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What Are The Reason For Upper Left Shoulder Pain Comes And Goes ?

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Posted on Wed, 17 Jul 2024
Question: Hi I have upper left shoulder pain comes and goes and I don’t have it at night when sleeping gradually comes on as I work through the day or sit at ny computer. I’ve had it for 8 weeks GP thinks I’ve strained my trapezium I’m not so sure what to do
doctor
Answered by Dr. Pallavi.m (9 hours later)
Brief Answer:
Take pain medicine for 2 weeks and check if thyroid medication is adequate

Detailed Answer:
Hello,
Shoulder pain has the following causes :
1) cervical radiculopathy
2)cervical spondylitis
3) osteoarthritis
4) shoulder joint synovitis
5) rotator cuff tendinopathy
6) polymyositis
7) subacromial bursitis
8)frozen shoulder
9)periarthritis due to hypothyroidism
To those who come to my clinic with similar symptoms, i recommend the following :
1)Pain relieving medication like NSAIDs tab.ibuprofen or tab. Naproxen to be taken twice daily for 14 days.
2) To prevent gastric irritation, tab.pantop 40 mg to be taken once daily before food. You can continue Omeprazole or take pantop.
3) If you have kidney disease or bleeding disorders, NSAIDs are not to be used. Then you can use opioids like hydrocodone, oxycodone and Tramadol daily twice.
4) physical therapy to strengthen the shoulder muscles and reduce pain.
5) You need to have an x ray shoulder to rule out fracture.
6)you have to check thyroid function tests and if the dose of thyroid medication is adequate. If it's inadequate, you may need to increase the dose.
If your pain doesn't subside even after 14 days of above treatment, you may consult an orthopedic specialist for further evaluation.
Hope i have answered your question.please let me know if you need any further assistance.
Thank you. Take care.
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Above answer was peer-reviewed by : Dr. Kampana
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Answered by
Dr.
Dr. Pallavi.m

Anesthesiologist

Practicing since :2011

Answered : 1776 Questions

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What Are The Reason For Upper Left Shoulder Pain Comes And Goes ?

Brief Answer: Take pain medicine for 2 weeks and check if thyroid medication is adequate Detailed Answer: Hello, Shoulder pain has the following causes : 1) cervical radiculopathy 2)cervical spondylitis 3) osteoarthritis 4) shoulder joint synovitis 5) rotator cuff tendinopathy 6) polymyositis 7) subacromial bursitis 8)frozen shoulder 9)periarthritis due to hypothyroidism To those who come to my clinic with similar symptoms, i recommend the following : 1)Pain relieving medication like NSAIDs tab.ibuprofen or tab. Naproxen to be taken twice daily for 14 days. 2) To prevent gastric irritation, tab.pantop 40 mg to be taken once daily before food. You can continue Omeprazole or take pantop. 3) If you have kidney disease or bleeding disorders, NSAIDs are not to be used. Then you can use opioids like hydrocodone, oxycodone and Tramadol daily twice. 4) physical therapy to strengthen the shoulder muscles and reduce pain. 5) You need to have an x ray shoulder to rule out fracture. 6)you have to check thyroid function tests and if the dose of thyroid medication is adequate. If it's inadequate, you may need to increase the dose. If your pain doesn't subside even after 14 days of above treatment, you may consult an orthopedic specialist for further evaluation. Hope i have answered your question.please let me know if you need any further assistance. Thank you. Take care.