Category: Shoulder Pain

Shoulder pain help in Logansport—common causes, red flags, and practical steps for lifting, sleeping, and daily motion (including when pain may be coming from the neck).

  • Best Sleeping Positions for Shoulder Pain (Plus What to Avoid)

    Best Sleeping Positions for Shoulder Pain (Plus What to Avoid)

    SHOULDER PAIN · SLEEP GUIDE · LOGANSPORT, IN

    Evidence-informed, conservative-first guidance Position + pillow setups that reduce compression Clear “when to worry” red flags

    Best Sleeping Positions for Shoulder Pain (Plus What to Avoid)

    The goal isn’t a perfect position—it’s less compression, better support, and calmer tissue overnight.

    Infographic showing best sleeping positions for shoulder pain and pillow setups to reduce compression, plus what to avoid.
    Image 1: Best positions + pillow setups to reduce compression and calm night pain.
    Side sleeping often fails due to direct compression
    Back sleeping often wins with arm support
    Escalating night pain or progressive stiffness → get evaluated

    Shoulder pain at night is miserable—and it’s usually fixable with better positioning and a smarter plan. For the service overview, start with Shoulder Pain Treatment. If you want to self-sort common shoulder patterns (rotator cuff vs impingement vs frozen shoulder), see How to Tell (and What to Do First).

    • Best default position + side-sleep modifications
    • Exact pillow setups (step-by-step)
    • Clear “when to worry” guidance

    Educational only. Not medical advice. If symptoms are severe or changing, get evaluated.

    Quick Answer (Best Positions, Fast)

    Best default: sleep on your back with the sore arm supported. Best side-sleep modification: sleep on the non-painful side and hug a pillow so the shoulder doesn’t roll forward. Avoid: stomach sleeping, sleeping directly on the painful shoulder, or the painful arm overhead.

    Supporting image reinforcing shoulder pain sleep modifications: reduce compression and support the arm and shoulder.
    Image 2: The goal is less compression + better support—sleep is part of the plan.

    The “night pain” rule

    • If pain wakes you nightly and is worsening week-to-week, get evaluated.
    • If pain improves quickly with better support, you’re probably dealing with a compression/irritation pattern.

    Position Selector (Pick Your Path)

    Use the path that matches how you naturally sleep—then modify it to reduce shoulder load.

    If you’re a back sleeper

    Goal: keep the shoulder supported so it doesn’t hang forward.

    • Pillow under forearm (and/or under elbow)
    • Keep arm slightly out from body (not pinned)
    • Optional: pillow under knees

    If you must side-sleep

    Goal: avoid compressing the painful shoulder and keep it from rolling forward.

    • Sleep on non-painful side
    • Hug a pillow to support top arm
    • Pillow between knees to reduce twist

    If you’re a stomach sleeper

    Goal: transition to a “semi-side” position to reduce shoulder rotation.

    • Use a body pillow as a wedge
    • Keep painful arm down (not overhead)
    • Consider training yourself toward side/back

    Key idea

    Most shoulder sleep pain improves when you reduce compression and avoid end-range positions (especially overhead and stomach sleeping).

    Best Sleeping Positions (With Exact Setup)

    Use these like recipes. Small changes in support make a big difference.

    Best overall: Back sleeping with arm support

    • Setup: pillow under forearm so the shoulder feels “held,” not hanging forward
    • Why it helps: reduces traction and prevents rolling into a painful position
    • Common mistake: arm falls off to the side → shoulder gets tugged forward

    Best for side sleepers: Non-painful side + hug pillow

    • Setup: hug pillow so top shoulder stays neutral (not rolled forward)
    • Why it helps: reduces anterior shoulder strain and compression
    • Upgrade: pillow between knees to reduce trunk rotation

    If you wake up on the painful side

    • Do this: switch sides and support the sore arm immediately
    • Try this tonight: place a pillow behind your back to prevent rolling onto the painful side

    If your shoulder feels stiff and blocked (not just sore), review: Rotator Cuff vs Impingement vs Frozen Shoulder.

    About sleeping on the painful shoulder

    Usually not recommended because direct compression increases irritation. If you must, use a short trial with careful arm support and stop if night pain escalates.

    Pillow Setup (Step-by-Step)

    These are the highest-ROI changes you can make tonight.

