Right Lower Back Pain: Possible Causes and Remedies - Neurology

More Info

---

Hello, Henry. Based on your description of symptoms and the medical reports you've provided, it seems that you are experiencing significant discomfort following a car accident, particularly in your right shoulder and elbow. The pain and inability to fully extend your elbow could be indicative of several underlying issues, particularly related to soft tissue injuries.


Possible Causes of Your Symptoms
1. Rotator Cuff Injury: Given that you have persistent shoulder pain and weakness, a rotator cuff injury is a strong possibility. The rotator cuff consists of a group of muscles and tendons that stabilize the shoulder and allow for a wide range of motion. Injuries to this area can result from trauma, such as a car accident, and can lead to pain, weakness, and limited range of motion.

2. Tendinitis: Inflammation of the tendons around the shoulder joint can also cause similar symptoms. This condition often arises from repetitive use or trauma and can be exacerbated by activities that involve lifting or reaching.

3. Elbow Joint Issues: The inability to fully extend your elbow may suggest a condition such as elbow tendinitis or even a more serious issue like a ligament injury. The fact that you experienced sudden pain after carrying luggage could indicate a strain or sprain in the elbow area.

4. Nerve Compression: Sometimes, pain and weakness in the shoulder and elbow can be attributed to nerve compression, particularly if there is any swelling or inflammation in the surrounding tissues.


Recommended Actions
1. MRI Examination: As suggested by your orthopedic doctor, an MRI is a critical next step. This imaging technique will provide a detailed view of the soft tissues, including muscles, tendons, and ligaments, allowing for a more accurate diagnosis of any injuries.

2. Pain Management: Continue using over-the-counter pain relief medications as needed, but be cautious about their long-term use. Non-steroidal anti-inflammatory drugs (NSAIDs) can help reduce inflammation and alleviate pain.

3. Physical Therapy: Once you have a clearer diagnosis, physical therapy can be beneficial. A physical therapist can design a rehabilitation program tailored to your specific injuries, focusing on strengthening the shoulder and elbow, improving flexibility, and restoring function.

4. Activity Modification: Avoid activities that exacerbate your pain, especially lifting heavy objects or performing overhead movements. Rest is crucial for recovery.

5. Follow-Up Care: Since you mentioned a follow-up appointment on August 16th, ensure you discuss all your symptoms and concerns with your doctor. If your pain worsens or if you experience new symptoms (such as numbness or tingling), consider seeking immediate medical attention.


Conclusion
It is understandable to feel anxious about your symptoms, especially after a traumatic event like a car accident. While it is reassuring that your X-rays did not show any fractures, the persistent pain and functional limitations you are experiencing warrant further investigation. An MRI will be essential in determining the exact nature of your injuries and guiding appropriate treatment.

In the meantime, focus on managing your pain and avoiding activities that could worsen your condition. If you have any further questions or concerns, feel free to reach out. Take care, and I hope you find relief soon.