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Back pain and shoulder pain - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Back Pain
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3393 Questions
User :   i am getting pain in back and both shoulder while walking my ecg and colour doppeler is normal
Doctor :   Hi
Doctor :   please give me a couple of mins to read your query
User :   hi
Doctor :   ya , please proceed
User :   i am 67 years old.5years back my angioplasty was recent reports are normal.i am suffering this problem from 9 months.
Doctor :   are you there ?
User :   yes
Doctor :   ok
Doctor :   may i know how long does he pain remain?
User :   it remans all the time
Doctor :   when was the last ECG done ?
User :   10 days back
Doctor :   ok , so the ECG was normal
User :   yes and also colour doppeler is normal
Doctor :   ok
Doctor :   may i know if you have shortness of breath , palpitations , increase sweating , etc ?
User :   no
Doctor :   ok
Doctor :   are you a diabetic and have high blood pressure?
User :   yes i am diabetic and BP
Doctor :   ok ,at present what are the medicines your on ?
Doctor :   are you with me ?
User :   ecosprin 150,glybovin 1/2 tab twice a day,losar25 mornig,Alaprax 0.50 at night,pentaprozal,vibact,calcium suppliments
Doctor :   ok
Doctor :   apart from ECG any other tests done recently ? any blood test ?
User :   yes blood tests.lipids are normal,sugar is normal,sonography is normal,liver profile is normal
Doctor :   ok
Doctor :   let me explain it to you
Doctor :   a back pain and shoulder pain in a person with diabetes and hypertension will not be ignored
Doctor :   most often it could be related to muscle strain and posture issues
Doctor :   but since it could also be seen in heart conditions
Doctor :   we do an ECG
Doctor :   most often in diabetes , An ECG will be normal even if there is an underlying problems
Doctor :   so , i suggest you se your cardiologistand go in for a stress test
Doctor :   as this will give a clear picture
Doctor :   if the doctor recommends this after an examination , you can do this test
Doctor :   meanwhile do not worry
Doctor :   continue your medicines and do good physical activity daily
User :   Docter has not recommended stress test
Doctor :   as physical activity will help in dealing with the back pain
Doctor :   ok , it is upto the doctor to decide on this as he has examined you
Doctor :   i suggested this , as generally if pain is significant we ask for a stress test
Doctor :   but if the doctor felt the ECG is fine and nothing related to your heart , then do not worry
Doctor :   the back would be posture related and hence you must take rest
Doctor :   may i know if you smoke or consume alcohol ?
User :   ortopedic docter says it is fibromalgia no i dont smoke and no alcohol
Doctor :   ok , yes , fibromyalgia can cause back pain and shoulder pain
Doctor :   i suggest you follow the advice
Doctor :   given by your doctors
Doctor :   since i did not examine you , i may not be able to decide on the cause of pain , hence i went with an option of stress test
Doctor :   reduce stress and get the right posture
Doctor :   and careful with any painkillers you take
User :   how much time require to get relief
Doctor :   what did the orthopedic doctor suggest you ?
User :   he suggested some free hand exercise and massage with volini cream
Doctor :   ok , continue the same , you will feel relief in 3 weeks time
User :   Thank you
Doctor :   provided you follow the exercises correctly and reduce your stress, as i see you are also on medicines for getting sleep
User :   ok
Doctor :   did you follow my suggestions ?
User :   yes
Doctor :   are there any more questions for me ?
User :   no thanks
Doctor :   thank you for consulting me
Doctor :   take care
Doctor :   Bye for now
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