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Shoulder Pain Diagnosis Chart

Shoulder Pain Diagnosis Chart

Front Shoulder Pain Diagnosis Chart

A. AC joint injury or arthritis
An acromioclavicular (AC) joint injury or arthritic changes—pain at top of shoulder, often from trauma or degeneration.
B. Biceps, anterior rotator cuff, SLAP tears, or joint inflammation
Includes biceps tendinitis or rupture, anterior rotator cuff issues (tears or impingement), SLAP lesions, bursitis.
C. Biceps issues, rotator cuff problems, frozen shoulder, or shoulder arthritis
Comprehensive mix—includes adhesive capsulitis (“frozen” shoulder) and glenohumeral arthritis presenting anteriorly.
D. Rotator cuff issues and frozen shoulder
Rotator cuff tendon injuries and adhesive capsulitis overlapping in anterior presentation.
E. Clavicle injury and trapezial tendinitis
Clavicle (collarbone) fractures or tendon inflammation at trapezius insertion.
F. Muscle strain or neck problems
Strain of front shoulder/neck muscles, or referred pain from cervical pathologies.
G. Sternoclavicular (SC) joint injury
Injury at the connection between sternum and clavicle—rare but typically painful near the front base of neck.
H. AC joint injury or arthritis
As in A—repeated to underscore common causes in front shoulder pain.
I. Rotator cuff issues, frozen shoulder, or shoulder arthritis
Again rotates through common anterior shoulder culprits like cuff tears and adhesive capsulitis.

Back Shoulder Pain Diagnosis Chart

A. Shoulder muscle strain and neck problems
Posterior shoulder pain may stem from trapezius, rhomboids, or radiating from cervical spine.
B. Rotator cuff issues, frozen shoulder, or shoulder arthritis
Tendon injuries, capsulitis, or degenerative arthritis can also present at back of shoulder.
C. Muscle strain or scapular dysfunction
Issues with scapular control or muscle balance (e.g. serratus, levator scapulae) often cause pain.
D. Scapular problems
Covers snapping scapula syndrome, fractures, trigger points, spasms, or referred pain patterns.
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