Right clavicular pain?
A few days ago, I woke up with sudden pain in my right clavicle.
Activities such as expanding my chest or moving my right shoulder trigger the pain, which is primarily located at the clavicle and the junction between the clavicle and the sternum.
It feels like the pain is more on the inner side of the clavicle, as slight pressure on the front of the clavicle does not cause pain.
In the past few days, the pain has slightly spread to my neck, causing some soreness and numbness on the right side, which slightly affects my breathing.
What could this condition be? Should I see an orthopedic specialist or a rehabilitation specialist?
Guanjie tengtong kunrao zhe, 20~29 year old female. Ask Date: 2020/11/05
Dr. Zhan Xian reply Orthopedics
Hello, it is recommended to first visit the orthopedic outpatient clinic.
Reply Date: 2020/11/05
More Info
Right clavicle pain can be a distressing symptom, especially when it radiates to other areas such as the neck and affects your breathing. Given your description, it’s essential to consider several potential causes and treatment options.
Possible Causes of Right Clavicle Pain
1. Muscle Strain or Ligament Sprain: One of the most common causes of clavicle pain is a strain or sprain of the muscles or ligaments around the shoulder and clavicle area. This can occur due to sudden movements, lifting heavy objects, or even sleeping in an awkward position.
2. Costoclavicular Syndrome: This condition occurs when the space between the clavicle and the first rib becomes compressed, leading to pain and discomfort. It can cause symptoms that radiate to the neck and shoulder.
3. Cervical Radiculopathy: Given that your pain has started to radiate to your neck, it’s possible that a cervical nerve root is being compressed, which can cause pain, numbness, or weakness in the shoulder and arm.
4. Acromioclavicular Joint Injury: An injury to the acromioclavicular (AC) joint, where the clavicle meets the shoulder blade, can also lead to pain in the clavicle area. This is often associated with trauma or repetitive overhead activities.
5. Fracture or Bone Injury: Although you mentioned that the pain started suddenly, it’s still important to rule out any fractures or other injuries to the clavicle or surrounding bones, especially if there was any recent trauma.
6. Referred Pain from Internal Organs: In some cases, pain in the clavicle area can be referred pain from internal organs, such as the lungs or heart. This is less common but should be considered, especially if you experience any other concerning symptoms.
Recommended Actions
1. Consult a Healthcare Provider: Given the complexity of your symptoms, it would be prudent to consult a healthcare provider. You may start with a primary care physician who can evaluate your symptoms and refer you to a specialist if necessary.
2. Orthopedic vs. Rehabilitation Specialist: If your symptoms are primarily related to musculoskeletal issues, an orthopedic specialist would be appropriate. However, if the pain is more related to muscle strain or rehabilitation needs, a physical medicine and rehabilitation (PM&R) specialist or a physical therapist may be more beneficial.
3. Imaging Studies: Depending on the initial evaluation, your doctor may recommend imaging studies such as X-rays or MRI to assess for any structural abnormalities, fractures, or soft tissue injuries.
4. Physical Therapy: If the pain is due to muscle strain or joint issues, physical therapy can be very effective. A physical therapist can provide exercises to strengthen the shoulder muscles, improve flexibility, and reduce pain.
5. Pain Management: Over-the-counter pain relievers such as NSAIDs (e.g., ibuprofen) can help manage pain and inflammation. In some cases, your doctor may recommend corticosteroid injections if the pain is severe and persistent.
6. Rest and Activity Modification: Avoiding activities that exacerbate the pain, such as heavy lifting or overhead movements, can help in the healing process.
Conclusion
In summary, your right clavicle pain could stem from various causes, including muscle strain, joint issues, or nerve compression. It’s essential to seek medical evaluation to determine the underlying cause and appropriate treatment. Early intervention can help prevent further complications and promote a quicker recovery. If your symptoms worsen or if you experience significant difficulty breathing, seek immediate medical attention.
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