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Suggest Treatment For Severe Shoulder, Arm And Face Pain

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Posted on Thu, 20 Apr 2017
Question: My left shoulder, arm and face wake me up every night in pain. The pain goes away and then returns to wake me up again. Has been going on for a couple of weeks.
doctor
Answered by Dr. Vasudha (4 hours later)
Brief Answer:
Expert advise is needed.

Detailed Answer:
Hi XXXX
Thanks for the query I understand your concern.
Your problem seems to be due to neurogenic. Due to pressure on nerve supplying the affected part by faulty sleeping posture or pillow used/ bony pressure on nerve ( at neck by left cervical rib/ at cervical spine due vertebral cause caused by trauma, osteoporosis causing vertebral bone or disc degeneration)/ Diabetes will add to the symptoms..
It can be solved either by correction of sleeping posture/ supplementation of calcium , vitamin D , B 12/ correction of bony or disc pressure & Diabetic control... as per need.
You need to consult an orthopedic doctor for this, After a detailed physical examination he would order for either Xray, CT scan or MRI / serum levels of calcium& vitamin D & come to definite cause. This will be followed by specific management ( Pain medicines, steroids either oral or local/ calcium, vitamin D & B 12 supplements /physiotherapy/ surgery in few patients)
Please don't be stressed. With proper investigations, expert advise & management you would definitely go through the problem.
I hope that answers your query. Any follow up query is welcome.
Thanks.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Vasudha

General & Family Physician

Practicing since :1970

Answered : 10389 Questions

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Suggest Treatment For Severe Shoulder, Arm And Face Pain

Brief Answer: Expert advise is needed. Detailed Answer: Hi XXXX Thanks for the query I understand your concern. Your problem seems to be due to neurogenic. Due to pressure on nerve supplying the affected part by faulty sleeping posture or pillow used/ bony pressure on nerve ( at neck by left cervical rib/ at cervical spine due vertebral cause caused by trauma, osteoporosis causing vertebral bone or disc degeneration)/ Diabetes will add to the symptoms.. It can be solved either by correction of sleeping posture/ supplementation of calcium , vitamin D , B 12/ correction of bony or disc pressure & Diabetic control... as per need. You need to consult an orthopedic doctor for this, After a detailed physical examination he would order for either Xray, CT scan or MRI / serum levels of calcium& vitamin D & come to definite cause. This will be followed by specific management ( Pain medicines, steroids either oral or local/ calcium, vitamin D & B 12 supplements /physiotherapy/ surgery in few patients) Please don't be stressed. With proper investigations, expert advise & management you would definitely go through the problem. I hope that answers your query. Any follow up query is welcome. Thanks.