How to prepare for a video visit about Shoulder Pain (Strain/Tendinitis) in Children

Audience: pediatric

Shoulder pain from strain or tendinitis is common in children and often happens after overuse or injury. A video visit with a healthcare provider can help understand your child's symptoms and guide care. During the visit, you will discuss the pain, how it started, and any activities that may have caused it. The provider may ask to see the shoulder move to check for pain or weakness. Preparing for the visit can make it easier to share important information. While many cases improve with rest and simple care, some need further evaluation. This guide helps families get ready for a telemedicine visit about pediatric shoulder pain, what to expect, and when to seek urgent care. Remember, telemedicine is a helpful first step but not a replacement for in-person medical evaluation when needed.

Red flags — go in person / ER

• Severe shoulder pain that suddenly worsens — seek urgent medical care.
• Inability to move the shoulder or arm — get immediate evaluation.
• Fever with redness or swelling around the shoulder — possible infection, seek prompt care.

What telemedicine can do

• Initial evaluation of shoulder pain symptoms.
• Guidance on home care and activity modifications.
• Determining if in-person care or tests are needed.

What telemedicine cannot do

• Performing physical treatments or procedures.
• Diagnosing fractures or serious injuries requiring imaging.
• Managing emergencies or severe infections.

What is Shoulder Strain or Tendinitis in Children?

Shoulder strain happens when muscles or tendons around the shoulder stretch or tear. Tendinitis means the tendons are inflamed or irritated. Both can cause pain, swelling, and difficulty moving the shoulder. Children may develop these conditions from sports, falls, or repetitive activities like throwing or carrying heavy backpacks.

How to Prepare for Your Child’s Video Visit

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What to Expect During the Video Visit

The healthcare provider will ask questions about your child's shoulder pain and daily activities. They may guide you to help your child move the shoulder to check for pain or limited motion. The provider will discuss possible causes and suggest ways to relieve pain, such as rest and gentle exercises. They may also decide if your child needs an in-person exam or imaging tests.

When to Seek Urgent Care

Contact a healthcare provider or emergency services if your child has:

These signs may need urgent in-person evaluation.

Tips for After the Video Visit

Follow the provider’s advice about rest, pain relief, and activity limits. Watch for changes in your child's symptoms. Schedule any recommended follow-up visits or tests. If symptoms worsen or new red flags appear, seek in-person care promptly.

How to prepare for your tele-visit

• Choose a quiet, well-lit room with good internet.
• Dress your child in clothing that allows shoulder movement.
• Prepare to describe when and how the pain started.
• Note any other symptoms like fever or numbness.
• Have a family member assist with camera angles to show the shoulder.
• Gather a list of current medications and allergies.

After your tele-visit

• Follow provider’s recommendations for rest and pain relief.
• Monitor symptoms and note any changes.
• Schedule follow-up visits or tests if advised.
• Seek in-person care if red flags appear.
• Encourage gentle shoulder movements as recommended to aid recovery.

FAQs

What causes shoulder strain or tendinitis in children?

Shoulder strain or tendinitis often results from overusing the shoulder muscles and tendons, such as during sports, repetitive movements, or after an injury like a fall.

Can a video visit diagnose my child's shoulder problem?

A video visit can help the provider understand symptoms and suggest care steps, but sometimes an in-person exam or imaging tests are needed for a full diagnosis.

How can I help my child during the video visit?

Help by describing symptoms clearly, assisting with camera angles to show the shoulder, and encouraging your child to move the shoulder gently when asked.

What should I do if my child’s pain gets worse after the visit?

If pain worsens, or if your child develops new symptoms like fever, inability to move the arm, or numbness, seek in-person medical care promptly.

Sources

1. Shoulder Pain in Children — MedlinePlus, U.S. National Library of Medicine.
2. Tendinitis and Tendon Injury — Mayo Clinic.
3. Muscle Strains and Tendon Injuries — Centers for Disease Control and Prevention (CDC).
4. Pediatric Musculoskeletal Conditions — American Academy of Pediatrics.

This information is for educational purposes and does not replace professional medical care. Telemedicine can be a helpful first step but is not a substitute for in-person evaluation when urgent or complex care is needed. Always seek immediate medical attention if your child has severe symptoms or red flags.