What are the origins of referred shoulder pain?
Various. Shoulder (or scapular) pain can originate from many internal organs, including the myocardium
(angina and infarction), hepatobiliary system (cholecystitis), and diaphragm (subphrenic abscess). It
also may originate from cervical spine and neurovascular entrapment. For example, burning and tingling in the deltoid area may result from irritation of nerve roots, especially C5 and C6. Hence, any patients with shoulder pain who also have C-spine symptoms should have a brief neck exam (with and without resistance) to exclude referred disease.
Various. Shoulder (or scapular) pain can originate from many internal organs, including the myocardium
(angina and infarction), hepatobiliary system (cholecystitis), and diaphragm (subphrenic abscess). It
also may originate from cervical spine and neurovascular entrapment. For example, burning and tingling in the deltoid area may result from irritation of nerve roots, especially C5 and C6. Hence, any patients with shoulder pain who also have C-spine symptoms should have a brief neck exam (with and without resistance) to exclude referred disease.