Left Shoulder and Neck Pain: Causes and Solutions

Left shoulder and neck pain?

Hello doctor, I would like to ask for your advice.
My left shoulder has been slightly swollen for a week now.
At first, I thought it would get better in a few days, but applying medicated patches and ointments hasn't helped, and it has also caused skin allergies.
Additionally, I experience tight pain when I turn my head, and there is a sharp pain even when I'm not moving my shoulder.
I just noticed a movable lump at the lowest point where my left shoulder connects to my neck; could it be a lymph node? A few days ago, I couldn't feel it.
I have been abroad for two days and won't be returning home soon, so I'm unsure if there is an issue with my lymph nodes that is causing the swelling and pain in my left shoulder and neck.
I'm quite worried, especially since I already have scoliosis, and my shoulder occasionally feels stiff or painful, with discomfort in the scapula area.
However, I haven't experienced such prolonged symptoms before.
I'm uncertain if this is related to my scoliosis causing the swelling and pain in my left shoulder and neck.
Should I consider seeing an acupuncturist or a chiropractor to check if there is something wrong? I would appreciate your advice on what I should do next.
Thank you.

Yang Yang, 40~49 year old female. Ask Date: 2017/07/28

Dr. Li Yongheng reply Orthopedics

Based on your symptoms, there is a higher likelihood of left shoulder tendonitis.
However, if there is a lump in your neck, it is still recommended that you visit an orthopedic clinic to rule out lymphadenopathy.
Wishing you a speedy recovery.

Reply Date: 2017/07/28

More Info

Understanding left shoulder and neck pain can be complex, as there are multiple potential causes and solutions. Based on your description, it seems you are experiencing a combination of symptoms that may be related to musculoskeletal issues, possible lymphatic involvement, and your pre-existing spinal condition.

Possible Causes
1. Muscle Strain or Sprain: Given that you mentioned a slight swelling in your left shoulder and neck area, it could be a result of muscle strain, especially if you've engaged in activities that require repetitive shoulder or neck movements. Poor posture, particularly while working at a computer or using a mobile device, can exacerbate muscle tension and lead to pain.

2. Lymphadenopathy: The movable lump you feel near the base of your neck could indeed be a lymph node. Lymph nodes can become swollen due to infections, inflammation, or other medical conditions. If the swelling is persistent and accompanied by pain, it may warrant further investigation.

3. Cervical Spine Issues: Your history of spinal curvature (scoliosis or other conditions) can contribute to uneven stress on your neck and shoulder muscles, leading to pain and discomfort. This misalignment can also affect nerve pathways, potentially causing referred pain.

4. Nerve Compression: Conditions such as cervical radiculopathy, where a nerve in the neck is compressed, can lead to pain radiating into the shoulder and arm. Symptoms may include sharp pain, tingling, or weakness in the affected area.

5. Tendonitis or Bursitis: Inflammation of the tendons or bursae in the shoulder can also lead to pain and swelling. This is often seen in individuals who perform repetitive overhead activities.

Recommended Solutions
1. Rest and Ice: Initially, it's important to rest the affected area. Applying ice packs can help reduce inflammation and numb the pain. Avoid activities that exacerbate the discomfort.

2. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen can help alleviate pain and reduce inflammation. However, consult with a healthcare provider before starting any medication.

3. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can provide exercises to strengthen the muscles around your neck and shoulder, improve flexibility, and correct posture.

4. Medical Evaluation: Given the duration of your symptoms and the presence of a lump, it would be prudent to seek a medical evaluation. A healthcare provider may perform a physical examination and possibly imaging studies (like an ultrasound or MRI) to assess the underlying cause of your symptoms.

5. Acupuncture or Massage Therapy: These alternative therapies can provide relief for muscle tension and pain. However, ensure that any practitioner you consult is licensed and experienced.

6. Monitor Symptoms: Keep track of any changes in your symptoms, such as increased swelling, persistent pain, or the development of new symptoms like fever or night sweats, which could indicate a more serious condition.

Conclusion
In summary, your left shoulder and neck pain could stem from a variety of causes, including muscle strain, lymphatic issues, or cervical spine problems. It is essential to approach this situation holistically, considering both physical and potential underlying medical issues. Consulting with a healthcare professional is advisable to obtain a proper diagnosis and tailored treatment plan. Meanwhile, rest, ice, and gentle stretching may provide some relief.

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