Left Shoulder Pain and Numbness: Which Specialist to See? - Neurology

More Info

---

When dealing with left shoulder pain and associated numbness in the arm, it's essential to consider a few factors before deciding which specialist to consult. Given your symptoms, which include persistent shoulder pain and numbness radiating down to your hand, it is advisable to see a specialist who can address both musculoskeletal and neurological aspects of your condition.


Recommended Specialists:
1. Orthopedic Surgeon: An orthopedic surgeon specializes in the diagnosis and treatment of musculoskeletal disorders, including injuries to the shoulder joint, rotator cuff tears, and other related conditions. They can perform physical examinations, order imaging studies (like X-rays or MRIs), and determine if there are any structural issues with your shoulder that need to be addressed.

2. Neurologist: Since you are experiencing numbness in your hand, it may be beneficial to consult a neurologist. They specialize in conditions affecting the nervous system, including nerve compression syndromes (like carpal tunnel syndrome) or cervical radiculopathy, which can cause pain and numbness due to nerve root irritation in the cervical spine.

3. Physical Therapist: A physical therapist can provide rehabilitation services, focusing on exercises to improve shoulder mobility, strength, and function. They can also help with pain management techniques and educate you on proper body mechanics to prevent further injury.


Possible Causes of Your Symptoms:
- Rotator Cuff Injury: Given your history of shoulder pain, a rotator cuff injury could be a potential cause. This injury can lead to pain and weakness in the shoulder, and if there is associated inflammation, it can also affect the nerves, leading to numbness in the arm.

- Cervical Radiculopathy: If the pain and numbness are radiating down your arm, it may indicate that a nerve in your neck is being compressed. This can occur due to herniated discs, degenerative disc disease, or other cervical spine issues.

- Shoulder Impingement Syndrome: This condition occurs when the rotator cuff tendons are irritated and inflamed as they pass through the shoulder joint. It can lead to pain and restricted movement, which may also contribute to numbness if the surrounding nerves are affected.


Next Steps:
1. Schedule an Appointment: Based on your symptoms, it would be prudent to start with an orthopedic surgeon. They can evaluate your shoulder and determine if imaging studies are necessary.

2. Imaging Studies: If the orthopedic surgeon suspects a rotator cuff tear or other structural issues, they may recommend an MRI or ultrasound to visualize the soft tissues and assess for any tears or inflammation.

3. Neurological Evaluation: If the orthopedic evaluation does not reveal significant shoulder issues, or if your symptoms persist, consider seeing a neurologist for a thorough examination of your neurological function.

4. Physical Therapy: Regardless of the specialist you see, physical therapy can be an integral part of your recovery. A therapist can help you regain strength and mobility in your shoulder while addressing any underlying issues contributing to your symptoms.


Conclusion:
In summary, for your left shoulder pain and numbness, starting with an orthopedic surgeon is a logical first step. They can evaluate your shoulder's structural integrity and refer you to a neurologist if necessary. Early intervention is crucial to prevent chronic issues and ensure a better recovery outcome. Don't hesitate to seek medical attention, as timely diagnosis and treatment can significantly improve your quality of life.