Nivaan Clinic

Delhi’s most advanced shoulder pain treatment clinic

22.9% of the general population reported shoulder-related problems in India.

Most cases of shoulder pain are musculoskeletal disorders that impact daily life and inhibit range of motion. Conventional treatments provide temporary relief but don’t address the long-term implications of shoulder problems.

Integrated pain treatment options, designed by the multidisciplinary team at Nivaan, address shoulder pain with a comprehensive approach. It is 9.3x times more effective in providing pain relief than other traditional methods available in the country.

Consult with our care team today

Causes of Chronic Shoulder Pain

In order to design an effective plan to treat shoulder pain, it is important to identify the underlying cause of shoulder pain

Bursa inflammation

The fluid-filled sac called bursa that protects the joint and helps it move smoothly gets inflamed due to overuse or repetitive shoulder movement.

Rotator cuff tear

This is one of the most prevalent causes of shoulder pain. It results from micro or macro tearing of the muscles or tendons. Acute inflammation of the rotator cuff soft tissues can also cause rotator cuff tendinitis

Shoulder dislocation

Pulling your shoulder too hard or rotating it too far causes the arm to come out of its socket, resulting in pain, swelling and numbness

Shoulder Separation

Typically caused by a fall or strong impact that results in ligament tears, potentially leading to a noticeable shoulder bump. It results in an injury called acromioclavicular (AC) at the juncture of the collarbone and shoulder blade.

Fracture

Bones can fracture from falls or strong impacts, with the clavicle (shoulder blade) and humerus being affected most frequently. This leads to intense pain, possible bruising, and, in the case of a collarbone fracture, a drooping shoulder and limited arm movement.

Frozen shoulder

This condition restricts joint mobility by causing the accumulation of abnormal tissue bands, known as adhesions, which inhibit the free movement of your shoulder.

mild shoulder pain called referred pain
Our comprehensive shoulder pain treatment approach targets the root causes of your discomfort, offering efficient solutions for effective pain relief.

Types or chronic shoulder pain and symptoms

Aching shoulder pain

This shoulder condition can result from a SLAP tear causing pain at either the back or front of the shoulder. Polymyalgia rheumatica (PMR) causes shoulder pain similar to pain caused by flu or vigorous exercise..

Symptoms

  • Severe muscle aches & limited range of motion
  • Popping, clicking, grinding, or locking sensation

Sharp shoulder pain

Experiencing sharp or shooting pain during specific movements may indicate the development of a frozen shoulder, shoulder impingement syndrome, or arthritis in the AC joint.

Symptoms

  • Sharp or pinching pain on the lateral side of the shoulder
  • Certain movements trigger pain

Shooting shoulder pain

This condition is a result of a pinched nerve or Brachial plexus injury. The pain travels through the network of nerves from the neck and shoulders to your arms and hands. Certain injuries to the brachial plexus are referred to as stingers.

Symptoms

  • Numbness, pins-and-needles, or a burning sensation
  • Muscle stiffness and weakness

Warm or burning shoulder pain

Shoulder pain conditions like shoulder bursitis and Rheumatoid arthritis can cause inflammation. You might experience warmth, heat, or burning sensations, indicating that your immune system is actively defending against infection or repairing tissue damage

Symptoms

  • Burning pain, irritated and inflamed bursa
  • Joint warmth, inflammation, swelling, and pain

Understand Nivaan’s integrated shoulder pain treatment plan 

Comprehensive care at Nivaan

4 specialists in 1 consultation

Your shoulders are the most mobile joint, enabling you to lift your hands above your head, reach across your body, or throw things. Discomfort and pain in your shoulders are beyond ignorance.
Currently, your journey as a shoulder pain patient can look like this
Shoulder joint bone spurs can cause severe pain
Letting this pain fester can cause severe shoulder problems. Finding the right pain specialist is essential, and Nivaan does that for you.
corticosteroid physical therapy surgery for chronic tendinitis

Multi-disciplinary lens for shoulder pain treatment

Experiencing any pain in your body is assumed to have likely resulted from a physical injury or an external force that caused the injury. While this is true in most cases, shoulder pain causes are not just limited to the physical aspects of pain. It is important to approach any pain diagnosis through a multi-disciplinary lens while considering the biopsychosocial approach.

