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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medicines For Neck And Shoulder Pain While Suffering From Arthritis

Hello Dr

I have had a total hip replacement on both hips, and have lost some height on my right side. I al so have arthritis in my hands and fingers. I have now developed pain in the back of my neck, pain near my right shoulder blade which seems to spread further down my spine. This pain gets worse when I use my right arm. I now have to sit with a cushion behind my neck and one supporting my shoulder and back. I am taking Solpodol for the pain, but it seems to be getting worse. I wonder could you please advise me what you think it may be. Thank you very much.
Andrea
Fri, 23 Jan 2015
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Rheumatologist 's  Response
hello,
you seem to have extensive arthritis in your joints.
firstly it is important to know the cause of your arthritis, secondly you may need to be on certain medication to retard the progression of arthritis , these are anti rheumatic drugs.
so you must see a rheumatologist for the same.
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Orthopaedic Surgeon Dr. Vaibhav Gandhi's  Response
Hello,

I have studied your case and reports with diligence.

At old age there can be degenerative wear of bones, muscles, ligament and facet joint arthritis, due to deficiency of calcium, vitamin D, VIT B12.so supplements of these nutrients can relieve pain.
Osteoporosis may be associated leading to diffuse pain in back and neck .

Check your bone strength with DEXA SCAN and you can start medication according to level of osteoporosis,
I will advise you to do MRI spine to see for any disc bulge or spinal canal stenosis.
And also check your vit B12 and vit D3 level.
You can reduce flare up by doing regular exercises and medication.
You need to start supplement of calcium with vitamin D, vit B12, and if osteoporosis is severe then bisphophonates can be started.

I will advise you to do regular physiotherapy and exercises as my patients find much relief by these therapies.
You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case you need to take diet rich in calcium and vitamin D.
If not relieved you can take epidural injection.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
If you find this answer helpful do not hesitate to rate this answer at end of discussion. Wishing you good health.

Take care
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Suggest Medicines For Neck And Shoulder Pain While Suffering From Arthritis

hello, you seem to have extensive arthritis in your joints. firstly it is important to know the cause of your arthritis, secondly you may need to be on certain medication to retard the progression of arthritis , these are anti rheumatic drugs. so you must see a rheumatologist for the same.