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Suggest Treatment For Sharp Pain In The Shoulders
Question: Hello
Hope I can help I have been on here before
Monday I got a sharp pain upper back right side along shoulder blade
Tues it was a little better and got a message
Today still sore but not as bad I do have zinc neck and shoulder pain but have had that off and on for months
I just want to c if there is any concern with this pain being cardiac
No vomiting no shortness of breath I work out low impact 4x a week no issue although I do find I am skittle light headed when I get up in the morning
In may of last year I had the following tests done
Blood work traponin evho ecg loop blood pressure all normal then in dec I had the stress echo done normal as well
I do sometimes find my heart rate wil speed up but I think that is anxiety
Please advise
Hope I can help I have been on here before
Monday I got a sharp pain upper back right side along shoulder blade
Tues it was a little better and got a message
Today still sore but not as bad I do have zinc neck and shoulder pain but have had that off and on for months
I just want to c if there is any concern with this pain being cardiac
No vomiting no shortness of breath I work out low impact 4x a week no issue although I do find I am skittle light headed when I get up in the morning
In may of last year I had the following tests done
Blood work traponin evho ecg loop blood pressure all normal then in dec I had the stress echo done normal as well
I do sometimes find my heart rate wil speed up but I think that is anxiety
Please advise
Brief Answer:
cervical or thoracic pain most likely
Detailed Answer:
Hi,
Firstly thanks to you for selecting HCM to ask your query
Your symptoms can be because of overuse of muscles, muscle strain, or injury to the muscles, ligaments, and discs that support your spine. Poor posture(using pillow and soft mattress while sleeping). Pressure on the spinal nerves from certain problems, such as a herniated disc.
The vast majority of cases of upper back pain are due to one (or both) of the following causes:
Muscular irritation (myofascial pain)
Joint dysfunction
Its not always necessary that pain follows a episode of trauma or twisting,as we age our muscles get week,many a times even a normal amount of strain or a poor posture while sleeping or sitting can trigger the pain .
I would suggest you to go for a X ray cervical and thoracic region AP and LATERAL view, to rule out the above mentioned possibilities.A MRI screening will provide with a much better picture.
5 days of complete bed rest is advised ,don't try any exercise or physiotherapy till you are normal,give complete rest to your body.
Don't use Pillows and soft cushions on bed ,sleep on a hard surface.
I would suggest you to take a combination of seratiopeptidase +diclofenac potassium+paracetamol in combination with a potent corticosteroid like methyl prednisolone for 3 days at least ,you can discuss the dosage of the drugs with your physician.
As all your cardiology tests are normal,Involvement of heart in this case is very unlikely.
You can discuss the possibilities with your treating doctor.
If you have any further question i will be happy to help.
thank you
Dr Rishu Saxena
Consultant Cardiologist
cervical or thoracic pain most likely
Detailed Answer:
Hi,
Firstly thanks to you for selecting HCM to ask your query
Your symptoms can be because of overuse of muscles, muscle strain, or injury to the muscles, ligaments, and discs that support your spine. Poor posture(using pillow and soft mattress while sleeping). Pressure on the spinal nerves from certain problems, such as a herniated disc.
The vast majority of cases of upper back pain are due to one (or both) of the following causes:
Muscular irritation (myofascial pain)
Joint dysfunction
Its not always necessary that pain follows a episode of trauma or twisting,as we age our muscles get week,many a times even a normal amount of strain or a poor posture while sleeping or sitting can trigger the pain .
I would suggest you to go for a X ray cervical and thoracic region AP and LATERAL view, to rule out the above mentioned possibilities.A MRI screening will provide with a much better picture.
5 days of complete bed rest is advised ,don't try any exercise or physiotherapy till you are normal,give complete rest to your body.
Don't use Pillows and soft cushions on bed ,sleep on a hard surface.
I would suggest you to take a combination of seratiopeptidase +diclofenac potassium+paracetamol in combination with a potent corticosteroid like methyl prednisolone for 3 days at least ,you can discuss the dosage of the drugs with your physician.
As all your cardiology tests are normal,Involvement of heart in this case is very unlikely.
You can discuss the possibilities with your treating doctor.
If you have any further question i will be happy to help.
thank you
Dr Rishu Saxena
Consultant Cardiologist
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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