Using Symptom Location to Guide Diagnosis
Front of Shoulder Pain
Most likely: Biceps tendinopathy, AC joint problems, or anterior labral tear. The long head of the biceps runs through the front of the shoulder and is a common pain generator, particularly with overhead lifting.
Top of Shoulder Pain
Most likely: AC (acromioclavicular) joint arthritis or injury. Pain directly at the top of the shoulder, especially with cross-body movements.
Outer Side / Upper Arm Pain
Most likely: Rotator cuff tendinitis or tear, shoulder impingement syndrome. Classic pattern is pain with the arm between 60-120 degrees of elevation — the painful arc.
Deep Inside the Shoulder
Most likely: Glenohumeral arthritis, labral tear, or posterior impingement. Deep groin-type pain inside the joint during all movements, particularly rotation.
Diagnostic Tests Used
X-Ray
First-line investigation. Shows bony problems — arthritis, fractures, calcifications, AC joint changes.
Ultrasound
Excellent for evaluating soft tissue — rotator cuff tears, biceps tendon, bursitis. Quick and cost-effective.
MRI
Gold standard for labral tears, rotator cuff assessment, and cartilage evaluation. Best for complex or unclear cases.
A Common Mistake
Many patients get an MRI scan first without a proper clinical examination. The MRI report then drives treatment — which can be misleading, as MRI frequently shows abnormalities that are not causing symptoms. Always have a proper clinical examination first.
🎬 Shoulder Pain Guide — Dr. Sumit Dubewar
▶ Video Coming Soon
Dr. Sumit Dubewar will be uploading a video on this topic soon.
Subscribe: https://www.youtube.com/@DrSumitDubewar
Consult Dr. Sumit Dubewar
Have questions about your joint health? Book an in-person or online consultation today.
Book Appointment💬 WhatsApp