What causes severe shoulder pain?
Patient: I have tremendous shoulder pain that feels like a scalpel has cut me open from my armpit straight up and over (like a strap) and the pain is also acute in the bottom of the shoulder blade. It hurts for my arm to hang at all, it is especially prominent when I m walking or doing anything which makes the hang or bounce more pronounced. I can not sleep or put pressure on it. It feels like an open wound! (It is not a torn rotator cuff.) Doctor: Hi,  The symptoms are more or less consistent with a tendon or ligament injury. As the first line of management, you can try analgesics like tramadol or diclofenac for pain relief.  If the symptoms persist, you can consult an orthopaedician and get evaluated, you might require an MRI scan in sever case.  Hope I have answered your query. Let me know if I can assist you further.