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Shoulder pain may be localized or may be referred to areas around the shoulder or down the arm. Other regions within the body (such as gallbladder , liver , or heart disease , or disease of the cervical spine of the neck) also may generate pain that the brain may interpret as arising from the shoulder.
This is technically over the supraspinatus muscle and not in the neck, but it is still called “neck” pain. The cause of this shoulder/neck pain is thought to be due to sleeping with the arm overhead at night in a position causing impingement of the rotator cuff tendon in the shoulder, which is attached to the supraspinatus muscle. [4]
Pain can also be in the side of the neck, the pectoral area below the clavicle, the armpit/axillary area, and the upper back (i.e., the trapezius and rhomboid area). Discoloration of the hands, one hand colder than the other hand, weakness of the hand and arm muscles, and tingling are commonly present.
Pain along the front and side of the shoulder is the most common symptom and may cause weakness and stiffness. [3] If the pain resolves and weakness persists other causes should be evaluated such as a tear of the rotator cuff or a neurological problem arising from the neck or entrapment of the suprascapular nerve.
A 1992 study concluded that 73% of workers aged 20 to 50 years have a right rounded shoulder, [3] and 66% of them have a left rounded shoulder. [3] It is commonly believed that digitalisation [ 4 ] combined with the improper use of digital devices have resulted in the prevalence of sedentary lifestyles, which contribute to bad posture.
However, the pain or other symptoms often radiate to the part of the body served by that nerve. For example, a nerve root impingement in the neck can produce pain and weakness in the forearm. Likewise, an impingement in the lower back or lumbar-sacral spine can be manifested with symptoms in the foot.
An important symptom of adhesive capsulitis is the severity of stiffness that often makes it nearly impossible to carry out simple arm movements. Pain due to frozen shoulder is usually dull or aching and may be worse at night and with any motion. [7] The symptoms of primary frozen shoulder have been described as having three [8] or four stages. [9]
These nerves originate in the fifth, sixth, seventh and eighth cervical (C5–C8), and first thoracic (T1) spinal nerves, and innervate the muscles and skin of the chest, shoulder, arm and hand. [1] [2] [3] Brachial plexus injuries can occur as a result of shoulder trauma (e.g. dislocation [4]), tumours, or inflammation, or obstetric.
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