Left Arm Pain: Possible Tendonitis and Treatment Options - Orthopedics

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Left arm pain?


Hello Doctor: I have symptoms as mentioned in the title.
I have been playing badminton for a year, and it seems that I sustained a strain while playing, but I didn't pay much attention to it at the time.
However, since then, I have experienced pain when lifting heavy objects or applying pressure.
Pressing on my scapula and the surrounding area is extremely painful.
For the past six months, I have also been unable to sleep on my right side at all, as it causes pain throughout my right side and scapula.
I would like to know if this is tendonitis or something else.
What treatment options are available? Thank you for your response!

Miss Ruan, 10~19 year old female. Ask Date: 2016/03/23

Dr. Wang Shouji reply Orthopedics


Hello: There is a high possibility of a tendon strain.
If this condition persists for a long time, you should go to the hospital to check for any abnormalities in the shoulder joint tendons and bones.
In some cases, poor structural alignment of the shoulder joint can lead to symptoms that are difficult to heal after a tendon injury.
Thank you!

Reply Date: 2016/03/23

More Info


Left arm pain can be a complex issue, particularly when it involves the shoulder and surrounding structures. Based on your description, it seems that you may be experiencing symptoms consistent with tendonitis, particularly if the pain has persisted since your initial injury while playing badminton. Tendonitis is an inflammation or irritation of a tendon, which can occur due to repetitive motions or overuse, common in sports like badminton where overhead movements are frequent.

In your case, the pain you feel when pressing on the shoulder blade and the inability to sleep on your right side without discomfort suggests that there may be underlying issues with the rotator cuff tendons or other soft tissue structures in the shoulder area. The rotator cuff is a group of muscles and tendons that stabilize the shoulder and allow for a wide range of motion. When these tendons become inflamed or injured, it can lead to pain, weakness, and limited mobility.

To address your concerns, here are some treatment options and recommendations:
1. Rest and Activity Modification: It’s crucial to allow the affected area to rest. Avoid activities that exacerbate the pain, such as lifting heavy objects or performing overhead movements. Modifying your activities can help prevent further irritation of the tendons.

2. Physical Therapy: Engaging in physical therapy can be highly beneficial. A physical therapist can design a tailored exercise program that focuses on strengthening the shoulder muscles, improving flexibility, and enhancing overall shoulder mechanics. They may also employ modalities such as ultrasound or electrical stimulation to reduce pain and inflammation.

3. Ice Therapy: Applying ice to the affected area can help reduce swelling and alleviate pain. It’s generally recommended to ice the area for 15-20 minutes every few hours, especially after activities that may aggravate the pain.

4. Medications: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help manage pain and reduce inflammation. However, it’s essential to use these medications as directed and consult with a healthcare provider if you have any underlying health conditions or are taking other medications.

5. Corticosteroid Injections: If conservative treatments do not provide relief, your doctor may consider corticosteroid injections into the shoulder joint or surrounding tissues to reduce inflammation and pain.

6. Gradual Return to Activity: Once the pain subsides, it’s important to gradually return to your activities. This should be done under the guidance of a healthcare professional to ensure that you do not exacerbate the condition.

7. Surgical Options: In rare cases, if conservative treatments fail and the pain significantly impacts your quality of life, surgical intervention may be considered to repair any damaged tendons or relieve impingement.

8. Ergonomic Adjustments: If your pain is exacerbated by certain postures or activities, consider making ergonomic adjustments to your workspace or daily activities. For instance, ensuring that your workstation is set up to promote good posture can help alleviate strain on your shoulder.

In conclusion, while your symptoms may suggest tendonitis, a thorough evaluation by a healthcare professional is essential for an accurate diagnosis and appropriate treatment plan. It’s advisable to consult with a physician or a physical therapist who can assess your condition, possibly through imaging studies like an MRI or ultrasound, and guide you through a comprehensive treatment strategy tailored to your specific needs. Early intervention can often lead to better outcomes and a quicker return to your regular activities, including sports.

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