference is how pain radiates.

  • For men: Pain will spread to the left shoulder, down the left arm or up to the chin.
  • For women: Pain can be much more subtle. It may travel to the left or right arm, up to the chin, shoulder blades and upper back — or to abdomen (as nausea and/or indigestion and anxiety). Women are also more likely to experience these accompanying symptoms: shortness of breath, nausea, vomiting and back or jaw pain. Read an in-depth overview of heart attack symptoms for women here.

Some heart attacks are sudden and intense, but most start slowly with mild pain and discomfort. Surviving a heart attack depends upon how well you recognize and react to these symptoms. Remember that “time is muscle.” The sooner you receive medical care, the sooner heart muscle can be saved.

What is Chest Pain?

When medical professionals talk about chest pain, they’re talking about the pain and discomfort that can be an early sign of heart attack. There are many ways to describe this pain, including tightness or unusual pressure in the center of the chest.

While pain can radiate to the shoulders, arms, neck, jaw or back, people often mistake this pain for indigestion, which can be dangerous.

Because heart attack symptoms in women can be so subtle, heart attacks in women frequently go unrecognized. Unfortunately, treatment is sought long after symptoms are initially felt.

If you’re experiencing the heart attack symptoms listed here, call 911 immediately.

Left arm pain: symptoms, causes and treatment

Updated: February 2020

Pain in the arms is a common complaint. We use our arms a great deal in everyday life, and the muscles, joints and tendons inside them can all be the cause of this pain. However, arm pain is not always caused by a problem with the arm itself, and may come from elsewhere in the body. In this case, it could be a sign of a more serious underlying condition. If you feel pain in your left arm in particular, it is important to be vigilant because this can be one of the symptoms of a heart attack. It is therefore important to learn to recognise the symptoms in order to tell if a pain in your arm is a cause for concern, and to know when you should seek urgent medical assistance.

Symptoms of left arm pain

Pain in the left arm can be acute (when it comes on suddenly and lasts for a short time) or chronic (when it lasts for over three months). It may come on gradually or suddenly, be severe or moderate, affect only one part of your arm (e.g. under your arm or in your upper arm) or your whole arm. It may also be accompanied by other symptoms (e.g. pain or a tightening sensation in your chest, or pins and needles), which should be taken seriously.

Causes of left arm pain

The causes of left arm pain can vary. The most well known of these is a heart attack. In this case, the arm pain may be accompanied by pain or a tightening sensation in your chest, pain in your back, neck, shoulder or jaw, nausea, shortness of breath, dizziness or fatigue. Left arm pain can also be caused by angina. This has similar symptoms but they only last for a few minutes. Pain may also be the result of having tense muscles due to stress. Similarly, an injury or a problem affecting your bones, joints or soft tissue (e.g. a fractured shoulder, arm, wrist or hand, shoulder or elbow tendinitis, bursitis, or a slipped disc) can cause arm pain, as can poor blood circulation and sleeping with an incorrect posture.

Is it a heart attack?

A heart attack happens when the muscles in your heart are starved of oxygen due to a problem with your blood circulation, such as a clot, for example. Pain in the left arm is the best known symptom of a heart attack. When someone is having a heart attack, this pain comes on suddenly, gets worse with exertion and eases off at rest, and is generally accompanied by other symptoms. These might include chest pain or a burning or tightening sensation in the chest, numbness or pain in the arm, back, neck, stomach, or jaw, and nausea, shortness of breath, dizziness or fatigue. If you experience any of these symptoms together, you should call for urgent medical assistance as you could be having a heart attack.

Treating left arm pain

If your left arm pain is benign, you can initially treat it by resting, applying a cold compress to the painful area and elevating your arm. If the pain is caused by a fracture, your arm will have to be immobilised in a plaster cast for several weeks. If it is caused by a musculoskeletal issue (one that affects your bones, joints or soft tissue), treatment may include painkillers or anti-inflammatory drugs, rest, and physiotherapy. Using one of the OMRON HeatTens range of pain relievers can also help to relieve muscle and joint pain using a combination of soothing heat and Transcutaneous Electrical Nerve Stimulation (TENS). If the pain is caused by an underlying heart condition, the treatment may involve taking medication for pain relief, in addition to making some radical changes to your lifestyle. Finally, if someone is having a heart attack, they must receive immediate medical treatment because heart attacks can be fatal and sometimes require surgery if medication alone does not dissolve the clot that is causing the problem.


Wexler, A. (2017). Why do I have a pain in my left arm? Retrieved from www.medicalnewstoday.com/articles/317652.php

Pietrangelo, A. (2016). Why is there pain in my left arm? Retrieved from www.healthline.com/health/pain-in-left-arm#takeaway

New Health Guide. What causes pain on the left arm? Retrieved from www.newhealthguide.org/Pain-In-Left-Arm.html

3 Most Common Causes and How to Fix It – Cleveland Clinic

Shoulder pain, stiffness or weakness can make it difficult to carry out everyday tasks, like reaching for something on a high shelf, driving a car or brushing your hair. If you have pain that won’t go away, it’s time to see a doctor.

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There are a number of possible causes of shoulder pain, but the most common causes of shoulder pain are rotator cuff injuries, rotator cuff tears and osteoarthritis, says orthopaedic surgeon Mark Schickendantz, MD.

1. Rotator cuff injuries

The rotator cuff is a group of four muscles and their tendons that surround the shoulder joint, and connect the shoulder blade to the upper arm bone. Bursae, small sacs near the joint, provide lubricating fluid that decreases friction among the bones, tendons and ligaments.

Rotator cuff problems occur through overuse, and they include tendonitis, strains and partial and complete tears of the tendon.

Tendonitis is when the rotator cuff tendon becomes inflamed and irritated; bursitis is when the bursae swell. Tendonitis and bursitis cause pain in the front and side of the shoulder, and you might also feel some stiffness.

“These two conditions can occur with activities that involve using your arms overhead, like tennis, yoga or painting a room,” Dr. Schickendantz says. “Often the pain will be worse at rest and improve with activity.”

