Shoulder pain is one of the most common musculoskeletal complaints, affecting roughly 18–26% of adults at any given time. Many cases resolve with rest, ice, and over-the-counter anti-inflammatory medication. But some symptoms signal a problem that warrants evaluation by a fellowship-trained shoulder specialist.
Warning Signs You Shouldn't Ignore
Persistent pain lasting more than two to three weeks. Mild muscle soreness after a new workout usually fades within a few days. Pain that lingers—especially if it's worsening—may indicate a rotator cuff tear, labral injury, or early arthritis.
Night pain that disrupts sleep. Shoulder conditions such as rotator cuff tears and frozen shoulder often produce a characteristic ache at night, particularly when lying on the affected side. If you consistently wake up because of shoulder pain, seek evaluation.
Weakness when lifting or reaching overhead. Difficulty raising your arm, carrying groceries, or reaching a high shelf can indicate a torn rotator cuff or nerve issue that benefits from early diagnosis.
A shoulder dislocation or feeling of instability. If your shoulder has "popped out" or you feel it could slip out of place during certain movements, you should see a specialist promptly. Recurrent instability can cause progressive damage to the labrum and cartilage.
Clicking, catching, or grinding. Mechanical symptoms often point to a labral tear, loose body, or cartilage damage that may progress without treatment.
What to Expect at Your First Visit
A consultation with a shoulder specialist typically includes:
- Detailed history: When your symptoms started, what makes them better or worse, and any prior treatments.
- Physical examination: Range-of-motion testing, strength assessment, and specialized provocative tests to identify the source of pain.
- Imaging review: Your surgeon will review any X-rays or MRI scans you bring. Additional imaging may be ordered if needed.
- Treatment plan: Many shoulder conditions respond to non-surgical care first—physical therapy, activity modification, and sometimes injections. Surgery is reserved for cases that fail conservative treatment or involve structural damage that won't heal on its own.
Why Choose a Fellowship-Trained Shoulder Surgeon
General orthopedic surgeons treat a wide range of musculoskeletal problems. A fellowship-trained shoulder and elbow specialist has completed an additional year of focused training in complex shoulder reconstruction, shoulder replacement, and advanced arthroscopic techniques. For conditions like recurrent instability, massive rotator cuff tears, or shoulder arthritis requiring joint replacement, this extra expertise translates to better outcomes.
Schedule an Evaluation
If you're experiencing any of the warning signs above, don't wait. Early evaluation often leads to simpler, more effective treatment. Dr. Tej Joshi sees patients at three NYU Langone offices: Manhattan, Lake Success in Nassau County, and Bay Ridge, Brooklyn.