Shoulder Pain

What Causes Shoulder Pain?

Shoulder pain can have various causes, ranging in severity from 'worrying' to 'needs attention'.  Finding the true cause means ruling out or confirming each possibility – in other words, diagnosis.

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Diagnosis is usually a complex process due to the sheer number of possible causes and related symptoms.  In order to diagnose shoulder pain, we could:

  • Research the topic
  • Find a doctor with the time
  • Use a diagnostic computer system.
The process is the same, whichever method is used.

Step 1: List all Possible Causes

We begin by identifying the disease conditions which have "shoulder pain" as a symptom.  Here are two possibilities:
  • Torticollis
  • Polymyalgia Rheumatica

Step 2: Build a Symptom Checklist

We then identify all possible symptoms and risk factors of each possible cause, and check the ones that apply:
occasional unexplained fevers
fatigue after slight exertion
non-specific hand pain
severe non-specific arm pain
pain between shoulder blades
major unexplained weight loss
high ESR
slight neck pain
minor hip pain
recent onset neck pain
... and so on

Step 3: Rule Out or Confirm each Possible Cause

A differential diagnosis of your symptoms and risk factors finds the likely cause of shoulder pain:
Cause Probability Status
Polymyalgia Rheumatica 99% Confirm
Torticollis 73% Possible
* This is a simple example to illustrate the process

Arriving at a Correct Diagnosis

The Analyst™ is our online diagnosis tool that learns all about you through a straightforward process of multi-level questioning, providing diagnosis at the end.

If you indicate joint problems, The Analyst™ will ask further questions including this one:
Do you experience shoulder pain?
Possible responses:
→ No / don't know
→ Yes, due to physical injury
→ Yes, it is a minor problem / comes and goes
→ Yes, one hurts most of the time (not from injury)
→ Yes, both hurt most of the time (not from injury)
Based on your response to this question, which may indicate shoulder pain from injury, minor shoulder pain, unilateral shoulder pain or bilateral shoulder pain, The Analyst™ will consider possibilities such as:
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