Numbness in the Right Shoulder: When to See a Doctor - Neurology

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Numbness in the shoulder area, particularly in the right shoulder as you've described, can be concerning and warrants a thorough evaluation. The symptoms you are experiencing—occasional numbness and a feeling of pressure without pain—can arise from various underlying issues. It’s important to understand the potential causes and when to seek medical attention.


Possible Causes of Numbness in the Shoulder
1. Nerve Compression or Irritation: One of the most common causes of shoulder numbness is nerve compression. This can occur due to poor posture, repetitive movements, or even sleeping in an awkward position. The cervical spine (neck area) houses nerves that extend into the shoulder and arm. If these nerves are compressed, it can lead to sensations of numbness or tingling.

2. Cervical Radiculopathy: This condition occurs when a nerve in the neck is compressed or irritated, often due to a herniated disc or bone spur. Symptoms can include numbness, tingling, or weakness in the shoulder and arm.

3. Thoracic Outlet Syndrome: This condition involves compression of nerves or blood vessels between the collarbone and the first rib, which can lead to numbness in the shoulder and arm.

4. Muscle Strain or Spasm: Overuse or strain of the muscles in the shoulder or neck can lead to muscle spasms, which may cause numbness or a feeling of tightness.

5. Cervical Spondylosis: Age-related wear and tear on the cervical spine can lead to changes that may compress nerves and cause numbness.

6. Other Causes: Conditions such as diabetes, multiple sclerosis, or even vitamin deficiencies (like B12) can also lead to numbness in various parts of the body, including the shoulders.


When to See a Doctor
Given that your symptoms have persisted for two months, it is advisable to seek medical evaluation. You should consider seeing a healthcare provider if:
- The numbness worsens or spreads to other areas.

- You experience weakness in the arm or hand.

- There are changes in coordination or balance.

- You have associated symptoms such as pain, headaches, or changes in vision.


Which Specialist to See
For your symptoms, the most appropriate specialists to consult would be:
1. Neurologist: A neurologist specializes in conditions affecting the nervous system. They can evaluate for nerve-related issues and perform necessary tests, such as nerve conduction studies or imaging.

2. Orthopedic Surgeon: If there is a suspicion of structural issues in the spine or shoulder, an orthopedic surgeon can assess and provide treatment options.

3. Physical Medicine and Rehabilitation (PM&R) Specialist: Also known as physiatrists, these specialists focus on rehabilitation and can help with non-surgical management of musculoskeletal issues.


Conclusion
In summary, the numbness in your right shoulder could be due to various factors, including nerve compression or muscle strain. Given the duration of your symptoms, it is wise to consult a healthcare professional. A neurologist would be a good starting point, as they can assess your symptoms and determine if further imaging or tests are necessary. Early intervention can help prevent potential complications and improve your quality of life. Remember to provide your doctor with a detailed history of your symptoms, including any habits like neck twisting, as this information can be crucial for diagnosis and treatment.