Treatment involves rest, applying ice, and taking nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, which is sold under the brand names Advil and Motrin, or naproxen, which is sold under the brand name Aleve. After a few weeks, most people with tendonitis recover, Dr. Schickendantz says.

2. Rotator cuff tears

If you experience shoulder pain at night that makes it difficult to fall asleep or awakens you, you may have a tear in one or more of the rotator cuff tendons.

“Night pain is the hallmark of a rotator cuff injury,” Dr. Schickendantz says.

You also may have this type of injury if you feel pain when lifting your arm overhead and weakness in the shoulder when trying to lift anything above shoulder level.

A rotator cuff tendon can tear from a single event, like falling down on an outstretched arm. It also can happen from a motion that is repeated over time. For example, a plumber who frequently uses his or her arms overhead can develop a rotator cuff tear. The rotator cuff also can weaken with age.

Treatment is rest, avoiding aggravating activities, physical therapy, applying ice, and NSAIDs. Some people with more severe pain may be helped with a corticosteroid injection, which is a powerful anti-inflammatory medication.

“I usually reserve the use of corticosteroids for someone who has severe night pain and is not responding well to oral medications,” Dr. Schickendantz says.

Surgery to repair the rotator cuff tendon is an option if these measures don’t give relief.

3. Osteoarthritis

Osteoarthritis happens when cartilage, which is the cushioning material that covers the ends of your bones, deteriorates, which leads to pain and stiffness.

Osteoarthritis causes a deep ache in the back of the shoulder. As osteoarthritis worsens, stiffness in the shoulder develops. People with osteoarthritis typically lose the ability reach behind their back.

“Patients often say they are unable to scratch their back or thread a belt,” Dr. Schickendantz says.

Osteoarthritis symptoms develop over time. For some people, an old shoulder injury from sports or some other activity, may kick off the degenerative process that years later results in osteoarthritis. But many people have no specific cause — it’s just wear and tear over time.

Treatment for osteoarthritis of the shoulder is similar to treatment for a rotator cuff tear, involving physical therapy, NSAIDs and ice. If the condition is severe, you can undergo shoulder joint replacement surgery, which is similar to joint replacement for hips and knees.

Arm and Leg Pain – Access Health Centers

Our shoulder and hip joints are two of our most frequently used joints and are prone to a wide range of possible injuries. Oftentimes people are completely unaware of what caused their pain, maybe it is a weekend warrior who overused the joint in an athletic competition, an unfortunate participant in a car accident, a person lifting too much weight at work or home, or a grandmother who fell asleep holding their grandchild in one position all night. Typically, these situations cause almost an immediate pain or discomfort as a result of muscle, bone, or nervous system damage and irritation. Our chiropractic clinic can help.

However, many people have arm and leg pain that develops gradually over time, and are unaware of what may have initially caused it. Vertebral subluxations, arthritis, bursitis, tendinitis, and frozen shoulder are the most common causes of pain.

It has also been shown that arm and leg pain is often caused by “referred pain,” where pain in one area moves to another part of the body. This may be best known as the arm pain that is commonly reported during a heart attack. A less common example is the pain that an inflamed gall bladder often causes under the right shoulder blade.

We frequently see patients who complain of arm and leg pain that is being referred from nerve irritation at the spine. If the spaces where the nerves leave the spine are narrowed due to the vertebrae or disc being out of position, the nerve can become irritated and often produces pain down its entire path. The pain patterns associated with sciatica are a good example of this mechanism.

What Is Causing My Leg Pain?

Due to the complexity of the joints and the vast number of possible causes, it is important that you see someone who is trained in these areas. Typically, your healthcare provider will use a combination of a physical examination and advanced imaging to get to the root cause of your problems. This is done by finding the location of the pain, aggravating or alleviating factors, type of pain sensation, and other symptoms such as swelling, skin changes, and bruising as other tools to assist in the diagnosis.

Can a Chiropractor Help?

As with any condition, you want to start with treating the most common and typical cause of the pain and symptoms first. Misalignment (subluxations) of the vertebrae in the neck and lower back has been found responsible for the vast majority of reported arm and leg pain. When bones or discs are out of position and are unable to move properly, it can cause irritation to the surrounding tissues and nerves.

Many patients are surprised to see how extensively their nerves are spread throughout the body, from the spine all the way to the fingertips and toes. As a result, injuries to the vertebrae in the spine can create the sensation of pain anywhere along arms and legs. Through a careful pattern of treatment, patients at Access Health Centers have experienced high levels of success through chiropractic treatment. If you or a loved one is experiencing arm or leg pain contact us today to schedule a consultation.

Shoulder impingement – NHS

Shoulder impingement is a very common cause of shoulder pain, where a tendon (band of tissue) inside your shoulder rubs or catches on nearby tissue and bone as you lift your arm.

It affects the rotator cuff tendon, which is the rubbery tissue that connects the muscles around your shoulder joint to the top of your arm.

An impinging shoulder will often improve in a few weeks or months, especially with the right type of shoulder exercises, but occasionally it can be an ongoing problem.

Symptoms of shoulder impingement

Shoulder impingement can start suddenly or come on gradually.

Symptoms include:

  • pain in the top and outer side of your shoulder
  • pain that’s worse when you lift your arm, especially when you lift it above your head
  • pain or aching at night, which can affect your sleep
  • weakness in your arm

Your shoulder will not usually be stiff. If it is, you might have a frozen shoulder instead.

Read about other causes of shoulder pain.

When to get medical help

See a GP if you have shoulder pain that does not go away after a few weeks or is stopping you from doing your normal activities.

They’ll look at your shoulder and ask you to move your arm in different ways to see how easily you can move it and if movement makes the pain worse.

They may suggest some treatments you can try or refer you to a physiotherapist for treatment advice. You probably will not need to go to hospital for any scans.

You can also go straight to a physiotherapist without seeing a GP, but you might need to pay.

