The most common reasons for shoulder aching include tendon inflammation such as bursitis or tendinitis, rotator cuff injuries, arthritis, and shoulder instability. Overuse or repetitive movements can cause inflammation of the tendons (tendinitis) or the fluid-filled sacs that cushion the joints (bursitis), leading to pain. Shoulder impingement, where the rotator cuff tendons get pinched between bones, is another frequent cause. Degenerative conditions like arthritis or injury-related issues such as fractures or dislocations can also result in shoulder pain. Sometimes, referred pain from other areas like the neck can manifest as shoulder pain. If the aching is acute and related to a specific injury or worsening over time, medical evaluation including physical examination and imaging may be needed to diagnose the exact cause. Common symptoms accompanying shoulder pain can include reduced range of motion, swelling, tenderness, and difficulty performing daily activities involving the arm. In summary, shoulder aching can be due to inflammation, injury, degenerative conditions, or sometimes nerve or referred pain from nearby areas. Consulting a healthcare professional would be advisable for persistent or severe pain to determine the exact cause and appropriate treatment.