Biological approach to shoulder pain treatment​

The biological approach focuses on the physical effects of chronic pain on your body. It identifies and addresses pain conditions like inflammation in the shoulder, tears in your muscles and tendons, and fracture or arm bone dislocation. This results in you experiencing shoulder pain that causes discomfort and can interfere with your daily activities.

Our pain doctors identify, analyse and address chronic pain with a tailored shoulder conditioning program that relieves pain.

Psychological approach to shoulder pain treatment

The psychological approach understands and analyses the link between your mental health and how it affects your pain. Living with shoulder problems can inhibit your capabilities and prevent you from performing tasks you love. This can cause a buildup of emotions and feelings that affect how you perceive pain. This triggers feelings of anxiety, stress and depression that can worsen pain perception and tolerance.

Pain therapists at Nivaan understand your pain conditions and teach coping techniques to manage pain effectively.

Social approach to shoulder pain treatment

The social strategy tackles the reluctance to engage with friends and family and steer clear of social events as a result of the ongoing struggle with chronic pain. Isolating oneself from social gatherings leads to increased stress levels, exacerbating the pain. The social approach promotes positive and supportive interactions, which can trigger the release of endogenous opiates, the body’s natural pain-relieving substances.

Our care team creates a positive environment and provides continuous support throughout your pain management journey.

An unimodal approach to diagnosing shoulder pain may not offer the most effective results. Our multi-disciplinary team understands that and employs a biopsychosocial approach to pain diagnosis and management. This approach allows us to create a customised treatment plan to relieve pain in your shoulder joint and upper arm.

Tackling Shoulder Pain: How Nivaan's Expert Team Makes a Difference

Shoulder pain is a common, chronic pain condition that can start as mild pain and turn into a severe injury without timely diagnosis and treatment. The care team at Nivaan, comprising of specialists from different disciplines – pain management specialists, pain therapists, nutritionists and physiotherapists – collaborate and work together to create effective treatment options that help reduce pain.
shoulder pain causes rotator cuff tendons - consult with pain specialist

Pain specialist

Our pain specialists have undergone specific training and are experts in treating diverse chronic shoulder pain conditions.

  • The multi-disciplinary team at Nivaan is led by our expert pain specialists. We conduct a thorough physical examination that helps to create a personalised treatment plan to meet your specific pain needs.
  • Our pain specialist offers nonsteroidal anti-inflammatory drugs and employs different minimally invasive methods to offer relief and expedite the healing process.
poor shoulder posture can cause shoulder dislocations

Physiotherapist

Our physiotherapist, also called a physical therapist, works with you to design exercise routines to address the root factors contributing to shoulder pain.

  • The exercises and stretches are custom-designed depending on your pain levels & body mobility and are aimed to strengthen the shoulder muscles and tendons
  • Our physiotherapist advises you on maintaining correct posture that improves mobility issues and helps reduce pain.
eat the right food to manage shoulder pain occurs in shoulder socket

Nutritionist

Our nutritionist believes that most of the time, the key to pain relief is on your plate. What you eat plays a major role in controlling or inflaming chronic pain.

  • Collaborating with our nutritionist, you’ll develop a dietary regimen aimed at enhancing bone strength and reducing inflammation.
  • Our nutritionist conducts regular checks and promptly identifies and rectifies any deficiencies through suitable modifications to your dietary plan.
shoulder socket called rotator cuff tendinitis

Pain therapists

Our pain therapists help connect the dots between your mental health condition and the constant struggle with shoulder pain.

  • Regulating your emotions is very critical to managing chronic pain. The pain therapist at Nivaan helps in dealing with the emotional causes of shoulder pain by teaching coping techniques.
  • Our pain therapist recognises this and employs Cognitive-behavioral therapy (CBT) as an effective treatment approach.

Experience integrated pain management solutions with Nivaan.

Shoulder Pain Treatment - Minimally invasive procedures at Nivaan

1

PRP (platelet-rich plasma) injections

This regenerative procedure involves injecting concentrated platelets from your blood into the affected area to promote healing and reduce pain.

