Shoulder Pain When Lifting Arm: When to Seek Expert Care
Shoulder pain when lifting the arm is a common complaint seen in orthopaedic clinics. While occasional discomfort may occur due to overuse or strain, persistent or worsening pain can significantly affect daily activities such as dressing, reaching overhead, driving, or sleeping.
Understanding the underlying causes of shoulder pain when lifting the arm is essential for timely diagnosis and effective treatment. Early intervention not only relieves pain but also prevents long-term shoulder damage and loss of mobility.
This comprehensive guide explains the common causes, symptoms, diagnosis, and treatment options, with expert insight from Dr. Chintan Hegde, an experienced orthopaedic shoulder specialist.
Why Does the Shoulder Hurt When You Lift Your Arm?
The shoulder is a complex joint made up of bones, muscles, tendons, and ligaments that work together to provide a wide range of motion. Pain during arm elevation often indicates inflammation, tendon injury, or joint dysfunction.
- While lifting the arm sideways or overhead
- When reaching behind the back
- During activities like combing hair or wearing clothes
The location, severity, and timing of pain help determine the exact cause.
Common Causes of Shoulder Pain When Lifting the Arm
1. Rotator Cuff Injury
The rotator cuff is a group of four muscles and tendons that stabilise the shoulder and allow smooth arm movement.
Types of Rotator Cuff Problems
- Tendinitis (inflammation)
- Partial tear
- Full-thickness tear
Symptoms
- Sharp or dull pain while lifting the arm
- Weakness in the shoulder
- Difficulty reaching overhead
- Night pain, especially while sleeping on the affected side
Rotator cuff injuries are one of the most common reasons for shoulder pain when lifting the arm.
2. Shoulder Impingement Syndrome
Shoulder impingement occurs when the rotator cuff tendons get compressed between the shoulder bones during arm elevation.
Symptoms
- Pain while lifting the arm above shoulder level
- Pain that improves with rest but returns with activity
- Reduced range of motion
Impingement is often seen in individuals who perform repetitive overhead activities
3. Frozen Shoulder (Adhesive Capsulitis)
Frozen shoulder causes stiffness and pain due to thickening and tightening of the shoulder capsule.
Symptoms
- Gradual onset of pain
- Severe stiffness
- Difficulty lifting the arm in any direction
- Pain even at rest
Frozen shoulder is common in people with diabetes, thyroid disorders, or after prolonged shoulder immobilisation.
4. Shoulder Bursitis
Bursae are small fluid-filled sacs that reduce friction between tissues. Inflammation of the shoulder bursa leads to pain.
Symptoms
- Pain while lifting the arm
- Tenderness over the shoulder
- Swelling and warmth
5. Calcific Tendinitis
This condition occurs due to calcium deposits forming in the rotator cuff tendons.
Symptoms
- Sudden severe shoulder pain
- Painful arm movements
- Restricted mobility
Calcific tendinitis often affects middle-aged adults.
6. Shoulder Arthritis
Degenerative changes in the shoulder joint can cause pain during movement.
- Pain with arm elevation
- Joint stiffness
- Grinding or clicking sensation
7. Shoulder Instability or Dislocation
Recurrent shoulder instability may cause pain and weakness when lifting the arm.
Symptoms
- Feeling of shoulder slipping
- Pain with certain movements
- Reduced strength
Symptoms That Should Not Be Ignored
You should seek expert orthopaedic evaluation if you experience:
- Persistent shoulder pain lasting more than 2 weeks
- Increasing pain when lifting the arm
- Night pain disturbing sleep
- Weakness or inability to lift the arm
- Sudden onset of severe pain
- History of trauma or fall
Ignoring these symptoms may lead to worsening injury and prolonged recovery.
How Shoulder Pain Is Diagnosed
Clinical Examination
A detailed physical examination helps assess:
- Range of motion
- Muscle strength
- Pain patterns
These may indicate progressive joint disease or structural damage.
Imaging Tests
- X-rays to evaluate bones and arthritis
- Ultrasound for tendon and soft tissue injuries
- MRI for detailed assessment of rotator cuff tears and ligament damage
Accurate diagnosis is essential for effective treatment planning.
Treatment Options for Shoulder Pain When Lifting Arm
Treatment depends on the cause, severity, and duration of symptoms.
Non-Surgical Treatments
1. Activity Modification
Avoid painful overhead activities and repetitive movements.
2. Medications
Anti-inflammatory medications help reduce pain and swelling.
3. Physiotherapy
Targeted exercises improve strength, flexibility, and shoulder mechanics.
4. Injection Therapy
Corticosteroid injections may be recommended to reduce inflammation and pain
Many patients experience significant relief with conservative treatment.
When Is Surgery Required?
Surgery may be advised if:
- Pain persists despite conservative treatment
- There is a significant rotator cuff tear
- Shoulder stiffness severely limits function
- Recurrent instability occurs
Minimally Invasive Shoulder Arthroscopy
Dr. Chintan Hegde specialises in arthroscopic shoulder surgery, a minimally invasive technique that allows:
- Smaller incisions
- Faster recovery
- Less pain
- Improved functional outcomes
Conditions treated surgically include:
- Rotator cuff tears
- Shoulder impingement
- Frozen shoulder release
- Labral tears
Recovery and Rehabilitation
Post-treatment recovery involves:
- Structured physiotherapy
- Gradual return to daily activities
- Strength and flexibility training
Early rehabilitation is key to restoring full shoulder function and preventing recurrence
Why Choose Dr. Chintan Hegde for Shoulder Pain Treatment?
Dr. Chintan Hegde is a highly experienced orthopaedic surgeon with expertise in diagnosing and treating complex shoulder conditions. His patient-centric approach focuses on:
- Accurate diagnosis
- Evidence-based treatment
- Minimally invasive surgical techniques
- Personalised rehabilitation plans
With a strong focus on restoring mobility and quality of life, Dr. Hegde ensures comprehensive care from diagnosis to recovery.
Preventing Shoulder Pain
Simple steps can reduce the risk of shoulder injuries:
- Maintain good posture
- Warm up before physical activity
- Avoid repetitive overhead strain
- Strengthen shoulder and back muscles
- Seek early treatment for shoulder discomfort