Right shoulder and cervical spine pain?
Dr.
Lin: I have been experiencing soreness in my right shoulder and neck for over a month.
When it first occurred, I had pain on the right side of my cervical spine, and I was unable to tilt my head back or turn it.
I visited a general rehabilitation clinic, where the therapist informed me that it was tendonitis.
I received steam therapy on my right shoulder and applied patches, but after five consecutive days of treatment with no improvement, I switched to a traditional Chinese medicine clinic (which is covered by health insurance).
Each visit included acupuncture, heat therapy, tuina (Chinese therapeutic massage), and patches, but after six sessions, there was still no improvement.
Currently, I have limited mobility in tilting my head back, tightness in the muscles of my right shoulder, soreness in my right elbow joint upon touch, and occasional cramping sensations.
I seem to have lost confidence in the treatment at this clinic.
How should I manage this type of pain? What is the typical duration of treatment? Which specialty should I consult? Thank you! Eden, 3/26.
Eden, 50~59 year old female. Ask Date: 2009/03/26
Dr. Lin Qingzhong reply Traditional Chinese Medicine
Dear Eden/0/53,
1.
This condition is known as "frozen shoulder" or "shoulder arthritis," primarily characterized by inflammation of the shoulder joint tendons.
Many people suffer from this condition, and it is quite common.
Although most physicians are familiar with this condition, the effectiveness of treatment still depends on the individual physician's techniques and skills.
2.
Based on my personal experience, traditional Chinese medicine methods have shown good results, typically requiring 2-3 months of treatment.
You may consider visiting the Traditional Chinese Medicine department at Fengyuan Hospital for treatment.
3.
Lastly, I wish you well.
Dr.
Lin Qingzhong, Director of the Traditional Chinese Medicine Department at Fengyuan Hospital.
Reply Date: 2009/03/26
More Info
Dear Eden,
I understand that you have been experiencing persistent pain in your right shoulder and neck for over a month, and it seems that the treatments you've received so far have not provided the relief you were hoping for. This situation can be quite frustrating, especially when pain affects your daily activities and quality of life.
Based on your description, it appears that you may be dealing with a combination of shoulder tendonitis, muscle strain, or possibly a more complex issue involving the cervical spine. The symptoms you mentioned, such as difficulty with neck movement, tightness in the shoulder muscles, and pain when touching the shoulder joint, suggest that there may be underlying issues that need to be addressed.
Recommended Steps for Treatment
1. Consult a Specialist: Since you have already seen a physical therapist and a traditional Chinese medicine practitioner without significant improvement, it may be beneficial to consult an orthopedic specialist or a sports medicine physician. They can perform a thorough evaluation, including a physical examination and possibly imaging studies (like an MRI) to assess the condition of your shoulder and cervical spine.
2. Physical Therapy: If you haven't already, consider a tailored physical therapy program. A physical therapist can design a specific rehabilitation program that focuses on strengthening the shoulder muscles, improving flexibility, and addressing any postural issues that may be contributing to your pain. Techniques such as manual therapy, ultrasound, and targeted exercises can be very effective.
3. Pain Management: If the pain is significant, you might benefit from pain management strategies. This could include non-steroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation and pain. In some cases, corticosteroid injections may be considered to provide temporary relief, especially if there is significant inflammation in the shoulder joint or surrounding tissues.
4. Alternative Therapies: While acupuncture and heat therapy have been part of your treatment, you might also explore other modalities such as dry needling, which targets trigger points in the muscles, or chiropractic care, which can help with spinal alignment and mobility.
5. Activity Modification: It’s essential to modify activities that exacerbate your pain. Avoid heavy lifting or repetitive overhead movements until your symptoms improve. Gentle stretching and range-of-motion exercises can help maintain mobility without aggravating the condition.
6. Follow-Up: Regular follow-up appointments with your healthcare provider are crucial to monitor your progress and adjust your treatment plan as necessary. If you notice any new symptoms or if your condition worsens, seek medical attention promptly.
Duration of Treatment
The duration of treatment can vary significantly based on the underlying cause of your pain and how well you respond to therapy. Some patients may see improvement within a few weeks, while others may require several months of consistent treatment. It’s important to remain patient and committed to your rehabilitation program.
Conclusion
In summary, I recommend seeking an evaluation from an orthopedic specialist or a sports medicine physician who can provide a comprehensive assessment and guide you toward an effective treatment plan. Physical therapy, pain management, and possibly alternative therapies can play a significant role in your recovery. Remember to communicate openly with your healthcare providers about your symptoms and treatment preferences, and don’t hesitate to seek a second opinion if you feel it’s necessary.
Wishing you a speedy recovery and relief from your pain.
Best regards.
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