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Severe stabbing in upper back, shoulder and neck pain on deep breathing, imbalance. Any ideas?

I am a 25 year old female. 5 days ago i started having bad pain in my right side upper back, i thought a rib was out of place, it was really terrible pain, kinda a stabbing sensation, it hurt so bad that the pain almost made me vomit . Then yesterday I noticed that it started to hurt when i was breathing , It really horrific pain that effects my right shoulder , and neck . Its only when i breath in deep or breath out deep. Although last night the pain was so bad in kept waking me up. It hurts worse when i lay on my right side. Laying on my left side, back or stomach also hurts pretty bad but its more tolerable. The only time i found that it doesnt hurt is when i breath while im bent over, kinda like im trying to touch my toes. Also last night i felt really faint and strange. It kinda felt like i was intoxicated, Like i had been drinking, my balance was off and i felt like i was going to pass out. Any insight you have to this would be great.
Asked On : Sun, 9 Dec 2012
Answers:  2 Views:  72
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Orthopaedic Surgeon, Joint Replacement 's  Response
Feb 2014
Dear Sir/Madam

Right Upper Quadrant Pain Represents About 50% Of All Cases Of Acuteabdominal Pain.
Most Commonly It Might Be Appendicitis In Most Of The Cases.
The Other Causes Might Be
1. Crohn Diesease
2. Mesenteric Adenitis.
3. Diverticulitis
4. Perforated Peptic Ulcers.
5. Femoral Hernia
6. Cancer Of Colon

In Females It Might Be Due To
1. Pelvic Inflammatory Disesase
2. Ectopic Pregnancy
3. Ovarian Torsion

Other Common Causes Might Be
1. Stones In The Ureter And Renal Pelvis
2. Urinary Tract Infection.

Any One Of These Might Cause The Following Symptoms
So Evaluate For These Causes By Doing
1. Complete Blood Count
2. Ultrasound Abdomen And Pelvis

Treatment Is Different For Different Condition. For Present Pain Relief You Can Take. Dicyclomine Tablet With Paracetamol.
Thank You
Answered: Fri, 16 Aug 2013
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General & Family Physician Dr. J Kingson John David's  Response
See your health care provider as soon as possible (orthopedic surgeon or physical therapist), for consultation. Upper back pain can occur as a result of trauma or sudden injury, or it can occur through strain or poor posture over time. As an example of the latter cause, in recent years, upper back pain has become a familiar complaint from people who work at computers most of the day. Often, upper back pain occurs along with neck pain and /or shoulder pain.

Middle back pain on the right side are most commonly caused by the following conditions:

Gallstones or an inflamed gallbladder
Muscle strain/spasm
Slip disc
Pinched nerves

Pain medications can also be helpful. Muscular irritation usually includes some form of inflammation, so anti-inflammatory medications (such as ibuprofen or COX-2 inhibitors) can be helpful to reduce the inflammation.

The ribs connect with the vertebrae in the thoracic spine by two joints that connect with each side of the spine. Dysfunction in these joints can result in upper back pain.

Treatment for this type of injury usually includes manual manipulation (with an osteopathic physician, chiropractor or a physical therapist trained in manipulation) to help mobilize the joint and reduce the discomfort. Lasting relief usually also requires a home exercise program for stretching the spine and shoulders as well as strengthening.
Answered: Sat, 17 Aug 2013
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