    Back sleeping setup

    • Pillow under forearm (and/or a small towel under elbow)
    • Keep shoulder from “hanging” forward
    • Optional: pillow under knees to reduce overall tension

    Side sleeping setup

    • Sleep on non-painful side
    • Hug a pillow (supports top shoulder)
    • Pillow between knees (reduces trunk rotation)
    • Optional: small pillow behind back to prevent rolling

    Neck matters too

    If your neck is cranked to one side all night, the shoulder can feel worse. If pain travels down the arm, review: Neck Pain with Arm Tingling.

    What to Avoid (Common Sleep Traps)

    These positions increase compression, strain, or rotation.

    • Sleeping directly on the painful shoulder (compression)
    • Painful arm overhead (end-range irritation)
    • Stomach sleeping (forces shoulder rotation)
    • Arm pinned under your body
    • “Testing” painful ranges repeatedly at night

    Why Night Pain Happens (What It Can Mean)

    This is meant to be calming and practical—not scary.

    Most common: compression + poor support

    If you lie on the shoulder or the arm hangs forward, irritated tissue gets compressed or strained for hours. Better support often helps quickly.

    Overload patterns (rotator cuff/impingement)

    Overhead work, lifting volume spikes, and poor shoulder blade mechanics can sensitize the shoulder—night pain becomes more noticeable. This often improves with a plan.

    Stiffness-dominant patterns (frozen shoulder-like)

    If you’re losing motion over weeks (especially reaching behind your back or rotating outward), the plan changes—get evaluated sooner.

    If you want the clearest “which pattern is it?” guide

    Start here: Rotator Cuff vs. Impingement vs. Frozen Shoulder.

    Optional: 1-Minute Bedtime Routine

    A tiny routine that can reduce sensitivity before you settle in.

    • 30 seconds of calm breathing (downshift tension)
    • 5 gentle shoulder blade squeezes (no pain)
    • 10–20 seconds of gentle pendulum motion (if tolerable)

    If pain is sharp or worsening, skip the “testing” and get evaluated.

    When to Worry (Red Flags)

    Get evaluated promptly if any of these are present.

    • Sudden weakness after injury (can’t lift arm like before)
    • Deformity, major swelling/bruising, suspected dislocation/fracture
    • Fever with a hot/red swollen shoulder
    • Numbness/tingling with weakness down the arm
    • Progressive loss of motion week-to-week (frozen shoulder pattern)
    • Severe night pain that keeps escalating

    If you’re unsure, start with Contact & Location and we’ll guide you.

    Want a Shoulder Plan That Improves Sleep and Function?

    We’ll identify your shoulder pattern, calm irritation, and build a plan that holds up—so sleep isn’t the hardest part of your day.

    Shoulder Pain Sleeping FAQs

    Quick answers—including “what to avoid” and “when to worry.”

    Why does shoulder pain feel worse at night?
    Night pain is often from compression (lying on the shoulder), poor support that lets the shoulder roll forward, or stiffness/irritation patterns that are more noticeable when you’re still.
    Should I sleep on the painful shoulder?
    Usually no. Direct compression often increases irritation. If you must, use a short trial with careful pillow support and stop if pain escalates or sleep worsens.
    What is the best sleeping position for shoulder pain?
    For most people, back sleeping with the arm supported reduces shoulder traction and compression. Side sleeping can work if you avoid direct compression and hug a pillow to keep the shoulder from rolling forward.
    What pillow setup helps shoulder pain most?
    Support the arm so the shoulder isn’t hanging forward: pillow under the forearm/elbow (back sleeping) or hugging a pillow (side sleeping). Many people also do better with a pillow between knees to reduce trunk rotation.
    What sleeping position should I avoid?
    Avoid stomach sleeping (forces shoulder rotation) and avoid sleeping with the painful arm overhead or pinned under your body.
    Can neck issues cause shoulder pain at night?
    Yes. If pain travels past the elbow or includes tingling/numbness, the neck may be involved and evaluation is wise.
    When should I worry about shoulder pain at night?
    Get checked promptly for sudden weakness after injury, deformity, major swelling/bruising, fever/hot red joint, progressive loss of motion, or numbness/tingling with weakness down the arm.
    How long does shoulder sleep pain take to improve?
    Many people feel improvement within days to a couple of weeks when compression is reduced and a plan restores motion and strength. Longer-standing patterns can take longer and benefit from structured progression.

