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Left shoulder pain with itching - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2009
Answered : 593 Questions
User :   I am having pains that start behind my left shoulder blade and it travels around to just under my left breast. It is usually accompanied by an itch that I can't seem to scratch. Sometimes there is a tightness with it. As I am sitting pulse rate is about 108 and I notice a skip in my heartbeat. Almost like it pauses a half beat and then a heavy beat then continues.
Doctor :   Hi
User :   good morning
Doctor :   I am
Doctor :   Good morning
Doctor :   Let me read your query
Doctor :   Ok
Doctor :   May I know your age, height and weight?
User :   36, 6'1", 350lbs. I should not the pain is always in the same spot on the back and though someone were poking me on both sides at the same time.
Doctor :   Please mention your age, gender and occupation as well
Doctor :   Ok
User :   Male, I work from home, Phone based computer support.
Doctor :   Fine
User :   Also...things have been fairly stressful with family matters.
Doctor :   Firstly I should mention you that you are overweight by a big margin
Doctor :   and stress makes it worse
User :   Yes. I'm working on that...eating right...salads, exercise and the like
Doctor :   Great
Doctor :   I wish you all the best on that
Doctor :   now coming back to the query
User :   Thank you
Doctor :   are you seeing any difference in exercise tolerance levels?
User :   I started light...walking...I've noticed it's taking me longer to get winded when going up the big hills around my home.
Doctor :   Ok
Doctor :   Has the tolerance level changed after you observed this pain?
User :   no...the pain has been around a while. It's recently come back...the last time I was dealing with some of the same stressful issues, but it went away...which is why I mentioned stress.
Doctor :   Ok
Doctor :   Do you have any breathing difficulty?
Doctor :   and does the pain increase on exertion?
User :   Imagine a long straight stick entering just under the shoulder blade and exiting the exact same spot on your chest.
Doctor :   Yes, I am getting i
Doctor :   'it
User :   no breathing difficulty...and the pain will spike sometimes if I move too fast when I turn my body left or right
Doctor :   Ok
User :   almost like a pinched nerve...or pulled muscle
Doctor :   How about issues with digestion?
Doctor :   like reflux
User :   none
Doctor :   Good
User :   thankfully...heh
User :   sometimes...if I pop my feels great...but the pain is steady most days lately
User :   a heating pad works well too
Doctor :   ok
Doctor :   Does it fluctuate in the day?
User :   I should note the pain is always in the back...but only occasionally does the walk around to the front...and it's pretty steady...some days I barely feel it...others are pretty tough
Doctor :   Ok
Doctor :   It does proceed like that
Doctor :   since you are not having any other symptoms
Doctor :   it shall point to a muscle pain
Doctor :   which could be related to your weight
Doctor :   as there shall be more strain
Doctor :   also decreased tone to some extent
Doctor :   Does this pain get relieved with sleep?
User :   usually...certain positions will relieve it as well
Doctor :   Ok
Doctor :   Do you get up in the morning with such pain?
User :   when it's not the tight pain across both my chest and feels almost like there's something stuck under my shoulder a very specific place. Like a bur.
User :   Yes...most mornings...although..this morning is not too bad
Doctor :   Ok
Doctor :   Now if you bend your neck backward?
Doctor :   do you notice anything?
User :   aside from the pop corn pain...heh
Doctor :   Ok
Doctor :   that is due to the muscle contraction
Doctor :   so for this pain, I would suggest you to follow a proper sleeping posture
User :   I have noticed that sometimes I can raise my left arm and sort of lean to the right and it helps...other times...nothing I do can help
Doctor :   Ok
Doctor :   You shall be benefitted
Doctor :   with certain stretching exercises
Doctor :   and relaxation techniques
Doctor :   Have you come across them till now?
User :   No...none other than basic stretching
Doctor :   Ok
Doctor :   Basic stretching, has it been helping you?
User :   sometimes. Usually, when the pain is bad, it doesn't matter what I do...nothing helps.
Doctor :   Ok
Doctor :   I suggest you to practice deep breathing
Doctor :   for 20 minutes twice daily
Doctor :   sit or sleep comfortable
Doctor :   in which posture you can tolerate for 20 minutes
User :   I can do that
Doctor :   Deep breathing you should do
Doctor :   with eyes closed
User :   Would you say that would help with the high pulse rate as well?
Doctor :   Sure
User :   I'm rather sure that's about the stress lately
Doctor :   Yes, that is more favorable
Doctor :   and one more thing I wanted to ask is
Doctor :   about your sleep, appetite and bowel movements?
Doctor :   I would suggest you to follow a diet chart
Doctor :   We can help you in that
Doctor :   by giving a personalized diet chart
User :   all pretty normal...regular
User :   that'd be great
Doctor :   I am giving you the link here
Doctor :   WWW.WWWW.WW Doctor :   Ok
User :   I have the link
Doctor :   Do you consume tobacco/alcohol?
User :   no
Doctor :   Fine
Doctor :   You are having clean habits
Doctor :   I appreciate you on that
Doctor :   You should put hard efforts on weight reduction
User :   I will
Doctor :   Ok
Doctor :   Is there any thing else I can help you with?
User :   No, I think you understood my pain. Thank you for your time today.
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service.

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