Shoulder

Shoulder Popping, No Pain – A Symptom of Something Worse or a Benign Condition?

By June 24, 2019 September 16th, 2019 No Comments

Undiagnosed shoulder abnormalities, such as shoulder popping without pain, are a common occurrence for many adults. Without the alarming sense of pain or discomfort, many people believe that these benign issues are something to be ignored. The truth is far from it. Simple problems such as shoulder popping may be an indication of much more severe issues to come.

Before seeking consultation for irregularities, it may be wise to try to understand the mechanics of the shoulder to see if your “pops” are truly an issue.

Anatomy of the Shoulder

A typical, healthy shoulder is a combination of muscle, bone, ligaments, tendons and other soft tissues working in unison to provide controlled movements. The shoulder joint is a complex “ball and socket” joint composed of:

  • Humerus
  • Glenoid
  • Clavicle
  • Scapula (to some degree)

This main “ball and socket” joint is cushioned and protected by soft tissues – cartilage and a “labrum.”

Surrounding the main joint is the Rotator Cuff which performs the majority of motion for the shoulder. To a lesser degree, the biceps, deltoid, trapezius and scapular muscles help move the shoulder. If you are becoming lost in the shoulder anatomy, you are not alone. The shoulder is a ballet of small intricate movements and motions. If only one “dancer,” or muscle in this metaphor, is off timing, then the whole performance falls apart.

In this intricate dance of motion, even the smallest of muscles play an intricate role. Thus, those irritating “popping” sensations may be indicating that the ballet of muscle and movements is perilously close to losing its synchronicity.

Ligament and Tendon Damage

The ligaments and tendons which connect the bones and muscles of the shoulder can become overextended, stretched, injured or torn.

A small injury can lead to many common shoulder issues. As these ligaments and tendons lose their firmness (technically known as “tensile strength”), people tend to lose the fine motor control they once had over their shoulder movements. This loose of control can cause the shoulder to extend further back or farther forward than intended.

This is commonly referred to as “instability” and is a sign of many potentially harmful conditions to come. One of the main side effects of this instability is shoulder popping. The ligament damage and subsequent shoulder popping can be potential signs of arthritis, chronic shoulder dislocation or instability, even without any pain present.

Muscle and Bone Damage

If the muscles and bones of the shoulder have suffered any kind of trauma, be it severe single traumas or mild but repetitive traumas, they may be the source of the shoulder popping you are experiencing. Popping is often from swollen tendons in these cases.

As these traumas take effect, they may alter the natural movements of the shoulder and begin to wear away at the soft tissues which cushion its movements. As these soft tissues degrade, the shoulder bones begin to make contact with the surrounding tendons, muscles, ligaments and other bones, causing a pain irritation.

This irritation eventually causes inflammatory changes which progress to various stages of arthritis. Of course, this shoulder popping may start off without any pain, but it is simply a preliminary warning of potentially greater issues to come.

Soft Tissue Degradation

The soft tissues – specifically cartilage – encase the bones of the shoulder. This cartilage cushions movements and allows for smooth, pain-free gliding of the joint. Cartilage surrounds both the “ball” (the head of humerus) and the “socket” (the glenoid bone).

As these soft tissues wear away, they can expose the bone (which is painful), cause chronic inflammation and may cause restrictions in the movements of the shoulder. These restrictions may not simply limit the movements of the shoulder, but also create pathways for new movements, movements which avoid triggering pain. As we grow accustomed to avoiding the pain, the new habituated movements may cause pops and clicks in the shoulder.

Though these shoulder pops and clicks may seem relatively harmless, they are in fact due to the bigger issue of worn soft tissues.

When to Consult a Physician?

When it comes to shoulder popping without pain, this a difficult question to answer. On the one hand, the shoulder popping may in fact be benign – it may not be causing any irreparable damage at all, but simply be a nuisance to the person who experiences it. On the other, it may be a sign of a much larger issue which should be inspected and checked immediately.

The best way to determine this for yourself is to look through your past medical history:

  • Have you experienced any shoulder trauma before – bone fractures, muscle or tendon tears, extreme stress or repetitive movements?
  • Is there a history of shoulder pain in the family – could the issue simply be a genetic abnormality that your genes have accounted for?
  • What does your past medical history point to in terms of the popping in your shoulder?

If the answer has something to do with past traumas, chances are you should consult a physician.

How Cellaxys can help?

While shoulder popping itself can be harmless, the underlying issues indicated by shoulder popping are not. These issues – muscle, bone, tendon, ligament, and soft tissue damage – create a hostile internal environment which can become quite painful. As the damage to these tissue accumulates and compounds, the shoulder may experience bouts of swelling and inflammation which may only worsen the issue.

The therapies offered at CELLAXYS use the body’s natural regenerative properties to provide a suitable environment for the tissues mentioned above to regrow and restore themselves. By providing this environment, the stem cell and platelet rich plasma therapies we offer can help to manage and eliminate the pains which may come after chronic shoulder popping.

Dr. Matthew HC Otten

Dr. Matthew HC Otten

Director of Orthopedic & Orthobiologics
Fellowship-trained & Board Certified in Sports medicine
Director Angiography at Harvard Clinical Research Institute
Michigan Stage University Alumni