Myth 1:Take neck pain, neck and shoulder pain, scapular back pain as shoulder pain The pain caused by cervical spondylosis and scapular muscles is not limited to around the shoulder, and the activities of the shoulder joint are completely normal. The pain in shoulder joint is mostly night pain, mostly accompanied by limited shoulder joint activities, which affects personal life self-care, such as combing hair, bathing, fastening the bra and so on. Myth 2: Most of shoulder pain think of frozen shoulder, frozen shoulder has become the “scapegoat” of age-related shoulder pain. In fact, 80% of shoulder pain in middle-aged and old people is not frozen shoulder, modern shoulder surgery has been frozen shoulder refers to the shoulder joint capsule and its surrounding ligaments of adhesive inflammation, different from the previous definition of frozen shoulder. The highest incidence of shoulder pain is acromioclavicular impingement and rotator cuff injury, accounting for 70% of the incidence of shoulder pain. Both frozen shoulder and acromioclavicular impingement result in limited shoulder motion and tend to cause confusion. How to identify the two can be a simple method of self-screening, the upper limbs will be flexed 90 ° in the side of the body to do external rotation movements, frozen shoulder external rotation is limited, the acromioclavicular impingement of the external rotation of the activities of the normal. If the rotator cuff injury is misdiagnosed as frozen shoulder, all the manipulation of the release, a large movement, will cause the rotator cuff injury to increase the rupture, so that the patient’s pain is aggravated, shoulder lifting is more weak. Myth 3: Often due to the filming of bone no problem ignored the condition of shoulder pain Shoulder pain X-ray film is very important, but it needs to take special position of the X-ray film, such as the supraspinatus muscle exit position, axillary position, scapula positive and lateral position, to observe the morphology of the acromion, MRI is often used to determine the degree of rotator cuff injury is also an important means. Therefore, it is not possible to conclude that shoulder pain is not serious simply on the basis of X-ray bone without abnormalities. Myth 4: All shoulder pain in middle-aged and elderly people can be treated conservatively. If shoulder pain in middle-aged and elderly people develops to the point where they have no strength to lift their upper limbs, they should be alert to the possibility of rotator cuff tear. Such as the following situations should be especially careful: to high place to put objects effort; combing hair effort or even can not open the lock; reach out and can not take the distant objects, and so on. Most of the middle-aged and elderly shoulder pain can be controlled by conservative management of symptoms, but if the rotator cuff tear or the third stage of acromioclavicular impingement needs timely arthroscopic minimally invasive surgical management, otherwise the degree of rotator cuff tear will be aggravated, and seriously affect the function of the shoulder joint. In conclusion, the vast majority of shoulder pain in middle-aged and old people is not frozen shoulder, can not blindly do a wide range of shoulder exercises and manipulation, the history of the disease more than three months need to do X-ray and MRI examination, long-term condition does not improve and appear to have weakness of the hand need to look for a specialist doctor.