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Clinical: The basics - Referred shoulder pain.(Disease/Disorder overview)

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| April 04, 2008 | COPYRIGHT 2003 Haymarket Business Publications Ltd. (Hide copyright information)Copyright

Shoulder pain can be a sign of GI problems or myocardial infarction, says Dr Julian Spinks.

The most common causes of shoulder pain arise from the shoulder itself These include rotator cuff disorders, arthritis and adhesive capsulitis. However, there are also a number of structures that can cause referred pain to the shoulder.

Distal causes

Dysfunctions of the cervical spine, particularly cervical spondylosis and disc prolapse, may cause shoulder pain. Thoracic outlet syndrome in which either bony or muscular abnormalities cause compression of the brachial plexus may also present as shoulder pain. Occasionally distal arm pathology can radiate back to the shoulder.

Diaphragmatic irritation can result in pain that radiates to the shoulder. This can occur in cases of biliary colic, liver abscess, ectopic pregnancy, pelvic inflammatory disease, subcostal abscess and intestinal …

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