  • Rotator Cuff vs. Impingement vs. Frozen Shoulder: How to Tell (and What to Do First)

    Rotator Cuff vs. Impingement vs. Frozen Shoulder: How to Tell (and What to Do First)

    SHOULDER PAIN · DECISION GUIDE · LOGANSPORT, IN

    Pattern checks (not guesswork) Clear red flags (tear/trauma + nerve signs) Conservative first steps for each bucket

    Rotator Cuff vs. Impingement vs. Frozen Shoulder: How to Tell (and What to Do First)

    These three get confused constantly—but the first step is different. Use the self-sorter below.

    Infographic comparing rotator cuff irritation, impingement-type pain, and frozen shoulder by key clues and first-step recommendations.
    Image 1: Three common patterns—range loss vs painful arc vs tendon overload—plus what to do first.
    Frozen shoulder: true loss of motion that worsens week-to-week
    Impingement: painful arc + overhead sensitivity + mechanics/load
    Rotator cuff: load-related pain/weakness lifting away + lowering arm

    If you’ve been told “it’s probably your rotator cuff,” you’re not alone. This guide helps you self-sort common shoulder patterns and choose the safest first step. For the service overview, start with Shoulder Pain Treatment. If sleep is your biggest limiter, see Best Sleeping Positions for Shoulder Pain.

    • 60-second self-check + comparison table
    • What to do first for each pattern
    • Clear “when to worry” guidance

    Educational only. Not medical advice. Patterns overlap—an exam confirms the driver.

    Quick Answer (The Biggest Clues)

    Frozen shoulder is stiffness-dominant: your shoulder feels blocked and range is progressively shrinking. Impingement-type pain is angle-dominant: a painful arc with overhead/repetitive use. Rotator cuff irritation is load-dominant: tendon overload with pain/weakness lifting away or lowering the arm.

    Supporting visual reinforcing decision rules for frozen shoulder vs impingement vs rotator cuff irritation.
    Image 2: The biggest clue: frozen shoulder is stiffness-dominant—impingement is angle-dominant—rotator cuff is load-dominant.

    One rule that prevents most wrong turns

    If you’re losing range week-to-week (especially reaching behind your back or rotating outward), treat it like a stiffness-dominant pattern and get evaluated sooner—forcing painful stretching often backfires.

    60-Second Self-Check (Pattern Sorter)

    Answer quickly. You’re looking for the dominant pattern.

    1) Can you reach behind your back like before?
    If no and it’s worsening → stiffness-dominant clue.
    2) Can you rotate outward with elbow at side?
    Big loss here strongly suggests frozen shoulder pattern.
    3) Do you have a “painful arc” lifting the arm (mid-range)?
    Often points to impingement-type pattern.
    4) Pain/weakness lifting away or lowering the arm?
    Common in rotator cuff tendon overload patterns.
    5) Worse at night or when you roll onto it?
    Common with rotator cuff/impingement and compression patterns.
    6) Any numbness/tingling with weakness down the arm?
    Consider neck/nerve involvement—evaluate.

    Interpretation

    • Mostly range-loss clues: frozen shoulder pattern.
    • Mostly painful-arc clues: impingement-type pattern.
    • Mostly load/weakness clues: rotator cuff overload pattern.

    Comparison Table (Fast, Skimmable)

    This is the quickest way to self-sort without overthinking it.

    Clue Rotator Cuff Irritation Impingement-Type Pain Frozen Shoulder
    Primary problem Tendon overload Angle + mechanics + load Stiffness + capsule restriction
    Range of motion Often mostly available (painful) Often mostly available (painful arc) Progressively limited (blocked)
    Big trigger Lifting away/lowering arm; overload Overhead/repetitive use; mid-range arc Behind-back + external rotation loss
    Night pain Common (especially compression) Common Can be significant (stiffness dominant)
    Best first step Load management + tendon strengthening Scap/thoracic + smart angles + strength Staged mobility (not aggressive) + plan
    What to avoid early Daily painful testing + big overhead spikes High volume overhead + painful ranges Forcing sharp stretching into blockade

    Rotator Cuff Irritation (Tendon Overload)

    This is often a volume/technique/capacity issue—especially in lifters and workers.

