I have difficulty in lifting my right shoulder with pain and cracking sound. Please help.

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I want to know your age and sex? Do you have any history of trauma, jerk, or twisting? Are you a known case of diabetes or hypertension? How long do you have pain and sound? Have you taken single or three doses of steroids? And when did you take it? Kindly answer the questions and follow up so I can guide you regarding further management.

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In MRI (magnetic resonance imaging), your head is a little rotated, which might be due to spasm or congenital (attachment removed to protect patient identity). There is a capsular hypertrophy due to inflammation and irritation. And there is sub-acromion and sub-deltoid bursitis due to friction, irritation, and inflammation. In my opinion, we can take another trial of steroids, anti-inflammatory drugs, and physiotherapy. If things not improved with conservative management for three to four months, then arthroscopic surgery to remove the bursa needs to be performed.

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Humerus head joint with scapula glenoid and made gleno humeral hood normally. In your finding humerus head is a little rotated than the normal position, which may present since birth or may be due to inflammation. Bursa means spongy, cushion-like structure present beneath the acromion process (part of scapula bone) and beneath deltoid to prevent friction. In your MRI finding, there is some inflammation present, so bursitis developed. The capsule is a structure present at the glenohumeral joint, making a closed cavity at the joint and providing stability. Your capsule is hypertrophied (thickened, swollen, redness) due to inflammation. In my opinion, you can go with another dose of steroid injection, anti-inflammatory drugs, and physiotherapy for six weeks. If conditions still not improved, then surgery arthroscopic bursitis release and joint shaving is needed.