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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Shoulder Pain Radiating Towards Hands And Fingers?

Hello my name is Linda. I am 67 years old and am in fairy good health for my age. I have been having shoulder pain for quite a while. Simpsons are, pain in shoulder bones on top of shoulders. I cannot raise my arms up to far or I will have alot of pain. Feels like someone is sticking a knife into my shoulders. I am getting pins and needles in my hands and fingers at times. My email address is YYYY@YYYY . Thank you
Tue, 2 Jun 2015
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General & Family Physician 's  Response
Dear Linda,

The symptoms as mentioned in your post can be attributed to:
1. Para-spinal spasm and entrapment of nerve fibers at the shoulder or upper spinal region.
2. Inadequate hydration status & electrolyte imbalance of the body
3. Dietary deficiencies of certain nutrients like Iron, Calcium, Vitamin D, Vitamin B12, Folic acid, etc. which help in blood formation & nerve conduction.
4. Peripheral neuropathy caused due to any fluctuation in blood pressure or blood sugar level.

Symptomatic relief can be obtained by intake of nervigenic agents (like Vitamin B6, Vitamin B12, Folic acid) as well as multivitamin & multimineral supplements including iron, calcium & Vitamin D needs to be added in his diet.
Physiotherapy & postural exercise will also be helpful.
Analgesic-anti inflammatory preparations will be helpful in symptomatic relief from shoulder pain.

If symptoms still persist, kindly consult a Neurologist & get a complete Neurological examination done.
Certain investigations like complete blood count, serum electrolyte estimation, fresh estimation of blood pressure & blood sugar levels & nerve conduction studies will be helpful to rule out any pathological cause for the symptoms.
X ray of shoulder joint & MRI of spine can also be carried out to detect any nerve entrapment.

Wishing you a Good Health.
Take care.
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What Causes Severe Shoulder Pain Radiating Towards Hands And Fingers?

Dear Linda, The symptoms as mentioned in your post can be attributed to: 1. Para-spinal spasm and entrapment of nerve fibers at the shoulder or upper spinal region. 2. Inadequate hydration status & electrolyte imbalance of the body 3. Dietary deficiencies of certain nutrients like Iron, Calcium, Vitamin D, Vitamin B12, Folic acid, etc. which help in blood formation & nerve conduction. 4. Peripheral neuropathy caused due to any fluctuation in blood pressure or blood sugar level. Symptomatic relief can be obtained by intake of nervigenic agents (like Vitamin B6, Vitamin B12, Folic acid) as well as multivitamin & multimineral supplements including iron, calcium & Vitamin D needs to be added in his diet. Physiotherapy & postural exercise will also be helpful. Analgesic-anti inflammatory preparations will be helpful in symptomatic relief from shoulder pain. If symptoms still persist, kindly consult a Neurologist & get a complete Neurological examination done. Certain investigations like complete blood count, serum electrolyte estimation, fresh estimation of blood pressure & blood sugar levels & nerve conduction studies will be helpful to rule out any pathological cause for the symptoms. X ray of shoulder joint & MRI of spine can also be carried out to detect any nerve entrapment. Wishing you a Good Health. Take care.