Read about finding a physiotherapist

Things you can do if you have shoulder impingement

  • Avoid things that make the pain worse – avoid activities that involve repeatedly lifting your arm above your head (such as swimming or playing tennis) for a few days or weeks. Ask a GP or physiotherapist when you can restart these activities.
  • Do not stop moving your arm completely – try to carry on with your normal daily activities as much as possible so your shoulder does not become weak or stiff. It’s usually best to avoid using a sling.
  • Gently hold an ice pack (or bag of frozen peas) wrapped in a towel on your shoulder for 15 to 20 minutes a few times a day.
  • Take painkillers – anti-inflammatory painkillers (such as ibuprofen) or paracetamol may help. A GP can prescribe stronger painkillers if needed.

Treatments for shoulder impingement

Shoulder exercises

A GP may be able to advise you about simple shoulder exercises you can do.

Physiotherapists can also diagnose shoulder impingement and suggest exercises to help improve shoulder posture and further strengthen your muscles to improve your pain and range of movement.

You may need to do these exercises with a physiotherapist at first, but after a while you’ll usually be able to continue doing them at home.

Go back to a GP or physiotherapist if the exercises make your pain worse or your pain does not improve after a few weeks.

Steroid injections

Steroid injections into your shoulder can help relieve pain if rest and exercises on their own do not help.

But it’s still important to do your shoulder exercises, as injections usually only have an effect for a few weeks and your pain may come back if you stop the exercises.

While the injection can be repeated if needed, having more than 2 is not usually recommended because it might damage the tendon in your shoulder in the long term.

The injections can also have side effects, such as permanent dimpling or lightening of the skin where the injection is given.


An operation called a subacromial decompression may be an option if other treatments have not worked, although there’s some uncertainty about how much it helps.

The operation involves widening the space around the rotator cuff tendon so it does not rub or catch on anything nearby.

The operation is usually done using small surgical instruments passed through small cuts in your shoulder.

This is a type of keyhole surgery known as arthroscopy.

It’s usually done under general anaesthetic, where you’re asleep.

Most people can go home the same day or the day after surgery and are able to use their shoulder normally again after a few weeks.

Causes of shoulder impingement

When you lift your arm, the rotator cuff tendon passes through a narrow space at the top of your shoulder, known as the subacromial space.

Shoulder impingement happens when the tendon rubs or catches on the bone at the top of this space, called the acromion.

This can be caused by:

  • the tendon becoming swollen, thickened or torn – this can be due to an injury, overuse of the shoulder (for example, from sports such as swimming or tennis) or “wear and tear” with age
  • the fluid-filled sac (bursa) found between the tendon and acromion becoming irritated and inflamed (bursitis) – this can also be caused by an injury or overuse of the shoulder
  • the acromion being curved or hooked, rather than flat – this tends to be something you’re born with
  • bony growths (spurs) on the acromion – these can develop as you get older

Page last reviewed: 29 April 2020
Next review due: 29 April 2023

Shoulder Pain: Causes, Relief and Exercises

A common cause of shoulder pain is soreness of the tendon (a cord that attaches a muscle to a bone) in the rotator cuff. This is the part of the shoulder that helps circular motion. Another common cause is soreness of the subacromial bursa (a sac of fluid under the highest part of the shoulder).

You might experience soreness after painting, lifting items, or playing a sport—anything that requires you to lift your arms, especially overhead. Or you may not remember any specific injury, but you still feel pain in your shoulder.

How does the rotator cuff get hurt?

The main joint in the shoulder is formed by the arm bone and the shoulder blade. The joint socket is shallow, allowing a wide range of motion in the arm. The rotator cuff is made up of 4 muscles that surround the arm bone. This cuff keeps the shoulder steady as the arm moves.

The supraspinatus muscle rests on top of the shoulder. Its tendon travels under the bone on the outside of the shoulder (the acromion). This tendon is the one most often injured because of its position between the bones. As the tendon becomes inflamed (sore and swollen), it can become pinched between the 2 bones. The sac of fluid that cushions the tendon can also be irritated and swollen.

How do I know the rotator cuff is hurt?

If the rotator cuff is involved, the pain is usually in the front or outside of the shoulder. This pain is usually worse when you raise your arm or lift something above your head. The pain can be bad enough to keep you from doing even the simplest tasks. Pain at night is common, and it may be bad enough to wake you. It also may worsen when lying down or onto that side.

Path to improved health

Your doctor can help you with a treatment plan to relieve the pain and help you restore your shoulder to normal function. Pain relief strategies include active rest. During active rest, you can and should move your shoulder. Avoid difficult activities like lifting heavy objects or repetitive overhead movements. You may also get relief by applying ice, taking nonsteroidal anti-inflammatory medicine such as ibuprofen (brand names: Advil, Motrin) or naproxen (brand name: Aleve), and, occasionally, an injection of anti-inflammatory steroids. Special exercises may also help.

The first step of rehabilitation therapy is simple range-of-motion exercises. By bending over and moving (rotating) your shoulder in large circles, you will help to avoid the serious complication of rotator cuff injury, called a frozen shoulder. You should follow these range-of-motion exercises with resistance exercises using rubber tubing or light dumbbells. The final step is resistance training with weight machines or free weights.

What exercises should I do?

The following exercises may help you. Ask your doctor if you should do other exercises, too. You can also try these rotator cuff exercises.

Range of motion

Stand up and lean over so you’re facing the floor. Let your sore arm dangle straight down. Draw circles in the air with your sore arm. Start with small circles, and then draw bigger ones. Repeat these exercises 5 to 10 times during the day. If you have pain, stop. You can try again later.

Good posture

Having good shoulder posture can help prevent shoulder pain. Many people with shoulder pain often lift up or hunch their shoulder forward. Work on improving your posture if you find yourself slumping or hunching. Throughout the day, focus on bringing your shoulder or shoulder blade down and holding there. Another exercise is to stand against the wall with the back of your head, shoulders, legs, and heels touching the wall. Notice if your painful shoulder blade doesn’t touch the wall completely. Keep trying that position throughout the day.

Upper extremity strengthening

As your pain goes away, try adding a general upper body weight-lifting program using weight machines or free weights. Lie on your right side with your left arm at your side. With a weight in your left hand and your forearm across your tummy, raise your forearm.

Keep your elbow near your side.

What else can I do to help this injury heal?

An aerobic exercise program will help improve the blood flow to the tendon or bursa. The blood flow will help reduce soreness. Smokers should quit smoking so more oxygen reaches the injured tendon. This will help the injury heal faster.

