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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Facet Arthritis In Lumbar Spine, Severe Pain Between Shoulder Blades, Cracks On Moving In Wrong Way. Arthritis In Thoracic Spine?

I am a 37 year old female with facet athritis in my lumbar spine and also OA in my L5-S1. Of late I have noticed a large amount of pain between my shoulder blades and it really hurts, Sometimes when I move the wrong way, it cracks several time and is quite painful too. Would this be that I am getting Arthritis in my thoracic spine too!!!!
Mon, 28 Jul 2014
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Orthopaedic Surgeon,  's  Response
Hello,

I have studied your case
As per your history there is possibility of shoulder arthritis.
Since ESR is raised suggest long term ongoing disease process.
Another possibility of early shoulder pericapsulitis can be considered.

You need clinical examination from orthopaedic surgeon to know the origin of pain and investigation accordingly.
Investigation like MRI cervical spine/shoulder, EMG-NCV [Nerve conduction study], CPK and x ray shoulder with humerus may help.
I will advise to check your vit B12 and vit D3 level.

You can consult physiotherapist for help.
Physiotherapy like ultrasound and interferential therapy will give quick relief
Strengthening gradual exercises will help in reducing pain.

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
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Facet Arthritis In Lumbar Spine, Severe Pain Between Shoulder Blades, Cracks On Moving In Wrong Way. Arthritis In Thoracic Spine?

Hello, I have studied your case As per your history there is possibility of shoulder arthritis. Since ESR is raised suggest long term ongoing disease process. Another possibility of early shoulder pericapsulitis can be considered. You need clinical examination from orthopaedic surgeon to know the origin of pain and investigation accordingly. Investigation like MRI cervical spine/shoulder, EMG-NCV [Nerve conduction study], CPK and x ray shoulder with humerus may help. I will advise to check your vit B12 and vit D3 level. You can consult physiotherapist for help. Physiotherapy like ultrasound and interferential therapy will give quick relief Strengthening gradual exercises will help in reducing pain. 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