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Suggest Treatment For Arm Pain While Lifting It While Treating Tendonitis

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Posted on Sat, 18 Apr 2015
Question: hi, I have had tendonitits for about 2 months now. My shoulder feels better then it 1 month go however i still feel slight pain when i reach my arm above my head, any idea how much longer i may have to wait to resume my normal routine?
doctor
Answered by Dr. Klarida Papaqako (2 hours later)
Brief Answer:
Details below

Detailed Answer:
Hello XXXXXXX
Thank you for posting your query to HCM,

There are different rating systems to assessing your shoulder functionality and pain. There are questionnaires that your doctor can provide and follow you up with them.
One of them, that I'm going to give to you now does the prediction of the shoulder pain in 6 weeks or more.
Score derives from total of: a) duration of complaints (7 points if 6-12 weeks, 11 points if > 3 months); b) gradual onset (7 points if gradual onset); c) psychological complaints (10 points if psychological complaints); d)repetitive movements (8 points if repetitive movements); e) shoulder pain (0-10 points); f)neck pain score at physical exam (0-18 points) based on adding 0-3 pain score in each of 6 motions.

The sum of the points you have will predict how much is the possibility that your pain will last or not more then 6 weeks:
≤ 2     20%-30%
3-7     30%-40%
8-11     40%-50%
12-16     50%-60%
17-21     60%-70%
22-27     70%-80%
28-36     80%-90%
≥ 37     90%-100%

My recommendation would be to not worry about it, continue your exercises, keep it moving as possible.

Time to return to full work varies with your work demand level.
for sedentary work - mean 6.2 weeks (range 2-11.9 weeks)
for light work - mean 7.8 weeks (range 2-20.1 weeks)
for medium work - mean 12.5 weeks (range 3-23.9 weeks)
for medium heavy work - mean 12.1 weeks (range 4-26.3 weeks)
for heavy work - mean 14.3 weeks (range 11-19.1 weeks)

Hope this is helpful. Let me know if you need any more clarification. I would be happy to answer. If not, please don't forget to close and rate the question.

Regards,
Dr. Papaqako.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Klarida Papaqako (45 minutes later)
is there any way to be sure it is not a torn rotator cuff without getting an mri?
doctor
Answered by Dr. Klarida Papaqako (19 minutes later)
Brief Answer:
The limitation in abduction movement would be suspicion of torn R.cuff

Detailed Answer:
Hello again,

There is no other way to diagnose it for sure.
Although, from what I am reading from your description, the fact that you move your arm above your head (while doing abduction) is a positive sign that it is not a rotator cuff injury. When it is the case of a torn rotator cuff, you would not be able to lift your arm up.

Hope this was helpful.
Take care.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Klarida Papaqako (9 minutes later)
yea i can lift the arm above my head, i can move my arm in circular motion n move the arm fully behind my back. over time will arm feel normal again if indeed it is just tendonitits?
doctor
Answered by Dr. Klarida Papaqako (48 minutes later)
Brief Answer:
yes, most probably it will

Detailed Answer:
Hello again,

Yes, your arm will feel normal again if the range of motion is normal, just give it a little time to heal completely. Even if the range of motion is not fully normal, if it is improving its a good sign meaning its not stacked. Will need at least 3 months. Doing your exercises is very important (if your doctor have recommended some of them).

If it is not improving anymore, then you will need to do an MRI to see whats going on there. But what you are describing doesn't sound worrisome.

Take care.
Dr. Papaqako
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Klarida Papaqako (1 hour later)
Thank you for all your insight, one last thing I workout often and not being able to do any lifting is not frustrating, when you advise I begin doing push up and work outs of that nature.
doctor
Answered by Dr. Klarida Papaqako (10 minutes later)
Brief Answer:
Follow the symptom of pain

Detailed Answer:
Hello,
For now start doing stretching, lifting small weights, 1kg, 2kg and so on (10 repetitions once, twice/day maybe) to gain full motion and strengthen the muscles. Pain is a very good indicator-- if it start hurting, stop and wait until pain goes away. You will know when its time to do pushups because you wont have anymore pain while attempting to do them.
Remember, it needs time. Start things slowly and gradually.

