Shoulder pain and other diseases of shoulder and kind of these disease

1. Joint disease

Diseases such as rheumatoid arthritis, periarthritis of the shoulder, scapular muscle strain, bursitis and tendinitis can cause shoulder pain.

2. Coronary heart disease

Coronary heart disease is a heart disease caused by coronary artery stenosis or spasm. Because the pain in the shoulder, sternum, and left little finger is also transmitted to the brain through the sympathetic ganglia and the corresponding spinal nerves of the 1-5 thoracic vertebrae, the brain sometimes cannot distinguish whether the pain comes from the heart, or the sternum, shoulder. Therefore, patients with coronary heart disease often have shoulder pain symptoms, and sometimes even cover the pain in other parts. In general, patients with coronary heart disease will have squeezing-like discomfort in the posterior or precordial area in addition to shoulder pain.

3. Tip lung cancer

When a cancer occurs in the tip of the lung, the growing cancer tissue can compress or invade these nerve plexuses. If the brachial plexus is invaded, shoulder pain can occur. This kind of pain is usually dominated by the armpit, a burning pain radiating to the inside of the upper limb, especially at night. If the shoulder is severely compressed, it will also affect the movement of the shoulder and upper limbs.

4. Cervical spondylosis

The pain is mostly numb, and there is a sensation of radiation to the upper limbs and hands. Except for the neck, the most common pain is mainly concentrated in the supra-shoulder area, that is, the area above the clavicle, inside and above the acromion, and above the scapula.

5. Frozens houlder

The pain is persistent dull pain, and the pain often manifests as soreness and fullness. The pain is mostly located in the deltoid area, that is, the area below the clavicle, below the acromion, and below the scapula.

6. Acute cervical radiculitis

It is more common in young and middle-aged people who work at the desk or work with their heads down for a long time. The onset is rapid and the pain is severe. The main symptom is severe radiculopathy. The pain radiates along the nerves to the shoulders, arms and fingers, and may be accompanied by electric shock-like numbness.

7. Cervical spinal cord tumor

The onset is slower, and it is manifested as severe pain on one side.

8. Spinal arachnoiditis

Shoulder and arm pain can be bilateral, have a long course, and often worsen with fluctuations.

9. Cervical angina

The common feature with angina pectoris is that it has pain in the precordial area, which can radiate to the left shoulder, back and upper limbs, and may have a squeezing or suffocation feeling.

10. Lung cancer

Shoulder pain is caused by lung cancer metastasis and compression of the brachial plexus. It can appear before respiratory symptoms such as coughing, hemoptysis, and chest pain.

11. Cholecystitis, cholelithiasis

Inflammation or gallstones are involved in causing right shoulder pain. Patients often have a history of recurrent episodes that can be consulted. B-ultrasound can be diagnosed. Shoulder pain can be relieved by anti-infection, antispasmodic and analgesic treatment.

an examination

Supraspinatus tendon rupture test, Speed ​​test. Symptom check The pain of cervical spondylosis is mostly numbness and radiating sensation to the upper limbs and hands. The most common painful areas except the neck are mainly concentrated in the supra-shoulder area, that is, above the clavicle, above the acromion, and above the anterior shoulder Within the area. The pain of frozen shoulder is persistent dull pain, and the pain often manifests as soreness and fullness. The pain is mostly located in the deltoid area, that is, the area below the clavicle, below the acromion, and below the scapula.

Differential diagnosis

1. Shoulder and back pain

There are many patients with back pain, and the common cause is local bone or soft tissue diseases of the shoulder and back. There are also scapula pain caused by organ diseases reflected to the back of the shoulder or tumor metastasis to the back of the shoulder.

2. Continuous severe shoulder pain

Often caused by shoulder dislocation. There is a clear history of trauma.

3. Shoulder involvement pain

Shoulder pain or hyperalgesia caused by internal organ disease is called involvement pain. Symptoms appear relatively slowly, dull pain, or discomfort, which does not completely conform to the nerve direction, the area is blurred, and the pain is blurred.