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Suggest Treatment For Painful Swelling In The Shoulder

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Posted on Fri, 21 Apr 2017
Question: i have these symptoms shoulder and neck pain my should started out with a small knot that throughout thr past 4 years has gotten very large and now another knot has formed on top of it. i did get into a car wreck years ago and got whiplash and i think thats why i have the neck pain the shoulder knot just form and ive assumed it was stress until now its so big im hunching my shoulder over and the pain has never went away it has only gotten worse with time and the knot has grown with time. i had a mri about 2 years ago now because the doctors thought it was a fatty tumor but nothing came up on the mri but the lump in my back was so large they thought maybe for some reason it wasn't showing up on the mri but they were confident it had to be something so they did shoulder surgery and found nothing? i was told by the doctor that the muscle had over grrown in that area or at least thats what i got out of what he said. also they numbed me up very well during the surgery after i remember feeling no pain and it had been so long since i didnt feel constant pain in my shoulder but after the numbing medication wore off i still had pain and its gotten worse and worse and now i am forming another lump above the other lump this one comes up to the top of my shoulder and almost kinda wrap around my collar bone which in turn is causing more pain. with my neck pain i've noticed especially lately i will feel pressure on the bottom of my head like where my hair line starts and it feels like its cutting off the blood flow to my head it makes me very dizzy sometimes and i feel off balance a lot and sometimes i wish i could just pop it and it would release whatever is being pinched and i would feel so much better but i have been to so many chiropractors and nothing has helped ive went through every neck pillow there is and i currently use one that i paid 200 for plus i sleep with a heating pad on it every night i also have the TENS pain relief device that i use to try and loosen up my muscles i use oils and rubs ive tried neck braces u name it ive tried it and nothing is working in fact i have gotten so much worse i used to own my own cleaning business and i no longer am able to clean because the pain is so bad and when i do clean my own house it takes me 4 times as long as it ever used to because i have to be careful not to over work my should or neck i waitress but that is even hard because on the days my neck is hurting i hold it a certain way like tilt my head to the side almost then i get embarrassed because i know people see im holding it weird and it almost makes it worse and i tense up sometimes i will have take a deep breathe and considerate on relaxing and like tell myself to move my neck something that should be so simple as to move your neck isnt for me. im at the point where idk what to do but i cant go on like this number 1 im always in pain and its alot of pain that is constant and a burning feeling almost it used to go away and i would be fine then come back but it has went from that to 24-7 pain its like idk what happened couple years ago i got around just fine and slowly i started to be able to do less and less and now im not even sure in another year ill be working period because if i dont fix this i feel like i will continue to get worse and i take no pain killers for this and im really trying to stay that way and i dont know how much longer i can do that cause taking 6 advil or ibuprofen and 4 tylonel is not working. i am 26 years old also. what is happening to me? i need help? is it auto ammunition disorder? is it im lacking in something? is it cancer that is spreading? please help me
doctor
Answered by Dr. Ishu Bishnoi (1 hour later)
Brief Answer:
Cause of shoulder swelling and need some more information

Detailed Answer:
Hi XXXX, thanks for asking from HCM.


I can understand your concern. The painful shoulder swelling could be some

- benign tumor of muscle like fibroma/sarcoma

- Neurofibroma

- Lipoma

- old scarred hematoma at the trauma site

- shoulder joint cyst

But the problem is

- Your MRI is normal
- On surgery, the doctors found nothing

I need some information

- May you post images of your shoulder swelling
- I need to see your MRI shoulder images to rule out shoulder swelling margins
- If possible, I need to see your operative procedure note to know about surgery details.

After that, I can suspect something. It can not be some autoimmune or cancer, as cancer duration is usually not 4 years. Autoimmune disorder usually cause multiple joint involvement, some inflammatory changes on MRI, which are not there.

For pain relief, you can continue Ibuprofen and Tylonel. You can also take capsule Tramadol 100mg, Flupritine sustained release formulation after proper prescription.

Hope you will understand my point. If any doubt, do let me know.
Thanks. Take care.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Ishu Bishnoi

Neurologist, Surgical

Practicing since :2007

Answered : 901 Questions

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Suggest Treatment For Painful Swelling In The Shoulder

Brief Answer: Cause of shoulder swelling and need some more information Detailed Answer: Hi XXXX, thanks for asking from HCM. I can understand your concern. The painful shoulder swelling could be some - benign tumor of muscle like fibroma/sarcoma - Neurofibroma - Lipoma - old scarred hematoma at the trauma site - shoulder joint cyst But the problem is - Your MRI is normal - On surgery, the doctors found nothing I need some information - May you post images of your shoulder swelling - I need to see your MRI shoulder images to rule out shoulder swelling margins - If possible, I need to see your operative procedure note to know about surgery details. After that, I can suspect something. It can not be some autoimmune or cancer, as cancer duration is usually not 4 years. Autoimmune disorder usually cause multiple joint involvement, some inflammatory changes on MRI, which are not there. For pain relief, you can continue Ibuprofen and Tylonel. You can also take capsule Tramadol 100mg, Flupritine sustained release formulation after proper prescription. Hope you will understand my point. If any doubt, do let me know. Thanks. Take care.