Things to consider

It often takes a shoulder a long time to heal. The earlier you address the pain, the better. Depending on your injury, you should be able to make a full recovery. However, many people complain that even with a full recovery, their shoulder is not as strong as before.

When to see a doctor

If you fell or felt a sudden pull, you shouldn’t wait more than a few days before you see your doctor because it could be a torn tendon. Tell your doctor if your pain goes on in spite of a good treatment program. Or when there is weakness in certain motions of the arm. You may have torn your rotator cuff. This type of injury may need surgery.

Questions to ask your doctor

  • What is causing my shoulder pain?
  • Could my shoulder pain be caused by my sleep position?
  • How much should I limit my activities?
  • Why is it taking so long for my shoulder to heal?
  • How can I prevent a repeat of my shoulder pain if I don’t know what caused it?
  • Will my shoulder heal completely?


National Institutes of Health, MedlinePlus: Shoulder Injuries

National Institute of Arthritis and Musculoskeletal and Skin Diseases: Shoulder Problems

Copyright © American Academy of Family Physicians

This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject.

What Neck Pain on the Left Side Means: Jonathan Chin, MD: Pain Management

The human body is a complicated structure made of trillions of cells. These cells combine to form tissues that gather and make organs. Different organs collectively include organ systems, and these systems run our bodies.

Basic stuff, yet it all is complex, connected, and sometimes mysterious. The neck, part of the skeletal system, is crucial to our overall bodily structure. It provides support and structure to our heads, connects the cervical spinal cord to our brains, and gives home to essential blood vessels to circulate throughout our bodies. The neck muscles are exceptionally delicate, and even a minor injury or sprain can lead to dangerous results.

Neck pain ranked among the top five pains in the world. Temporary neck pain, particularly of the left side, can be caused by fatigue, an improper sleeping position, and irritating daily activities.

To be more literal, the neck pain we experience is caused by inflammation, muscle strain, or tension. While there aren’t any severe and specific causes behind neck pain on the left side, persistent pain means something is wrong.

Neck pain on the left side has several reasons, from mild and common to severe and rare.

Most common causes

Tension or muscle strain

Tension and muscle strain are some of the biggest culprits behind pain on the neck’s left side. When the tendon or neck muscle is torn or overstretched, muscle strain occurs. Tension in muscle is when it doesn’t relax fully after contracting. These are caused by:

  1. Sitting or leaning forward for a long time
  2. An awkward sleeping position like with twisted or bent neck
  3. During exercise, when you put too much force on muscles of the neck
  4. Stress
  5. Worn joints with age
  6. Compression of nerves
  7. Falling or crashing into someone cause whiplash
  8. Cradling the phone between shoulder and ears


Forceful back and forth head thrusting causes whiplash. The reason includes accidents and during sports like football. Whiplash causes pain in the left side of the neck, headache, and muscle stiffness. Bufferin and OTC pain medicines are generally recommended to treat whiplash.

Cervical radiculopathy

When nerve fibers get irritated or get squeezed on the neck’s left side, it can cause pain there. Your shoulder may be numb too.

Acute torticollis

If neck muscles contract so that the head twists to one side, it is called acute torticollis. Turning like this might cause neck pain on the left side.

Less common causes

Degeneration of cervical disk

Vertebral bones have disks between them. They are flexible, rigid, and act as shock absorbers. These disks might get weak, and their outer covering (annulus fibrosus) tears with time. With its breakage, the disks’ internal material come out and accumulate on the spinal cord.


Inflammation caused by viruses, bacteria, or fungus causes neck pain. Meningitis causes headaches and muscle stiffness. If it remains untreated, it will lead to seizures and brain swelling.

Cervical Fracture

The first seven bones of the vertebrae are called cervical vertebrae. Fracture on any of these bones caused by accidents, sports, or other injuries causes broken necks.

Herniated cervical disk

When the outer covering of cervical disks worn out, nerves get pressed and pushes the nucleus to one side is known as a herniated cervical disk. Pressured nerves cause neck pain, numbness, stiffness, and arm pain.

Rare causes

Congenital anomalies

Congenital cervical vertebrae anomalies and torticollis in newborn babies cause pain on both sides of their neck. These occur during birth injuries and some unknown reasons.

Spinal tumor

An abnormal cell started growing in the spinal cord or vertebrae, cancerous or benign, called a spinal tumor. Spinal tumors cause muscle weakness, neck pain, and severe inflammation.

When to seek help?

Continual pain that doesn’t improve on its means it’s time to consult with a professional.

Visit the doctor immediately if you feel that your neck pain started running to your arms or you started getting numbness with tingling.

Doctors will first physically examine you and ask for your medical history. If they didn’t get to the actual cause from there, they would recommend you to go through X-rays, CT scans, and MRI.

Treatment of neck pain on the left side

Most of the treatments depend on the severity and diagnosis. For mild pain, take a hot bath or shower. You can also try using a hot water bottle, neck massage, use of a neck pillow. It will relax neck muscles and give you relief.

If recommended by a doctor, you can seek a physiotherapist’s help. He will give you tips for better posture, movement through various exercises.

If neck pain is prolonged, doctors might give corticosteroid injections to you. These lessen the pain and inflammation in the neck.

When the neck bones are fractured, or nerve cords are severely compressed, surgery is usually the answer. However, minor fractures usually only need a neck collar as treatment.

Neck pain on the left side is not a thing to ignore.

Proper diagnosis and treatment are required to cure it. While rare, undiagnosed or untreated neck pain can elevate to a permanent disability. Neck pain is not something you have to live with- even if you may consider the pain relatively mild. Don’t let pain affect your quality of life, and get help with a compassionate specialist.


Pain in the shoulder joint is quite common; it can also appear in young patients. Often the pain syndrome is quite pronounced and leads to a significant deterioration in the patient’s quality of life, reduces the ability to work, and sometimes even leads to difficulties in self-care, causing difficulty in dressing, going to the bathroom, cooking and eating, cleaning your living quarters. Often, patients with pain in the shoulder joint complain of severe sleep disturbance associated with pain.

