Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

140 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for severe pain in the right shoulder

Answered by
Dr.
Dr. Naveen Kumar Sharma

Orthopaedic Surgeon, Joint Replacement

Practicing since :2002

Answered : 4460 Questions

default
Posted on Sun, 12 Mar 2017 in Bones, Muscles and Joints
Question: Hello My mother is 58 yrs old. She woke up 2 days ago with pain in her right shoulder. She describes it as a continuous dull pain that radiates down the arm. Initially she thought it started from behind her shoulder, but now she feels its starts from the side of the shoulder/deltoid, while being more painful around the elbow. It can radiate all the way to her hand. There was no known preceding injury. The pain occurs mainly when she hangs her arm by her side, and she finds some relief using a home made sling. She is able to move her arms fully in all directions. She does not feel any weakness. She does not have any tenderness in the shoulder, arm or elbow. She has no neck pain either. She is normally well apart from being hypothyroid. I am a GP, and I tried the tests for all 4 rorator cuff, as well as hawkins for impingement and these were all negative. 2 days on pregabalin in case it was nerve root pain hasn't so far reduced the pain either.
doctor
Answered by Dr. Naveen Kumar Sharma 1 hour later
Brief Answer:
She is having cervical spondylitis

Detailed Answer:
Hello,
I have studied your case. You have diagnosed it correctly that she is having cervical spondylitis with nerve compression in the neck. This pain is radiating from shoulder to hand. This is not due to cuff tear as
1. Cuff tear pain is more with elevation and not with the hanging arm.
2.It is also associated with weakness of movements.
You have done the right thing to start her with Pregabalin But it is not going to make the effect in two days. We need to do following.
1. She needs cervical collar and intermittent cervical traction exercise for ten days.
2.She needs muscle relaxant like Myospaz or Etova MR to relax her neck muscles.
3.Avoid using the very high pillow.
4.If pain is very severe then she need to taken Medrol 8 mg three times daily for a week. Low dose steroid do wonders.
I hope this answer will be useful for you.Let me know if there is any other follow-up questions.
thanks
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Drug/Medication ,   ,  
Treatment/Therapy
Medical Topics ,  

Recent questions on  Medrol

doctor1 MD

Hi I ahve had addisons typeprimary. I take 2 mg of medrol in the morning also ten mg of hydrocortison, laterabout midday I tske another 5 mg of hydrocort about 4 oclock in the afternoon . Same routine most days unless I get sinus, for which I have to take an antibiotic and up a few of the hydrocorts .

doctor1 MD

Hi, may I answer your health queries right now ? I had severe upper stomach pain yesterday and it went on to diarrhea where I went almost 40+ times with a fever of 102. Today I still feel nauseous and also have two red painful blotches - one on my hand and one under my left breast. Could they be related and could it be related to taking prevacid or medrol pack?

doctor1 MD

I am having pain in lower left quadrant, was constpated, took laxative with good results, no temp, numbness in left leg, doc dx me with sciatic-put on medrol dose pack, copleted 2wks ago. Now passiing long stringy matter with some mucus in stool, on daily fiber therapy. my doctor will not return my call, ER offers no help. Pain is not relieved by anything I try. Age 50, 190lbs, have asthma, depression, ^bp, glaucoma, pvc's.disc protrusion, c5-6 thoracic area and lumbar, hx of gasto duodenal ulcers. meds xanax 1mg tid prn anxiety, prozac 80mg qd, lorcet 10mg tid prn pain, duragesic patch q 48hrs, bp med qd ,xalatin ophth. gtt ou qd. surgery-hystorectomy,appendectomy, cervical fusion

doctor1 MD

Hi Dr. Goyal, I am a 26 year old female. Quit smoking 8 days ago. For the last 8 days, I have been suffering with lung inflammation that has caused constant shortness of breath (it does not stop for even one second), as well as occasional chest tightness/pain. I finally saw a Pulmonologist this past friday who performed extensive lung tests on me which all came back as normal, minus a test which showed I am not exhaling as much as I should be. He said I am not exhaling as much because of the constriction in my lungs brought about by the inflammation. He says I do not have COPD or any other lung disease. He also listened to my lungs and heard a lot of what he calls wheezing and crackling . He prescribed me Symbicort 160/4.5 and said that should combat the inflammation. However, on sunday (2 days later) I had noticed absolutely NO improvement in my shortness of breath so he put me on Prednisone 40 mg (tapered down for 16 days) as well as Singulair. He also told me to continue taking the Symbicort (2 inhalations twice a day). I must add (in case this is important) that a week before the noticeable inflammation began, I was on Levaquin 500 mg and Medrol Dose Pack (2 packs one after the other). I just finished the Medrol a few days ago, and completed the Levaquin today. I have a few questions: A) If I was on the medrol, shouldnt it have stopped or alleviated any inflammation that started? My pulmonologist said that type of steroid isnt meant to treat lung inflammation, but why not? B) How long until I should expect seeing results from the medicine I am currently on? This S.O.B. is extremely debilitating and I would really like to see improvement. WILL I EVEN SEE GUARANTEED RESULTS?? C) If I do not see results from this treatment, what are the next steps to take? Hospitalization? Stronger medication? I would really like to know what I am in for (if this question even applies after reviewing my story). My Pulmonologist just seems so laid-back about everything and told me I should see results with the Prednisone in a week. I wanted a second opinion that is straight-forward because I am not sure I even have the full faith anymore that results will come soon! Please help and provide your expertise to the best of your ability. Thank you so much.

doctor1 MD

Oust this afternoon, I noticed the very anterior edge of my right thumbnail looking as if the nail is being "eaten" by something. I've had a persistent rash around my hands and feet (mostly on fingers and toes) that have been super-itchy, then...

doctor1 MD

Hi, on XXXXXXX 17 I got a decadron shot for sinus. Didn't help much then took a medrol dose pack. Didn't feel good while on these meds but finished it. Sinus better but now having strange body aches all over almost like flu but not. What is going...

doctor1 MD

I am having a reaction to Medrol pack 4 mg tabs. Red face and ears. Sweating during the first night. I have nearly completed the second row of pills. I was also told to take Zyrtec 24 hour over the counter for 7 days and also Zantac twice a day...