Shoulder Pain: Causes, Treatments, and Concerns for Seniors

Neck and shoulder pain?

Hello Dr.
Yeh,
My mother is 61 years old and has symptoms suggestive of frozen shoulder.
Recently, she has been working too hard and has experienced some recurrence of pain.
She is taking the following medications: Suloril 100mg, Mephenoxalone 200mg/tablet, and Stacaine tablet.
Suloril has analgesic properties and does not cause her gastric pain.
Heat therapy and massage have indeed provided some relief, correct? However, I really don't understand why she has been experiencing itching for a long time.
From the back view, the muscles on the right side of her back appear slightly larger than those on the left side.
Could there be other underlying issues? Thank you for your response amidst your busy schedule!

Wei Qi, 30~39 year old female. Ask Date: 2005/07/14

Dr. Ye Boshou reply Neurology

Based on your description, the right side appears larger than the left side, which may indicate atrophy of the left side.
It is advisable to follow up with a neurology clinic for further examination and inform the physician about this condition.

Reply Date: 2005/07/14

More Info

Shoulder pain is a common issue, especially among seniors, and can arise from various causes. In your mother's case, the symptoms suggestive of "frozen shoulder" or adhesive capsulitis, which is characterized by stiffness and pain in the shoulder joint, can be exacerbated by overuse or strain, particularly in individuals who may have underlying conditions or have experienced trauma to the shoulder.

The medications your mother is taking, such as Suloril (which is a muscle relaxant) and Mephenoxalone (a muscle relaxant and pain reliever), are appropriate for managing pain and discomfort associated with muscle tension and spasms. The use of heat therapy and massage can indeed provide relief by increasing blood flow to the affected area and promoting relaxation of the muscles.
Regarding the persistent itching sensation, it is essential to consider several factors. Itching can sometimes be a result of nerve irritation or damage, which might occur if there is compression or inflammation in the shoulder area. Additionally, skin conditions, allergic reactions, or even side effects from medications can also lead to itching. If the itching persists or worsens, it would be advisable to consult a healthcare professional to rule out any underlying dermatological issues or side effects from the medications.

The observation that the right side of her back muscles appears larger than the left could indicate muscle imbalances, which are common in individuals who may favor one side of their body due to pain or discomfort. This asymmetry can lead to further complications, such as postural issues or additional strain on the shoulder and neck muscles. It is crucial to address these imbalances through targeted physical therapy, which can include stretching and strengthening exercises to promote symmetry and improve overall function.

For seniors, shoulder pain can also be related to degenerative changes in the shoulder joint, such as rotator cuff tears or arthritis. These conditions can lead to chronic pain and functional limitations. Therefore, a comprehensive evaluation by a healthcare provider, possibly including imaging studies like X-rays or MRIs, may be necessary to determine the exact cause of the pain and to tailor an appropriate treatment plan.

In summary, managing shoulder pain in seniors involves a multifaceted approach that includes medication, physical therapy, and lifestyle modifications. It is essential to monitor any changes in symptoms, such as increased pain, swelling, or new sensations like itching, and to communicate these to a healthcare provider. Regular follow-ups can help ensure that the treatment plan remains effective and that any potential complications are addressed promptly. Encouraging your mother to engage in gentle exercises, maintain good posture, and avoid activities that exacerbate her symptoms can also contribute to her recovery and overall well-being.

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