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Causes of Chronic Shoulder Pain By Mark Williams on November 11, 2019

Shoulder instability medical drawingDr. Mark Williams has helped countless patients in the Fort Worth, TX area overcome issues with frozen shoulder and chronic shoulder pain. Our goal at Texas Injury Clinic is to ensure patients experience pain relief, with as much restored range of motion as possible.

Treating shoulder pain is only half the battle. We also take time to educate patients so they understand why their shoulder condition developed. With that in mind, below are some of the most common causes of severe shoulder pain.

Physical Trauma

Being in an accident, suffering a serious fall, or being involved in a physical altercation can lead to damage to the shoulder and its surrounding tissues. In a number of cases, patients complaining of shoulder pain have suffered from some sort of accident or incident.

Strain from Repetitive Motions

Repeating the same movements over and over again can have negative effects on the health of various joints. Over time, the wear and tear on the shoulder can lead to pain and problems with achieving full use of the shoulder and range of motion.

Sports and Athletic Injuries

Sports injuries tend to combine aspects of physical trauma and repetitive motions. Constant stress on the shoulder in athletic competition can affect pros, college athletes, as well as weekend warriors. This is why shoulder pain after workouts, practice, or competition always needs to be taken seriously.


Osteoarthritis refers to the breakdown of cartilage over time as a result of wear, tear, and injuries. This causes tenderness, swelling, and stiffness of the joint over time. When arthritis affects the shoulder, patients may find it extremely difficult to move their shoulder in a certain way without experiencing pain.

Our Fort Worth injury center notes that seniors often struggle with arthritis, which is just the nature of the aging process.

Shoulder Fractures

When the bones around the shoulder are fractured, it can lead to chronic pain.

This includes damage to the scapula (shoulder blade), clavicle (collarbone), or the humerus (bone of the upper arm). These fractures need not be severe, either. Even a hairline fracture can cause discomfort and limited use of the shoulder.


Tendons are the cords of fibrous tissue that connect the muscle to the bone. Tendinitis refers to the inflammation of this connective tissue, particularly the four tendons of the rotator cuff and one of the tendons in the upper arm. This condition is the result of repetitive stress or physical trauma.

Torn Tendons

Some tendon injuries involve partial or full tears rather than just inflammation. These kinds of injuries usually affect the biceps or the rotator cuff. Surgery may be necessary, especially if a person suffers a full tendon tear.


A bursa is a small fluid-like sac located in the joints. A bursa helps reduce friction between the bone and soft tissues. Excessive use of the shoulder can lead to inflammation of the bursa in the shoulder, leading to chronic pain.

Shoulder Impingement

Shoulder impingement refers to cases in which the shoulder blade rubs one of the shoulder tendons. This can lead to pain when reaching behind your back or over your head. Impingement is sometimes associated with tendinitis and bursitis.

Shoulder Instability

Shoulder instability occurs when the head of a person’s upper arm bone slides out of position. This is not a full dislocation but rather a joint misalignment known as a subluxation. This is usually the result of the structures around the ball and socket joint of the shoulder fail to maintain the proper position of the various structures in place.

Contact Texas Injury Clinic

To learn more about treating shoulder pain and improving your overall wellness, be sure to contact a skilled chiropractor and pain relief specialist. You can reach Texas Injury Clinic in Fort Worth by calling (817) 624-7222.

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Texas Injury Clinic

Texas Injury Clinic is the premier destination for patients who need advanced, non-invasive care to relieve their painful symptoms. Our highly trained chiropractors are up-to-date with the latest treatments and are members of prestigious organizations:

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I came to TX Injury Clinic after a VERY serious car accident in 2015, and the team there was instrumental in my recovery! Everyone always has a great attitude and encouraged me to push my limits.

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