[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-565451-105":53,"doc-detail-565451-en":127},{"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":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","pain-mapping-for-common-shoulder-disorders","Pain Mapping for Common Shoulder Disorders","","Study investigates specific pain patterns across common shoulder disorders and develops a comprehensive shoulder pain map based on prospective evaluation. Ninety-four new referral cases completed an upper limb pain map, and blinded clinicians correlated the mapped patterns with final diagnoses. Each disorder showed distinct pain characteristics: impingement and cuff tears with sharp anterior or mixed radiating pain, AC joint with sharp localized pain, GH arthritis with the most severe mixed pattern, and instability/calcific tendinitis with different sharp versus dull or severe sharp distributions.",{"@graph":63,"@context":119},[64,80,102],{"@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/pain-mapping-for-common-shoulder-disorders/565451/",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/pain-mapping-for-common-shoulder-disorders/565451.png","ImageObject",442,249,{"name":88,"@type":89},"Guten tag","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-27","2026-10-13",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",7,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"How was the shoulder pain map study conducted?","Question",{"text":109,"@type":110},"Ninety-four new referral cases completed an upper limb pain map before clinician consultation. Two clinicians, blinded to map findings, made final diagnoses that were correlated with the pain maps.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What pain pattern characterized subacromial impingement?",{"text":114,"@type":110},"Pain was predominantly sharp around the anterior shoulder, radiated down the arm, and was associated with dull aching pain that further radiated toward the hand.",{"name":116,"@type":107,"acceptedAnswer":117},"Which disorder showed the most severe pain in the results?",{"text":118,"@type":110},"Glenohumeral joint arthritis showed the most severe pain, with a mixed pattern that affected the entire arm.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},565451,1792092552,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":50,"category_name":51,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":136,"language":137,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":61,"update_tm":141,"read_time":73},687212321768,"https://ap-avatar.wpscdn.com/avatar/a0010bdbe886d2fe77?x-image-process=image/resize,m_fixed,w_180,h_180&k=1789897067658708522","An Original Study  \nPain Mapping for Common Shoulder Disorders  \nLevent Bayam, MBBS, MRCS, Mudussar A. Ahmad, MBBS, MRCS, Syed Z. Naqui, BSc, MSc, FRCS (Tr & Orth), Aroonkumar Chouhan, BSc (Hons), MBChB, and Lennard Funk, BSc, MBBCh, FRCS, MSc,  \nFRCS (Tr & Orth)  \n\n| Abstract\u003Cbr>We conducted a study to ascertain specific patterns of pain in patients with common shoulder disorders and to describe a comprehensive shoulder pain map. We prospectively studied 94 cases involving an upper limb pain map and correlated the maps with the final diagnoses made by 2 clinicians who were blinded to the pain map findings.\u003Cbr>Pattern, severity, and type of pain were specific to each common shoulder disorder. In subacromial impingement, pain was predominantly sharp, occurred around the anterior aspect of the shoulder, radiated down the arm, and was associated with dull, aching pain radiating to the hand. A similar pain pattern was found in rotator cuff tears. In acromioclavicular joint pathology, pain was sharp, stabbing, and well localized to the anterosuperior shoulder area. Glenohumeral joint arthritis was marked by the most severe pain, which occurred in a mixed pattern and affected the entire arm. Whereas the pain of instability was a mixture of sharp and dull pain, the pain of calcific tendonitis was severe and sharp. Both pains were limited to the upper arm and shoulder.\u003Cbr>Pain mapping revealed definitive patterns for shoulder pathologies. We advocate using pain maps as useful diagnostic guides and research tools. |  |\n| --- | --- |\n| C | onditions that cause shoulder pain are common and contribute substantially to the musculoskeletal morbidity of the community.1 The incidence of shoulder disorders in the gen- |\n| eral population has been reported to range from 7% to 36% .2 Shoulder pain is the third most common cause of musculoskeletal consultation in primary care, and approximately 1% of adults consult a general practitioner with new shoulder pain annually.3,4\u003Cbr>Mapping for specific disorders has been described for back and hip pain, but not shoulder pain. Pain maps |  |\n\nDr. Bayam is Research Fellow, Dr. Ahmad is Senior House Officer, Dr. Naqui is Upper Limb Fellow, Dr. Chouhan is Senior House Officer, and Prof. Funk is Consultant Orthopaedic Surgeon, Wrightington Hospital, Wigan, England.  \nAddress correspondence to: Lennard Funk, BSc, MBBCh, FRCS, MSc, FRCS (Tr & Orth), 120 Princess Rd, Manchester, M15 5AT, England (tel, 0161-2270027; fax, 0161-2270028; e-mail, [lenfunk@shoulderdoc.co.uk](lenfunk@shoulderdoc.co.uk)).  \nAm JOrthop. 2011;40(7):353-358. Copyright Quadrant HealthCom Inc. 2011. All rights reserved.  \nhave been found to be useful for diagnostic, therapeutic, prognostic, and research purposes. Modern pain mapping was introduced in 1949, when Palmer5 provided outline diagrams of the human body and asked patients to mark on the charts wherever they experienced pain. Use of pain maps in clinical practice is now more widespread, and such maps are part of the McGill Pain Questionnaire.6  \nAlthough pain patterns for common shoulder disorders have been described in the literature, most reports have been anecdotal. No study has specifically compared and mapped the common shoulder pain pathologies.  \nWe conducted a study to clarify the pain patterns of the common shoulder pathologies—subacromial impingement, rotator cuff tear, glenohumeral joint (GHJ) arthritis, and acromioclavicular joint (ACJ) pathology.  \nMaterials and Methods  \nWe prospectively studied 94 cases of shoulder pain. All patients were new referrals who attended the new patient clinic in an upper limb unit.  \nExcluded from the study were patients with neck pain symptoms, clinical features indicating neck pathology, previous or multiple shoulder problems, ipsilateral upper limb problems, suspected carpal or cubital tunnel syndrome, or nerve compression.  \nAll patients completed an upper limb pain map before consultation with the clinician. They were given clear ver","cbCaicAk589FMtEU","https://ap.wps.com/l/cbCaicAk589FMtEU","pdf",983490,6,"English","# Abstract\n## Pain mapping study design\n## Pain patterns by disorder","[{\"question\":\"How was the shoulder pain map study conducted?\",\"answer\":\"Ninety-four new referral cases completed an upper limb pain map before clinician consultation. Two clinicians, blinded to map findings, made final diagnoses that were correlated with the pain maps.\"},{\"question\":\"What pain pattern characterized subacromial impingement?\",\"answer\":\"Pain was predominantly sharp around the anterior shoulder, radiated down the arm, and was associated with dull aching pain that further radiated toward the hand.\"},{\"question\":\"Which disorder showed the most severe pain in the results?\",\"answer\":\"Glenohumeral joint arthritis showed the most severe pain, with a mixed pattern that affected the entire arm.\"}]","Pain Mapping for Common Shoulder Disorders | PDF",1791854127]