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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Special tests for rotator cuff injuries can be highly valuable in early-stage shoulder problems. However, as shoulder pain becomes chronic, protective patterns, compensation, and secondary injuries may reduce their diagnostic specificity. Dr Huang reflects on why diagnosis often evolves alongside treatment and recovery.
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