Pain Location Guide
Shoulder Pain
肩膊痛可以由肩周炎、肩袖撕裂、肩夾擊或創傷引起。相似的舉手痛或夜晚痛，治療方向可以很不同。
如果肩痛影響睡眠、穿衣、梳頭或運動，建議由醫生檢查肩關節活動、肌腱及穩定性。
Common Causes
Common Causes Of Shoulder Pain
Pain in the same area may come from different tissues, including joints, tendons, ligaments, nerves or bones. The following are common possibilities, but diagnosis requires clinical assessment.
肩周炎 / 五十肩
肩關節僵硬、活動幅度減少，夜間痛較常見。
肩袖撕裂
可引起舉手無力、夜晚痛或受傷後肩痛。
肩關節夾擊
手臂抬高或轉動時痛楚明顯。
肩關節脫位
常見於跌倒或運動創傷後，可能反覆不穩。
肩鎖關節受傷
肩頂位置痛楚，常與跌倒撞擊有關。
鎖骨骨折
跌倒後鎖骨痛、腫脹或變形需要排除骨折。
When To Seek Urgent Medical Help
- 跌倒後肩膊變形或不能活動
- 明顯無力或手臂抬不起
- 痛楚持續影響睡眠
- 肩關節反覆脫位或不穩
- 伴隨發燒、紅腫或傷口
How Does The Doctor Diagnose It?
醫生會檢查肩關節活動幅度、肩袖肌力、夾擊測試及不穩徵象。X 光可排除骨折、脫位或退化；超聲波可評估肩袖及滑囊；MRI 可了解肌腱撕裂、軟骨或關節內問題。
Treatment Direction
治療可包括藥物、物理治療、伸展及肌力訓練、注射治療。若有明顯肩袖撕裂、反覆脫位或結構問題，才按病情考慮肩關節內窺鏡或其他手術治療。
Rehabilitation And Prevention
復康會按診斷調整，包括恢復活動幅度、肩胛控制、肩袖肌力及逐步回復工作或運動。
If pain persists, affects activity or follows an injury, consider booking an orthopaedic specialist assessment.
Book Orthopaedic AssessmentWhen To Seek Help
When Should You See An Orthopaedic Specialist?
If pain persists, keeps recurring or already affects daily life, you should not simply endure it. Early diagnosis can help identify the source of the problem, guide suitable treatment and reduce the chance of worsening or repeated injury.
Pain Does Not Settle
If pain has not improved after one to two weeks, or keeps recurring, consider professional assessment.
Affects Daily Life
If pain affects walking, stairs, work, exercise or sleep, it should not be delayed for too long.
Joint Swelling, Locking Or Instability
Swelling, locking, weakness or repeated sprains in joints such as the knee, shoulder or ankle may involve ligaments, meniscus, tendons or cartilage.
Numbness Or Weakness
Numbness, tingling or weakness in the limbs may be related to nerve compression or spinal problems and should be assessed early.
Pain After Fall Or Sports Injury
Obvious pain, swelling, difficulty moving or inability to bear weight after injury should be assessed to exclude fracture or significant soft tissue injury.
Pain After A Fall In Older Adults
In older adults, even mild pain after a fall may still indicate an occult fracture, especially in the hip, wrist or spine.
Patient FAQ
FAQ
No. Many orthopaedic problems can first be managed without surgery, such as medication, physiotherapy, posture and activity modification, braces, injections or rehabilitation training. The specialist’s role is to identify the cause of pain and recommend suitable options.
In general, it is better to see a doctor first for symptom review and clinical examination, then decide whether X-ray, MRI, ultrasound or other tests are needed. Different pain problems require different tests.
If pain recurs, becomes more frequent, affects exercise or daily activity, or is associated with numbness, swelling, weakness or locking, consider an orthopaedic assessment.
Minor strains may improve with rest. However, if there is obvious swelling, inability to bear weight, instability, limited movement, severe pain or suspected fracture, seek medical care promptly.
Not necessarily. Older adults, especially those at risk of osteoporosis, may still have an occult fracture or spinal compression fracture even if they can walk. Persistent hip, back, wrist or shoulder pain should be assessed.
Many orthopaedic problems benefit from rehabilitation after treatment to improve range of movement, strength, balance and function. The doctor will recommend a suitable plan based on the condition and recovery progress.
Pain does not always need to be endured. Early assessment may help prevent worsening.
Many orthopaedic problems do not require immediate surgery. An orthopaedic specialist will first understand your symptoms, perform a clinical examination and arrange X-ray, MRI, ultrasound or other investigations if needed, before recommending suitable options such as medication, physiotherapy, injections, braces, rehabilitation training or surgery when appropriate.
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