    Common clues

    • Pain lifting away from body or lowering the arm
    • Overhead reach/pressing triggers it
    • Night pain is common (especially if you roll onto it)

    What helps first

    • Reduce overhead spike for 7–14 days
    • Progressive rotator cuff + scapular strength (pain-safe range)
    • Increase pulling volume (rows/face pulls) vs excessive pressing

    Lifters: Lifting Shoulder Pain Mistakes (and Fixes)

    Impingement-Type Pattern (Angle + Mechanics + Load)

    Often feels like a pinch in certain ranges—especially overhead.

    Common clues

    • Painful arc lifting arm (often mid-range)
    • Worse with repetitive overhead work
    • Often improves with scapular control + thoracic mobility

    What helps first

    • Modify pressing angles (neutral grip, pain-safe ranges)
    • Thoracic mobility + scapular control progression
    • Gradual return to overhead volume

    Frozen Shoulder Pattern (Stiff + Blocked)

    The key sign is true loss of motion that progresses—especially external rotation and behind-back reach.

    Common clues

    • Shoulder feels “stuck,” not just painful
    • Reaching behind back worsens and range is shrinking
    • External rotation is notably limited

    What helps first

    • Confirm pattern (exam-guided plan is best)
    • Consistent low-intensity mobility (no forcing sharp pain)
    • Staged strength + range work over time

    Big mistake

    Forcing sharp stretches into a blocked range. Frozen shoulder often improves best with a staged plan and patience.

    What to Do First (3 Ladders)

    Pick the ladder that fits your dominant pattern.

    Rotator cuff ladder

    1. Reduce spike: scale overhead volume 7–14 days
    2. Strength: pain-safe rotator cuff + scap work
    3. Rebuild: volume progression + technique cleanup
    4. Sleep support: reduce compression at night

    Impingement ladder

    1. Modify angles: neutral grip + pain-safe arcs
    2. Mobility: thoracic + scap control progression
    3. Strength: gradual pressing return
    4. Reduce “tests” that spike pain daily

    Frozen shoulder ladder

    1. Confirm pattern: exam-guided plan
    2. Mobility: gentle, consistent (no forcing)
    3. Stage: build range → then strength
    4. Track: week-to-week range improvement

    If night pain is your #1 limiter

    Start here tonight: Best Sleeping Positions for Shoulder Pain.

    When to Worry (Red Flags)

    Get checked promptly if any of these are present.

    • Sudden weakness after injury (can’t lift arm like before)
    • Deformity, major swelling/bruising, suspected dislocation/fracture
    • Fever with a hot/red swollen shoulder
    • Numbness/tingling with weakness down the arm
    • Progressive loss of motion week-to-week (frozen shoulder pattern)
    • Severe night pain that keeps escalating rapidly

    If you’re unsure, start with Contact & Location and we’ll guide you.

    Want a Clear Shoulder Answer (Not a Guess)?

    We’ll check motion, strength, and scap mechanics to confirm the driver—and give you a plan that holds up.

    Rotator Cuff vs Impingement vs Frozen Shoulder FAQs

    Quick answers—including “how to tell” and “when to worry.”

    What’s the easiest sign of frozen shoulder?
    A progressive loss of range of motion—especially external rotation and reaching behind your back—where the shoulder feels stiff and blocked, not just painful.
    What does impingement-type shoulder pain feel like?
    Often a painful arc when lifting the arm (commonly mid-range), worse with repetitive overhead work. It often improves with scapular mechanics, thoracic mobility, and smart pressing angles.
    How do I know if it’s rotator cuff irritation?
    Rotator cuff irritation commonly hurts with lifting away from the body, overhead reaching, or lowering the arm. Night pain is common, especially if you roll onto the shoulder.
    Should I stop lifting if my shoulder hurts?
    Not always. Many cases improve with smart modifications: reduce painful ranges, adjust angles/grip, and rebuild strength. Sudden weakness, deformity, or worsening symptoms should be evaluated.
    Do I need imaging for shoulder pain?
    Often not initially if there are no red flags and you’re improving. Imaging matters more with major trauma, sudden weakness, deformity, suspected tear, fever/hot red joint, or progressive loss of motion.
    Why is shoulder pain worse at night?
    Night pain is often from compression (lying on the shoulder) or poor support that lets the shoulder roll forward. Better sleep positioning and support often help quickly. See sleep positions.
    When should I worry and get checked?
    Get checked promptly for sudden weakness after injury, deformity, major swelling/bruising, fever/hot red joint, progressive loss of motion, or numbness/tingling with weakness down the arm.
    What’s the best first step if I’m not sure which one it is?
    Use pattern clues (range loss vs painful arc vs load-related weakness) and avoid repeatedly forcing overhead movements. An exam that checks motion, strength, and shoulder blade mechanics can narrow the diagnosis quickly.

