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Suggest treatment for severe pain near spine and shoulder blades

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Posted on Wed, 20 May 2015
Question: Severe pain near the spine and scapular. It feels like a lump moving between the area mentioned and has not reduced despite taking, paracetamol , amitryerline and naproxen . I have been diagnosed with focal myofascial pain but this feels different .
doctor
Answered by Dr. Naveen Kumar Sharma (44 minutes later)
Brief Answer:
It can be muscle pull

Detailed Answer:
Hello,
I have studied your case. It can be either a nerve compression pain due to cervical spondylitis or it can be a muscle pull. Fibromyalgia can also cause this problem. But before I advised you anything I would like to know little detail about your illness.
1.Since when you are having this problem?
2.Are you a smoker or Diabetic?
3.Is this pain present all the time or only with movement?
Please send me answers of these questions. I will try my best to help you.
thanks
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Follow up: Dr. Naveen Kumar Sharma (1 hour later)
I have been diagnosed with fibromylagia and neuralgia over the past twenty years. My present diagnosis of focal myofascial involving the rhomboid was given last year but the pain I'm experiencing at the moment for the last 7 days feels like a lump and seems worse when I'm lying down . I also have fit D deficency and hyperthyroidism but no other health issues.
doctor
Answered by Dr. Naveen Kumar Sharma (2 hours later)
Brief Answer:
It can be a lipoma

Detailed Answer:
Hello,
I have studied your case. Most probably you are having a trigger point in back which is causing you trouble. trigger point is a tender inflamed area which causes severe pain.
As you are saying that you feel like a lump there I would suggest you to show it to your physcian. If on examination he confirms that there is swelling than it is most probably a lipoma. Lipoma are non harmful tumour of fat cells and usually does not need any treatment.
If this lipoma is causing pain than you can get it removed through surgery. It will be a small procedure.
If there is no lipoma than you can get steroid injection in the trigger point. It will take care of your pain.
I hope this answer will be useful for you. Let me know if there is any other followup questions.
thanks
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Naveen Kumar Sharma (12 minutes later)
Yes- you are right it's got to be trigger point pain . I've been on the waiting list for TRP injections for 6 months so I will make an apt with my GP to chase up this treatment. Thank you
doctor
Answered by Dr. Naveen Kumar Sharma (6 minutes later)
Brief Answer:
wish you a fast recovery

Detailed Answer:
Hello,
I hope you get this injection ASAP. Thanks for using this site.
thanks again.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Naveen Kumar Sharma

Orthopaedic Surgeon, Joint Replacement

Practicing since :2002

Answered : 4486 Questions

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Suggest treatment for severe pain near spine and shoulder blades

Brief Answer: It can be muscle pull Detailed Answer: Hello, I have studied your case. It can be either a nerve compression pain due to cervical spondylitis or it can be a muscle pull. Fibromyalgia can also cause this problem. But before I advised you anything I would like to know little detail about your illness. 1.Since when you are having this problem? 2.Are you a smoker or Diabetic? 3.Is this pain present all the time or only with movement? Please send me answers of these questions. I will try my best to help you. thanks