What should you do if this situation is familiar to you? It is necessary to consult a traumatologist-orthopedist or rheumatologist, it is advisable to have an X-ray or MRI examination of the shoulder joint with you. At the appointment, the doctor will decide on a list of additional laboratory tests, taking into account the symptoms of the disease, in order to make an accurate diagnosis. You can take all tests right at the clinic.It is important to know that you should not undergo laboratory diagnostics in advance, since the patient may pass those tests that are not needed and not pass those necessary to confirm or remove the diagnosis.

Treatment of pain in the shoulder joint should be complex and individual! It is different for each patient! For some, it is enough to provide peace and temporarily relieve the joint with the help of kinesio taping, while others need to take a course of taking tablets or intramuscular drugs. Someone will need additional methods of treatment – the so-called intra-articular blockade, when drugs are injected directly into the shoulder joint. This method allows you to quickly stop the pain syndrome and makes it possible for further rehabilitation of the joint with the help of reflexology, osteopathy, massage, kinesio taping, physiotherapy. And for some people, shoulder pain is a psychosomatic condition that arose due to any psychological shock, stress. …Only a psychologist specializing in this direction can relieve such a patient from pain.

A timely visit to a doctor will relieve you of an excruciating pain syndrome. It will help to restore the usual way of life in the shortest possible time and prevent persistent dysfunction of the limb and the transition of pain to the category of chronic.

Dear friends, for advice on pain in the shoulder joint, you can contact our rheumatologist Malakhova Lyubov Sergeevna, and traumatologists-orthopedists of our clinic can also help you.

Psychosomatic help is provided by the psychologist Skorovenko Natalya Nikolaevna.

Make an appointment with a specialist by phone 211-00-81 or leave a request on the website in any convenient way.

We wish you good health!

“Frozen shoulder” is an inflammatory disease of the shoulder joint

What is frozen shoulder?

Frozen shoulder most often occurs between the ages of 40 and 60 and is characterized by adhesions or induration of the joint capsule.Also, muscles in the shoulder joint area may be involved in the process.

“Frozen shoulder” can occur against the background of rheumatism, osteoarthritis, chronic overload and repeated trauma to the soft tissues around the shoulder joint. The disease is chronic and requires complex and sometimes rather long-term treatment. Long-term mobility limitations take longer to regain mobility. The good news is that with proper treatment, the shoulder joint “thaws”.

Signs and Symptoms

The first symptom is shoulder pain. The pain usually gets worse at night. Even without treatment, pain can be relieved during the daytime. Gradually, the shoulder becomes less mobile up to the impossibility of passive movements. In everyday life, patients complain of cutting pains in the shoulder when washing and dressing, when trying to raise their arm above their head, including when pulling out the seat belt.

Frozen shoulder will resolve on its own over time, but this can take up to three years.At the same time, in most people, the mobility of the shoulder joint is restored almost completely.

Risk factors and causes

Frozen shoulder syndrome usually results from (secondary) trauma. Rheumatic diseases, infections, inflammation, or osteoarthritis can also lead to frozen shoulder syndrome. In particular, prolonged immobilization of the shoulder joint after surgery or accidents can trigger frozen shoulder syndrome.

The exact cause of the frozen shoulder is unknown. A number of doctors believe that diseases such as diabetes or hyperthyroidism are risk factors.


In some cases, it is very important to immobilize the shoulder after injury or surgery, which is a risk factor. For this, medi manufactures special orthoses that allow you to perform exercise therapy exercises. In this case, you should always consult with your doctor and get his permission to perform a particular movement.

Early mobilization is the prevention of frozen shoulder. Physiological biomechanics, including correct posture, is also a method for preventing frozen shoulder. Take good care of your joints when doing physical activity. Also, avoid unilateral stress at work or during sports. If you suffer from arthritis, see your doctor for proper treatment.

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Causes of joint crunch in different age groups of patients

It is generally accepted that a crunch in the joints during flexion indicates some kind of malfunction in the musculoskeletal system. In fact, this is not always the case. Joint crunching without pain is common during adolescence. The reason is the rapid leaps and bounds of development and temporary anatomical imbalances. The causes of pain and crunching in joints in patients over 60 years old are most often inflammatory or degenerative-dystrophic diseases. In these cases, examination and adequate therapy are necessary.

Crunching of the shoulder joint

In medicine, the characteristic crunching sound is called crepitus.It appears when two hard surfaces come into contact, for example, in osteoarthritis, when the elastic cartilage tissue covering the joint is destroyed. What caused the specific sound? When moving, the volume of the articular bag increases, as a result of which the pressure drops and bubbles of carbon dioxide are formed in the intra-articular fluid. When they burst, a characteristic click is heard.

Shoulder clicks in people under the age of 35 may be the result of an injury to the shoulder muscles. Rest and physiotherapy procedures will help in this case.Usually the crunch disappears after 2–4 months. In patients between 35 and 60 years of age, crepitus combined with pain may be signs of inflammation. This condition in the early stages is successfully treated with physiotherapy sessions. In later stages, corticosteroid injections are given to relieve inflammation.

Patients over 60 years of age, along with crunching in the shoulder joint, usually experience painful sensations. In such cases, a doctor should be consulted for diagnosis and treatment.Arthritis is usually the cause of pain and crunching. Read more about the treatment of arthritis on our website Dobrobut.com.

Crunching and pain in joints: causes

The main causes of crunching in joints:

  1. Heredity. Firstly, the result of the more viscous collagen and the increased extensibility of the ligaments is a weak ligamentous apparatus. Secondly, a genetically determined decrease in the secreting function of the periarticular bag and a lack of synovial fluid impairs sliding. Because of these reasons, a crunch appears in the joints.
  2. Age. Crunching and pain in joints in the elderly are associated with degenerative-dystrophic changes (wear) of the joint.
  3. Functional disorders, injuries. Increased physical activity (in athletes, people engaged in hard physical labor) can lead to arthrosis.
  4. Prolonged immobilization. Immobility is the same enemy of the joints, as well as increased stress. For example, after a broken leg, the patient may experience a crunch in the knee joint.

