{"id":12167,"date":"2026-06-15T07:26:25","date_gmt":"2026-06-15T07:26:25","guid":{"rendered":"https:\/\/drgazielly.com\/?page_id=12167"},"modified":"2026-06-15T07:26:25","modified_gmt":"2026-06-15T07:26:25","slug":"1-listening-to-the-patient-shoulder-pain-dr-gazielly","status":"publish","type":"page","link":"https:\/\/drgazielly.com\/index.php\/en\/1-listening-to-the-patient-shoulder-pain-dr-gazielly\/","title":{"rendered":"1. Listening to the Patient \u2013 Shoulder Pain \u2013 Dr Gazielly"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p><!-- ===================== PAGE TITLE ===================== --><\/p>\n<p>[vc_row][vc_column]<br \/>\n[vc_custom_heading text=&#8221;1. Listening to the Patient&#8221; font_container=&#8221;tag:h1|text_align:left&#8221; use_theme_fonts=&#8221;yes&#8221; css=&#8221;.vc_custom_1700000001{margin-bottom: 20px !important;}&#8221;]<br \/>\n[\/vc_column][\/vc_row]<\/p>\n<p><!-- ===================== INTRODUCTION ===================== --><\/p>\n<p>[vc_row][vc_column]<br \/>\n[vc_column_text]<\/p>\n<p>The 2 main reasons why a patient comes to see us are:<\/p>\n<ul>\n<li><strong>Night pain causing insomnia<\/strong><\/li>\n<li><strong>A dislocating shoulder<\/strong><\/li>\n<\/ul>\n<p>[\/vc_column_text]<br \/>\n[\/vc_column][\/vc_row]<\/p>\n<p><!-- ===================== SECTION I : NIGHT PAIN ===================== --><\/p>\n<p>[vc_row][vc_column]<br \/>\n[vc_column_text]<\/p>\n<p><strong>I. Night pain is the primary reason for consultation<\/strong> \u2014 the patient is woken every night by pain in the shoulder and arm when sleeping on their side.<\/p>\n<p style=\"color:#0077cc;\"><strong>It is important to learn more about the patient<\/strong> consulting for this pain that is depriving them of sleep:<\/p>\n<ul>\n<li>Age<\/li>\n<li>Painful side, dominant side (right- or left-handed)<\/li>\n<li>Occupation: office work (computer mouse), sales (driving), manual work (carpenter, mason, painter, electrician&#8230;)<\/li>\n<li>Leisure activities: contact sports (judo, rugby, football), racket sports (tennis), volleyball, handball, basketball, canoeing\/kayaking, hunting, fly fishing, DIY, gardening&#8230;<\/li>\n<li>History of a fall, old or recent, on the shoulder.<\/li>\n<li>Medical history: diabetes, cardiac issues&#8230;<\/li>\n<\/ul>\n<p style=\"color:#0077cc;\"><strong>What type of pain?<\/strong><\/p>\n<p>[\/vc_column_text]<br \/>\n[\/vc_column][\/vc_row]<\/p>\n<p>[vc_row][vc_column]<br \/>\n[vc_column_text]<\/p>\n<p style=\"text-align:center;\"><img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2026\/03\/7016348714.jpg\" alt=\"Shoulder pain Arthritis Prosthesis\" width=\"153\" height=\"219\" \/><\/p>\n<p>[\/vc_column_text]<br \/>\n[\/vc_column][\/vc_row]<\/p>\n<p>[vc_row][vc_column]<br \/>\n[vc_column_text]<\/p>\n<ul>\n<li>Gradual onset, often insidious, sometimes sudden, very intense and unbearable (consider spontaneous rupture of a rotator cuff calcification).<\/li>\n<li>Duration of pain and effectiveness of previously prescribed treatments: analgesics, anti-inflammatory drugs, cortisone injections, ultrasound therapy, rehabilitation, etc.<\/li>\n<li>Night pain is accompanied by pain during many daily activities: combing hair, washing, getting dressed, fastening a bra, tucking in a shirt,<br \/>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column] [vc_custom_heading text=&#8221;1. Listening to the Patient&#8221; font_container=&#8221;tag:h1|text_align:left&#8221; use_theme_fonts=&#8221;yes&#8221; css=&#8221;.vc_custom_1700000001{margin-bottom: 20px !important;}&#8221;] [\/vc_column][\/vc_row] [vc_row][vc_column] [vc_column_text] The 2 main reasons why a patient comes to see us are: Night pain causing insomnia A dislocating shoulder [\/vc_column_text] [\/vc_column][\/vc_row] [vc_row][vc_column] [vc_column_text] I. Night pain is the primary reason for consultation \u2014 the patient is woken every night by &hellip; <a href=\"https:\/\/drgazielly.com\/index.php\/en\/1-listening-to-the-patient-shoulder-pain-dr-gazielly\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">1. Listening to the Patient \u2013 Shoulder Pain \u2013 Dr Gazielly<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-12167","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/drgazielly.com\/index.php\/wp-json\/wp\/v2\/pages\/12167","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drgazielly.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drgazielly.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drgazielly.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drgazielly.com\/index.php\/wp-json\/wp\/v2\/comments?post=12167"}],"version-history":[{"count":1,"href":"https:\/\/drgazielly.com\/index.php\/wp-json\/wp\/v2\/pages\/12167\/revisions"}],"predecessor-version":[{"id":12168,"href":"https:\/\/drgazielly.com\/index.php\/wp-json\/wp\/v2\/pages\/12167\/revisions\/12168"}],"wp:attachment":[{"href":"https:\/\/drgazielly.com\/index.php\/wp-json\/wp\/v2\/media?parent=12167"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}