“I cannot lift my arm” is a common symptom that many patients report to the Orthopedist when they experience intense or chronic shoulder pain. In most cases, shoulder pain is accompanied by an inability to lift the arm, constituting a symptom that should not be ignored, as it may indicate serious conditions in the shoulder joint. Early diagnosis and management of the pain are of decisive importance for restoring the functionality of the upper limb.
Causes of shoulder pain & inability to lift the arm
The inability to lift the arm above shoulder level can be due to various pathological conditions:
- Rotator cuff tear: If the tendons that stabilize and move the shoulder undergo a tear, they lead to pain and restriction of movement.
- Calcific tendonitis: The deposition of calcium salts in the tendons causes inflammation and intense pain, particularly during movement. Thus, “calcium in the shoulder”, as it is commonly called, is also the most frequent cause.
- Frozen shoulder (adhesive capsulitis): It is characterized by progressive stiffness and pain, with a significant impact on the range of motion.
- Impingement syndrome: The impingement of the tendons between the shoulder bones during the lifting of the arm causes pain and inflammation.
- Shoulder arthritis: The wear of the joint cartilage leads to pain, stiffness, and restriction of movement.
Shoulder pain & associated symptoms
If you notice the following symptoms, it is important to consult a specialized Orthopedic Surgeon, primarily one trained in managing shoulder conditions:
- Intense night pain in the shoulder
- Inability to lift or move the arm
- Swelling, redness, or warmth in the shoulder area
- Sensation of shoulder instability or a “click” during shoulder movement
How is the diagnosis made when there is shoulder pain?
Diagnosing the exact cause of shoulder pain can be somewhat bothersome, especially if the patient cannot lift their arm. After taking the full medical history of the patient—provided that the clinical presentation of the patient allows it—the doctor proceeds to apply a series of diagnostic protocols. Specifically, the range of motion and the patient’s strength are examined, while simultaneously identifying the point or points of pain. After the clinical examination, performing an X-ray or an ultrasound may be required.
How is shoulder pain treated?
The choice of treatment for shoulder pain depends to a large extent on the cause provoking it. The most basic step is for an accurate diagnosis to be established by a specialized orthopedist, so that the appropriate therapeutic plan can be designed.
At an initial stage, symptoms are managed with:
- Rest and modification of activities
- Medication: Non-steroidal anti-inflammatory drugs for the relief of pain and inflammation.
- Ice therapy for the reduction of pain
- Physical therapy: Strengthening exercises and stretches for restoring the mobility and functionality of the shoulder.
- Cortisone injections: For the reduction of inflammation. However, it is not indicated for a long period of time.
- PRP Therapy: It can significantly relieve the symptoms of pain, depending on the treatment.
In cases of severe tears or when conservative treatment does not yield results, shoulder arthroscopy constitutes the most effective way to manage the symptoms.
Early diagnosis and appropriate treatment play a decisive role in the full restoration of shoulder functionality and the prevention of chronic problems. If you are experiencing pain or weakness in the shoulder, contact the Orthopedic Surgeon, Dr. Polyzois, specialized in managing shoulder conditions.