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Dr. Andrew Rynne

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How Pain In The Shoulder Due To An Injury Be Treated?

I broke my shoulder in Sept I have been to my ortho every 6 weeks and doing PT sporadically due to schedules. My dr has done many surgeries on me and my family for various broken bones etc I do not doubt his diagnosis but my shoulder hurts constantly and other joints now too
posted on Tue, 14 Mar 2017
Twitter Fri, 31 Mar 2017 Answered on
Twitter Mon, 3 Apr 2017 Last reviewed on
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Diabetologist,  's  Response
Hello,

Thank you for your query. I understand your concerns.

Multiple joint pains are called Polyarthropathy. It could be due to several reasons.
1)     Rheumatoid arthritis: There is inflammation of the joints. Mainly small joints of hands/legs are affected.
2)     Sero negative arthritis: This is a non-rheumatoid arthritis. Asymmetrical large joints are usually affected.
3)     Fibromyalgia: There are multiple tender points in the muscles all over the body. There is joint pain too.
4)     Vitamin D deficiency: Can cause joint pains in addition to muscle pain.
5)     Osteoarthritis may affect more than one joint too.

The shoulder pain could be due to the injury, and there could be one of the above reasons too.

May I advise you to see a Rheumatologist for your symptoms? He would asses you completely and also do some blood tests on you and also X-rays. Based on the condition that is causing the symptoms, he would give the appropriate treatment.

Regarding the shoulder pain, you could continue with the physiotherapy. A warm compress can help.

Mild anti-inflammatory medication like Naproxen 250-500 mg twice a day or Ibuprofen 200-400 mg 2-3 times/day is helpful (i hope you are not allergic to these medicines and do not have any contraindications like kidney problems or gastric problems). Take these medicines with food, it can cause gastritis symptoms if taken on an empty stomach.

If you dont want to take oral anti-inflammatory tablet, you could use Diclofenac gel 1% or Ibuprofen gel 5-10% 2-3 times/day.


I hope this answer has been helpful to you.
Regards
Dr Sunita Sayammagaru
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How Pain In The Shoulder Due To An Injury Be Treated?

Hello, Thank you for your query. I understand your concerns. Multiple joint pains are called Polyarthropathy. It could be due to several reasons. 1) Rheumatoid arthritis: There is inflammation of the joints. Mainly small joints of hands/legs are affected. 2) Sero negative arthritis: This is a non-rheumatoid arthritis. Asymmetrical large joints are usually affected. 3) Fibromyalgia: There are multiple tender points in the muscles all over the body. There is joint pain too. 4) Vitamin D deficiency: Can cause joint pains in addition to muscle pain. 5) Osteoarthritis may affect more than one joint too. The shoulder pain could be due to the injury, and there could be one of the above reasons too. May I advise you to see a Rheumatologist for your symptoms? He would asses you completely and also do some blood tests on you and also X-rays. Based on the condition that is causing the symptoms, he would give the appropriate treatment. Regarding the shoulder pain, you could continue with the physiotherapy. A warm compress can help. Mild anti-inflammatory medication like Naproxen 250-500 mg twice a day or Ibuprofen 200-400 mg 2-3 times/day is helpful (i hope you are not allergic to these medicines and do not have any contraindications like kidney problems or gastric problems). Take these medicines with food, it can cause gastritis symptoms if taken on an empty stomach. If you dont want to take oral anti-inflammatory tablet, you could use Diclofenac gel 1% or Ibuprofen gel 5-10% 2-3 times/day. I hope this answer has been helpful to you. Regards Dr Sunita Sayammagaru