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Why Does My Shoulder Hurt When I Breathe?

Published in Respiratory Pain 3 mins read

Shoulder pain when breathing can stem from several issues, often related to the chest area rather than the shoulder joint itself. Here's a breakdown of potential causes based on the provided references:

Possible Reasons for Shoulder Pain When Breathing

Condition Description Mechanism
Costochondritis Inflammation of the cartilage that connects your ribs to your breastbone. The inflammation can radiate pain to the shoulder, especially during deep breaths.
Pneumonia An infection in one or both lungs, which can sometimes cause pleurisy (inflammation of the lining around the lungs). Pleurisy can trigger referred pain to the shoulder, which intensifies with breathing.

Understanding the Pain

It is crucial to differentiate between the location and type of pain:

  • Pain Origin: The discomfort is not originating from the shoulder joint itself but from nearby areas, such as the rib cage or lungs.
  • Referred Pain: Pain experienced in one part of the body when the source of the pain is elsewhere (such as pain from the lungs being felt in the shoulder).
  • Deep Breathing: The pain tends to become more intense when you take a deep breath because the chest expands, and this may irritate the underlying issues causing the pain.

Detailed Explanations

  1. Costochondritis:

    • This condition causes inflammation in the cartilage that connects your ribs to your breastbone.
    • The inflammation can cause sharp, stabbing pain, which may be felt in the chest and may radiate towards the shoulder.
    • Deep breathing can worsen the pain as it puts pressure on the inflamed cartilage.
  2. Pneumonia:

    • Pneumonia occurs when the lungs become infected, often caused by bacteria or viruses.
    • This can lead to pleurisy, an inflammation of the pleura (the lining of the lungs and chest cavity).
    • Pleurisy can cause pain that is referred to the shoulder, and the pain worsens when breathing deeply because this motion puts stress on the affected lining of the lungs.

What to Do

If you experience shoulder pain while breathing, it's best to:

  • Consult a Doctor: For proper diagnosis and treatment.
  • Describe Your Pain: Clearly communicate the nature, location, and intensity of your pain to your doctor.
  • Additional Symptoms: Note any other accompanying symptoms like fever, cough, or chest pain.

By understanding that breathing-related shoulder pain can stem from chest issues, you can seek appropriate medical attention.

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