Various Pathologies Causing Shoulder Pain: Their Relations with Demographic Parameters and

Background: Shoulder pain is a very common musculoskeletal disorder requiring physiatric intervention. However, most of the referred cases of pain shoulder come to PMR department as “frozen shoulder”, but careful evaluation and investigations reveal a myriad of pathological conditions. Objectives: To find the distribution and incidence of various pathological conditions presenting as shoulder pain and its relation to demographic parameters and pre-existing pathologies & co-morbidities. Materials and Methods: Total number of 300 patients of either sex with pain shoulder and functional impairment were included in this cross-sectional observational study. Appropriate clinical examinations, radiological and other necessary investigations were done. Descriptive statistical tools were used for data analysis. Results: Majority were aging adults with higher incidence in females. Periarticular pathologies including those involving rotator cuff were seen to be the major cause of pain shoulder. There was an overall left shoulder predominance but males tended to have right side involvement. Those with systemic diseases had more prevalence of bilateral involvement. Conclusion: Predominance of periarticular tissue pathologies as the cause of shoulder pain may be related with its typical biomechanics. Relation was seen between heavy physical work and dominant side involvement. Systemic pathologies predispose to bilateral involvement