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Shoulder pain: causes and care — Level B1 — a pencil drawing of a knee joint

Shoulder pain: causes and careCEFR B1

24 Apr 2026

Adapted from U. Rochester-URMC, Futurity CC BY 4.0

Photo by Europeana, Unsplash

Level B1 – Intermediate
3 min
167 words

Ilya Voloshin, chief of the Shoulder and Elbow Division at the University of Rochester’s orthopaedics department, says shoulder pain is common and often relates to aging and everyday wear and tear. Tendons become more vulnerable with age and with repetitive use, and overuse, poor conditioning, or lack of warm-up can cause inflammation and pain.

Acute injuries that lead to shoulder pain include falling, hoisting heavy objects, yardwork, and athletic activities such as tennis or golf. Pain can also come from nerves, for example neck arthritis or carpal tunnel syndrome, and from habits such as poor posture or sleeping on the side.

Common conditions are rotator cuff disease, frozen shoulder, impingement, and tendonitis. About 80% of frozen shoulder cases improve without surgery. Physical therapy is usually the first step and cortisone injections may help. Seek care if an acute injury leaves you unable to raise your arm, or if pain and loss of function persist for 4–6 weeks, when MRI and surgical referral may be appropriate.

Difficult words

  • tendonStrong band that connects muscle to bone.
    Tendons
  • inflammationBody's response causing redness, pain, or swelling.
  • rotator cuff diseaseProblems with shoulder muscles and their tendons.
  • frozen shoulderShoulder becomes stiff and loses movement.
  • impingementWhen shoulder structures are pinched and hurt.
  • tendonitisIrritation or inflammation of a tendon.
  • cortisone injectionSteroid medicine injected to reduce joint pain.
    cortisone injections
  • physical therapyExercises and treatments to restore movement.

Tip: hover, focus or tap highlighted words in the article to see quick definitions while you read or listen.

Discussion questions

  • Have you ever had shoulder pain? What activities caused it and how did you treat it?
  • Which first steps from the article would you try if you had shoulder pain, and why?
  • Do people who do repetitive work need special exercises or warm-ups? Explain your opinion.

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