Shoulder and Neck Pain Radiating to Arm Discomfort

Shoulder and neck pain radiating to the arm?

I have been experiencing shoulder and neck pain for several years.
A few years ago, an X-ray showed that my cervical vertebrae at the C5 level are curved, along with degenerative arthritis.
I was prescribed medication and advised to take glucosamine.
Recently, not only has the shoulder and neck pain persisted, but it has also extended to my arms, causing pain almost every day.
I even feel pain while lying down to sleep, especially after being inactive for a period of time.
The pain can be relieved during exercise.
What could these symptoms indicate?

lim0, 50~59 year old female. Ask Date: 2017/12/24

Dr. Lai Zhaokang reply Neurosurgery

Hello, you have cervical nerve compression, which is causing nerve pain.
It is recommended to consult a neurosurgeon.
Best wishes to you.
// Dr.
Lai Chao-Kang, Chief of Spine Neurosurgery, Changhua Hospital.

Reply Date: 2017/12/24

More Info

Shoulder and neck pain that radiates down the arm can be indicative of several underlying issues, particularly when there is a history of cervical spine degeneration and arthritis. Given your previous diagnosis of cervical spine curvature and degenerative arthritis at the C5 vertebra, it is likely that your current symptoms are related to these conditions.
Cervical radiculopathy is a common cause of pain that radiates from the neck into the shoulder and down the arm. This condition occurs when a nerve in the neck is compressed or irritated, often due to herniated discs, bone spurs, or degenerative changes in the cervical spine. The pain can be sharp, burning, or tingling and may be accompanied by weakness or numbness in the arm or hand. The fact that your pain worsens with inactivity and improves with movement aligns with this diagnosis, as movement can help alleviate nerve compression.

Additionally, your description of pain that intensifies after periods of inactivity suggests that you may also be experiencing muscle tension or spasms in the neck and shoulder region. This is common in individuals with chronic neck pain, as the muscles may become tight and fatigued from compensating for the underlying structural issues in the spine.
Given that you have been experiencing these symptoms for several years, it is essential to address them comprehensively. Here are some recommendations based on your situation:
1. Physical Therapy: Engaging in a structured physical therapy program can be highly beneficial. A physical therapist can develop a tailored exercise regimen that focuses on strengthening the neck and shoulder muscles, improving flexibility, and correcting posture. This can help alleviate pain and prevent further degeneration.

2. Pain Management: Since you have been prescribed medication in the past, it may be worth revisiting your healthcare provider to discuss your current pain management options. Non-steroidal anti-inflammatory drugs (NSAIDs) can help reduce inflammation and pain. Additionally, your doctor may consider corticosteroid injections if your pain is severe and persistent.

3. Ergonomic Adjustments: Evaluate your workspace and daily activities to ensure that they are ergonomically sound. Poor posture, especially during prolonged periods of sitting or working at a computer, can exacerbate neck and shoulder pain. Adjusting your chair, desk height, and monitor position can make a significant difference.

4. Alternative Therapies: Some patients find relief through alternative therapies such as acupuncture, chiropractic adjustments, or massage therapy. These modalities can help alleviate muscle tension and improve circulation in the affected areas.

5. Lifestyle Modifications: Incorporate regular physical activity into your routine, focusing on exercises that promote neck and shoulder strength and flexibility. Activities such as swimming, yoga, or pilates can be particularly beneficial. Additionally, practicing good sleep hygiene and using supportive pillows can help reduce pain during sleep.

6. Follow-Up Imaging: If your symptoms persist or worsen, it may be necessary to undergo further imaging studies, such as an MRI, to assess the condition of your cervical spine and rule out any significant nerve compression or other structural issues.

In conclusion, while your symptoms may be related to your existing cervical spine issues, a comprehensive approach that includes physical therapy, pain management, ergonomic adjustments, and lifestyle modifications can significantly improve your quality of life. It is advisable to consult with a healthcare professional who specializes in musculoskeletal disorders to develop a personalized treatment plan tailored to your specific needs.

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