Understanding Collarbone Pain: Causes, Symptoms, and Treatment Options
Information reviewed by: Dr. Foo Gen Lin | Last updated: Oct 29, 2025
Collarbone pain can result from injury, inflammation, or joint dysfunction, affecting shoulder movement and daily function. Dr Foo provides thorough assessment and tailored treatment to relieve discomfort and restore mobility.
MBBS (University of London) | MMed (Ortho) | FRCSEd (Ortho) | FAMS (Ortho)
What Is Collarbone Pain?
Collarbone pain refers to discomfort or aching in the clavicle, the long bone that
connects the sternum to the shoulder.
It plays a key role in shoulder movement and stability, absorbing stress from arm and
upper body motions. Because the clavicle sits just beneath the skin with little surrounding
protection, it is highly vulnerable to direct trauma.
Additionally, multiple muscles, ligaments, and joints attach to the clavicle, including the
acromioclavicular (AC) joint, where the collarbone meets the shoulder blade. This makes it
prone to strain, inflammation, and joint-related pain.
What Causes Collarbone Pain?
Collarbone pain can be caused by injuries, overuse, or underlying medical conditions affecting the surrounding muscles, ligaments, and nerves.
- Fractures and Trauma – One of the most common causes of collarbone pain, fractures often result from falls, sports injuries, or direct impacts, leading to acute pain, swelling, and visible deformity.
- Acromioclavicular (AC) Joint Injuries – Sprains or separations at the AC joint, where the collarbone meets the shoulder blade, frequently occur in athletes and active individuals, causing pain that worsens with arm movement.
- Muscle Strain and Overuse – Repetitive overhead activities, such as swimming, weightlifting, or prolonged poor posture, can strain the clavicular muscles, leading to soreness and tenderness.
- Osteoarthritis and Degenerative Changes – Over time, wear and tear in the AC joint from ageing or repetitive joint stress can lead to osteoarthritis, causing inflammation, stiffness, and chronic discomfort, particularly in older adults or individuals engaged in repetitive shoulder movements.
- Referred Pain from the Neck or Shoulder – Nerve impingement, caused by compression or irritation, can radiate pain to the collarbone. This is often linked to cervical disc herniation, where spinal discs press on nerves, or rotator cuff injuries that inflame surrounding tissues.
- Thoracic Outlet Syndrome (TOS) – Less common but significant, TOS occurs when blood vessels or nerves near the collarbone become compressed, causing pain, numbness, and weakness in the arm and shoulder.
What Are the Symptoms of Collarbone Pain?
The symptoms of collarbone pain vary depending on the underlying cause and can range from mild discomfort to sharp, persistent pain that restricts movement.
- Localised Pain – Pain felt directly at the clavicle, often worsening with movement or pressure.
- Swelling and Bruising – Common in fractures or joint injuries, sometimes accompanied by visible deformity.
- Restricted Shoulder Mobility – Difficulty lifting or moving the arm due to pain or stiffness.
- Tingling or Numbness – May indicate nerve involvement, potentially radiating into the arm or hand.
- Clicking or Popping Sensation – May indicate AC joint issues or ligament instability.
If you're experiencing collarbone pain or discomfort, early diagnosis and treatment are essential to prevent further complications and restore mobility. Consult an orthopaedic specialist to assess your symptoms and explore the most appropriate treatment options for your recovery. How Is the Cause of Collarbone Pain Diagnosed?
Diagnosing the cause of collarbone pain typically involves a combination of clinical assessment and imaging tests, ordered based on the suspected condition:
- Medical History Review – A review of your symptoms, past injuries, physical activities, and any underlying medical conditions that could contribute to collarbone pain.
- Physical Examination – A physical assessment of your collarbone, shoulder, and neck, checking for tenderness, swelling, deformity, and range of motion.
- X-rays – The most commonly used imaging test to detect fractures, dislocations, and signs of arthritis.
- MRI Scan – Helps evaluate soft tissues, such as ligaments, tendons, and muscles, and is useful for diagnosing conditions like thoracic outlet syndrome.
- CT Scan – Provides more detailed images of the bone and is helpful for identifying complex fractures or subtle structural changes.
- Nerve Conduction Studies – Used when nerve compression is suspected to assess nerve function through electromyography (EMG).
- Bone Scan – Less commonly used but may be recommended to detect infections, tumours, or fractures that are not visible on an X-ray.
How Can Collarbone Pain Be Treated?
Treatment for collarbone pain depends on the underlying cause, severity of symptoms, and impact on
daily activities. Non-surgical treatments are typically the first line of management for mild to
moderate cases, while surgical intervention may be considered for severe fractures, persistent joint
issues, or nerve compression.
