Chronic Numbness and Pain in Left Shoulder: Seeking Solutions - Neurology

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Chronic numbness and pain in the shoulder can be a frustrating and debilitating condition, especially when it has persisted for several years as you described. The symptoms you are experiencing in your left shoulder, which include numbness and pain that radiates to your back and even your lower back, suggest that there may be underlying issues that need to be addressed.

From a medical perspective, chronic shoulder pain and numbness can arise from various causes, including nerve compression, muscle strain, or even issues related to posture. Given that you have already undergone treatments such as acupuncture, physical therapy, and the use of topical analgesics without significant improvement, it may be time to consider further diagnostic evaluations.

One potential cause of your symptoms could be a condition known as thoracic outlet syndrome (TOS). This occurs when the blood vessels or nerves in the space between your collarbone and your first rib become compressed. Symptoms can include pain, numbness, and weakness in the shoulder and arm, which aligns with what you are experiencing. Another possibility is a rotator cuff injury or tendinitis, which can cause pain and limit mobility in the shoulder.

It is also essential to consider the role of posture in your symptoms. Poor posture, especially when sitting for extended periods, can lead to muscle imbalances and nerve compression, exacerbating your pain and numbness. Ergonomic adjustments to your workspace, such as using a chair that supports your lower back and keeping your computer screen at eye level, can help alleviate some of the strain on your shoulders and neck.

In your case, since you have been experiencing these symptoms for several years, I recommend seeking a comprehensive evaluation from a specialist, such as an orthopedic surgeon or a neurologist. They may suggest imaging studies like an MRI or a CT scan to assess the soft tissues, nerves, and joints in your shoulder and neck area. These tests can help identify any structural abnormalities that may be contributing to your symptoms.

Additionally, a thorough physical examination can help determine if there are specific movements or positions that exacerbate your pain, which can guide treatment options. Depending on the findings, treatment may include targeted physical therapy focusing on strengthening the shoulder muscles, improving flexibility, and correcting posture. In some cases, corticosteroid injections may be recommended to reduce inflammation and pain.

If conservative treatments do not provide relief, surgical options may be considered, especially if there is significant nerve compression or structural issues identified during your evaluation.

In the meantime, you might find relief through self-care measures such as applying heat or ice to the affected area, practicing gentle stretching exercises, and avoiding activities that exacerbate your pain. Maintaining a regular exercise routine that includes strengthening and stretching exercises for your shoulders and back can also be beneficial.

Lastly, regarding your request for a referral to a clinic or hospital for a thorough examination, I recommend contacting your local healthcare provider or the hospital directly to schedule an appointment. They can provide you with the necessary forms and guide you through the process of obtaining a comprehensive evaluation.

In summary, chronic numbness and pain in your left shoulder can stem from various causes, and a thorough evaluation is crucial for determining the appropriate treatment. By addressing any underlying issues and making necessary lifestyle adjustments, you can work towards alleviating your symptoms and improving your quality of life.