The left arm cannot be raised straight up?
Hello, Dr.
Shen.
About six months ago, I suddenly noticed that I couldn't raise my left arm to my ear, couldn't fasten my bra behind my back, and felt significantly weaker when holding my children.
These movements cause pain...
At one point, I thought it was just a temporary condition due to not exercising that area for a long time or improper lifting while carrying my children (I have two kids, aged 5 and 3, who sleep on my arms at night).
During this time, I sought treatment from a traditional Chinese medicine practitioner for acupuncture (which made me feel faint) and received massage therapy, but there was still no significant relief.
However, I found that pressing on my upper arm near the shoulder provides temporary relief, but I still cannot raise it straight.
I would like to ask if I should consult an orthopedic specialist for this condition, or if another specialty would be more appropriate? Thank you for taking the time to respond amidst your busy schedule.
Wanling, 30~39 year old female. Ask Date: 2017/11/06
Dr. Shen Boquan reply Orthopedics
It appears to be inflammation of the rotator cuff, also known as impingement syndrome.
The cause is unclear for about half of the individuals affected.
Symptoms may be less painful during daytime activities but can worsen at night.
If the pain is bothersome, you should consider medication or physical therapy.
An orthopedic or rehabilitation physician will diagnose your symptoms and provide treatment.
Wishing you good health.
Reply Date: 2017/11/06
More Info
Shoulder pain can be a significant issue, especially when it affects your daily activities and quality of life. Based on your description, it seems that you have been experiencing limitations in your shoulder movement, particularly with actions like raising your arm, reaching behind your back, and lifting your children. These symptoms, combined with the pain you feel during these activities, suggest that there may be an underlying issue that requires further evaluation.
Given that you have already tried acupuncture and manual therapy without significant improvement, it is advisable to consult an orthopedic specialist. Orthopedic doctors specialize in musculoskeletal issues, including shoulder injuries and conditions. They can provide a comprehensive assessment of your shoulder, including a physical examination and possibly imaging studies such as X-rays or MRI to determine the exact cause of your pain and limitations.
The symptoms you describe could be indicative of several conditions, including rotator cuff injuries, shoulder impingement syndrome, or adhesive capsulitis (frozen shoulder). Rotator cuff injuries are common, especially in individuals who perform repetitive overhead activities or have experienced trauma. This condition can lead to pain, weakness, and limited range of motion. Shoulder impingement occurs when the tendons of the rotator cuff become irritated and inflamed as they pass through the shoulder joint, often causing pain when lifting the arm. Adhesive capsulitis is characterized by stiffness and pain in the shoulder joint, which can significantly restrict movement.
In your case, the fact that pressing on the upper arm near the shoulder provides temporary relief suggests that there may be some muscular or soft tissue involvement. However, without a proper diagnosis, it is challenging to determine the exact nature of the problem. An orthopedic specialist can perform specific tests to assess the strength and range of motion in your shoulder, as well as evaluate for any signs of inflammation or structural damage.
If you are experiencing significant pain or functional limitations, it is essential to seek medical attention sooner rather than later. Early intervention can often lead to better outcomes and may prevent the condition from worsening. The orthopedic specialist may recommend a treatment plan that could include physical therapy, medications for pain and inflammation, or in some cases, surgical intervention if conservative measures do not provide relief.
In summary, based on your symptoms and the lack of improvement with previous treatments, it is advisable to see an orthopedic specialist. They will be able to provide a thorough evaluation and recommend an appropriate course of action to help alleviate your shoulder pain and restore your range of motion. Don't hesitate to seek help, as addressing these issues early can lead to a better recovery and improved quality of life.
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