Common treatment options include:
| Treatment | Purpose |
|---|---|
| Non-Surgical Management | |
| Rest and Activity Modification | Avoiding movements that aggravate pain to reduce strain on the clavicle, allowing tissues to heal. |
| Immobilisation | A sling or brace stabilises the collarbone, particularly after fractures or joint injuries, to support proper healing. |
| Swelling & Pain Management | Application of ice packs to reduce inflammation and swelling, along with non-steroidal anti-inflammatory drugs (NSAIDs) to manage pain and discomfort. |
| Physiotherapy and Rehabilitation | A structured exercise programme to restore mobility, strengthen shoulder muscles, and prevent stiffness or weakness. |
| Injection-Based Treatment | Corticosteroid injections may help reduce inflammation around the AC joint, while Platelet-Rich Plasma (PRP) therapy may promote healing in chronic injuries. |
| Surgical Intervention | |
| Fracture Fixation Surgery | In cases of severe or displaced clavicle fractures, surgical fixation with plates and screws stabilises the bone for proper alignment and healing. |
| AC Joint Reconstruction | A surgical procedure to repair or reconstruct damaged ligaments in the AC joint to restore shoulder stability and reduce persistent pain. |
| Thoracic Outlet Decompression Surgery | A surgical procedure releases compressed nerves or blood vessels near the collarbone to relieve symptoms of thoracic outlet syndrome, such as pain, numbness, and weakness in the arm. |
When Should I See an Orthopaedic Specialist for Collarbone Pain?
You should seek medical attention for collarbone pain if you experience any of the following symptoms:
- Severe pain following a fall, direct impact, or injury.
- Noticeable deformity or a visible bump on the collarbone.
- Difficulty moving your arm or shoulder, especially if mobility is significantly restricted.
- Numbness, tingling, or weakness in the arm or hand, which may indicate nerve involvement.
- Persistent pain lasting several weeks despite rest and home care.
- Fever, redness, or warmth around the collarbone, which could indicate an infection.
Every patient deserves a treatment plan tailored to their needs. We start with non-surgical approaches before considering more invasive interventions.
Dr Foo Gen Lin
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Frequently Asked Questions (FAQs)
Collarbone pain from sleeping can occur if you rest in an awkward position that places pressure on the shoulder or collarbone, leading to muscle strain or joint irritation. It is usually temporary and resolves with proper posture, adequate rest, and sleeping with supportive pillows to maintain shoulder alignment. However, persistent or worsening pain may suggest an underlying joint or nerve issue. If discomfort continues, it is advisable to consult an orthopaedic specialist for assessment.
Collarbone pain during running may occur due to poor posture, shoulder muscle tension, or repetitive arm movements that strain the acromioclavicular (AC) joint. It can also stem from overuse injuries, residual shoulder instability, or nerve compression from the neck or upper chest. Adjusting running posture, improving shoulder mobility, and avoiding overstraining can help. If the pain persists or worsens, it is advisable to consult a sports or orthopaedic specialist.
To sleep comfortably with collarbone pain, rest on your back or the unaffected side with a supportive pillow under the arm to reduce shoulder strain. Using extra padding or a small cushion under the collarbone can help relieve pressure. Avoid sleeping on the injured side or in positions that compress the shoulder joint. If pain continues despite these adjustments, it is advisable to consult an orthopaedic specialist for further evaluation and management.
Collarbone pain is rarely related to the heart, but in some cases, cardiac issues such as angina or heart attack may cause referred pain to the chest, shoulder, or upper arm. Heart-related pain is typically accompanied by symptoms like chest tightness, breathlessness, or sweating. If collarbone pain occurs suddenly with these symptoms, seek emergency medical attention immediately. Otherwise, persistent localised pain is more likely due to musculoskeletal or nerve causes.
Pain on the right side of the collarbone is fairly common and often results from muscle strain, joint inflammation, or minor injury caused by repetitive movement. It can also be related to acromioclavicular (AC) joint problems or referred pain from the neck or shoulder. If the pain occurs after an injury, restricts arm movement, or does not improve with rest, it is advisable to consult a doctor or orthopaedic specialist for evaluation.
A sore throat is not typically related to collarbone pain, but infections involving the lymph nodes or soft tissues of the neck can occasionally cause discomfort extending toward the collarbone. In such cases, swelling or tenderness near the neck may be present. If sore throat symptoms occur with persistent collarbone pain, fever, or redness, it is advisable to consult a doctor to exclude infection or inflammation spreading to nearby areas.
