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Dr. Andrew Rynne

Family Physician

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I am suffering from pain in left shoulder since 2

Answered by
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Dr. Remy Koshy

General & Family Physician

Practicing since :2014

Answered : 508 Questions

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Posted on Sun, 23 Dec 2018 in Internal Doctor Category
Question: I am suffering from pain in left shoulder since 2 months. I have visited the doctor, he suggested an blood test of esr and the esr was found to be 40. He has given medicines saying that it is due to some joint infection. In the first two days of medication, the pain vanished. I used the medicines for 5 days as suggested by him. But from the third day, medicines were showing no effect. I visited him twice more but it was of no use. How do I get rid of this problem. Please suggest me the solution
doctor
Answered by Dr. Remy Koshy 1 hour later
Brief Answer:
Need more info

Detailed Answer:
Hello and welcome to Ask A Doctor,

I have gone through your query and can certainly understand your concern,

From the details you have provided, there are a few differentials suggestive of your symptoms,

But before I can guide you further, I would like to know a few related details:
- Do you have any similar pain over other joints like knee, elbow, small joints of the hands etc?
- Is the pain exactly located over the shoulder joint or does it radiate to any other location?
- Any recent episodes of fever, redness or tenderness over the affected area?
- Any history of rheumatoid arthritis?
- Any history of trauma?
- Any history of chronic illnesses like diabetes or hypertension?
- Kindly give the details of medication prescribed by your doctor.

Awaiting your reply,
Kindly revert back with the above details,

Regards

Above answer was peer-reviewed by : Dr. Remy Koshy
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Follow up: Dr. Remy Koshy 1 hour later
1. No, no other area has similar pain
2. Pain radiates from middle of the left shoulder to the bone behind left ear
3.i have no history of arthritis, nor any illness like hypertension. No fever.

The doctor has given me tablet named acemyoset and defcort 24, which I used for 10 days. For the first 2 days, the pain vanished but from the third day, even though I am using the tablets, there is no result.
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Follow up: Dr. Remy Koshy 1 minute later
There is no redness in the area.
doctor
Answered by Dr. Remy Koshy 2 hours later
Brief Answer:
Explained below

Detailed Answer:
Hello again,
Thanks for writing back,

From the details you have given, your symptoms are suggestive of a few differentials:- since there is an elevated ESR and unilateral shoulder pain, this could either be an osteoarthritis or a rheumatoid arthritis or a case of cervical spondylosis.

I would suggest you to do a blood test for RA factor, and also to get an Xray and a bone scan if required.
Meanwhile you can follow some lifestyle changes:
- Avoid using a pillow while sleeping.
- Apply hot or cold fomentation daily.
- Take T.ZERODOL-P twice daily for 3-5 days and later as an when needed.
- Take T. Pregal M once daily for 15 days.

I hope this helps,

Please feel free to discuss further,

Regards
-
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Remy Koshy 10 hours later
Can this be cured permanently, or I have to be in medication continuously?
doctor
Answered by Dr. Remy Koshy 30 hours later
Brief Answer:
Explained below

Detailed Answer:
Hello again,
Thanks for writing back,

Sorry for the long delay in replying back,

Cure of the above condition is objective, but can be resolved to a maximum with intake of medications for some time. Complete cure requires equal effort of lifestyle modifications and medications.

Please do the above tests and take the medications and revert back with the report.

Regards

Above answer was peer-reviewed by : Dr. Remy Koshy
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