Shoulder issues
Hello doctor, I am 15 years old.
When I move my shoulder, I hear a cracking sound, and one side of my collarbone is more prominent than the other.
I usually sit with one leg crossed while using the computer.
Since I am quite thin, I can see my ribs, and I notice that one side is more protruded than the other.
Recently, I have been experiencing sharp pains in my heart and pain while breathing.
I'm not sure if this is related to my shoulder issue.
Niming, 10~19 year old female. Ask Date: 2016/07/17
Dr. Shi Guozheng reply Orthopedics
You need to see Dr.
Zhao for an evaluation, and you may need to get an X-ray to check for any issues with your shoulder joint.
Reply Date: 2016/07/17
More Info
Hello! Thank you for sharing your concerns regarding your shoulder issues and associated symptoms. It’s important to address these matters, especially at your age, as they can significantly impact your daily life and overall well-being.
From what you've described, it seems like you're experiencing a few different symptoms: a popping or cracking sound in your shoulder when you move it, a noticeable asymmetry in your collarbone, and some discomfort in your chest and breathing. Let's break these down.
1. Popping or Cracking Sound: It's not uncommon for joints, including the shoulder, to make sounds like popping or cracking. This can occur due to various reasons, such as the movement of tendons or ligaments over the bones or the release of gas bubbles in the joint fluid. However, if this sound is accompanied by pain or discomfort, it may indicate an underlying issue, such as tendonitis, bursitis, or even a labral tear.
2. Asymmetry in the Collarbone: A noticeable difference in the appearance of your collarbones could be due to several factors, including muscle imbalances, postural issues, or previous injuries. If one side appears more prominent, it may be worth evaluating your posture, especially if you spend a lot of time at a computer. Poor posture can lead to muscle imbalances that may cause one side of your body to develop differently than the other.
3. Chest Pain and Breathing Discomfort: The chest pain and discomfort while breathing are concerning symptoms that should not be overlooked. While it’s possible that these symptoms could be related to your shoulder issues, they could also indicate other conditions, such as costochondritis (inflammation of the cartilage connecting the ribs to the sternum), anxiety, or even more serious cardiac concerns. Given your age, it’s less likely to be heart-related, but it’s essential to rule out any serious conditions.
Recommendations:
- Consult a Healthcare Professional: Given the combination of symptoms you’re experiencing, it’s crucial to consult a healthcare professional, such as a pediatrician or an orthopedic specialist. They can perform a thorough examination, possibly including imaging studies like X-rays or MRIs, to determine the cause of your symptoms.
- Posture and Ergonomics: Since you mentioned spending time on the computer, consider evaluating your posture. Ensure that your workstation is ergonomically set up to reduce strain on your shoulders and neck. Try to sit with your back straight, shoulders relaxed, and feet flat on the ground.
- Physical Activity: Engaging in regular physical activity can help strengthen the muscles around your shoulders and improve your posture. Consider exercises that focus on shoulder stability and flexibility, but be sure to avoid any movements that cause pain.
- Mindfulness and Stress Management: If you find that anxiety or stress contributes to your symptoms, incorporating mindfulness practices such as deep breathing, meditation, or yoga can be beneficial.
- Avoid Self-Diagnosis: While it’s easy to jump to conclusions about what might be causing your symptoms, it’s essential to avoid self-diagnosing. Only a qualified healthcare provider can give you an accurate diagnosis and appropriate treatment plan.
In summary, while some of your symptoms may be benign, the combination of shoulder sounds, asymmetry, and chest pain warrants a professional evaluation. Taking proactive steps to address these concerns can lead to better health outcomes and improved quality of life. Don’t hesitate to seek help; your health is important!
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