  • Shoulder Pain in Logansport, IN: 7 Common Causes (and What Helps)

    Shoulder Pain in Logansport, IN: 7 Common Causes (and What Helps)

    SHOULDER PAIN · PATIENT EDUCATION · LOGANSPORT, IN

    Evidence-informed, conservative-first care Shoulder + scapula + neck considered together Clear “when to worry” red flags

    Shoulder Pain in Logansport, IN: 7 Common Causes (and What Helps)

    Most shoulder pain follows a pattern. Match the plan to the pattern—don’t guess.

    Infographic comparing common shoulder pain patterns and what helps, including rotator cuff, impingement, frozen shoulder, AC joint, biceps/labrum, neck referral, and overload spikes.
    Image 1: Compare common shoulder pain patterns and what helps.
    Overhead pain often points to cuff/impingement patterns
    Progressive loss of motion often suggests a frozen shoulder pattern
    Pain below the elbow/tingling may suggest a neck/nerve component

    Shoulder pain can make simple things—sleeping, lifting, reaching, working—feel impossible. The fastest way to improve is to identify the most likely driver and follow a plan that restores motion and strength safely. For the service overview, start with Shoulder Pain Treatment. For the clearest self-sorter, see Rotator Cuff vs. Impingement vs. Frozen Shoulder.

    • 4 big clues to narrow the pattern fast
    • 7 common causes + what helps first
    • Clear “when to worry” guidance

    Educational only. Not medical advice. Patterns overlap—an exam confirms the driver.

    Quick Answer (If You Only Read One Section)

    Most shoulder pain improves when you reduce the spike (overhead/pressing/sleep compression), then rebuild scap + rotator cuff capacity with a staged plan. The best clue is what triggers it most: overhead, behind-the-back, sleeping, pressing, or neck/arm symptoms.

    Supporting visual reinforcing shoulder pain pattern clues and conservative first steps: load control and motion/strength progression.
    Image 2: Most shoulder pain improves with load control + motion/strength progression—match the plan to the pattern.

    Three “do this first” steps

    • Stop daily painful tests: repeated overhead “checking” keeps irritation alive.
    • Reduce the spike: scale overhead/pressing volume for 7–14 days (and fix sleep compression).
    • Rebuild capacity: add pulling + scap control + pain-safe rotator cuff strength.

    Start Here: 4 “Big Clues” That Narrow Shoulder Pain Fast

    Use these clues to decide which cause to read first—then confirm the driver with an exam if symptoms persist.

    1) Where does it hurt?
    Top AC area? Front biceps area? Side deltoid ache? Deep joint? Or neck-to-arm?
    2) What triggers it most?
    Overhead reach, pressing, behind-the-back, cross-body reach, or sleeping?
    3) Is motion truly limited?
    If range is shrinking week-to-week (especially behind-back/external rotation), think stiffness-dominant pattern.
    4) Any tingling/numbness or pain past the elbow?
    That pattern can suggest a neck component—evaluate if worsening.

    Quick routing

    • Overhead/pressing pain: rotator cuff or impingement-type patterns.
    • Progressive stiffness: frozen shoulder pattern.
    • Top-of-shoulder pain: AC joint irritation pattern.
    • Arm symptoms past elbow: consider neck/nerve referral.

    7 Common Causes of Shoulder Pain (and What Usually Helps)

    These are the most common patterns we see in Logansport and across Cass County.

    1) Rotator cuff irritation (tendinopathy)

    Clue: hurts with lifting the arm, reaching away, or lowering from overhead; overload-related.

    2) Impingement / “pinch” patterns (often mechanics + load)

    Clue: pinch in front/side at a certain angle, especially overhead; often linked to scap/thoracic mechanics.

    • Helps first: scap control + thoracic mobility + smarter pressing angles
    • Fast win: neutral-grip pressing and pain-safe ranges

    3) Frozen shoulder (adhesive capsulitis) pattern

    Clue: true loss of motion that progresses—especially behind-back and external rotation; stiffness dominant.

