Left shoulder pain?
Hello Doctor, about six months ago I was in a car accident.
Initially, I thought there was only an issue with my left side rib under the armpit (I had an X-ray and there were no fractures), but after three months of recovery, the pain in my left armpit gradually improved.
However, I then started to experience pain in the deep muscles of my left shoulder blade, and the doctor said it was due to muscle adhesions.
I have been undergoing treatment for three months now.
Recently, in the past three days, I have started to feel pain and inflammation in the bone behind my left ear, which has slightly swollen.
It hurts when I touch it or tilt my head back.
Doctor, I am working hard on my rehabilitation; is there a possibility that my left shoulder blade injury will fully recover? Also, could the pain in the bone behind my left ear be a sign of a stroke? Thank you for your response.
Yuan Yuan, 20~29 year old female. Ask Date: 2005/06/01
Dr. Chen Xianchang reply Rehabilitation
(1) Deep muscle pain in the left shoulder may be diagnosed as follows: 1.
Strain of the internal and external rotator muscles, requiring deep heat therapy (shortwave, ultrasound, laser) and deep electrical therapy (interferential current).
2.
Adhesive capsulitis (frozen shoulder), with abduction limited to less than 90 degrees, necessitating therapeutic exercises.
(2) The bony prominence behind the left ear is referred to as the mastoid bone, which may have three possible conditions: 1.
Mastoiditis.
2.
Inflammation of the sternocleidomastoid or neck muscles.
3.
Herniation of cervical intervertebral discs compressing nerves, requiring further evaluation and management; the likelihood of a cerebrovascular accident (stroke) is low.
Reply Date: 2005/06/01
More Info
Understanding left shoulder pain after an accident can be complex, especially when multiple symptoms and areas of discomfort are involved. Based on your description, it seems you have been dealing with a series of injuries and complications following your car accident six months ago. Initially, you suspected rib issues, but as time progressed, you began to experience pain in the deep muscles of your left shoulder, which your doctor has attributed to muscle adhesion. Recently, you have also noticed pain and slight swelling in the bone behind your left ear, which raises concerns about potential complications.
First, let's address the shoulder pain. Muscle adhesion, often referred to as "frozen shoulder" or adhesive capsulitis, can occur after trauma. This condition is characterized by stiffness and pain in the shoulder joint, which can significantly limit your range of motion. The recovery from such an injury can vary widely among individuals. Factors such as age, the severity of the injury, and the effectiveness of rehabilitation play crucial roles in determining the extent of recovery. While some patients may regain full function, others might experience lingering limitations. It is essential to continue with physical therapy, as targeted exercises can help improve flexibility and strength in the affected area.
Regarding the pain behind your left ear, it is important to consider several possibilities. The swelling and pain could be due to inflammation of the mastoid bone (located behind the ear) or surrounding soft tissues. This inflammation could result from muscle strain or even referred pain from your shoulder injury. While the symptoms you describe do not typically indicate a stroke, it is crucial to monitor for any additional symptoms such as sudden weakness, numbness, or changes in vision or speech, which could warrant immediate medical attention.
In terms of your recovery, it is advisable to maintain open communication with your healthcare providers. If your current treatment plan is not yielding the desired results, further diagnostic imaging, such as an MRI or ultrasound, may be warranted to assess the soft tissues and determine if there are any underlying issues that need to be addressed. Additionally, consulting with a rehabilitation specialist can provide you with a tailored exercise program that focuses on your specific needs and limitations.
In conclusion, while the path to recovery from shoulder injuries and associated pain can be challenging, it is not uncommon for individuals to experience significant improvements with appropriate treatment and rehabilitation. Keep advocating for your health, and do not hesitate to seek further evaluations if your symptoms persist or worsen. Your proactive approach to your recovery is commendable, and with time and the right interventions, you may achieve a satisfactory level of function and relief from pain.
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