If crepitus is accompanied by pain, this is a sign of inflammatory or dystrophic changes in the joint. A doctor should diagnose and prescribe treatment for crunching in the joints. Self-use of drugs and dietary supplements can only aggravate the condition. To relieve pain and inflammation, doctors usually prescribe NSAIDs (diclofenac, meloxicam). For nutrition and restoration of cartilage tissue – chondroprotectors (glucosamine, chondroitin). It’s important to keep track of your weight.Each kilogram of excess weight adds six kilograms of stress to the joints of the lower extremities. Therefore, when a crunch appears in the hip joint, it is advisable to lose weight. Diet, gymnastics, walking, swimming, cycling will help with this.

Is clicking joints really harmful?

According to the traditional opinion, the habit of clicking joints will inevitably lead to arthritis and other problems. However, medical research has never established a link between crepitus and subsequent joint disease.The researchers used x-rays of the hands of 215 people aged 50 to 89 and compared the joints of those who regularly crunched their knuckles and those who did not. Results published in 2011 reported that crepitus does not cause osteoarthritis in the hands.

Pain in the left shoulder – General information, Causes of occurrence. Tomsk

The shoulder joint is the most unique joint in the human body in terms of its structure and functional ability. At the same time, improper and excessive physical exertion on the shoulder joint leads to local 90,099 inflammatory processes, 90,100 leading to local edema, joint effusion, and even partial ruptures of the tendons and muscles surrounding the shoulder joint.

The shoulder has one thing in common with the normal mechanism: it can only withstand mishandling up to a certain limit, after which its functions are impaired. For you, such violations turn into pain.

Mechanism of pain in the left shoulder 90 100

Pain in the upper shoulder may come from the neck.Such pain spreads along the entire length of the arm (including the hand), increases with neck movement, and may be accompanied by numbness or parasthesia. When examining the cervical or thoracic spine, 90,099 intervertebral hernias are often found.

Damaged intervertebral discs of the cervical or thoracic spine lose their elastic properties over time, flatten, and the distance between the vertebrae decreases. And this means that the nerve roots extending from 90,100 spinal cord 90,100 are clamped, pain arises.At the same time, edema appears in the area of ​​the clamping of the neurovascular bundle, which leads to even greater infringement and increased pain.

Capsulitis is a rare condition of painful stiffness in the muscles of the shoulder girdle. In this condition, there is a limitation in the volume of abduction of the arm to the side when it is lifted up and the impossibility of placing the sore arm behind the back. This condition often develops gradually, not noticeable to the patient.

The defeat of the rotating cuff of the shoulder occurs after performing non-standard movements in the arm.On the day of the work, there are usually no complaints. The next day, sharp pain in the left shoulder when trying to remove anything from the upper shelf.

During the examination, the degree of muscle tension in the shoulder girdle is established, the range of motion in the left shoulder joint is . On radiographs of the joint, as a rule, there will be no changes.

Tendobursitis occurs when reactive inflammation of the bags of the shoulder joint caused by calcifications of muscle tendons. Characterized by acute pain in the left shoulder and significant limitation of both active and passive movements in it.Usually severe pain in the neck, shoulder girdle and arm.

Causes of pain in the left shoulder 90 100

One of the most common causes of pain in the left shoulder is inflammation of the tendons surrounding the shoulder joint. These disorders are called 90,100 tendonitis 90,100. Most often they arise from excessive stress. When you cut wood or play golf, tendons rub against bones. Hence – the onset of irritation and pain.

Biceps tendonitis (a muscle on the inside of the shoulder that runs from the shoulder to the elbow) is chronic pain that increases with movement and palpation. In the event of a complete rupture of the biceps tendon, a swelling in the form of a ball appears on the shoulder.

Bursitis, this companion of tendonitis and the culprit of left shoulder pain, is also associated with overload. However, it manifests itself in a wider range of disorders: swelling in the area of ​​the joint capsule, the soft sac surrounding the joint, joins the pain.

If you have pain in your left shoulder when you raise your arm, it may be due to the deposition of calcium salts, which is causing the ligaments in the joint to become worse.These deposits form in the tendon that runs under the scapula and collarbone. These disorders are called “collision” syndrome. Most often, these processes occur at the age of 30-50 years. Pain in the left shoulder is usually sudden, intense and persistent. Movements in the joint become painful to abduct the shoulder from the body by 30-90. Sometimes the deposition of calcium salts in the joint is detected by chance, while still asymptomatic, during X-ray examination for another reason.

Pain in the left shoulder can be associated with traumatic injuries, less often tumors and hereditary anatomical abnormalities. In a fall, the humerus can be displaced in such a way that the upper arm literally flies out of the groove of the joint. Trying to cushion a fall while leaning on the arm can rupture the tendons of the muscles that enable the arm to rotate. If left untreated, these injuries can result in 90,099 permanent shoulder dysfunctions over time.

Joint injuries, other than accidents, are common among athletes or young people. In the latter case, recurrent shoulder dislocation is common. In adults, injuries to the structures of the shoulder joint occur in connection with aging, tissue wear, or the development of osteoporosis (a disorder of calcium metabolism in bones).

Pain in the left shoulder is one of the most common problems among bodybuilders, along with pain in the lower back, knees and elbows. This shoulder injury can make a number of exercises in the workout impossible. There are many reasons for this, the main of which is the instability of the shoulder joint.

The likelihood of overstretching the shoulder ligaments is significantly increased in key movements such as the bench press, lying with dumbbells, flattening the arms on the machine, and the barbell press behind the head. Pain can arise as a result of 90,100 stress in the articular bag of the shoulder girdle and excessive work of its muscles, which try to maintain the central position of the head of the humerus in the articular bag for proper joint function.In addition, pain can result from tearing of the cartilaginous ring along the glenoid cavity.

Cartilage ring performs several functions: it deepens the glenoid cavity and serves as additional support for the articular bag and the tendon of the long head of the biceps.

Pain in the left shoulder often develops in connection with a disease of the internal organs and spreads to the shoulder in the following diseases:

  • liver pathology;

  • myocardial infarction;

  • angina pectoris;

  • pneumonia;

  • cervical sciatica;

  • tumors of the chest organs.

