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What causes upper back and shoulder pain?

DOCTOR OF THE MONTH - Apr 2014
Apr 2014
User rating for this question
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Answered by

Radiologist
Practicing since : 2004
Answered : 6486 Questions
Question
Hello. I am having neck, shoulder/neck/back (upper right) sore and pain for years, and right arm to fingers numbness 24*7 starting few weeks ago, went to chiro advice might be soft tissue then i went to neurologist perform multiple test seeing no trouble and they referred me to MRI for cervical spine without contract ound result as
unremarkable appearance of cervical spine.
T2 heterogeneous hyper intense right thyroid nodule
so if this related to my upper shoulder/back pain and numbness?
also which doc i should go to see for those treatment what are the treatments will be


thank You
Posted Fri, 8 Aug 2014 in Back Pain
 
 
Answered by Dr. Indu Kumar 47 hours later
Brief Answer:
You should consult endocrinologist.

Detailed Answer:
Hello XXXX
Thanks for writing to HCM

I have gone through the reports in detail.
As MRI cervical spine report is fine,it excludes any nerve involvement in cervical region which generally causes such symptoms.

Symptoms must be due to some other reasons.You mentioned about multiple tests but didn't write details.

Your symptoms may be due to some other problems like vitamin B12 and calcium deficiency.Thyroid profile should also be estimated.
Besides this you need routine hemogram,random blood sugar,LFT,RFT,Lipid profile,serum calcium and vitamin D estimation.

Exact nature of thyroid nodule can be assessed by FNAC and clinical examination.If thyroid profile indicates hypothyroidism then,it should be corrected.
Lesion in thyroid may cause hypothyroidism.
You should consult endocrinologist.

You should also do back strengthening exercise.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
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