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Shoulder pain
I had USG 1.5 month back I had inflammation took physiotherapy for 1.5 month now I got my MRI reports my shoulder is perfectly fine but why still I'm having shoulder pain??? My physio is now saying it could be because of cervical!! I'm confuse and frustrated with this pain please suggest me something
Answers (19)
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Do shoulder and cervical strengthening exercises.
You may use light resistance band/Theraband for strengthening for both shoulder and cervical. It will give you quick results probably with in 15 days you will see the difference.
Next Steps
Avoid bending your neck forward and sleeping on affected side
Health Tips
Shoulder n neck strengthening with Theraband
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If your shoulder MRI is normal but you are still experiencing pain, it is important to understand that pain does not always correlate with imaging findings.
Persistent shoulder pain can be due to:
Cervical spine involvement (nerve irritation or referred pain)
Scapular muscle imbalance
Postural dysfunction (forward head / rounded shoulders)
Myofascial trigger points
Residual inflammation with poor muscle control
Cervical spine–related shoulder pain is quite common in young individuals, especially with prolonged mobile or laptop use. If neck movements increase or reproduce your shoulder pain, cervical origin should be considered.
A detailed physical examination including: • Cervical ROM testing
Spurling’s test
Shoulder special tests
Scapular assessment
is necessary to differentiate the exact cause.
Next Steps
Consult a physiotherapist for a thorough cervical and scapular assessment. Treatment may include: • Postural correction exercises
• Deep neck flexor strengthening
• Scapular stabilization exercises
• Neural mobility exercises (if required)
Health Tips
Avoid prolonged mobile usage
• Maintain upright posture
• Avoid sleeping without proper neck support
• Do not rely only on MRI reports — clinical examination is more important
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A clear MRI is actually a positive sign; it means there is no major structural damage like a rotator cuff tear that would require surgery. Your pain is real, but it is likely functional rather than structural.
your physiotherapistâs focus on your cervical area is actually a very logical step based on your clinical history.
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I need to check the USG so I can comment on it, but if you have pain start using cold pac for 15 min 3 times for 15 days with it start strengthening exercise for should
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need more details like whats ur occupation how you sleep like all these things kindly consult a physiotherapist online and get diagnosed
Next Steps
dont overload or over work in affected shoulder
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Gud morning sir,May b cervical also involved ..But also didn't mention wheather u lifted the weight or something keep on stesdi g on the shoulder..or Continuously going a long ride..
Next Steps
Just visit the Orthopaedic physio..Suggest the SWD for pain n Strengthing exercises,,ROM activities
Health Tips
In Home try hot pack at shoulder pain area sir
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Please consult online for better treatment and diagnosis
Health Tips
Maintain posture
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Yes the pain of neck is radiating to shoulder, often physio rule out this and do only shoulder thing.
Take proper treatment for cervical and if possible take an X-ray of the cervical spine share, there are chances that the discs got some issue which is causing radiating pain, the pain will not be in neck but only shoulder and hand.
Maintain proper posture and take physiotherapy treatment for cervical spine.
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Might be pain comes from your neck
Continue with physiotherapy tretment
Next Steps
postural exercise
Health Tips
use hot formantation at lest 12 minutes
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Hi please take an online consultation for best diagnosis and treatment.
Next Steps
I need to check some clinical movements .
Health Tips
Postural care
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Need to see your report first shoulder pain can be due to neck also.
Need an examination for perfect diagnosis.
Feel free to contact me
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As per your age, this pain can be due to some bad posture .
Next Steps
Follow ergonomics, check vitamin D levels
Health Tips
For more details connect with me
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Hey there!
Kindly connect with me all of your reports. There can be some triggering factor. Stress also causes pain. Please connect with me online for diagnosis.
Regards
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Ms. Arathi (PT)
Pediatric Physiotherapist
We have to assess the pain severity and root cause of your pain
And then can guide you your treatment protocol
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Dr. Vishnu Pulibandla (PT)
Physiotherapist
1 yrs exp
Vijayawada
May be the cause at cervical to so proper diagnosis should be taken due to your occupational works and changes also the Pain May be associated so kindly go with proper diagnosis and treatment and primary keep the shoulder joint in rest position without any weights to it
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Ms. Shristi Shikha (PT)
Physiotherapist
2 yrs exp
Noida
Hii dear,
I can understand your confusion and frustration persistent shoulder pain can be very exhausting, especially when reports look normal.
The important thing to know is that MRI or USG being normal does NOT always mean the pain source is gone. In many young patients, shoulder pain often comes from:
• Cervical spine involvement (neck posture, muscle spasm, nerve irritation)
• Scapular muscle imbalance or weakness
• Trigger points or faulty movement patterns
This kind of pain does not always show clearly on scans but can be identified through a detailed clinical assessment.
I would suggest a proper neck + shoulder functional evaluation, posture analysis, and targeted physiotherapy focusing on cervical correction, muscle balance, and pain relief, not just machines.
With the right approach, these cases usually improve well. If you’re comfortable, we can plan a session to assess the root cause and start specific treatment accordingly.
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Dr. Neetu Rathi (PT)
Physiotherapist
17 yrs exp
Gurgaon
Greetings from Rid of Pain Physiotherapy
Change the physio. Only US won't help u. We need to work on the root cause. That can be diagnosed with the proper assessment.
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Dr. Ingelala Uma (PT)
Physiotherapist
14 yrs exp
Nellore
Hello
Yes it could be there are so many conditions to rule out,in case of cervical radiculopathy pain comes from neck it radiates to ur shoulder until wrist depends on ur symptoms.
There could be referred pain as well consult me online for better to know ur condition
Next Steps
Follow ergonomics
Postural correction
Health Tips
Hot water application 10-15 mins twice a day
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