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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Persistent Pain In Shoulder Radiating To Arm And Neck Suggest?

I m 4 weeks pregnant. Other wise healthy usually. I was in the shops earlier, and started to have really bad right shoulder pain radiating down the arm and up into my neck a bit. It feels like a dead arm, dead weight. I did have a handbag on my shoulder when the pain started, but it has been persistent for over 4 hours. What do you suggest?
Tue, 27 Oct 2015
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General & Family Physician,  's  Response
Hi,
Welcome to health care magic,

I have read your query and understand your concern.

As you have mentioned you have pain in your shoulder to right hand and arm which is not responding to physiotherapy and exercise.

Here, I would like to know that whether you have any history of diabetes or thyroid illnesses or any injury to that joint.

There could be several causes of shoulder pain such as rotator cuff injury or tear or rotator cuff tendinitis (inflammation of its tendons).

The initial treatments for all these are,

1. Avoid repetitive overhead activities

2. Do not carry any heavy object or bag on affected shoulder or arm.

3. Apply ice packs for about 15 minutes twice or thrice daily.

4. If you have learned how to do shoulder exercises then continue with that it's could be effective .

5. Apply diclofenac based topical ointment which is more effective than paracetamol based.(available over the counter)

6. Can take oral pain killers if pain is very severe.

7. There is no harm in taking Re-nerve Plus,as it is just a multivitamin supplement which is good for nerves (more useful in diabetic patients).

If still pain is persisting then proper examination of shoulder joint is required to find the exact cause MRI should be done. (X-ray scan can not be done here as you are 4 weeks pregnant.)

You can consult nearby doctor or orthopedician who can write MRI of the shoulder after taking complete history and thoroughly clinical examination.

Hope this information will help you.

If you have any query then feel free to ask me.

Regards.
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What Does Persistent Pain In Shoulder Radiating To Arm And Neck Suggest?

Hi, Welcome to health care magic, I have read your query and understand your concern. As you have mentioned you have pain in your shoulder to right hand and arm which is not responding to physiotherapy and exercise. Here, I would like to know that whether you have any history of diabetes or thyroid illnesses or any injury to that joint. There could be several causes of shoulder pain such as rotator cuff injury or tear or rotator cuff tendinitis (inflammation of its tendons). The initial treatments for all these are, 1. Avoid repetitive overhead activities 2. Do not carry any heavy object or bag on affected shoulder or arm. 3. Apply ice packs for about 15 minutes twice or thrice daily. 4. If you have learned how to do shoulder exercises then continue with that it s could be effective . 5. Apply diclofenac based topical ointment which is more effective than paracetamol based.(available over the counter) 6. Can take oral pain killers if pain is very severe. 7. There is no harm in taking Re-nerve Plus,as it is just a multivitamin supplement which is good for nerves (more useful in diabetic patients). If still pain is persisting then proper examination of shoulder joint is required to find the exact cause MRI should be done. (X-ray scan can not be done here as you are 4 weeks pregnant.) You can consult nearby doctor or orthopedician who can write MRI of the shoulder after taking complete history and thoroughly clinical examination. Hope this information will help you. If you have any query then feel free to ask me. Regards.