Shoulder arthritis symptoms

Shoulder arthritis affects the glenohumeral or acromioclavicular joint and is most common after age 50. It can also follow rotator cuff injury.

Common symptoms of shoulder arthritis

  • Deep, aching shoulder pain — often worse at night
  • Stiffness and reduced range of motion
  • Difficulty reaching overhead, behind the back, or across the body
  • Clicking or grinding sensations during movement
  • Pain that radiates down the upper arm
  • Weakness from disuse of the affected arm

When to see your GP

See your GP if shoulder pain has lasted more than a few weeks, wakes you at night, or is significantly limiting overhead reach or dressing.

This is general information, not a substitute for personalised medical advice.

Frequently asked questions

What are the first signs of shoulder arthritis?

The earliest signs of shoulder arthritis often include joint pain, stiffness — particularly in the morning or after rest — and reduced flexibility in the affected area. Symptoms typically develop gradually, so keep a short symptom diary and speak to your GP if pain persists for more than a few weeks.

How is shoulder arthritis diagnosed in the UK?

In the UK, GPs diagnose shoulder arthritis from your symptoms, a clinical examination, and — where appropriate — blood tests, X-rays, ultrasound or MRI. For inflammatory types, your GP may refer you to UK healthcare rheumatology for specialist review under NICE guidance.

Can shoulder oa symptoms come and go?

Yes. Many people with shoulder oa experience flares — periods of worse pain, swelling and stiffness — followed by quieter spells. Tracking your flares helps you and your GP spot triggers and adjust treatment.

When should I see a GP about shoulder arthritis symptoms?

Book a GP appointment if joint pain has lasted more than a few weeks, is interfering with sleep or daily life, or is accompanied by swelling, warmth, locking or unexplained fatigue. Early assessment leads to better long-term outcomes.

Is shoulder arthritis the same as general arthritis pain?

No — there are over 100 forms of arthritis, and shoulder arthritis has its own pattern of symptoms, affected joints and treatment pathway. Getting the right diagnosis matters because the most effective treatments differ between conditions.