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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Upper Arm Pain

About two months ago I was scrubbing my back in the shower with my right arm up and over my shoulder,when suddenly there was a click in the tendons on the upper inside of the arm.I was able to bring the arm down to its normal position. Unfortunately ,after that incident, I have been having stabbing pains in the upper arm when I lift my arm sideways and in front. The pain radiates up over the shoulder into the side of the neck, and feels as if I have a bra strap that is too tight. As an eight-one year-old woman with major osteo-arthritis and numerous hip replacements, i have used a walker for seven years. I have had a similar less painful condition before, but usually after rest, it has gone away. I have to use my right arm to compensate for a limp on my left leg. My right arm has to work hard to enable me to walk. I have had some physiotherapy to no avail and also have now had X-rays and imaging done on the shoulder and upper arm. I would like to know if this injury will heal itself or perhaps the tests will show some damage which can be rectified. Apparently the joints are OK from the X-rays but I haven t had the results from the imaging yet. Perhaps you can give me some advice. Thanks.Marjory Sterry
Thu, 27 Feb 2020
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General Surgeon 's  Response
Hello,

Though the X-ray is showing normal joints, I suspect ligament strain at he level of rotator cuff of the shoulder comprising of suprascapular, teres minor and other ligaments responsible for variety of range of movements of the shoulder. Though primary care consists of:
- Heating pad application
- Spray or ointment with Menthol, Linseed oil or diclofenac
- Anti inflammatory medications as tramadol hydrochloride, ibuprofen with antacid after meals

An MRI would be gold standard investigation to be worked out for the underlying cause and manage accordingly.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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Suggest Treatment For Upper Arm Pain

Hello, Though the X-ray is showing normal joints, I suspect ligament strain at he level of rotator cuff of the shoulder comprising of suprascapular, teres minor and other ligaments responsible for variety of range of movements of the shoulder. Though primary care consists of: - Heating pad application - Spray or ointment with Menthol, Linseed oil or diclofenac - Anti inflammatory medications as tramadol hydrochloride, ibuprofen with antacid after meals An MRI would be gold standard investigation to be worked out for the underlying cause and manage accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon