You can usually do things to ease shoulder pain yourself. But talk to your GP if your shoulder pain does not improve in 2 weeks, or if you're worried.
Treating shoulder pain yourself
You usually need to do these things for 2 weeks before shoulder pain starts to ease. It can take 4 to 6 weeks to recover from mild shoulder pain.
To ease shoulder pain:
Do
-
stay active and gently move your shoulder
-
try exercises for shoulder pain - do them for 6 to 8 weeks to stop pain returning
-
stand up straight with your shoulders gently back
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sit with a cushion behind your lower back
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rest your arm on a cushion in your lap
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use pain relief so you can keep moving - try painkillers like paracetamol and ibuprofen, and heat or cold packs
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try sleeping more upright with more pillows
-
rest your shoulder in the first 7 to 10 days by using the opposite side for your daily activities
Don't
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do not rest your shoulder in a sling for longer than 4 weeks unless your GP tells you to - this may lead to stiffness
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do not play sports that make it worse
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do not sleep on the same side as the shoulder pain
Putting heat or cold packs on your shoulder
Try either a:
- pack of frozen peas wrapped in a tea towel for up to 20 minutes, 3 times a day
- hot water bottle wrapped in a tea towel for up to 20 minutes, 2 to 3 times a day
Things that can make shoulder pain worse
You can make your shoulder pain worse if you:
- completely stop using your shoulder - this can stop it getting better
- do things that seem to make it worse
- make up your own strenuous exercises or use heavy gym equipment
- slouch when sitting - do not roll your shoulders or bring your neck forward
| Shoulder symptoms | Possible causes |
|---|---|
| Shoulder symptoms Pain and stiffness that does not go away over months or years |
Possible causes
frozen shoulder osteoarthritis rheumatoid arthritis |
| Shoulder symptoms Pain that's often worse while using your arm or shoulder |
Possible causes
tendonitis bursitis impingement |
| Shoulder symptoms Tingling, numb, weak, feels like it's clicking or locking | Possible causes shoulder instability, sometimes because of hypermobility |
| Shoulder symptoms Sudden very bad pain, cannot move your arm (or it's difficult), sometimes changes shape. More common after an injury or forceful movement that causes the pain. |
Possible causes
dislocated shoulder broken bone (such as the upper arm or collarbone) torn or ruptured tendon |
| Shoulder symptoms Pain on top of the shoulder, where the collarbone and shoulder joint meet | Possible causes This could be caused by problems in the acromioclavicular joint. It could be dislocation or stretched or torn ligaments. But arthritis in this joint is more common if there has not been a recent injury. |
When to get medical help for shoulder pain
A pharmacist can usually help with shoulder pain.
Ask them to suggest:
- the best painkiller - this might be tablets, or a cream or gel you rub on the skin
- other ideas for pain relief and things you can buy to help, like heat and cold packs
They might advise contacting your GP if you need to.
Non-urgent advice: Contact your GP if:
- the pain doesn't improve after 2 weeks
- it's very difficult to move your arm or shoulder
- the pain started after an injury or accident, like a fall or heavy lifting
Emergency action required: Go to an injury unit or emergency department if:
- the pain is sudden or very bad
- you cannot move your arm
- your arm or shoulder has changed shape or is badly swollen
- you have pins and needles that do not go away
- there's no feeling in your arm or shoulder
- your arm or shoulder is hot or cold to touch
These can be signs of something serious. It could be a broken or dislocated bone, or a torn (ruptured) ligament or tendon. In rare cases it may be due to inflammation or an infection.
Treatment from a GP
A GP will examine you to work out what's causing your shoulder pain. They might send you for tests to check the cause, such as an x-ray.
They'll suggest a treatment based on the cause, for example:
- stronger medicine or injections to ease pain and swelling
- physiotherapy or exercises to do at home
- things to avoid to stop the pain getting worse or returning
- seeing a specialist for tests or treatment
Physiotherapy for shoulder pain
The number of physiotherapy sessions depends on the cause of your shoulder pain.
Follow the advice and exercises your physiotherapist gives you. This can help you avoid having surgery.
If you're still in pain after your sessions end, go back to your GP. They might suggest another treatment or refer you to a specialist.
Content supplied by the NHS and adapted for Ireland by the HSE
