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Shoulder And Upper Back Pain. X-ray Shows Loss Of Cervical Lordosis And Paraspinal Muscle Spasm. How To Get Rid Of It?
dear sir, I am 42 years old and have been suffering from left shoulder and simultaneously upper back side pain for last 2 months and went for x-ray report is showing that there is loss of cervical lordosis and paraspinal muscles spasm.dear sir can you please suggest me how can I get rid of this problem.thanking you . regards, DHARMENDRA SINGH
Fri, 2 Aug 2013
Hello dear,
The shoulder pain can be attributed to the spasm of paraspinal muscles.
Management involves:
1. Analgesics & muscle relaxants for symptomatic relief
2. Exercises under the guidance of a Physiotherapist
3. Maintain adequate hydration & nutrition status of body
4. Avoid carrying load over shoulder
If symptom still persist, kindly consult an Othopaedician for further evaluation.
Wishing you a good health.
Take care
The shoulder pain can be attributed to the spasm of paraspinal muscles.
Management involves:
1. Analgesics & muscle relaxants for symptomatic relief
2. Exercises under the guidance of a Physiotherapist
3. Maintain adequate hydration & nutrition status of body
4. Avoid carrying load over shoulder
If symptom still persist, kindly consult an Othopaedician for further evaluation.
Wishing you a good health.
Take care
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Hi Dharmendra , thanks for writing to HCM.
Based on the description, I suspect CERVICAL DISC DISEASE in you. This protruded disc might be causing pressure over the nerve root. This nerve root irritation leads to protective muscle spasm leading to loss of cervical lordosis.
The general management guidelines for this problem is as follows -
* Rest: A soft cervical collar is advisable. It should not be used for more than a week or two as it may worsen the condition with prolonged usage.
* Medicines: Analgesic are needed in the acute phase. Muscle relaxants are essential for relieving muscle spasms once the acute pain subsides.
* Cervical traction: may enlarge the disc space, permitting the prolapse to subside. Intermittent cervical traction for not more than 30 minutes at a time. Weight upto 8kg can be added.
* Physiotherapy: Once the acute phase of pain has subsided, Isometric strengthening exercises of the paravertebral muscles are started. Moist heat can be useful
Hope this information is helpful. Good day
Based on the description, I suspect CERVICAL DISC DISEASE in you. This protruded disc might be causing pressure over the nerve root. This nerve root irritation leads to protective muscle spasm leading to loss of cervical lordosis.
The general management guidelines for this problem is as follows -
* Rest: A soft cervical collar is advisable. It should not be used for more than a week or two as it may worsen the condition with prolonged usage.
* Medicines: Analgesic are needed in the acute phase. Muscle relaxants are essential for relieving muscle spasms once the acute pain subsides.
* Cervical traction: may enlarge the disc space, permitting the prolapse to subside. Intermittent cervical traction for not more than 30 minutes at a time. Weight upto 8kg can be added.
* Physiotherapy: Once the acute phase of pain has subsided, Isometric strengthening exercises of the paravertebral muscles are started. Moist heat can be useful
Hope this information is helpful. Good day
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2 Doctors agree with this answer
Hello,
Thanks for writing to us.
It seems you are suffering from cervical disc disease. loss of cervical lordosis is due to paraspinal muscle spasm.
Treatment includes
1. Use of cervical collar helps in immobilisation and brings relief.
2. Medical drugs like pain killers - acetaminophen/ibuprofen and muscle relaxants might be helpful.
3. Cervical isometric exercises are beneficial to maintain the strength of the neck muscles. Neck and upper back stretching exercises, as well as light aerobic activities, also are recommended under the guidance of a physical therapist.
4. Hot fomentation helps in relieving acute symptoms.
5. You can avoid using a pillow.
Hope this helps you.
Wishing you good health...
Regards.
Thanks for writing to us.
It seems you are suffering from cervical disc disease. loss of cervical lordosis is due to paraspinal muscle spasm.
Treatment includes
1. Use of cervical collar helps in immobilisation and brings relief.
2. Medical drugs like pain killers - acetaminophen/ibuprofen and muscle relaxants might be helpful.
3. Cervical isometric exercises are beneficial to maintain the strength of the neck muscles. Neck and upper back stretching exercises, as well as light aerobic activities, also are recommended under the guidance of a physical therapist.
4. Hot fomentation helps in relieving acute symptoms.
5. You can avoid using a pillow.
Hope this helps you.
Wishing you good health...
Regards.
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1 Doctor agrees with this answer
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