Shoulder pain, restricted movement, local tenderness and an ultrasound abnormality appeared to form a complete diagnosis. However, several examination findings did not fit. Those inconsistencies became the reason to look beyond the shoulder.
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Shoulder pain is a symptom, not a diagnosis. Although the problem may come from the shoulder itself, pain can also originate from the neck, nerves, muscles around the shoulder blade or, less commonly, other medical conditions. Teresa Shen shares how she approaches the question: where is the pain actually coming from?
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Many patients ask me whether their painful, stiff shoulder is caused by frozen shoulder or a rotator cuff injury. Although both conditions can make lifting the arm difficult, they develop differently and require different treatment approaches. In this Clinical Reflection, I explain how I distinguish between these conditions using clinical history, physical examination, imaging when appropriate, and Traditional Chinese Medicine
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Many people experience temporary relief from shoulder pain, only to find that the discomfort gradually returns. In this Teresa Clinical Reflection, Teresa Shen explores shoulder pain from a Traditional Chinese Medicine perspective, discussing meridian pathways, Qi stagnation, Blood stasis, frozen shoulder, lifestyle factors, and clinical treatment approaches.
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