Shoulder Pain

Texas Hill Country Orthopaedics and Sports Medicine

Orthopedic Surgeons & Hand and Upper Extremity located in Fredericksburg, TX & Boerne, TX

As many as 7 in 10 Americans have shoulder pain at some point. Because the shoulder is the least stable joint in your whole body, many different issues can lead to shoulder pain. At Texas Hill Country Orthopaedics and Sports Medicine, esteemed orthopedic surgeons offer complete shoulder care for sports injuries, shoulder arthritis, rotator cuff injuries, and other persistent shoulder problems. There are two conveniently located offices in Fredericksburg and Boerne, Texas, so call for an appointment or click the online booking tool.

Shoulder Pain Q & A

What causes shoulder pain?

Your shoulder joint is unique because it's extremely mobile but also very unstable and easily injured. Some shoulder injuries happen during sports, but in many cases, shoulder pain develops as the joint wears down over time. 

Some common examples of shoulder pain are:


Osteoarthritis develops when the cartilage that smooths joint movement wears down gradually. This can lead to painful movement, along with stiffness and grating. 

Rotator cuff injuries

The rotator cuff includes four muscles and connecting tendons that form a cuff around the head of the humerus (upper arm) bone. Your rotator cuff helps your shoulder move and rotate properly. 

However, irritation or damage within these soft tissues can lead to shoulder tendinitis, partial tissue tears, complete tissue tears, and other painful problems. 


The shoulder joint uses soft tissues like muscles, tendons, and ligaments to maintain its stability, while other major joints like your hips are far more stable because they rely upon bone. With so many moving parts in your shoulder joint, it's not shocking that the joint can pop out of position to cause shoulder pain. 


Fractures can cause pain in any shoulder bone, with a clavicle (collarbone) fracture being the most common. 

Some less common causes of shoulder pain include infections, tumors, and nerve damage. 

How is shoulder pain diagnosed?

With so many causes of shoulder pain, it's important to see an expert for an accurate diagnosis and treatment. The doctor assesses your shoulder pain and looks for underlying causes through a physical exam and imaging tests like X-rays and MRIs.

He shows you the areas of damage or injury and explains the best way to overcome the cause of your shoulder pain.

How do you treat shoulder pain?

At Texas Hill Country Orthopaedics and Sports Medicine, the doctors customarily initiate a conservative treatment plan including activity changes, anti-inflammatory medication, and in some cases, anti-inflammatory injections. 

In some cases, shoulder pain won't improve without surgical correction. The doctors are rotator cuff repair specialists who've helped to publish a specialized surgical technique to repair even the most complex damage that can’t be repaired by other means.

The doctors are also shoulder replacement experts. They are one of a select few area surgeons to perform total shoulder replacements. For people with degenerative arthritis or untreated rotator cuff tears, a special kind of shoulder replacement can be the best solution. A reverse shoulder replacement restores your joint but bypasses the rotator cuff. 

If you have shoulder pain, call Texas Hill Country Orthopaedics and Sports Medicine or click the online scheduler to find out how the doctors can help.