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so there are a lot of potential causes for shoulder pain that is outside of the actual shoulder so we want to make sure that you take a very thorough history and thereamp;#39;s some clues as to what might be a potential extra glenohumeral cause of shoulder pain so if a patient comes in presenting of with shooting complaining of a burning numbness tingling of their shoulder and maybe radiating pain down their extremity you have to think that there might be more of a potential neurologic cause and so you have to do a more thorough exam of the cervical spine that you may perform more special tests to make sure that itamp;#39;s not a cervical disc or a potential compression of the brachial plexus as it comes around and innervates the arm so again shooting burning pain radiating pain think a little bit more of a potential neurologic cause patients that come in complaining a pain of the shoulder may also have pain being referred from the abdominal region so issues with the gallblad