It is difficult to list them, because the course of the disease and ailments can be very different, and the cause is common and vice versa. The accompanying symptoms are often not connected with this ailment by the patient, because they are seemingly very distant (eg increased thirst, more frequent urination).
Shoulder pain is a serious diagnostic challenge, because the pain of a structure as complex as the shoulder can be caused by at least a dozen different problems. This clearly shows that the term ‘medical art’ has practical justification. Shoulder pain is sometimes triggered by degenerative changes in the spine, requiring ‘only’ rehabilitation, but also lung cancer, threatening life. Shoulder pain sometimes manifests gout (arthritis), arthritis, and even heart attack or diabetes. So this is a disorder that can not be underestimated. Of course, with every shoulder pain you do not have to go to the doctor right away. However, if the pain attack is severe, for no apparent reason (you have not strained it in the garden) or the pain is recurring, chronic, it is time to visit an internist.
The basis is a medical history that will determine the order of probable causes and a list of tests necessary to perform, from the general urine examination, through ultrasound, and computed tomography. Of course, we are talking about the optimal situation, i.e. we go to a doctor who does not neglect the symptom of ‘shoulder pain’ and does not assume in advance that he knows what is the cause. Unfortunately, it happens that a patient is waiting for a correct diagnosis for many months, crucial for diseases that threaten general health and life.
Depending on the reason. In the case of ‘real’ spinal pain almost always help with massages, regular sport, swimming at the forefront. With problems
Pain in the upper back
Begin by taking the correct posture while sitting: hold your head straight, take care that the shoulder blades are pulled back, the back is in the back, and the feet touch the ground (possibly with the footrest). Try to move more. If this does not help or even sporadic discomforts are extremely troublesome, visit a doctor. The internist will refer you to a specialist, and the final diagnosis will decide on any treatment (from physical therapy to surgery, ending with myelopathy, advanced degenerative changes).