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Shoulder Pain

Upper Extremity

Shoulder Pain

Rotator cuff tears, bursitis, frozen shoulder, and osteoarthritis, evaluated and treated based on the underlying cause.

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Diagnoses

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Treatments

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FAQs

SCOPES

Non-Opioid

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Clinical Guide

Review this section for a concise clinical summary of the condition, including key causes, symptom patterns, and treatment pathways.

Clinical OverviewCondition DefinitionCommon CausesTypical SymptomsRelated DiagnosesSCOPES Clinical ApproachRecommended TreatmentsFrequently Asked Questions

Clinical Overview

Up to 26% of adults experience shoulder pain at some point. Approximately 20% of individuals over age 65 report chronic shoulder pain. (Source to be confirmed by SCOPES Health clinical team.)

Condition Definition

The shoulder is the most mobile joint in the human body. Pain can originate from the rotator cuff, bursa, joint capsule, labrum, acromioclavicular joint, or biceps tendon. It can also be referred from the cervical spine, so source confirmation is essential.

Common Causes

Shoulder pain may come from acute injury, repetitive overuse, age-related degeneration, adhesive capsulitis (frozen shoulder), or post-surgical causes such as scar tissue or incomplete resolution of the original condition.

Typical Symptoms

Pain is often felt at the top, front, or outer side of the shoulder and worsens with arm elevation, reaching across the body, or lying on the affected side at night. Different structures produce different pain patterns and motion limitations.

Related Diagnoses

Rotator Cuff Tear

Partial or full-thickness injury causing pain, weakness, and reduced ability to lift the arm overhead.

Shoulder Bursitis

Inflammation of the subacromial or subdeltoid bursa, producing localized pain and reduced shoulder range of motion.

Frozen Shoulder (Adhesive Capsulitis)

Progressive thickening and tightening of the shoulder capsule causing severe stiffness and pain.

SCOPES Clinical Approach

Shoulder pain evaluation at SCOPES Health begins with a comprehensive physical examination and imaging review to isolate the specific pain source. Treatment is matched to diagnosis and may include subacromial/subdeltoid bursa injections, intra-articular injections, PRP, peripheral nerve blocks, or peripheral nerve stimulation for complex cases.

Recommended Treatments

  • Subacromial / Subdeltoid Bursa Injections→
  • Intra-Articular Joint Injections→
  • Platelet-Rich Plasma (PRP) Therapy→
  • Peripheral Nerve Blocks→
  • Peripheral Nerve Stimulation (PNS)→

Frequently Asked Questions

How is shoulder pain diagnosed?

Diagnosis combines physical exam maneuvers, range-of-motion testing, and imaging such as X-ray, ultrasound, or MRI to identify the exact pain source.

When is shoulder surgery necessary?

Surgery is considered when significant structural damage fails conservative/interventional care or when neurological function is at risk.

Need Guidance?

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Tell us your symptoms and we will build a personalized, non-opioid care plan.

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SCOPES Health

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Bakersfield: 3850 Riverlakes Drive, Suite B, Bakersfield, CA 93312
Sherman Oaks: 15165 Ventura Blvd, Suite 120, Sherman Oaks, CA 91403

Surgery Centers

Bakersfield: 6501 Truxtun Ave, Bakersfield, CA 93309
Los Angeles: 2080 Century Park E, Suite 1210, Los Angeles, CA 90067
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