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Suggest Treatment For Severe Pain In The Left Shoulder

Posted on Thu, 27 Apr 2017

Question: I have severe pain on the top of my left shoulder - had a 400mg injection of Cimzia on April 3rd - the area feels hard and extremely tender to touch - prior to this I had severe neck pain mostly on same side - I also have severe night sweats & feel lethargic. Email is YYYY@YYYY

I also have RA SLE Lupus Pulmonary Fibrosous Fibromyalgia Reynauds and other autoimmune diseases. MTHFR genetic mutation Hetro & Homozygous types.I haven't seen a Dr for this particular issue - however I have been under care since 2011, xxxxxx

Answered by Dr. Ahmed Aly Hassan (1 hour later)

Brief Answer:
cervical radiating pain due to nerve compression will go withrest in mild cases . i think cimzia injections are dangerous .

Detailed Answer:
Hi i am Dr Ahmed Aly
thanks for using HealthcareMagic site ,
I had gone through your question and understand your concerns ..

In my opinion i thin you have a kind of cervical radiating pain due to nerve compression . MRI scan on your lumbar spine will be very diagnostic , sometimes such pain may subside alone with resting and even without medications .
You mentioned cimzia 400mg injections which are give SC subcutaneously , such injections are very dangerous as they may cause severe and even fatal complications if given when patient is already infected with any type of infection .you also mentioned multiple diseases related to your autoimmune system .
For now i suggest you use painkillers like tylenol 400mg tabs after meals when needed , hot gentle massaging with topical anti-inflammatory gels , muscle relaxants and B12 vitamin supplements will be fine . in more severe or chronic cases steroid tabs or injections are prescribed if requires .
If pain persists i recommend X rays and MRI scans and follow them up with your neurologist for proper evaluation and management .

Please click and consider a 5 star rating with some positive feedback if the information was helpful. Wish you good health,
Any further clarifications feel free to ask.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Ahmed Aly Hassan (31 minutes later)

The neck pain resolved itself - I am worried about the hard round lump on top of my shoulder - I know my history is complicated - also think I should be tested for Lymphoma - the night sweats are getting worse - Thank you, Leslie

Answered by Dr. Ahmed Aly Hassan (26 minutes later)

Brief Answer:
I think it is a reaction to the injection you had .

Detailed Answer:
I think it is a reaction to the injection you had . cimzia injections have a lot of side effects this could be one .
Your medication is fine you may add some hot fomentation with voltaren gel will be enough else visit your treating doctor and show him the reaction you got from the injection .

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Ahmed Aly Hassan (8 minutes later)

Thank you - praying for Egypt - you have been very helpful - Best Regards, Leslie

Answered by Dr. Ahmed Aly Hassan (0 minute later)

Brief Answer:
a lot of thanks XXXXXXX and i hope you feel better soon

Detailed Answer:
a lot of thanks XXXXXXX and i hope you feel better soon

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Raju A.T