What causes intermittent grinding sensation in the shoulder joints?
Patient: I am a college baseball pitcher.I have a constant gravel like feeling in my shoulder whenever I rotate my arm and my elbow is above or parallel to my shoulder and it has disabled my ability to throw a baseball completely but doesn t disable me in any other activities. Any thoughts? Doctor: Hello,  It could be due to muscle strain or contusion due to repeated physical exertion.  As a first line management, you can take analgesics like Paracetamol or Aceclofenac for pain relief.   It is better to consult an orthopedician and get an MRI scan to rule out tendon or ligament involvement.   Hope I have answered your query. Let me know if I can assist you further.  Regards, Dr. Shinas Hussain,  General & Family Physician