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What causes persistent pain in right upper quadrant area?

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Posted on Wed, 20 May 2015
Question: nullI have been suffering from chostocondritis since 2009. X- rays never show anything. My right upper quadrant has been in chronic constant pain. The pain is a burning stabbing sensation in my neck, shoulder, sternum and shoulder blade everything is in the right side. I have been given cortisone shots in my shoulder chest and back with no relief. I have been on anti inflammatory meds as well as seen a chiropractor. My chest and shoulder blade area as well as my neck pop on a daily basis multiple times a day. I recently switched Doctors. My new doctor ordered a CT w/ and w/o contrast.
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Answered by Dr. Vaibhav Gandhi (5 hours later)
Brief Answer:
Your CT suggests inflammation of XXXXXXX brio sternal joint

Detailed Answer:
Hello,

I have studied your case and seen your CT scan report.

Your CT suggests inflammation of XXXXXXX brio sternal joint leading to inflammation and pain. There is no other significant finding.

You may need CT guided or C-ARM guided local injection shot in inflamed joints

You may need investigation like MRI spine, EMG-NCV [nerve conduction study], and PET scan.
I will advise to consult orthopaedic surgeon for further treatment.

For these symptoms analgesic and neurotropic medication like pregabalin can be started consulting your doctor.
Till time, avoid lifting weights, you can consult physiotherapist for help.
Physiotherapy like ultrasound and interferential therapy will give quick relief.

Local blocks or laser treatment may help you.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care
Regards
Dr Vaibhav


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Vaibhav Gandhi (5 minutes later)
Thank you for the reply. What does the cortical scalloping and erosive changes mean?
Thank you,
doctor
Answered by Dr. Vaibhav Gandhi (30 hours later)
Brief Answer:
cortical scalloping indicate absorption of peripheral bone

Detailed Answer:
Hello
I have read your query.
cortical scalloping indicates absorption of peripheral part of bone.
Erosion means density of bone is reduced.
I hope I have answered your questions. If you have further questions please feel free to contact us. I will be happy to answer. Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Vaibhav Gandhi

Orthopaedic Surgeon

Practicing since :1998

Answered : 5164 Questions

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What causes persistent pain in right upper quadrant area?

Brief Answer: Your CT suggests inflammation of XXXXXXX brio sternal joint Detailed Answer: Hello, I have studied your case and seen your CT scan report. Your CT suggests inflammation of XXXXXXX brio sternal joint leading to inflammation and pain. There is no other significant finding. You may need CT guided or C-ARM guided local injection shot in inflamed joints You may need investigation like MRI spine, EMG-NCV [nerve conduction study], and PET scan. I will advise to consult orthopaedic surgeon for further treatment. For these symptoms analgesic and neurotropic medication like pregabalin can be started consulting your doctor. Till time, avoid lifting weights, you can consult physiotherapist for help. Physiotherapy like ultrasound and interferential therapy will give quick relief. Local blocks or laser treatment may help you. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care Regards Dr Vaibhav