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Why Does My Shoulder Crack When I Rotate With Pain?

Published in Shoulder Pain 3 mins read

The cracking sound in your shoulder during rotation, accompanied by pain, can be due to several reasons, often involving problems within the rotator cuff.

Potential Causes

  • Rotator Cuff Tears: A common cause is a tear in one of the tendons that make up the rotator cuff. These tears often result from overuse or heavy overhead lifting. When the torn tendons move or rub, they can create a cracking or popping sound along with pain.

  • Other Potential Issues: Although less directly supported by the reference, other potential causes can contribute, but should be verified by a medical professional.

    • Crepitus: This refers to the cracking, popping, or grinding sensation or sound in a joint. It can be caused by various factors, including air bubbles in the joint fluid, roughness of the cartilage, or tendons snapping over bony structures.
    • Labral Tears: The labrum is a ring of cartilage that surrounds the shoulder socket, providing stability. Tears in the labrum can cause clicking, popping, or a catching sensation along with pain.
    • Osteoarthritis: Degeneration of the cartilage in the shoulder joint can lead to bone-on-bone friction, resulting in cracking, popping, and pain.
    • Shoulder Impingement: This occurs when tendons in your shoulder become compressed, potentially causing inflammation and pain, contributing to unusual sounds during movement.

What to Do

  1. Seek Medical Evaluation: It's crucial to consult a doctor or physical therapist for a proper diagnosis. They can determine the exact cause of your symptoms through a physical exam and imaging tests (like X-rays or MRI).

  2. Treatment Options:

    • Medication: Over-the-counter pain relievers or prescription medications can help manage pain and inflammation.

    • Physical Therapy: A physical therapist can develop an exercise program to strengthen the muscles around your shoulder, improve range of motion, and reduce pain.

    • Arm Sling: Immobilizing your shoulder with a sling can provide support and allow the injured tissues to heal.

    • Surgery: If conservative treatments are ineffective, surgery may be necessary to repair torn tendons or address other structural problems.

It is important to note that self-diagnosing and self-treating can worsen the condition. Prompt medical evaluation is essential.

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