Take care.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Klarida Papaqako (18 hours later)
are there any vitamins or supplements I can take that might speed up the healing process?
doctor
Answered by Dr. Klarida Papaqako (2 hours later)
Brief Answer:
Healthy diet, analgesic tablets and creams, regular movements

Detailed Answer:
Hello again XXXXXXX

You can take whatever vitamins you like. But as soon as you are eating in a healthy way, you won't need extra supplements. You are young, so you will heal fast.

In the phase of the pain, using analgesic/pain killers would have helped since these drugs lower the inflammation. Use them when needed now, only if you have pain.

Applying analgesic creams locally may help too, but again, only if you have pain.

Doing exercises and giving it its time to heal its most important. If it start hurting again, it means that you are doing more exercises then needed, so its a sign to slow down.

Let me know if you have further questions.


Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Klarida Papaqako (18 hours later)
Hi, is there any the tendonitis can turn into a torn rotator cuff?
doctor
Answered by Dr. Klarida Papaqako (17 hours later)
Brief Answer:
Yes, tear of rotator cuff is one of complications of tendinitis

Detailed Answer:
Hi XXXXXXX

Yes, a tendinitis can complicate into a rotator cuff if the cause of the tendinitis continues to be still present (mostly repetitive overuse of the arm/shoulder).

A summery of other causes of a rotator tear may be:
--overuse of joint
--intrinsic muscle contractile tension overload
--posterosuperior impingement may be brought about by repetitive elevation in external rotation
--may occur as result of normal degenerative process of aging
--acute trauma may account for < 10% of cases

You are young and you seem a sportive, fit person from my impression. In this case, a tendinitis should not be a problem to heal. But, if you are not getting better, or getting worse (ex: the range of motion is not improving, pain is worse) then consider doing an MRI or even a visit to your doctor.

I notice you are concerned about a tear in the rotator cuff. You know your body better then anyone else, so if you think that from the information you got above, you may need and decide to do an MRI, that is perfectly ok, so get 100% clarified and have a peace of mind.

Again, I would be happy to answer if I can help with any other question you have.

Regards,
Dr. Papaqako.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Pradeep Vitta
doctor
Answered by
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Dr. Klarida Papaqako

General & Family Physician

Practicing since :2010

Answered : 1804 Questions

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Suggest Treatment For Arm Pain While Lifting It While Treating Tendonitis

Brief Answer: Details below Detailed Answer: Hello XXXXXXX Thank you for posting your query to HCM, There are different rating systems to assessing your shoulder functionality and pain. There are questionnaires that your doctor can provide and follow you up with them. One of them, that I'm going to give to you now does the prediction of the shoulder pain in 6 weeks or more. Score derives from total of: a) duration of complaints (7 points if 6-12 weeks, 11 points if > 3 months); b) gradual onset (7 points if gradual onset); c) psychological complaints (10 points if psychological complaints); d)repetitive movements (8 points if repetitive movements); e) shoulder pain (0-10 points); f)neck pain score at physical exam (0-18 points) based on adding 0-3 pain score in each of 6 motions. The sum of the points you have will predict how much is the possibility that your pain will last or not more then 6 weeks: ≤ 2 20%-30% 3-7 30%-40% 8-11 40%-50% 12-16 50%-60% 17-21 60%-70% 22-27 70%-80% 28-36 80%-90% ≥ 37 90%-100% My recommendation would be to not worry about it, continue your exercises, keep it moving as possible. Time to return to full work varies with your work demand level. for sedentary work - mean 6.2 weeks (range 2-11.9 weeks) for light work - mean 7.8 weeks (range 2-20.1 weeks) for medium work - mean 12.5 weeks (range 3-23.9 weeks) for medium heavy work - mean 12.1 weeks (range 4-26.3 weeks) for heavy work - mean 14.3 weeks (range 11-19.1 weeks) Hope this is helpful. Let me know if you need any more clarification. I would be happy to answer. If not, please don't forget to close and rate the question. Regards, Dr. Papaqako.