Painful

Released on 17/12/2014

Key Learning Points

  • Causes of shoulder pain
  • Injected corticosteroids for shoulder pain
  • Red flags in shoulder pain
  • Shoulder pain: when are Imaging studies indicated?
  • The drop arm test
  • The pain ladder

References

1. VAN KAMPEN DA, VAN DEN BERG T, VAN DER WOUDE HJ, CASTELEIN RM, SCHOLTES VA, TERWEE CB, WILLEMS WJ. The diagnostic value of the combination of patient characteristics, history, and clinical shoulder tests for the diagnosis of rotator cuff tear. J Orthop Surg Res [online] 2014 Aug 7:70 [viewed 01 October 2014] Available from: doi:10.1186/s13018-014-0070-y
2. BURBANK KM, STEVENSON JH, CZARNECKI GR, DORFMAN J. Chronic shoulder pain: part I. Evaluation and diagnosis. Am Fam Physician [online] 2008 Feb 15, 77(4):453-60 [viewed 28 May 2014] Available from: http://www.ncbi.nlm.nih.gov/pubmed/18326164
3. MASTERS S, BURLEY S. Shoulder pain. Aust Fam Physician [online] 2007 Jun, 36(6):414-6, 418-20 [viewed 01 October 2014] Available from: http://www.ncbi.nlm.nih.gov/pubmed/17565397
4. MITCHELL C, ADEBAJO A, HAY E, CARR A. Shoulder pain: diagnosis and management in primary care. BMJ [online] 2005 Nov 12, 331(7525):1124-8 [viewed 01 October 2014] Available from: doi:10.1136/bmj.331.7525.1124
5. BARRY M, JENNER JR. ABC of rheumatology. Pain in neck, shoulder, and arm. BMJ [online] 1995 Jan 21, 310(6973):183-6 [viewed 01 October 2014] Available from: http://www.ncbi.nlm.nih.gov/pubmed/7605431
6. FLEISCHMANN KIRSTEN E., ZèGRE-HEMSEY JESSICA, DREW BARBARA J.. The new universal definition of myocardial infarction criteria improve electrocardiographic diagnosis of acute coronary syndrome. Journal of Electrocardiology [online] 2011 January, 44(1):69-73 [viewed 02 October 2014] Available from: doi:10.1016/j.jelectrocard.2010.10.037
7. BRUN S. Shoulder injuries - management in general practice. Aust Fam Physician [online] 2012 Apr, 41(4):188-94 [viewed 02 October 2014] Available from: http://www.ncbi.nlm.nih.gov/pubmed/22472682
8. SHALLCROSS TM, WYATT JI, RATHBONE BJ, HEATLEY RV. Non-steroidal anti-inflammatory drugs, hiatus hernia, and Helicobacter pylori, in patients with oesophageal ulceration. Br J Rheumatol [online] 1990 Aug, 29(4):288-90 [viewed 02 October 2014] Available from: http://www.ncbi.nlm.nih.gov/pubmed/2379044
9. ARROLL B, GOODYEAR-SMITH F. Corticosteroid injections for painful shoulder: a meta-analysis. Br J Gen Pract [online] 2005 Mar, 55(512):224-8 [viewed 02 October 2014] Available from: http://www.ncbi.nlm.nih.gov/pubmed/15808040
10. COLE BJ, SCHUMACHER HR JR. Injectable corticosteroids in modern practice. J Am Acad Orthop Surg [online] 2005 Jan-Feb, 13(1):37-46 [viewed 02 October 2014] Available from: http://www.ncbi.nlm.nih.gov/pubmed/15712981
11. BELL AD, CONAWAY D. Corticosteroid injections for painful shoulders. Int J Clin Pract [online] 2005 Oct, 59(10):1178-86 [viewed 02 October 2014] Available from: doi:10.1111/j.1368-5031.2005.00640.x
12. CONROY DE, HAYES KW. The effect of joint mobilization as a component of comprehensive treatment for primary shoulder impingement syndrome. J Orthop Sports Phys Ther [online] 1998 Jul, 28(1):3-14 [viewed 02 October 2014] Available from: doi:10.2519/jospt.1998.28.1.3
13. LAVENS SE, PEACHELL PT, WARNER JA. Role of tyrosine kinases in IgE-mediated signal transduction in human lung mast cells and basophils. Am J Respir Cell Mol Biol [online] 1992 Dec, 7(6):637-44 [viewed 02 October 2014] Available from: doi:10.1165/ajrcmb/7.6.637
14. KROMER TO, DE BIE RA, BASTIAENEN CH. Effectiveness of individualized physiotherapy on pain and functioning compared to a standard exercise protocol in patients presenting with clinical signs of subacromial impingement syndrome. A randomized controlled trial. BMC Musculoskelet Disord [online] 2010 Jun 9:114 [viewed 02 October 2014] Available from: doi:10.1186/1471-2474-11-114
15. CHESTER RACHEL, SHEPSTONE LEE, DANIELL HELENA, SWEETING DAVID, LEWIS JEREMY, JEROSCH-HEROLD CHRISTINA. Predicting response to physiotherapy treatment for musculoskeletal shoulder pain: a systematic review. Array [online] 2013 December [viewed 02 October 2014] Available from: doi:10.1186/1471-2474-14-203
16. RAFFA RB, PERGOLIZZI JV JR. A modern analgesics pain 'pyramid'. J Clin Pharm Ther [online] 2014 Feb, 39(1):4-6 [viewed 02 October 2014] Available from: doi:10.1111/jcpt.12110
17. CALIş M, AKGüN K, BIRTANE M, KARACAN I, CALIş H, TüZüN F. Diagnostic values of clinical diagnostic tests in subacromial impingement syndrome. Ann Rheum Dis [online] 2000 Jan, 59(1):44-7 [viewed 02 October 2014] Available from: http://www.ncbi.nlm.nih.gov/pubmed/10627426