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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for severe neck and shoulder pain

my husband has severe pain in his neck and shoulder. he has degenerative dis disease. he had an injry due to a fall in 1994. has a titanium plate in neck. has started having severe pain and some numbess in his neck and shoulder. what can we do to help ease the pain. he takes Celebrex and loratab but is not helping right now
Wed, 2 Mar 2016
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General & Family Physician 's  Response
Thank you for your query

Sudden onset of pain associated with numbness points to nerve injury.
With a history of fall and a surgery, the risk of developing disc /bone disease with spinal nerve compression is more.
Given that his usual medications are not helping, I suspect a new pathology.
I recommend you see his spine surgeon who could do some tests and imaging studies (CT scan) to look for these problems.

The severity and extent of the problem will determine the treatment and prognosis.

In the meantime, try to avoid any action/movement/posture that triggers these symptoms. Notice if it gets worse when he lays down on a particular side or sits for long periods or uses his arms and hands a lot (like at a computer or driving)
Mention your observations to his doctor.

If he has sudden muscle weakness, numbness that lasts longer, severe pain, please go the ER right away.
Hope I've helped. Feel free to get back to us if you need further clarification.
With you both good health
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