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Suggest treatment for muscular strain - Online Doctor Chats

Date : 10-Apr-2014
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1558 Questions
User:its in right schoulderupper back muscel pain feels like it is the right schoulder blade
Doctor:Hi
Doctor:I have read your query
Doctor:Can you explain the pain in detail?
User: XXXXXXX here
Doctor:Hi XXXXXXX
Doctor:I need more details about your pain to be able to help you better
Doctor:Is it over the shoulder blade?
Doctor:Are you there?
User:rt shoulder_feels like muscel under blade
Doctor:ok
Doctor:Does it happen with a particular shoulder pain?
Doctor:particular shoulder movement*
User:hurts
User:no hurts all the time
Doctor:ok
Doctor:Do you have any issues with the lung right side?
User:no
Doctor:Any pain with deep breathing?
User:pain is constant no worse when breathing
Doctor:ok
Doctor:It seems like muscular strain
Doctor:There are muscles under the shoulder blade.
Doctor:It seems that you have pulled a muscle under the shoulder
User:what would relieve the pain
Doctor:I was suspecting a rib pain but it is not getting worse with breathing
Doctor:It will last a few days
Doctor:One thing that will be helpful is pain-killers
Doctor:Now to judge the strength of pain-killers needed you need to tell how bad is the pain
Doctor:If I give you a scale of 1 to 10 with 10 being the worst pain
User:no it seemed to start after reaching extending the arm
Doctor:Where will you rate the pain?
Doctor:Yes I understand
Doctor:That is why it is a muscle pull
User:about 7
Doctor:Is the movement of shoulder limited or normal?
User:movement is not limited
Doctor:ok
Doctor:So it has not affected a bone or shoulder joint
User:no
Doctor:Aceclofenac can provide relief
Doctor:But it is not available over-the counter
Doctor:You will need written prescription for it
User:how to get the presc
Doctor:Apart from this you will need to move the joint by doing a few stretching exercises
Doctor:I will not be able to give it online
Doctor:You may either consult a doctor
Doctor:if you have some strong pain-killers at home
Doctor:You can ask and I can tell which one to take
User:tylonal ibeprofin
Doctor:You can try ibuprofen
Doctor:Lets see if it works
Doctor:Otherwise you can also try naproxen which is overthecounter
Doctor:It may provide some relief
User:ok
Doctor:Aceclofenac is stronger than these two
User:how long would you expect pain to last
Doctor:It should not last for more than 3 - 4 days
Doctor:But keep your shoulder stable as musch as possible
Doctor:If you have a sling at home you can wear it
User:thank you
Doctor:with stretching once or twice a day
Doctor:ok
Doctor:Do you have any doubt here?
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