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Joints and sports

Shoulder pain and frozen. shoulder

Shoulder pain can make it hard to dress, reach up, sleep on one side or lift. Frozen shoulder is one common cause, where the shoulder becomes painful and then stiff over months. At Rehabify in Bengaluru, Dr. Dharshan N A, a physiatrist with a fellowship in interventional pain management, finds the likely cause and builds a plan to ease pain and bring back movement.

On this page
  1. Common causes
  2. Who should see a doctor
  3. What happens at Rehabify
  4. Before and after your visit
  5. When to get help urgently
  6. Common questions
  7. Sources

Common causes

  • Frozen shoulder, where the joint lining becomes inflamed and tight. It often goes through a painful phase, a stiff phase and a slow thawing phase
  • Rotator cuff problems, such as tendon irritation or tears, often pain when lifting the arm
  • Pain coming from the neck, felt in the shoulder or arm
  • Arthritis of the shoulder or the joint at the top of the shoulder
  • Less common causes such as dislocation, fracture or pain referred from the heart or chest, which the doctor checks for

Who should see a doctor

Signs to get checked

  • Shoulder pain lasting more than 2 to 3 weeks
  • Pain that wakes you at night or stops you lying on that side
  • Shoulder that is getting stiffer, so you cannot reach behind your back or above your head
  • Shoulder pain with diabetes

What happens at Rehabify

  1. 01

    History

    When it started, what movements hurt, your work, sleep and other health problems such as diabetes.

  2. 02

    Examination

    Range of movement, strength of the rotator cuff, neck checks and specific shoulder tests.

  3. 03

    Scans if needed

    Ultrasound or X-ray may be advised. MRI only if it will change your treatment.

  4. 04

    Your plan

    Exercise and medicines first. An image-guided injection or nerve block may be offered to ease pain so that stretching can work.

  5. 05

    Rehab

    A stage-by-stage programme with a physiotherapist and at home.

The doctor decides the right tests and treatment for you after examining you.

Before and after your visit

How to prepare

  • Bring scans, reports and a list of medicines, including diabetes medicines
  • Wear a loose top or vest so the shoulder can be examined
  • Note which daily tasks are hard: dressing, combing hair, reaching a shelf

After your visit

You leave with a written plan, home exercises and a review date. You can send questions on WhatsApp between visits.

When to get help urgently

Medical emergency

Call 108 or 112 straight away if shoulder or arm pain comes with chest pain, breathlessness, sweating or pain in the jaw. Go to an emergency department if the shoulder looks out of shape after a fall, or is hot and swollen with fever.

Common questions

How long does frozen shoulder last?

It often lasts from many months to over a year. Treatment aims to ease pain and keep as much movement as possible while it settles.

Should I keep moving a frozen shoulder?

Yes, within comfort. Gentle stretching helps. Forcing painful movement during the early painful phase can make it worse, so the exercises change with each stage.

Does an injection help frozen shoulder?

A steroid injection into the joint can reduce pain, especially in the early phase, and make exercise easier. The doctor will advise whether it is suitable for you.

Is diabetes linked to frozen shoulder?

Yes. Frozen shoulder is more common in people with diabetes. Good sugar control is part of care.

Can shoulder pain come from the neck?

Yes. Neck problems can cause pain in the shoulder and arm. The doctor checks the neck as part of the examination.

Sources

  1. [1]

    American Academy of Orthopaedic Surgeons (AAOS) clinical practice guideline. Management of rotator cuff injuries

  2. [2]

    British Elbow and Shoulder Society (BESS) and Royal College of Surgeons patient care pathway for frozen shoulder

  3. [3]

    NICE Clinical Knowledge Summary. Shoulder pain

This page is for general education and does not replace a consultation. The right plan depends on your examination.

Book a consultation

Tell us where it hurts. We plan the way back.

Start with one consultation. Choose a clinic visit or a video consult, and the team confirms your time by phone or WhatsApp.

Prefer to call? +91 79048 42576

  1. 1

    You send a request

    Online, on WhatsApp or by phone.

  2. 2

    We confirm a time

    By phone or WhatsApp, for the clinic or a video consult.

  3. 3

    You meet your doctor

    Bring your reports and wear loose clothes.