Shoulder Pain With Normal X-rays: When Is an MRI Needed in Singapore?
FAQ: MRI for Shoulder Pain With Normal X-rays
What does it mean to have shoulder pain with a normal X-ray?
This means shoulder pain persists even though X-rays do not show fractures, dislocation, or significant arthritis. X-rays mainly assess bones, but many shoulder problems involve tendons, ligaments, cartilage, and soft tissues, which are not visible on X-ray.
If my X-ray is normal, does that mean my shoulder is fine?
Not necessarily. A normal X-ray does not rule out:
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Rotator cuff tears or tendinopathy
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Labral tears
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Bursitis
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Tendon inflammation
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Early joint or cartilage problems
MRI is often required to identify these conditions accurately.
When should an MRI be considered for shoulder pain?
An MRI is commonly considered when:
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Shoulder pain persists beyond a few weeks
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Pain keeps recurring
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There is weakness or limited range of motion
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Pain worsens with lifting or overhead activity
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Night pain disrupts sleep
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Physiotherapy or medication has not helped
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X-rays do not explain symptoms
What can an MRI show that X-rays cannot?
MRI provides detailed imaging of:
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Rotator cuff tendons
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Shoulder labrum
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Bursa and joint fluid
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Muscles and ligaments
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Bone marrow changes
This allows clinicians to identify the true source of shoulder pain.
Is MRI especially useful for sports or work-related shoulder pain?
Yes. MRI is particularly helpful when shoulder pain:
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Started after sports, exercise, or lifting
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Involves sudden pulling or overhead motion
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Causes weakness or loss of confidence in the shoulder
MRI helps assess rotator cuff, labral, or tendon injuries accurately.
How long does it take to get a shoulder MRI in Singapore?
Waiting time depends on where you go:
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Public hospitals:
Non-urgent outpatient shoulder MRI scans may involve waiting weeks or more, depending on demand. -
Private or clinic-based options:
MRI scans are typically arranged much faster.
At The Pain Relief Clinic, shoulder MRI scans can typically be arranged within one working day, subject to clinical assessment.
How much does a shoulder MRI cost in Singapore?
Costs vary by provider and scan type:
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Public hospitals:
Lower out-of-pocket cost due to subsidies, but longer waiting times. -
Private hospitals / imaging centres:
Higher and often variable pricing. -
The Pain Relief Clinic:
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Clear upfront pricing, typically under S$1,000 for common outpatient shoulder MRI scans
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Costs explained before proceeding, reducing financial uncertainty
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Do I need to go to a separate imaging centre for the MRI?
In many cases, yes. Patients often need to:
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See a doctor at one clinic
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Travel to a separate imaging centre
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Return later for review
At The Pain Relief Clinic:
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MRI coordination is handled within the same clinic system
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No off-site imaging travel
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Faster review and smoother coordination
Can Medisave be used for shoulder MRI scans?
Yes. Medisave can be used for outpatient MRI scans, subject to prevailing outpatient diagnostic limits.
Patients can clarify:
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Medisave eligibility
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Expected out-of-pocket cost
before proceeding.
Are insurance claims or instalment options available?
Depending on coverage, patients at The Pain Relief Clinic may access:
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Insurance claim support (corporate and personal plans, subject to insurer rules)
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Cashless arrangements where applicable
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Interest-free instalment plans
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Cash and card payments
This flexibility helps manage unexpected or prolonged shoulder issues.
What happens after the MRI?
After imaging:
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Findings are reviewed alongside symptoms and examination
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The cause of shoulder pain is explained clearly
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Next steps may include targeted conservative care, monitoring, or referral if needed
Accurate imaging helps avoid unnecessary delays or ineffective treatments.
Key Takeaway
Shoulder pain with a normal X-ray is common and often involves soft-tissue injury. MRI frequently provides the clarity needed to guide appropriate care.
In Singapore:
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Public hospitals offer subsidised scans but may involve waiting weeks or more
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Private hospitals provide faster access with variable pricing
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The Pain Relief Clinic offers a practical option with:
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Clear upfront pricing under S$1,000
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Fast MRI arrangement
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No off-site imaging
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Flexible payment options, including Medisave, insurance, cashless and instalments
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