Shoulder Numbness: Causes and Solutions for Relief

Q: Shoulder Numbness: Causes and Solutions for Relief

Hello： It is recommended to promptly visit a neurosurgeon for an examination of the cervical spine and brain tissue for any issues. <br>Thank you!

Numbness in the posterior shoulder?

During my middle school years, I often stayed up late playing on the computer, and I frequently experienced a sharp pain in my right shoulder.
I didn't pay much attention to it at the time, but gradually, the skin on my right shoulder near the neck became numb, and I couldn't feel anything when I touched it.
Now, my entire shoulder and neck are stiff, and I cannot turn my head to the right side while sleeping because it causes breathing difficulties and coughing.
I've also noticed that the muscles in my face (specifically the right side) are very stiff.
I usually have trouble sleeping, often experience double vision, feel mentally fatigued, and am easily stressed.
Doctor, what should I do? I've been troubled by this for a long time, and this condition has persisted for several years.
How can I resolve this?

Xiong Xiong, 20~29 year old female. Ask Date: 2015/10/10

Dr. Wang Shouji reply Orthopedics

Hello: It is recommended to promptly visit a neurosurgeon for an examination of the cervical spine and brain tissue for any issues.
Thank you!

Reply Date: 2015/10/10

More Info

Shoulder numbness and discomfort can be quite distressing, especially when they persist over a long period. Based on your description, it seems that you have been experiencing a range of symptoms, including numbness in the right shoulder near the neck, stiffness in the neck, difficulty turning your head, and even facial muscle tightness. These symptoms can be indicative of several underlying issues, and it’s essential to approach them holistically.

Possible Causes
1. Nerve Compression: One of the most common causes of shoulder numbness is nerve compression, which can occur due to poor posture, especially if you spent long hours at a computer. This can lead to conditions like cervical radiculopathy, where nerves in the neck are compressed, causing pain and numbness that radiates to the shoulder and arm.

2. Muscle Tension: Chronic muscle tension in the neck and shoulder area can lead to stiffness and discomfort. This tension can be exacerbated by stress, poor ergonomics while working at a computer, and lack of movement.

3. Cervical Disc Issues: Degenerative changes in the cervical spine, such as herniated discs, can also lead to numbness and pain in the shoulder area. This is often accompanied by neck pain and may require imaging studies for proper diagnosis.

4. Poor Sleep Position: If you are sleeping in a position that puts strain on your neck and shoulder, it can lead to stiffness and numbness. It’s crucial to ensure that your sleeping posture supports your spine's natural alignment.

5. Anxiety and Stress: Psychological factors can also contribute to physical symptoms. Anxiety can lead to muscle tension, which may exacerbate your physical discomfort.

Recommended Solutions
1. Consult a Healthcare Professional: Given that your symptoms have persisted for several years, it’s crucial to consult a healthcare professional, such as a neurologist or an orthopedic specialist. They may recommend imaging studies like an MRI or CT scan to assess for any structural issues in your cervical spine.

2. Physical Therapy: Engaging in physical therapy can be highly beneficial. A physical therapist can design a personalized exercise program to strengthen the muscles around your neck and shoulders, improve flexibility, and alleviate nerve compression.

3. Ergonomic Adjustments: Evaluate your workspace ergonomics. Ensure that your computer screen is at eye level, your chair supports your lower back, and your keyboard is positioned to allow your arms to rest comfortably. Taking regular breaks to stretch and move can also help reduce tension.

4. Stress Management Techniques: Incorporating stress management techniques such as mindfulness, yoga, or meditation can help reduce muscle tension and improve your overall well-being.

5. Sleep Hygiene: Pay attention to your sleep posture. Use a supportive pillow that keeps your neck aligned with your spine. If you find that sleeping on your right side is uncomfortable, try to adjust your position or use additional pillows for support.

6. Medication: Over-the-counter pain relievers or anti-inflammatory medications may help alleviate pain and discomfort. However, consult with a healthcare provider before starting any medication.

7. Regular Exercise: Engaging in regular physical activity can improve blood circulation, reduce muscle tension, and enhance overall physical health. Focus on exercises that promote neck and shoulder mobility.

Conclusion
Your symptoms of shoulder numbness and discomfort are concerning and warrant a thorough evaluation by a healthcare professional. Early intervention can prevent further complications and improve your quality of life. By addressing both the physical and psychological aspects of your symptoms, you can work towards achieving relief and regaining function in your shoulder and neck. Remember, it’s essential to listen to your body and seek help when needed.

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