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Problems about radiating pain from shoulder to breast - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   I have been having pain in my right shoulder blade that radiates around to my right breast. I m worried about breast cancer. Any help ?
Doctor :   Hi
Doctor :   may i know your age ?
User :   This is not for me but my girlfriend who is sitting here now, thank you.
User :   she is 43
Doctor :   and how long have u had this issue ?
Doctor :   that is fine
Doctor :   does she ahve any enlarged lyph nodes in the axilla ?
User :   off/on over a year. she worksout alot.
Doctor :   ok
User :   she does breast exams all the time
Doctor :   the best way to evaluate this condition is a mammogram, and after the age of 40, yearly mammoogram is adviced
Doctor :   were they done ?
User :   I try to massage the area of the shoulder blade and try to get under she does have some knots
Doctor :   and if done , what were the results ?
User :   she goes tomorrow am, right now very upset
Doctor :   does the pain come on, when she compresses on the afffected areas ?
User :   yes
Doctor :   does the pain increase on moving the arms ?
User :   and shoots down her arm and fingers go numb
Doctor :   this could be due to musculoskeletal pain , or neurologic pain associated with nerve root compression in the vertebral column
User :   yes it increases when moving the arms and nipple is iritated when she wears certain bras
Doctor :   does she feel any masses in her breasts ? which have appeared recently ?
User :   ok, she is fairly new to working out. I thought this was associated with muscle strain, pull, ect
User :   no
Doctor :   In that case, she need not worry at all
Doctor :   most of her pain, could be due to reasons not associated with the breast
User :   ok, do you think she should see a chiropractor. She has fatty cells . she has to go every 6months for ultra sound
Doctor :   no need to go to her chiropractor
Doctor :   she should see a regular doctor, for evaluation of the severe pain she has
User :   what can she do to relieve this pain?
Doctor :   can she give me the severity of pain on the scle of 1-10
User :   pain varies 5 to 10 depending on what she is doing. sometimes no pain
Doctor :   in that case, taking ibuprofen would help
Doctor :   if not better medications for treating neuropathic pain like gabapentin, or cymbalta may help
User :   ok, I will tell her to stop panicing and we will try the ibuprofen
User :   thank you very much. She is much more relieved.
Doctor :   you are welcome
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