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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain In Left Shoulder, Small Lumps, Thyroid. Taking Thyronorm, Amitriptyline Hydrochloride. Cure?

hi.. i am 56yrs old and i have severe pain in my left shoulder ....it seems small lumps have formed inside...from which severe pain comes....after several tests the doctor has said that i have thyroid..... I am now consuming THyronorm 50 mcg , Eperisone Hudrochloride 50 mg , Amitriptyline hydrochloride (eliwel 10) , Rabeprazole IP ,& Hyoscine butylbromide.....Inspite of having all these medicines... there is no relief and i am having sleepless nights..... please help..
posted on Tue, 13 Nov 2012
Twitter Wed, 14 Nov 2012 Answered on
Twitter Wed, 14 Nov 2012 Last reviewed on
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General & Family Physician,  's  Response
Dear Concerned.,

Thanks for writing to us.



The symptoms you are referring to in all probabality points towards a condition called Frozen Shoulder. This usually follows unusually giving rest to your joint due to trauma/arthritis/ associated co- morbid conditions such as Diabetes etc . The result of a sterile inflammation in the joint called Adhesive Capsulitis develops gradually in the less used joint .Usually it affects more in women (Post Menopausal)than men.This causes Pain/ stiffness/ reduction in the range of motion due to scar tissue formation .


The above condition may be also associated with Chronic Co Morbid Conditions such as Hypothyroidism/NIDDM(Diabetes)/Old trauma such as Rotator Cuff Injury.



The above condition is gradual in onset/course and takes long time for remission.

The orthopedic Surgeon usually confirms it through X-ray/Arthrogram/Arthroscopy and treats the same with NSAIDs and Arthroscopic Surgery.

Gentle Excercises with extended motions in a Physiotherapy Centre usually relieves the symptoms.



My advice is for you to treat the shoulder condition separately from your Hypothyroidism/Depression/Hyperacidity(as described in your treatment history) and Consult an ortho surgeon who can treat the above by an Arthroscopic procedure.



Wishing you a speedy recovery.,

Best Regards,

Dr Lt Cdr ASN Bhushan.





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Pain In Left Shoulder, Small Lumps, Thyroid. Taking Thyronorm, Amitriptyline Hydrochloride. Cure?

Dear Concerned., Thanks for writing to us. The symptoms you are referring to in all probabality points towards a condition called Frozen Shoulder. This usually follows unusually giving rest to your joint due to trauma/arthritis/ associated co- morbid conditions such as Diabetes etc . The result of a sterile inflammation in the joint called Adhesive Capsulitis develops gradually in the less used joint .Usually it affects more in women (Post Menopausal)than men.This causes Pain/ stiffness/ reduction in the range of motion due to scar tissue formation . The above condition may be also associated with Chronic Co Morbid Conditions such as Hypothyroidism/NIDDM(Diabetes)/Old trauma such as Rotator Cuff Injury. The above condition is gradual in onset/course and takes long time for remission. The orthopedic Surgeon usually confirms it through X-ray/Arthrogram/Arthroscopy and treats the same with NSAIDs and Arthroscopic Surgery. Gentle Excercises with extended motions in a Physiotherapy Centre usually relieves the symptoms. My advice is for you to treat the shoulder condition separately from your Hypothyroidism/Depression/Hyperacidity(as described in your treatment history) and Consult an ortho surgeon who can treat the above by an Arthroscopic procedure. Wishing you a speedy recovery., Best Regards, Dr Lt Cdr ASN Bhushan.