The Pain with Shoulder Internal Rotation – Explained

Jan 1, 2024


As one of the leading providers in the fields of Health & Medical, Chiropractors, and Physical Therapy, IAOM-US is committed to helping individuals overcome various musculoskeletal issues. In this comprehensive article, we will delve into the intricacies surrounding the pain experienced with shoulder internal rotation. We will explore the causes, symptoms, and effective treatments for this condition, providing a resource that will assist individuals in understanding and managing their shoulder pain effectively.

Understanding Shoulder Internal Rotation Pain

Shoulder internal rotation refers to the movement of the arm across the front of the body, towards the opposite shoulder. Pain experienced during this motion can be indicative of an underlying condition or injury. It is essential to identify the root cause of the pain accurately to ensure appropriate treatment and management.

Causes of Shoulder Internal Rotation Pain

There are several potential causes of pain with shoulder internal rotation. Some common factors include:

1. Rotator Cuff Injury

The rotator cuff consists of a group of muscles and tendons that surround the shoulder joint, providing stability and enabling various movements. Injury or inflammation in these structures can result in pain during shoulder internal rotation.

2. Shoulder Impingement Syndrome

Shoulder impingement syndrome occurs when the rotator cuff tendons get pinched between the shoulder blade and the upper arm bone. This can cause pain and restricted movement, particularly during internal rotation.

3. Biceps Tendinitis

Overuse or injury to the biceps tendon can lead to biceps tendinitis, a condition characterized by pain and inflammation. Individuals with biceps tendinitis may experience discomfort during activities involving internal rotation of the shoulder joint.

4. Frozen Shoulder (Adhesive Capsulitis)

Frozen shoulder is a condition marked by stiffness and pain in the shoulder joint. This condition often leads to limited range of motion, potentially causing pain with internal rotation of the shoulder.

5. Glenohumeral Arthritis

Glenohumeral arthritis, also known as shoulder arthritis, is characterized by the breakdown of cartilage in the shoulder joint. This degenerative condition can result in pain and restricted movement during internal rotation.

Symptoms of Pain with Shoulder Internal Rotation

The symptoms experienced with pain during shoulder internal rotation can vary depending on the underlying cause. Some common symptoms include:

  • Sharp or dull pain in the shoulder joint or surrounding areas.
  • Difficulty or discomfort while moving the arm across the front of the body.
  • Weakness or reduced strength in the affected shoulder.
  • Swelling or inflammation around the shoulder joint.
  • Decreased range of motion in the shoulder.

Treating Pain with Shoulder Internal Rotation

Treating pain with shoulder internal rotation involves various approaches, depending on the underlying cause and severity of the condition. Here are some common treatment methods:

1. Physical Therapy

Physical therapy plays a crucial role in the rehabilitation and management of shoulder pain. A Chiropractor or Physical Therapist can provide exercises and stretches to improve strength, flexibility, and overall shoulder function.

2. Medications

Nonsteroidal anti-inflammatory drugs (NSAIDs) may be prescribed to alleviate pain and reduce inflammation in the shoulder joint. In some cases, analgesics or muscle relaxants may also be recommended.

3. Rest and Ice

Resting the affected shoulder and applying ice packs can help reduce pain and swelling. This method is often used in combination with other treatment options.

4. Injections

In certain cases, corticosteroid injections may be administered to relieve pain and inflammation in the shoulder joint. These injections can provide temporary relief but should be used judiciously.

5. Surgery

Surgical intervention is typically considered when other conservative methods fail to provide sufficient relief. The type of surgery will depend on the specific condition and severity of the issue.


Understanding the causes, symptoms, and treatment options for pain with shoulder internal rotation is vital for effective management. If you are experiencing persistent or worsening shoulder pain, it is advisable to consult with a qualified healthcare professional at IAOM-US who specializes in Health & Medical, Chiropractors, and Physical Therapy. They can accurately diagnose the underlying issue and create a tailored treatment plan to help relieve your pain and improve your shoulder function. Don't let shoulder pain limit your daily activities – seek expert care and regain your mobility today!

Disclaimer: The information provided in this article is for educational purposes only and should not replace professional medical advice. Always consult with qualified healthcare providers for an accurate diagnosis and appropriate treatment.