[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-565452-105":53,"doc-detail-565452-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","musculoskeletal-medicine-shoulder-pain-scott-masters","Musculoskeletal medicine - Shoulder pain - Scott Masters","","A systematic, patient-centred approach is presented for diagnosing and managing shoulder joint disorders and surrounding structures in general practice. The article emphasizes thorough history taking (including psychosocial factors) and skilled physical examination, noting that special investigations rarely change initial management. It highlights symptom patterns, red-flag conditions, and assessment strategies, supported by clinical context such as prevalence, chronicity risk, and functional impact on physical and psychosocial wellbeing.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":51,"@type":70,"position":76},"https://docshare.wps.com/template/general/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/musculoskeletal-medicine-shoulder-pain-scott-masters/565452/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/musculoskeletal-medicine-shoulder-pain-scott-masters/565452.png","ImageObject",442,249,{"name":88,"@type":89},"PakDamar76","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-25","2026-10-13",true,{"@type":98,"interactionType":99,"userInteractionCount":79},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"Why is shoulder pain a common and clinically important presentation in general practice?","Question",{"text":108,"@type":109},"Shoulder pain is frequent in general practice and often becomes chronic. It is associated with impaired physical and psychosocial functioning and has a notable rate of incomplete recovery over time.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What approach does the article recommend for diagnosing and managing shoulder pain?",{"text":113,"@type":109},"Use a systematic, patient-centred approach that combines a thorough history (including psychosocial aspects) with skilled examination. The article notes that special investigations rarely affect the general practitioner’s management.",{"name":115,"@type":106,"acceptedAnswer":116},"Which red-flag conditions should be considered in acute shoulder pain?",{"text":117,"@type":109},"Consider tumours (including proximal humerus metastases), inflammatory arthropathy (e.g., rheumatoid arthritis, gout, psoriatic arthropathy), visceral disease causing shoulder pain, septic arthritis, and fracture/dislocation—especially with trauma history or in osteoporotic patients.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},565452,1792251326,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":50,"category_name":51,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":79,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":73},962090893057,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","THEME  \nMusculoskeletal medicine  \nShoulder  \npain  \nScott Masters  \nMBBS, FRACGP, GDipMusMed, FAFMM, is Immediate  \nPast President, Australian Association of Musculoskeletal Medicine, Senior Clinical Lecturer, University of Otago, New Zealand, and amusculoskeletal physician,  \nBACKGROUND  \nShoulder pain is common in general practice and is a condition that frequently becomes chronic. Presentation includes either pain, weakness and stiffness, or a combination of these symptoms.  \nOBJECTIVE  \nThis article presents a systematic approach to diagnosing and managing disorders of the shoulder joint and surrounding structures.  \nDISCUSSION  \nThorough history taking (including psychosocial aspects) and skilled examination are essential; special investigations rarely affect the general practitioner’s management of shoulder pain. The tendency toward chronicity of shoulder pain (increased by certain biological and psychosocial risks) means that the clinician should adopt a patient centred approach in choosing from a wide range of treatment modalities.  \nCaloundra, Queensland. [scotty1@ozemail.com.au](scotty1@ozemail.com.au)  \nSimon Burley  \nBAppSc(Phty), MAPA, is a physiotherapist, Sunshine Coast, Queensland.  \nShoulder pain is a common presentation in general practice, with approximately 1% of adults consulting a general practitioner with new shoulder pain annually.1 The 1 month period prevalence of shoulder pain is 16% .2 Just 50% of new episodes of shoulder disorders recover within 6 months,3 rendering it a condition with likely long term consequences. A 2005 BEACH report indicated that 0.8% of all patient encounters in general practice were due to shoulder pain.4 Shoulder pain is associated with impaired physical and psychosocial functioning.5 Confident management of shoulder pain is an important skill for general practice.  \nBasic anatomy  \nThe glenohumeral joint is the most commonly dislocated major joint in the human body due to its lack of bony support and relatively lax capsule (Figure 1) . Thecapsulolabral supports provide the static constraints while the rotator cuff supplies the dynamic support (Figure 2) .  \nThe rotator cuff is responsible for depressing the humeral head against the labrum, acting as a dynamic stabiliser of the glenohumeral joint. In complete tears of the cuff, the humeral head migrates caudally because of the unopposed action of the deltoid.  \nScapular stability is dependant on proper function of serratus anterior, rhomboids and trapezius. Dysfunction of these muscles puts extra load onto the rotator cuff.  \nUnlike other joints where tendon injury can occur, the shoulder is unique in that the rotator cuff tendons can be impinged between two bones: the acromion above and the greater tuberosity of the humerus below.  \nPresentation  \nPeople with acute musculoskeletal dysfunction of the shoulder girdle usually present with three major symptoms: pain, weakness and stiffness, or any combination of these three symptoms.  \nInitial assessment involves a search for red flag conditions and risk factor identification including biological and psychosocial risk factors ( Table 1, 2); diagnostic determinations; and arrangement of a management plan.  \nRed flags  \nAcute shoulder pain may be the first warning sign of serious disease. Although uncommon, the following should be considered:  \n• tumours: 7% of bony metastases occur in the proximal humerus6  \n• inflammatory arthropathy: eg. rheumatoid arthritis, gout and psoriatic arthropathy. Consider polymyalgia rheumatica in patients over 60 years of age  \n• visceral disease: any condition that irritates themediastinal pleura, pericardium or diaphragm can cause shoulder pain. Consider myocardial ischaemia  \n• Septic arthritis: rare in the shoulder (less than 0.01%)  \n• Fracture/dislocation: usually history of trauma and sudden onset of pain. Increased vigilance is required in osteoporotic patients.  \nReferred pain  \nOther somatic sources will refer pain to the shoulder due to ","cbCaifN5REw5SWWF","https://ap.wps.com/l/cbCaifN5REw5SWWF","pdf",291018,6,"English","# Theme\n# Background\n# Objective\n# Discussion\n# Basic anatomy\n## Glenohumeral joint and rotator cuff\n## Scapular stability and biomechanics\n# Presentation\n## Symptoms and initial assessment\n# Red flags\n# Referred pain\n# History\n# Examination","[{\"question\":\"Why is shoulder pain a common and clinically important presentation in general practice?\",\"answer\":\"Shoulder pain is frequent in general practice and often becomes chronic. It is associated with impaired physical and psychosocial functioning and has a notable rate of incomplete recovery over time.\"},{\"question\":\"What approach does the article recommend for diagnosing and managing shoulder pain?\",\"answer\":\"Use a systematic, patient-centred approach that combines a thorough history (including psychosocial aspects) with skilled examination. The article notes that special investigations rarely affect the general practitioner’s management.\"},{\"question\":\"Which red-flag conditions should be considered in acute shoulder pain?\",\"answer\":\"Consider tumours (including proximal humerus metastases), inflammatory arthropathy (e.g., rheumatoid arthritis, gout, psoriatic arthropathy), visceral disease causing shoulder pain, septic arthritis, and fracture/dislocation—especially with trauma history or in osteoporotic patients.\"}]","Musculoskeletal medicine - Shoulder pain - Scott Masters | PDF",1791854130]