Pain in the shoulder, chest or arm can sometimes be confusing. Many patients worry whether the cause is orthopaedic or related to heart disease. Understanding the difference is essential for timely diagnosis and treatment.
Important: Not all chest or arm pain is heart-related, but certain warning signs require immediate medical attention.
Common Orthopaedic Causes of Shoulder or Arm Pain
- Rotator cuff injuries
- Frozen shoulder
- Shoulder impingement syndrome
- Cervical spine nerve compression
- Muscle strain or ligament injury
- Fractures or trauma
When Pain May Be Heart-Related
- Pressure-like chest pain
- Pain radiating to left arm or jaw
- Shortness of breath
- Sweating or nausea
- Pain unrelated to movement
Key Differences Between Orthopaedic and Cardiac Pain
| Feature | Orthopaedic Pain | Heart-Related Pain |
|---|---|---|
| Movement | Worse with movement | Usually unrelated to movement |
| Location | Localized tenderness | Diffuse pressure sensation |
| Associated Symptoms | Stiffness, weakness | Breathlessness, sweating |
When Should You Seek Medical Attention?
Immediate medical evaluation is required if pain is severe, associated with breathlessness, dizziness, or sudden onset chest pressure.
Orthopaedic Evaluation and Treatment
An orthopaedic surgeon evaluates movement, performs clinical tests, and may recommend imaging such as X-ray or MRI. Treatment depends on diagnosis and may include physiotherapy, medication, or surgical options.
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