The main manifestation of humeroscapular periarthrosis is pain in the left shoulder. The pain often begins gradually without an obvious provoking factor, is progressive, often “wakes up” the patient at night, and significantly affects the performance of daily activities. Joint movements are painful in several directions.

Pain in the arm can include pain in the left shoulder, forearm and hand and be of a different nature: burning, aching, shooting.Pain in other parts of the body can be given to the arm. The course of the disease varies from several weeks to several months. The outcome is also different – from complete recovery (even without treatment) to the development of a blockage of the shoulder, and in the case of the syndrome “shoulder-hand” – also hand dysfunctions.

Depending on which tendons of the shoulder are affected, pain in the left shoulder occurs with various movements. Limited muscle function as a result indicates the cause of the limitation. Pain in the left shoulder when the arm is pulled to the side or when it then moves forward indicates changes in the supraspinal tendon.

Pain in the left shoulder during outward rotation of the upper arm with the elbow pressed to the body indicates changes in the infraspinal tendon . Pain in the left shoulder during inward rotation of the upper arm with the elbow pressed against the body indicates changes in the subscapularis tendon. Pain in the front of the shoulder when the forearm is rotated inward during resistance often indicates long biceps disease.Other causes of pain in the left shoulder:

  • Impigment syndrome (narrowing syndrome).

  • Tendon rupture / rotator cuff rupture.

  • Calcification of the forearm / calcification of the tendon.

  • Inflammatory diseases of the shoulder are an important exclusionary diagnosis.

  • Pain in the left shoulder can also be caused by neurogenic pathology, which is manifested by paresis, muscle wasting and sensory disorders (cervical radiculopathy, cervicobrachial plexopathy, neuropathy, complex regional pain syndrome, neuralgic amyotrophy, myelopathy).

  • Presence of protrusions or hernias of intervertebral discs of the cervical and thoracic spine.

  • Pain in the left shoulder can be reflected pain of any muscle in myofascial syndrome, the tendon of which is woven into the joint capsule.

  • Arthrosis, arthritis of the left shoulder.

For pain in the left shoulder , see a doctor.Consult an orthopedist (preferably with experience in sports medicine) or a sports physician specializing in joint problems. There can be many causes of left shoulder pain, and you need an accurate diagnosis to determine treatment options.

90,000 causes of pain and their prevention in the clinic “Health Workshop” in St. Petersburg

Why shoulders hurt

Our shoulder joint is vulnerable. He does not withstand abuse for long and responds with pain and dysfunction.The causes of pain in the shoulder joint are varied – hard physical work, increased training in the gym, viral diseases. The shoulder may be sore from a bruise, dislocation, or fracture. Constant pain in the left or right shoulder is a reason to see a doctor. This will prevent the development of the disease and prevent it from becoming chronic.

Pain in the shoulder joint is at risk of feeling people who:

  • stoop, do not follow posture;
  • 90,081 move little during the day;

  • perform hard physical work;
  • go in for sports professionally.

Types of pain

Shoulders most often begin to ache due to overload. By intensively going in for sports, lifting weights, we provoke the appearance of pain. It can be a symptom of various diseases. Consider what kind of disease causes what type of shoulder pain.


Osteochondrosis of the cervical spine 90 100. The pains radiate to the arm and intensify when turning the head. Intense at night and intolerable. In advanced cases, a person’s hand does not rise.

Arthritis – joint inflammation. With arthritis, the right or left shoulder hurts badly.

Osteoarthritis is a common cause of acute pain in the shoulder joint. More common in older people. It hurts a person to raise his hand and perform another movement. Osteoarthritis can cause bruises, dislocations, fractures, sprains.

Brachial nerve neuritis 90 100. It is caused by inflammation, tumors, trauma. A person suddenly feels a sharp pain in the shoulder joint.

Tendobursitis – inflammation of the joint capsule. It is caused by deposits of calcium salts. Tenobursitis is characterized by sharp pain throughout the arm from the neck to the fingertips. It is difficult for the patient to move the arm.

Defeat of the rotator cuff 90 100. The disease is caused by non-standard hand movements – for example, painting the ceiling. The day after painting, a person may feel acute pain in the shoulder.

Shoulder joint capsulitis 90 100. The disease causes stiffness in the muscles of the shoulder girdle. A person has a severe pain in his right or left shoulder, he cannot freely raise his hand up, take it to the side or lead it behind his back.

Shoulder injuries – fractures, sprains, dislocations. Injuries need to be treated or they will lead to permanent shoulder dysfunction and become chronic.


Tendonitis 90 100. This is an inflammation of the tendons surrounding the shoulder joint. Tendinitis usually occurs due to increased stress.With hard physical work, the tendons rub against the surface of the joint. This causes chronic aching pain.

Biceps tendonitis 90 100. This is an inflammation of the tendon of the muscle in the inner part of the shoulder. A person’s shoulder constantly hurts. The pain increases with movement of the arm and palpation of the muscle. When the biceps tendon ruptures, a ball-shaped swelling appears.

Bursitis 90 100. It occurs with excessive stress on the joint, after injuries to the periarticular bursa or tendons. A person experiences sharp pain, edema joins it.It is impossible to sleep on the affected shoulder.

Pain on movement

Collision Syndrome . The disease causes the deposition of calcium salts. The pain comes on suddenly, when you raise your arm, it is intense and constant. The syndrome often affects people aged 30-50 years.

Overstretching of the shoulder ligaments 90 100. This problem is familiar to bodybuilders. Sprains cause strenuous exercise. The pain increases with movement or palpation of the muscle, bruising appears.


Intervertebral hernia of the cervical spine 90 100. Causes intermittent aching pain in the shoulder joint and neck. Headaches and dizziness join it. With the development of the disease, the situation worsens. The pain becomes constant and unbearable.

Shoulder-scapular periarthritis 90 100. The pain is burning, aching and shooting. It starts gradually, for no apparent reason. Often “wakes up” at night, while hands are freezing. Movement causes joint pain.In advanced cases, the functions of the hand are disrupted, hands go numb.

