What hurts in a shoulder?

By principle

First of all, let us eliminate traumas, bruises, dislocations and fractures.

First of all, we must be sure that we are suffering from the shoulder.

  • The cervical region is also a great provider of pain, due to osteoarthritis and / or narrowing of the cervical nerve roots. As it is sometimes difficult to differentiate between them, a medical examination seems necessary to us before undertaking manipulations or reeducation.

    Contrary to what one might think, a ‘hole’ in a tendon of the cuff rarely directly explains the pain, but an injured cuff causes a dysfunction of the shoulder that leads to pain.


The main painful actors are:

  • Inflammation of the joint (synovitis, arthritis) whether there is osteoarthritis or not.
  • Inflammation of the sub-acromial bursitis (bursitis).
  • Inflammation of the tendons of the cuff (tendonitis or tendinopathies) and tendon long biceps which for some is very often responsible for the pain of a shoulder.
  • Finally ‘play’ in the shoulder (painful instability or micro-instability).
  • Instability or dislocation of the long biceps tendon.
  • subacromial conflict by the aggressive nature of the acromion (curved or crooked) and or acromioclavicular articualtion (lower osteophytes or parrot beaks).
  • Joint stiffness in the case of retractile capsulitis and / or dystrophy.

Treatment is primarily medical

Medical treatment including rest, rehabilitation, shoulder glaze, general anti-inflammatories or infiltrations, balneotherapy, can reduce these phenomena and thus provide relief.

The surgery is only there to suppress triggers to these pains, repair lesions or remove constantly inflamed diseased tissue.