Most shoulder pain settles with rest, activity modification and physiotherapy. The pattern that should not be ignored is pain that wakes you at night, difficulty lifting the arm overhead, and weakness when the arm is tested against resistance.
Frozen shoulder causes stiffness in every direction — even when someone else moves your arm. A rotator cuff tear typically leaves passive movement possible but active lifting weak. That distinction guides the entire treatment plan.
Ultrasound or MRI confirms the diagnosis. Small, partial tears frequently respond to a structured programme of scapular stabilisation and cuff strengthening over 8–12 weeks.
Arthroscopic repair is considered for full-thickness tears, traumatic tears in younger patients, and pain that persists despite good conservative treatment. Key-hole repair means smaller incisions, less pain and an earlier start to rehabilitation.
Recurrent dislocation is a separate problem — each additional dislocation damages more of the labrum and bone, so early surgical stabilisation is often the safer path for young athletes.
About the author
Dr. Shreyas M.J
Consultant Orthopaedic Surgeon in Mysuru specialising in arthroscopy of the knee and shoulder, joint replacement, foot & ankle surgery and trauma care. Fellowship-trained in arthroscopy and sports medicine (India, Australia and Thailand) and Assistant Professor at JSS Hospital.
Read full profile →This article is general information and not a substitute for a clinical examination. For advice on your specific problem, book a consultation at the clinic.
