Shoulder Pain and Numbness: When to Seek Medical Help

Shoulder pain and numbness in the back?

Hello Doctor: I have to stand for long periods and lift heavy objects at work.
Every day, I experience numbness on both sides of my back near the spine, which has persisted for over a year.
It is very distressing, and sometimes even the tips of my fingers feel numb.
Could this be due to poor blood circulation, or is it possible that a nerve is being compressed? The area around my shoulders is extremely sore, and even light pressure with a fingertip causes significant pain.
My spine also feels very tender, and I sometimes experience pain while walking, to the point where I need to lean against the wall for support.
I have seen a traditional Chinese medicine practitioner and received massage therapy, but there has been no improvement in my back pain and numbness.
Which specialty should I consult for these issues? Orthopedics, Neurology, or Surgery? The numbness in my back has been troubling me for a long time, and I am waiting for your guidance.
Thank you.

Xiao Jing, 20~29 year old female. Ask Date: 2010/01/16

Dr. Zheng Zhong reply Neurosurgery

Hello, please schedule an appointment with Dr.
Zheng Zhong in the neurosurgery department.
The clinic hours are Monday afternoons and Wednesday mornings.
Wishing you well.

Reply Date: 2010/01/16

More Info

Hello! Based on your description, it sounds like you are experiencing significant discomfort and numbness in your back and shoulders, which has persisted for over a year. This can be quite distressing, especially if it affects your daily activities and quality of life.
The symptoms you are describing—numbness, pain in the shoulders, and discomfort that radiates to your fingers—could be indicative of several underlying issues. These may include nerve compression, muscle strain, or even conditions related to the spine such as herniated discs or cervical spondylosis. Given your job requires prolonged standing and lifting heavy objects, it is possible that you may be experiencing a repetitive strain injury or postural issues that are contributing to your symptoms.

When to Seek Medical Help
You should definitely seek medical attention if:
1. Symptoms Persist: If your symptoms have lasted for more than a year without improvement, it is crucial to consult a healthcare professional.

2. Worsening Symptoms: If you notice that your symptoms are worsening, such as increased pain, numbness, or weakness in your arms or legs.

3. Functional Limitations: If your ability to perform daily activities is significantly impaired, such as difficulty walking or performing tasks that require the use of your hands.

4. Acute Changes: If you experience sudden changes in your symptoms, such as loss of bladder or bowel control, which could indicate a serious condition.

Which Specialist to See
Given your symptoms, you might consider seeing a neurologist or an orthopedic specialist. A neurologist can evaluate for nerve-related issues, while an orthopedic doctor can assess musculoskeletal problems. If your symptoms are related to the spine, a spine specialist could also be beneficial.

Diagnostic Tests
When you visit a specialist, they may recommend several diagnostic tests to determine the underlying cause of your symptoms, including:
- X-rays: To check for structural issues in the spine.

- MRI: To visualize soft tissues, including nerves and discs, which can help identify conditions like herniated discs or spinal stenosis.

- Nerve Conduction Studies: To assess the function of the nerves and identify any nerve damage or compression.

Treatment Options
Treatment will depend on the underlying cause of your symptoms but may include:
- Physical Therapy: A physical therapist can help you with exercises to strengthen your back and shoulder muscles, improve posture, and relieve pressure on nerves.

- Medications: Over-the-counter pain relievers or prescription medications may be recommended to manage pain and inflammation.

- Injections: Corticosteroid injections may be used to reduce inflammation around nerves.

- Surgery: In severe cases, surgical intervention may be necessary to relieve nerve compression.

Self-Care Measures
In addition to seeking professional help, you can also consider some self-care measures:
- Ergonomic Adjustments: Ensure that your workspace is ergonomically friendly to reduce strain on your back and shoulders.

- Regular Breaks: Take frequent breaks to stretch and change positions, especially if you are standing for long periods.

- Gentle Exercise: Engage in low-impact exercises like walking or swimming to maintain mobility without exacerbating your symptoms.

In conclusion, it is essential to consult a healthcare professional who can provide a thorough evaluation and appropriate treatment plan tailored to your specific needs. Don't hesitate to seek help, as early intervention can often lead to better outcomes. Take care!

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