Shoulder Pain After Pneumonia Treatment: When to Seek Help - Pulmonology

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Pneumonia shoulder pain?


Hello Doctor: I have been coughing for over a week and have thick yellow phlegm.
I do not have a fever and had a chest X-ray on Wednesday, which showed a white area in the lower left lung.
The doctor diagnosed me with pneumonia and prescribed antibiotics.
I am to return for a follow-up in a week if there is no improvement.
After starting the medication, I felt some relief in my symptoms, but I have been hearing a bubbling sound while breathing.
Since yesterday evening, I have also started experiencing pain in my right shoulder.
I carefully reviewed the medication's side effect warnings, and there are no mentions of shoulder or joint pain.
Doctor, do I need to return for an immediate follow-up, or should I continue taking the antibiotics and return in a week as instructed? Thank you for your response!

Niming, 30~39 year old female. Ask Date: 2018/03/30

Dr. Zhou Ziguang reply Pulmonology


Hello: If you have new symptoms, consider returning for a follow-up appointment with your physician, especially if you are experiencing worsening shortness of breath, as it is important to seek medical attention promptly.

Reply Date: 2018/03/30

More Info


Shoulder pain following pneumonia treatment can be concerning, especially when it arises after a recent illness and treatment. It is essential to understand the potential causes of this pain and when it is necessary to seek further medical attention.

In your case, you experienced pneumonia, which is an infection of the lungs that can lead to various complications. The antibiotics prescribed are intended to treat the infection, and it is common for patients to experience some discomfort or side effects during recovery. However, the onset of shoulder pain after starting treatment raises a few considerations.

Firstly, the shoulder pain could be related to several factors. One possibility is that the pain is musculoskeletal in nature, potentially resulting from changes in posture or activity levels during your illness. When individuals are unwell, they may alter their usual movements, leading to strain or discomfort in the shoulder area. Additionally, if you were coughing heavily due to pneumonia, this could have strained the muscles around your shoulder, leading to pain.

Another consideration is the possibility of referred pain. Sometimes, pain from the lungs or diaphragm can manifest as shoulder pain due to shared nerve pathways. This phenomenon is known as referred pain and can occur in conditions affecting the thoracic region, including pneumonia.

While the medication you are taking does not list shoulder pain as a side effect, it is still essential to monitor your symptoms closely. If the shoulder pain is mild and does not worsen, you may choose to continue with your antibiotic treatment as prescribed and follow up with your doctor in a week. However, if the pain becomes severe, is accompanied by other concerning symptoms (such as shortness of breath, fever, or significant changes in your overall condition), or if you have any doubts about the nature of the pain, it is advisable to seek medical attention sooner.

In summary, while it may be reasonable to wait until your follow-up appointment to discuss the shoulder pain, you should not hesitate to contact your healthcare provider if you experience worsening symptoms or have concerns about your condition. It is always better to err on the side of caution, especially after a recent illness like pneumonia. Your healthcare provider can perform a thorough evaluation to determine the cause of your shoulder pain and recommend appropriate treatment if necessary.

In addition to seeking medical advice, consider gentle stretching and mobility exercises for your shoulder, as long as they do not exacerbate the pain. Maintaining good posture and avoiding heavy lifting or strenuous activities can also help alleviate discomfort during your recovery. Remember to listen to your body and prioritize your health as you continue to recover from pneumonia.

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