Is It Frozen Shoulder? Nerve Compression Symptoms - Neurology

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Is this a case of frozen shoulder?


Initially, I experienced numbness in my palm, and after more than a week, my entire right hand felt numb.
Later, my left hand also started to feel numb.
I consulted a traditional Chinese medicine practitioner who diagnosed it as nerve compression.
Now, after two to three weeks, my entire shoulder is sore, and it hurts when I press on it, making it difficult to concentrate on work.
I also cannot use the computer for long periods.

Lin, 30~39 year old female. Ask Date: 2002/08/01

Dr. Du Haojie reply Neurology


Abnormal sensations are generally indicative of neuropathy.
Widespread paralysis in the upper limbs is most likely caused by cervical degenerative changes leading to nerve root compression symptoms or brachial plexus pathology, rather than shoulder joint disorders.
It would be advisable to have a detailed examination by a neurologist.

Reply Date: 2002/08/01

More Info


Frozen shoulder, also known as adhesive capsulitis, is a condition characterized by stiffness and pain in the shoulder joint. It typically develops gradually and can severely limit the range of motion in the shoulder. However, the symptoms you describe, including numbness in the hands and arms, shoulder pain, and difficulty concentrating, suggest that there may be more than just frozen shoulder at play.
The numbness in your hands, particularly if it has progressed from one hand to both, raises the possibility of nerve compression. This can occur due to various reasons, including herniated discs in the cervical spine, thoracic outlet syndrome, or even repetitive strain injuries. When nerves are compressed, it can lead to symptoms such as tingling, numbness, and weakness in the affected areas.
In your case, the fact that you are experiencing pain in your shoulder and difficulty concentrating while working at the computer suggests that the discomfort may be affecting your ability to focus. This can be exacerbated by poor posture, especially if you spend long hours at a desk. Poor ergonomics can lead to muscle tension and nerve compression, which can further contribute to your symptoms.

To better understand your condition, it is essential to consider the following:
1. Medical Evaluation: It is crucial to consult with a healthcare professional, such as an orthopedic specialist or a neurologist, who can perform a thorough examination. They may recommend imaging studies, such as an MRI or X-ray, to assess for any structural issues in the shoulder or cervical spine that could be contributing to your symptoms.

2. Physical Therapy: If nerve compression is confirmed, physical therapy may be beneficial. A physical therapist can provide exercises to strengthen the shoulder and neck muscles, improve flexibility, and alleviate pressure on the nerves.

3. Ergonomics: Evaluate your workspace setup. Ensure that your computer screen is at eye level, your chair provides adequate support, and your wrists are in a neutral position while typing. Small adjustments can significantly reduce strain on your shoulders and neck.

4. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help alleviate pain and inflammation. However, it is essential to use these medications as directed and consult with a healthcare provider if you have any concerns.

5. Stress Management: Chronic pain can lead to increased stress and anxiety, which can further exacerbate your symptoms. Incorporating stress-reduction techniques, such as mindfulness, yoga, or deep-breathing exercises, can help improve your overall well-being.

6. Follow-Up: Regular follow-up with your healthcare provider is essential to monitor your symptoms and adjust your treatment plan as needed. If your symptoms persist or worsen, further evaluation may be necessary.

In summary, while frozen shoulder may be a consideration, the presence of numbness and pain in both hands suggests that nerve compression could be a significant factor. A comprehensive evaluation by a medical professional is crucial to determine the underlying cause of your symptoms and develop an appropriate treatment plan. Taking proactive steps to address your symptoms can help improve your quality of life and restore your ability to concentrate on work and daily activities.

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