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What causes sudden pain extending from collar bone to shoulder tip?

Jul 2013
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Answered by

Orthopaedic Surgeon, Joint Replacement
Practicing since : 1996
Answered : 2148 Questions
Ive got right shoulder pain extending from collar bone to shoulder tip. Got it randomly yest. Couldnt sleep. No recent surgery. Weak arm/hand. Hurts to breathe.
Posted Wed, 11 Dec 2013 in Bones, Muscles and Joints
Answered by Dr. K. Naga Ravi Prasad 3 hours later
Brief Answer: Might be due to Cervical disc disease. Detailed Answer: Hi, thanks for writing to XXXXXXX Based on the description of your symptoms, I suspect that they could be possibly due to Cervical disc disease, wherein a protruded intervertebral disc might be pressing over the involved nerves causing pain along with weakness in the upper limb. An xray of the cervical spine along with MRI scan is necessary to establish the exact diagnosis of your problem. Some people may get symptomatic relief with conservative management, which comprises of Soft Collar usage: Soft collar allow the muscles of the neck to rest and limit neck motion. This can help decrease pinching of nerve roots with movement. Soft collars should only be worn for short periods of time, because long-term wear can decrease the strength of neck muscles. Medicines: Analgesic are needed in the acute phase . Muscle relaxants are essential for relieving muscle spasms once the acute pain subsides. Neurotropic vitamins like METHYLCOBALAMINE or PREGABALIN will help in alleviating the neuropathic pain. Cervical traction: may enlarge the disc space, permitting the prolapse to subside. Intermittent cervical traction for not more than 30 minutes at a time. Physiotherapy: Once the acute phase of pain has subsided, Isometric strengthening exercises of the paravertebral muscles are started. Improving neck strength and flexibility with simple exercises may lessen discomfort and pain. Moist heat can be useful Epidural steroids: are useful for patients with severe radicular pains in the limbs. Cortisone is a powerful anti-inflammatory preparation and so its injections in the "epidural space" can decrease swelling as well as pain. If you fail to improve with the above measures, you need to consult an orthopedic surgeon for further evaluation and management. Hope I have addressed your query. Happy to guide you further Regards
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