Dr. Alleyne

Dr. Ken Alleyne is currently a Sports Medicine Fellow at the Yale University School of Medicine. He trained at the Wake Forest University School of Medicine, completed a research fellowship at Harvard-MIT Division of Health Sciences and Technology. His residency training in orthopedic surgery was undertaken at the Howard University Hospital.

Answer:
Your history of night pain that is not responding to NSAIDS and an age greater than 50 is suspicious for significant issues with your shoulder. These concerns can range from a tendonitis to a rotator cuff tear.The diagnosis and management should be left to the discretion of your physician. Management could range from a change in NSAID and physical therapy to an MRI and potential surgery. The key is to obtain an evaluation soon so as to give yourself the best opportunity for the potential of conservative care.