These 6 Tests Quickly Help You Self-Diagnose Your Shoulder Pain

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Shoulder pain is a common complaint among many people. In fact, it is estimated that 70% of people will experience shoulder pain at some point in their lives. Even more concerning is that nearly 50% of those who suffer from shoulder pain will still be dealing with it 12 months after it begins.

This article will explore the different causes of shoulder pain, various tests to identify the source, and potential solutions for relief. It’s based on the video I’ve linked below. If any of the tests are unclear, please reference the video because the chiropractor explains the test really well.

Common Causes of Shoulder Pain

1. Neck Issues

One of the primary causes of shoulder pain can stem from the neck. This is particularly true if you are suffering from a condition known as radiculopathy. Radiculopathy occurs when a nerve in the neck is pinched, leading to pain that radiates from the neck into the shoulder, elbow, arms, and sometimes even the fingers. This type of pain is often described as sharp or shooting.

Test: Foraminal Compression Test

To determine if your shoulder pain is caused by neck issues, you can perform the foraminal compression test. If your right shoulder is affected, turn your head to the right and tilt it backward. If this reproduces your shoulder pain, it is likely that the pain originates from your neck.

2. Brachial Plexus Compression

The brachial plexus is a network of nerves and blood vessels that run from your neck into your shoulder. This structure can become compressed by muscles, the clavicle, or even the first rib, leading to shoulder pain.

Test: Roos Test

To identify if the brachial plexus is the source of your shoulder pain, perform the roos test. Raise your arms to a 90-degree angle at the shoulder and elbow, then pull your arms back slightly. Open and close your hands for three minutes. If you experience heaviness, weakness, numbness, or tingling in your hands, it is likely that the brachial plexus is compressed.

3. Rotator Cuff Tears

The rotator cuff is a group of muscles and tendons that surround the shoulder joint, keeping it stable. Tears in these muscles can lead to significant shoulder pain.

Test: Empty Can Test

To check for a tear in the supraspinatus muscle, perform the empty can test. Straighten your arm, point your thumb towards the ground at a 30-degree angle, and apply pressure with your other hand. If this causes pain, you likely have a tear in the supraspinatus muscle.

Test: Infraspinatus Test

Another common muscle in the rotator cuff that can tear is the infraspinatus. To test for a tear in this muscle, place your elbow at your side and turn your arm outward slightly. Hold this position and apply pressure with your other hand. If this causes pain, it may indicate an infraspinatus tear.

4. AC Joint Issues

The acromioclavicular (AC) joint is located at the top of the shoulder. Problems in this joint are common among weightlifters and individuals who have suffered traumatic events, such as falling off a bike. Issues in the AC joint can lead to noticeable shoulder pain and a visible step defect where the shoulder appears lower than the clavicle.

Test: Pull Apart Test

To determine if your shoulder pain is caused by the AC joint, interlock your fingers and pull apart as hard as you can. If you feel an ache on top of your shoulder, the AC joint is likely the source of your pain. This joint can also be affected by osteoarthritis, especially in older individuals or those who have had previous shoulder trauma.

5. Impingement Syndrome

Impingement syndrome occurs when the space within the shoulder joint decreases, causing a tendon to become pinched. This can lead to significant pain and difficulty moving the shoulder.

Test: Hand-on-Shoulder Test

To test for impingement, place your right hand on your left shoulder and raise your arm. If this movement causes pain, it is likely that you have an impingement in the shoulder.

Test: Drop Arm Test

Another test is the drop arm test, where you lift your arm with the help of your other hand and slowly lower it. If you experience severe pain or cannot keep your arm raised, this is a positive sign of impingement.

Solutions for Shoulder Pain

Chiropractic Care

Once the source of your shoulder pain is identified, a chiropractor can provide targeted treatments to address the underlying issue. Chiropractic care often involves adjustments, exercises, and other therapies to relieve pain and improve shoulder function.

Lifestyle Modifications

Making certain lifestyle changes can also help reduce shoulder pain. For example, maintaining good posture, especially when sitting or working at a desk, can alleviate pressure on your neck and shoulders. Additionally, avoiding repetitive overhead activities and ensuring you use proper techniques when lifting weights can prevent further strain on your shoulder joints.

Preventative Measures

Regular Stretching

Incorporating regular stretching into your daily routine can help maintain shoulder flexibility and prevent stiffness. Simple stretches, such as reaching your arm across your body or using a doorframe to stretch your chest, can be very beneficial.

Strength Training

Strengthening the muscles around your shoulder can provide better support and reduce the risk of injury. Focus on exercises that target the rotator cuff, such as external rotations with a resistance band, and include general upper body strengthening exercises like push-ups and rows.

Also read: Low-Impact Strength Training: An Easy Approach

Ergonomic Adjustments

Ensuring that your workspace is ergonomically friendly can make a significant difference in preventing shoulder pain. Adjust your chair, desk, and computer monitor to promote a neutral posture. Use armrests to support your arms and reduce strain on your shoulders.

When to Seek Professional Help

While many shoulder pain issues can be managed with at-home care and preventative measures, there are times when professional help is necessary. If you experience severe pain, swelling, or an inability to move your shoulder, it is important to consult a healthcare professional. They can provide a thorough evaluation and recommend appropriate treatment options.

Diagnostic Imaging

In some cases, diagnostic imaging such as X-rays, MRI, or ultrasound may be required to get a clearer picture of what is happening inside your shoulder. These tools can help identify issues like rotator cuff tears, fractures, or other structural problems.

Physical Therapy

A physical therapist can design a personalized rehabilitation program to address your specific shoulder issue. This may include manual therapy, targeted exercises, and modalities like ultrasound or electrical stimulation to reduce pain and inflammation.

Surgical Options

In severe cases where conservative treatments do not provide relief, surgical intervention may be necessary. Procedures can range from minimally invasive arthroscopic surgeries to more extensive repairs, depending on the nature and severity of the shoulder problem.