Pain in the left collarbone during breathing may result from muscle strain, joint inflammation, or irritation of tissues surrounding the shoulder and chest wall. In some cases, it may also indicate referred pain from conditions affecting the lungs or heart. If the pain is sharp, associated with shortness of breath, or accompanied by chest pressure, seek immediate medical attention. For persistent localised pain, consult a doctor or orthopaedic specialist.
You should be concerned about collarbone pain if it follows a fall, impact, or injury, or if there is swelling, bruising, or a visible deformity. Persistent pain, numbness, or difficulty moving your arm may also indicate a fracture, joint injury, or nerve involvement. If symptoms do not improve with rest or worsen over time, it is advisable to consult a doctor or orthopaedic specialist for further evaluation and appropriate treatment.
Relieving collarbone pain usually involves rest, applying ice to reduce inflammation, and taking over-the-counter pain medication if needed. Gentle stretching and physiotherapy can help restore movement once initial discomfort improves. Avoiding heavy lifting or overhead activity prevents further strain. If the pain persists, worsens, or follows an injury, it is advisable to consult a doctor or orthopaedic specialist for assessment and appropriate treatment.
Anxiety itself does not directly cause collarbone pain, but it can contribute to muscle tension in the neck and shoulders, leading to discomfort or tightness around the clavicle area. Shallow breathing or stress-related posture changes may also worsen this strain. If collarbone pain occurs alongside anxiety, relaxation techniques and posture correction may help. Persistent or severe pain should be assessed by a doctor or orthopaedic specialist to exclude structural or nerve-related causes.
The recovery time for collarbone pain depends on the cause and severity. Mild muscle strains may resolve within days to weeks with rest and conservative care, while fractures often take six to twelve weeks to heal. Chronic or degenerative conditions may require longer management. If the pain persists or interferes with daily activities, it is advisable to consult a doctor or orthopaedic specialist for further evaluation.
Yes, certain sleeping positions can contribute to collarbone pain by placing pressure on the shoulder joint or causing muscle strain. Sleeping on one side for prolonged periods or using unsupportive pillows may compress the clavicle or surrounding soft tissues. Adjusting sleep posture, using a supportive pillow, or sleeping on your back can help reduce strain. If pain persists despite these changes, it is advisable to seek professional evaluation.
The fastest way to heal a collarbone depends on the severity and type of injury. Rest, immobilisation with a sling, and avoiding strenuous movement help promote early healing. Physiotherapy aids recovery once the bone or joint has stabilised. Severe or displaced fractures may require surgical fixation for proper alignment. If you suspect a collarbone injury, it is advisable to consult a doctor or orthopaedic specialist for appropriate management.
Collarbone pain is typically assessed and treated by an orthopaedic specialist, who diagnoses bone, joint, and soft tissue conditions. Depending on the cause, treatment may also involve a sports medicine doctor, physiotherapist, or pain management specialist. For nerve-related or referred pain, a neurologist or spine specialist may be consulted.
Muscular shoulder pain usually worsens with movement or pressure and improves with rest, while heart-related pain may feel like a deep, dull ache or pressure that radiates to the chest, jaw, or arm and is not affected by motion. If shoulder or collarbone pain occurs with chest discomfort, breathlessness, or sweating, seek emergency medical attention immediately to rule out a cardiac event.
Yes, poor posture can contribute to collarbone pain by placing strain on the neck, shoulder, and chest muscles that attach to the clavicle. Prolonged slouching, forward head posture, or rounded shoulders can cause muscular imbalance and joint stress over time. Correcting posture, strengthening shoulder stabilisers, and taking regular movement breaks can help relieve symptoms. If pain persists, it is advisable to consult a physiotherapist or orthopaedic specialist.
A dislocated collarbone often presents with visible deformity near the shoulder, swelling, bruising, and sharp pain that worsens with movement. You may also notice a bump or abnormal contour where the clavicle meets the sternum or shoulder. Range of motion is usually limited, and movement may cause clicking or instability. Diagnosis should be confirmed through physical examination and imaging. It is advisable to seek immediate medical attention for suspected dislocation.
Although uncommon, a severe tooth or jaw infection can sometimes cause pain that spreads to the neck or collarbone because the nerves in these areas are interconnected. However, collarbone pain is more commonly linked to muscle, joint, or nerve conditions rather than dental problems. If you experience pain in both the jaw and collarbone, it is advisable to consult your dentist and an orthopaedic specialist for proper evaluation.
Collarbone arthritis, most commonly affecting the acromioclavicular (AC) joint, typically causes localised pain, stiffness, and tenderness at the top of the shoulder. Discomfort may worsen with overhead or cross-body movements, and some may experience a grinding or clicking sensation. Symptoms often develop gradually due to joint wear and tear. If pain interferes with daily activities, it is advisable to consult an orthopaedic specialist for proper assessment and treatment options.