Myalgia 90 100. The disease is caused by physical overload, hypothermia, viral infections. A person feels aching, sometimes sharp pain in the muscles, he cannot move his arms at full strength.


A person has a shoulder pain, but the problem is in another part of the body. Reflected shoulder pain appears due to heart disease, liver pathology, myocardial infarction, angina pectoris, pneumonia, sciatica, and chest tumors.With a heart attack, a person’s arm hurts from the shoulder to the elbow. The patient feels heaviness and compression in the chest, dizziness occurs.

90,000 Methods for reducing shoulder pain after laparoscopic gynecological operations

Review Question

The Cochrane authors wanted to find out how effective different methods (interventions) are in reducing the frequency and severity of shoulder pain after laparoscopic gynecological interventions (keyhole surgery).


A minimally invasive gynecological surgery (laparoscopy) is a procedure in which the surgeon uses a camera (laparoscope) to look at the lower abdomen to see the uterus, fallopian tubes, and ovaries.They can also use special instruments to test or treat specific gynecological conditions. This is a routine procedure that about 250,000 women in the UK undergo every year. Up to 80% of these women may experience upper shoulder pain (STP), which can be very severe and lead to prolonged hospitalization and even the need to return to the hospital.

During laparoscopy, the surgeon injects gas (carbon dioxide) into the patient’s abdominal cavity (pneumoperitoneum).As a result, the abdomen swells up and the surgeon can see the organs in the abdomen and perform surgery. It is possible that abdominal distension stimulates a nerve that runs from the upper abdomen (diaphragm) to the shoulders and neck, which causes pain.

We have considered several ways to reduce shoulder pain: injecting a local anesthetic (pain reliever) directly into the abdomen or diaphragm; the use of heated carbon dioxide, sometimes with the addition of moisture (humidification) during the operation; removal of gas from the abdominal cavity using drains; replacement of gas with liquid (instillation of liquid) or displacement of gas from the abdominal cavity at the end of the procedure by increasing the pressure at which patients can breathe spontaneously under anesthesia (PRM).

Research characteristics

Our evidence comes from 32 randomized controlled trials (clinical trials in which people are randomly assigned to one of two or more treatment groups) involving 3,284 women in 11 countries. The trials compared different ways of reducing the frequency (incidence of pain) or the intensity of pain (STP) in women undergoing gynecological laparoscopy. The evidence is current to 8 August 2018.

Main results

In women who underwent gynecological laparoscopy, pain was less or the need for painkillers decreased after several interventions: a special technique for removing pneumoperitoneum; injecting a liquid or local anesthetic (liquid pain relievers) into the abdominal cavity or placing a drain from the inside to the outside of the abdominal cavity for a while.

There is low to moderate quality evidence that the following interventions may not affect the frequency or intensity of pain (STP): injection of local anesthetic (liquid pain relievers) only in the upper abdomen under the diaphragm; heating and humidification of carbon dioxide.

There is low quality evidence that gasless laparoscopy can increase pain intensity (STP) compared to standard treatment.

Several studies have reported side effects (adverse events), and some potentially beneficial interventions have not been studied in RCTs of gynecological laparoscopy.

We are wary of these results because the quality of the evidence in the studies we found was not high (low to moderate).

Quality of evidence

The studies included in the review did not use the best methods of collecting and presenting evidence, and we consider the quality of the latter to be only low to moderate. This means that we cannot be completely sure of the results.

the left shoulder joint hurts than to treat

the left shoulder joint hurts than to treat

the shoulder joint of the left arm hurts than to treat


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Severe pain in the left shoulder appears after the arm is pulled to the side, up or behind the back, over the shoulder. … Combining them and determining the optimal dosage can only be dealt with by the attending specialist.Causes of pain in the right or left shoulder joint. How to conduct a self-diagnosis – a table with a diagnosis depending on where and how the shoulder hurts – when lifting, abducting, bending, extending the arm, etc. Why does shoulder pain occur? Disease provocateurs. How to diagnose and treat a shoulder. … stand up, raise your arms, spread your legs shoulder-width apart. Bend over, touch your right foot with your left palm. What to do if the shoulder of the left arm hurts? Which doctor should I go to? … If the left arm hurts from the shoulder to the hand constantly, then we can talk about.It should be borne in mind that each type of disease should be treated in a specific way. That is why you cannot self-medicate, since V. Severe pain in the left shoulder and forearm is caused by joint neuritis. … Moreover, both the forearm and the hand hurt. The disease proceeds in different ways: recovery can. It is recommended to limit exercise and use medicated ointments. Arthritis. It is possible the presence of shoulder arthritis, in which. The shoulder joint of the left hand can hurt for several reasons, depending on the reason, you need to choose the appropriate one.It hurts in the left shoulder joint due to changes in the cervical spine, and only a qualified doctor can treat in this case. What pathologies can the pain in the shoulder joint of the left arm talk about? Let’s figure it out. … The shoulder is a rather complex joint of the human body. It is endowed with maximum functionality. Causes of pain in the shoulder joint of the left arm. The limbs of a person are at work all the time and are subject to stress, especially. Joint pain is possible due to the development of shoulder sarcoma and as a symptom of progressive malignant tumors of other organs.↑. Osteoarthritis, arthritis, tendonitis with pain. Many suffer from severe pain in the shoulder joint of the left arm, which. Of all the causes of pain in the joints of the shoulder on the left side, systematic exposure of the body to hypothermia is considered the most significant. Excessive cold penetrates through the top layer. Causes of pain in the shoulders of the hands. What to do if shoulder pain appears when raising your arm. … With neuritis of the brachial nerve, it deceptively seems that the right or left shoulder joint is in pain, discomfort occurs unexpectedly, and the pain syndrome is usually of high intensity.





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shoulder joint of the left arm hurts than to treat

For two years my elbow hurt terribly, there was no time to get to the doctor. I somehow interrupted with ointments, it seemed it was getting easier, and then a lump appeared on the elbow abruptly, as with bursitis. Frightened – passion! Thanks to my wife, she insisted that I be treated properly, brought an articulate.In a couple of days, the swelling subsided, the pain completely stopped. Finally I feel like a full-fledged man!

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