Shoulder blade pain?
Hello, doctor! A couple of days ago, I experienced neck stiffness, and my friend took me for chiropractic treatment.
Initially, it felt quite uncomfortable, almost like I was going to fall apart.
Afterwards, my neck was able to move without stiffness, but at the same time, I have been experiencing pain in the area just below my right scapula, close to the spine, and it still hurts now.
Could it be that I was adjusted too much? What should I do? Thank you!
Liang Duo, 40~49 year old female. Ask Date: 2008/08/02
Dr. Chen Xianchang reply Rehabilitation
Hello, sir: Thank you for your inquiry.
I would like to respond to your question and provide the following suggestions:
1.
Before undergoing spinal manipulation, it is important to first obtain an X-ray of the cervical spine to identify which vertebra is being compressed and to check for any subluxation or osteoporosis, as these conditions are not suitable for spinal manipulation.
Based on your description, it seems that the fifth cervical nerve root is still experiencing compression.
2.
You may consider visiting a rehabilitation specialist for an X-ray and appropriate management.
Lastly, I wish you peace and happiness!
Reply Date: 2008/08/02
More Info
Shoulder blade pain following chiropractic treatment can be a common experience, especially if the treatment involved significant manipulation of the cervical spine or upper back. Chiropractic adjustments aim to restore proper alignment and function to the spine and surrounding muscles, but they can sometimes lead to discomfort or pain in the immediate aftermath, particularly if the body is not accustomed to such manipulations.
In your case, it sounds like the chiropractic treatment may have temporarily relieved the stiffness in your neck but has also resulted in pain in the area near your right shoulder blade. This could be due to several factors:
1. Muscle Strain: The adjustment may have caused strain in the muscles around your shoulder blade, especially if the manipulation was vigorous or if your muscles were already tense. This strain can lead to soreness and discomfort.
2. Nerve Irritation: If the adjustment affected the alignment of the vertebrae in your neck or upper back, it could potentially irritate nearby nerves, leading to pain that radiates to the shoulder blade area.
3. Postural Changes: After an adjustment, your body may need time to adapt to the new alignment. This adjustment period can sometimes lead to discomfort as your muscles and joints adjust to the changes.
4. Underlying Conditions: If you had pre-existing conditions such as muscle tightness, previous injuries, or even conditions like rotator cuff issues, the chiropractic treatment might have exacerbated these problems.
To address your pain, consider the following steps:
- Rest and Ice: Give your body some time to recover. Applying ice to the painful area can help reduce inflammation and numb the pain. Use ice for 15-20 minutes every couple of hours as needed.
- Gentle Stretching: Once the acute pain subsides, gentle stretching of the neck and shoulder muscles can help alleviate tension. Be cautious and avoid any movements that exacerbate the pain.
- Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help manage pain and reduce inflammation. Always follow the recommended dosage and consult with a healthcare provider if you have any concerns.
- Follow-Up with Your Chiropractor: It’s essential to communicate with the chiropractor who performed the treatment. They can assess your condition and determine if further adjustments or different techniques are necessary. They may also provide specific exercises or therapies to help alleviate your pain.
- Consider Physical Therapy: If the pain persists, a referral to a physical therapist may be beneficial. They can provide targeted exercises and treatments to strengthen the muscles around your shoulder blade and improve your overall posture and movement patterns.
- Monitor Symptoms: Keep track of your symptoms. If you experience worsening pain, numbness, tingling, or weakness in your arm or hand, it’s crucial to seek medical attention promptly, as these could be signs of a more serious issue.
In conclusion, while shoulder blade pain after chiropractic treatment can be concerning, it is often a temporary response to the adjustments made. With appropriate self-care and follow-up, most individuals find relief and can return to their normal activities. If your symptoms do not improve or worsen, do not hesitate to seek further evaluation from a healthcare professional.
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