Understanding and Relieving Shoulder Internal Rotation Pain

Nov 20, 2023

Welcome to IAOM-US, your trusted source for health & medical services, including chiropractic care and physical therapy. In this comprehensive article, we delve into the topic of shoulder internal rotation pain – its causes, symptoms, and effective treatment options.


Shoulder internal rotation pain refers to discomfort or pain experienced when attempting to rotate the shoulder inwards. This condition can be caused by numerous factors, such as injury, overuse, or underlying medical conditions. At IAOM-US, our team of skilled professionals specializes in diagnosing and treating shoulder internal rotation pain, helping patients regain their mobility and quality of life.

Causes of Shoulder Internal Rotation Pain

Understanding the underlying causes of shoulder internal rotation pain is essential for effective treatment. Some common causes include:

  • Rotator Cuff Injuries: Tears or inflammation in the rotator cuff muscles can lead to pain and restricted internal rotation in the shoulder.
  • Shoulder Impingement: When the tendons or bursa in the shoulder become irritated or trapped, it can cause pain and limited range of motion, including internal rotation.
  • Frozen Shoulder: Also known as adhesive capsulitis, this condition is characterized by the stiffening of the shoulder joint, resulting in pain and restricted movement.
  • Posture-related Strain: Poor posture or repetitive movements can strain the muscles and tendons in the shoulder, leading to pain during internal rotation.
  • Trauma or Injury: Shoulder injuries, such as dislocations or fractures, may cause internal rotation pain as a result of damaged structures.

Signs and Symptoms

Shoulder internal rotation pain can manifest with various symptoms, which may include:

  • Pain or Discomfort: Patients often experience localized pain or discomfort in the shoulder when attempting internal rotation movements.
  • Limited Range of Motion: Difficulty or inability to fully rotate the shoulder inward due to pain or stiffness.
  • Weakness and Instability: Some individuals may also notice weakness or instability in the affected shoulder.
  • Clicking or Popping Sensation: In certain cases, internal rotation movements may be accompanied by clicking or popping sensations.
  • Sleep Disturbances: Shoulder pain can also disrupt sleep, affecting overall quality of life.

Diagnosis and Treatment

At IAOM-US, our highly skilled chiropractors and physical therapists employ a comprehensive approach to diagnose and treat shoulder internal rotation pain. The following steps are typically involved:

Evaluation and Medical History

The initial step in diagnosis is a thorough evaluation of your symptoms, medical history, and any relevant physical activities or injuries.

Physical Examination

A physical examination allows our experts to assess your shoulder's range of motion, strength, and stability. Specific tests may be conducted to identify the source of pain.

Imaging Tests

In some cases, imaging tests such as X-rays, MRI, or ultrasound may be recommended to evaluate the extent of damage to the shoulder structures and assist with an accurate diagnosis.

Treatment Options

Once a diagnosis is confirmed, our skilled professionals will develop a personalized treatment plan tailored to your specific needs. Treatment options may include:

  • Chiropractic Care: Manual adjustments, soft tissue therapy, and therapeutic exercises can help restore proper shoulder alignment, reduce pain, and improve range of motion.
  • Physical Therapy: Our team of experienced physical therapists will guide you through targeted exercises and stretches to strengthen the shoulder muscles, increase flexibility, and alleviate pain.
  • Modalities: Therapeutic modalities such as heat, cold therapy, ultrasound, and electrical stimulation may be used to manage pain and promote healing.
  • Home Exercises: Our experts will provide you with home exercises and self-care strategies to facilitate recovery and prevent future shoulder issues.

Preventing Shoulder Internal Rotation Pain

While some causes of shoulder internal rotation pain may be unavoidable, there are steps you can take to minimize the risk:

  • Maintain Good Posture: Practice maintaining proper posture while sitting, standing, and during physical activities to reduce stress on the shoulder joint.
  • Stretch and Strengthen: Engage in regular stretching and strength-building exercises to keep the shoulder muscles flexible and strong.
  • Use Correct Techniques: When engaging in sports or physical activities involving shoulder movement, ensure you are using proper techniques to prevent injury.
  • Take Breaks: Avoid repetitive activities that strain the shoulder muscles and take frequent breaks when engaging in such tasks.
  • Listen to Your Body: Pay attention to any warning signs of pain or discomfort and seek early intervention to prevent worsening of the condition.


Shoulder internal rotation pain can significantly impact one's daily life and activities. At IAOM-US, our dedicated team of chiropractors and physical therapists is committed to providing effective solutions that alleviate pain, restore function, and enhance quality of life. By understanding the causes, signs, and appropriate treatment options, you can take proactive steps towards a pain-free and mobile shoulder. Contact us today to schedule a consultation and let us help you on your journey to recovery.