    • Helps first: exam-guided plan + gentle, consistent mobility (no forcing sharp pain)
    • Evaluate sooner if range is shrinking week-to-week

    4) AC joint irritation (top-of-shoulder pain)

    Clue: pain on top near collarbone, worse with cross-body reach and pressing.

    • Helps first: modify pressing angles; reduce heavy dips/bench temporarily
    • Fast win: avoid deep dips/cross-body heavy loading for 2–3 weeks

    5) Biceps tendon / labrum irritation (front-of-shoulder)

    Clue: front ache, flares with overhead lifting/pulling; may include clicking/catching.

    • Helps first: load modification + scap mechanics + progressive stability
    • Evaluate if pain/weakness worsens or mechanical symptoms are persistent

    6) Neck referral / nerve irritation masquerading as shoulder pain

    Clue: pain travels down arm or includes tingling/numbness/weakness—neck may be driver.

    7) Overload + poor recovery (work/gym volume spike)

    Clue: you did more than the shoulder was ready for—then kept testing it daily.

    What Usually Helps (The Universal Shoulder Plan)

    This approach works across most non-emergency shoulder pain patterns.

    1) Reduce the spike (7–14 days)

    • Scale overhead volume and painful ranges
    • Stop daily “tests” of the painful movement
    • Fix sleep compression (see sleep positions)

    2) Rebuild scap + cuff capacity

    • Increase pulling volume (rows/face pulls)
    • Progressive cuff strengthening in pain-safe ranges
    • Consistency beats occasional hard sessions

    3) Restore motion (but don’t force sharp pain)

    • Gentle mobility in tolerated ranges
    • If range is shrinking week-to-week, get evaluated sooner

    If you want the clearest self-sorter

    Start here: Rotator Cuff vs Impingement vs Frozen Shoulder.

    When to Worry (Red Flags)

    Get checked promptly if any of these are present.

    • Sudden weakness after injury (can’t lift arm like before)
    • Deformity, major swelling/bruising, suspected dislocation/fracture
    • Fever with a hot/red swollen shoulder
    • Numbness/tingling with weakness down the arm
    • Progressive loss of motion week-to-week (frozen shoulder pattern)
    • Severe night pain that keeps escalating

    If you’re unsure, start with Contact & Location and we’ll guide you.

    Not urgent, but smart to book

    • Persistent symptoms beyond 2–3 weeks despite smart modification
    • Recurring flare cycles with work/training
    • Night pain not improving with positioning
    • You can’t regain motion week-to-week

    Want a Shoulder Plan That Fits Your Work and Training?

    We’ll identify your driver (shoulder + scapula + neck), calm irritation, and build a plan that holds up.

    Shoulder Pain FAQs

    Quick answers—including “when to worry.”

    What is the most common cause of shoulder pain?
    The most common causes are rotator cuff irritation, impingement/overload patterns, and stiffness patterns. The best clue is what movements trigger pain.
    How do I tell rotator cuff pain from frozen shoulder?
    Rotator cuff irritation often hurts with lifting but range is mostly available. Frozen shoulder includes a true loss of range (especially external rotation and behind-back reach) that worsens over weeks.
    Can neck problems cause shoulder pain?
    Yes. If pain travels below the elbow or includes tingling/numbness/weakness, the neck may be involved. See this guide.
    Why does shoulder pain feel worse at night?
    Night pain is often from compression (lying on the shoulder) or poor support. Better positioning often helps quickly. See sleep positions.
    Should I stop lifting if my shoulder hurts?
    Not always. Many cases improve with smart modification and progressive strengthening. Sudden weakness, deformity, or worsening symptoms should be evaluated.
    Do I need imaging for shoulder pain?
    Often not initially if there are no red flags and symptoms are improving. Imaging matters more with major trauma, sudden weakness, deformity, fever/hot red joint, or progressive loss of motion.
    How long does shoulder pain take to improve?
    Many mechanical shoulder problems improve over a few weeks with the right plan. Longer-standing or stiffness-dominant patterns can take longer.
    When should I worry about shoulder pain?
    Get checked promptly for sudden weakness after injury, deformity, major swelling/bruising, progressive loss of motion, numbness/tingling with weakness down the arm, fever/redness, or severe night pain that keeps escalating.