2

Intra-articular injection

An intra-articular steroid injection for the shoulder, often referred to as a subacromial injection, is administered into the subacromial space within the shoulder. This treatment frequently addresses painful shoulder conditions like rotator cuff disease.

3

Nerve Block

A nerve block, also termed regional anaesthesia, entails injecting a local anaesthetic to block the nerve or a group of nerves transmitting pain in your body.

Hear our Happy Patients

Ajith Singh
Nivaan Clinic has really good doctors. They made a treatment plan that worked well for me. I got PRP treatment for my shoulder pain, and it helped a lot. I feel much better now. I highly recommend them.
Ananya Mehta
I took my mum to Nivaan Care because her shoulder was hurting. We thought she might need an operation, but the Nivaan team helped her without surgery, which made us really happy.
Raj Shekhar
My family member suggested this clinic to me. It’s a great place for pain treatment, and they also take care of you afterward with physiotherapy and dietary advice. I had a positive experience, and I suggest you check them out if you have knee pain issues.

Experience holistic shoulder pain treatment from the top-tier care team at Nivaan

Frequently Asked Questions

What causes pain in the shoulder joint?

Pain in your shoulder can result from swelling, injury, or alterations in the area surrounding your shoulder. Some of to common causes of pain in shoulder joining are -

  • Rotator cuff : Pain often arises when the tendons of the rotator cuff become inflamed or impinged within the shoulder.
  • Bursa inflammation: Bursitis is the inflammation of a bursa, a sealed, fluid-filled sac serving as a cushion and smooth surface to minimise friction between body tissues.
  • Shoulder dislocation :  When the arm bone moves out of the shoulder socket, it causes pain and discomfort, resulting in shoulder dislocation.
  • Shoulder separation: This is a result of an injury to the ligament between the shoulder and the collarbone.

Some other prominent causes of shoulder pain include cartilage tears, fractures and frozen shoulder.

Who is best for shoulder pain?

Chronic pain is a complex issue that needs timely diagnosis and treatment. Consulting a pain management specialist is the right way to go about it. They are experts in managing and treating chronic tendinitis and other pain conditions. The best approach will be to get a thorough diagnosis with a multi-disciplinary team consisting of pain specialists, pain therapists, nutritionists and physical therapists. They will offer a holistic treatment for your shoulder pain and consider the physical, psychological and social impacts of pain.

Should I ignore shoulder pain?

Your shoulder is the most movable joint in your body. Ignoring your shoulder pain can severely impact your daily life. Avoiding a timely diagnosis of shoulder pain won't reduce the pain and further aggravate it over some time. The best advice would be to consult a pain management specialist before the pain worsens. You can connect with our care team and experience holistic care for your pain concerns.

When can shoulder pain become an emergency?

Shoulder pain can sometimes be an indication of a heart attack, particularly when it is not caused by an obvious injury and is accompanied by other symptoms. It’s important to be aware of the following signs that shoulder pain might be related to a heart attack:
  • Pain Radiating to the Shoulder: Pain that originates in the chest and radiates to the shoulder, particularly the left shoulder, can be a symptom of a heart attack.
  • Sudden Onset: If the shoulder pain comes on suddenly and is not linked to a recent injury or physical strain, especially in the left shoulder, it should be taken seriously.
  • Chest Pain or Discomfort: The most common sign of a heart attack is chest pain or discomfort, which can feel like pressure, squeezing, fullness, or pain. Shoulder pain that occurs in conjunction with chest pain is a critical sign.
  • Additional Symptoms: Other symptoms of a heart attack can include shortness of breath, sweating, nausea, lightheadedness, or discomfort in other areas of the upper body, such as the back, neck, jaw, or other arm.
Women may experience different heart attack symptoms compared to men. For women, shoulder pain can be a more prominent symptom, sometimes without the classic chest pain. If you or someone else experiences shoulder pain along with any of these signs, especially if there is chest discomfort or the other symptoms mentioned, seek emergency medical attention immediately.

What can cause shoulder joint pain without injury?

Your shoulder is throbbing with pain, yet you can't recall any actions that might have caused this discomfort. Various conditions can lead to discomfort without being linked to a traumatic incident, as listed below -
  • Rotator cuff tendonitis and bursitis
  • Rotator cuff tears
  • Arthritis
  • Frozen shoulder