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Mick asked...

I have a grating noise in my shoulder

I have a grating noise in my shoulder and sometimes get slight ache. I still have a full range of movement. I did go to my GP last year and was given a rub and anti inflamatories.

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The answer

Thank you for contacting us. The type of symptoms you are experiencing can sometimes suggest a problem in the rotator cuff which lies around the shoulder. The Rotator cuff is a group of muscles and tendons that attach to the bones of the shoulder joint allowing the shoulder to move and keep it stable.

Over time the tendons in the area can become worn which can give rise to the grating noise you have been hearing due to bone wearing on bone as well as pain. Occasionally, the tendon affected can tear as it wears away but this is more commonly associated with pain on certain movements usually elevation of the arm when that happens.

Other causes sometimes relate to general wear in the joint or degeneration known more commonly as osteo-arthritis.

Under the circumstances I do think a visit to your Gp again is warranted. You can explain that you are continuing to experience problems despite the treatment initially suggested. Often an MRI scan of the shoulder for example will show what the nature of the problem is and that will help to target any treatment more effectively.

You might also want to consider using your private health care policy to see a specialist Orthopaedic consultant to both diagnose and treat this for you once diagnosis is made. If that is the case you will need to ask your Gp to make a referral for you in the first instance.

I do hope this information will be helpful and of use

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