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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Left Shoulder While Suffering From Diabetes?

I am 73 y.o. and have AFib, type ll diabetes and have been a non-smoker for a few yrs. Lately, I have sharp pain in my left shoulder blade to spine and neck. The neck pain has been constant for several years, and a sharp pain (like a cigarette burn) hits me at mid- spine when I bend over to pick something up. I can work through it if I'm tying my shoes by bending slowly. This has been with me for several years, also. I have had dye injected into my blood stream and had cat scans. Curvature of the spine has been the only thing to show up other than some calcification at my lower spine. This pain between my shoulder blades is horrific, at times; but, thankfully, will subside to a managable level (about a 4 on a scale of 10 { 1 being no pain and 10 being excrutiating, sick to your stomach pain}) for active hours. The night time or resting pain will easily hit a 9 and hang around for a while. Any ideas?
Thu, 23 Apr 2015
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Diabetologist,  's  Response
Dear Sir,

Thanx for Asking.

Before I further Comment, Can I know a little more

1) How Long have you been having Diabetes ?
2) Is your Diabetes under control ? ( What are your latest Reading and HBA1C)
3) Have you ever got any Nerve related test done ? Like Biothesiometry or Nerve function testing

The Pain can be due to many reasons ,
From a Diabetologist's Perspective

This can be Neuropathic Pain - The Usually Features of Diabetic neuropathic Pain are the Following


Diabetes most of the time intitally affects the nerves in your feet and fingers (Simply put )

1) Burning sensation in the feet
2) Pain in the Feet and legs
3) tingling sensation in the Finger and toe tips

But it is not uncommon to see Truncal Problems . In some patients we see some thing called as Truncal Mononeuropathy - Which is characterized by Complaints of burning, stabbing or deep aching pain in a particular area of the trunk. This is usually common in those whose age is > 50 years and is due to uncontrolled diabetes

Solution : If this is the Case you have to do the following things
1) Strict Blood Sugar control
2) Neurovitamin ( Like Tab Nerve Up/Neurobione forte or Renerve
3) Neuropathic Pain medication ( Tab Lyrica 75 mg or Tab Pregastar or Tab Dulane etc... Provided you are not allergic to this


From Orthopaedic Point of view - Its Good to Rule out Cervical Spondylosis and any Disc or Nerve root problems .Its better to consult a orthopadecian and an MRI spine would be helpful if advised , since especially you say the pain aggravates when you bend over to pick some thing ...


Hope this Helps


Regards
Dr.Samuel









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What Causes Pain In Left Shoulder While Suffering From Diabetes?

Dear Sir, Thanx for Asking. Before I further Comment, Can I know a little more 1) How Long have you been having Diabetes ? 2) Is your Diabetes under control ? ( What are your latest Reading and HBA1C) 3) Have you ever got any Nerve related test done ? Like Biothesiometry or Nerve function testing The Pain can be due to many reasons , From a Diabetologist s Perspective This can be Neuropathic Pain - The Usually Features of Diabetic neuropathic Pain are the Following Diabetes most of the time intitally affects the nerves in your feet and fingers (Simply put ) 1) Burning sensation in the feet 2) Pain in the Feet and legs 3) tingling sensation in the Finger and toe tips But it is not uncommon to see Truncal Problems . In some patients we see some thing called as Truncal Mononeuropathy - Which is characterized by Complaints of burning, stabbing or deep aching pain in a particular area of the trunk. This is usually common in those whose age is 50 years and is due to uncontrolled diabetes Solution : If this is the Case you have to do the following things 1) Strict Blood Sugar control 2) Neurovitamin ( Like Tab Nerve Up/Neurobione forte or Renerve 3) Neuropathic Pain medication ( Tab Lyrica 75 mg or Tab Pregastar or Tab Dulane etc... Provided you are not allergic to this From Orthopaedic Point of view - Its Good to Rule out Cervical Spondylosis and any Disc or Nerve root problems .Its better to consult a orthopadecian and an MRI spine would be helpful if advised , since especially you say the pain aggravates when you bend over to pick some thing ... Hope this Helps Regards Dr.Samuel