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Suggest Treatment For Severe Shoulder Pain

Posted on Tue, 16 Aug 2016

Question: I have extreme muscle pain. It occurs regularly but not always in the same place. Right now the back side of my left shoulder has deep muscle pain, going even to the front side.Also have extreme fatigue.

Answered by Dr. Dr. Naveen Kumar Sharma (25 minutes later)

Brief Answer:
It can be due to lack of calcium and D 3

Detailed Answer:
Hello,
I have studied your case and I think you may be having some vitamins and minerals deficiency. I want to know little detail of the illness.
1.Since when you are having these symptoms?
2.Do you have Diabetes or thyroid or smoking habit?
4.Do you taking any medication since long time?
Please send me answers of these questions. I will try my best to help you. Thanks

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Naveen Kumar Sharma (48 minutes later)

Pravastatin      cholesterol     40 mg      1/2 tab every night
Pantoprazole     stomach pain     20 mg     1 tab twice daily
Fluoxetine     depression     20 mg     1 tab every morning
Meloxicam     arthritis     7.5 mg     2 tabs at night
Alendronate     osteoporosis     70 mg     1 tab every week (Thurs)
Losart/HCTZ     high blood pressure     100 12.5 Tab     1 tab a day
Baclofen     muscle relaxer     10 mg     1 tab at night
     chronic sores in mouth     0.12% Liq     occasional
Triamcinolone Acetonide     chronic sores in mouth          apply paste at night when needed

Oxycontin     time release pain med     .5 mg     occasionally at night
Lorazepam     anxiety     .5 mg     occasional
Triamcinolone 0.1% Cre Qual     excema in ears          occasional, twice a day to affected areas



Calcium + D3          800 iu + 600 mg      1 tab twice a day
Vitamn D          2000 iu     1 tab twice a day
Flaxseed Oil/Omega 3          1000 mg + 450 mg     1 tab once a day
Ocuvite Vitamin w/Lutein               1 tab a day
Aspirin          81 mg     1 tab a day
B Complex               1 tab a day
Vitamin C          500 mg     1 tab a day
Melatonin     sleep     3 mg     1 tab at night as needed
Magnesium          250 mg     1 tab a day

These are the meds I take each day. I'm taking quite a bit of calcium and Vit D. I was in a bad car accident 9 years ago and did not walk for two years. Had 10 surgeries on one leg and one on the other. Also a broken sternum. I am not as active as I should be or want to be and I'm pretty sure that contributes. I have been seeing a chiropractor and that has helped keep my back and neck in place, but it doesn't do much for the muscle pain. I have had muscle pain for a very long time, even prior to the accident, but it seems to be much worse in the last year. I do not have diabetes or thyroid issues that I know of. I did smoke but quit in 2007.

Answered by Dr. Dr. Naveen Kumar Sharma (22 hours later)

Brief Answer:
Pravastatin and hctz can cause muscle pain

Detailed Answer:
Hello,
I have studied your case and your lists of medicines. You are taking Pravastatin for cholesterol and Hctz for blood pressure. Both these medications can cause myopathy and muscle pain. I have following suggestions for you.
1.you can stop taking pravastatin.
2.Rather then taking hctz you can take other medications like calcium channel blocker or beta blocker after discussing with your physician.
I hope this answer will be useful to you. Let me know if you have any other follow up questions.
Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar