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Suggest Treatment For Pain In The Shoulders
My 22 year old daughter has been experiencing pain in her shoulder area since early February. She has poor range of motion. She goes from being able to raise her arm from 90 degrees to a bit higher than that. When she uses her arm a lot she gets tingly in her arm, hands and sometimes legs. She has seen 9 doctors and has not been able to get a diagnosis. MRI s of shoulder and neck were negative. Her EMG was also negative. What could this be?
Mon, 19 Dec 2022
Hello,
Shoulder pain can be due to adhesive capsulitis or frozen shoulder syndrome, calcifying tendinitis, glenohumoral isteoarthritis, glenohumoral synovitis, polymyalgia rheumatica, polymyositis, subacromial bursitis or rotator cuff tendinopathy. Frozen shoulder syndrome is mostly clinical diagnosis and imaging is not very useful in its diagnosis.
Please discuss the above mentioned causes with your orthopedic doctor. Treatment for frozen shoulder syndrome is as follows:
1) The goals of treatment for frozen shoulder syndrome (FSS) are to relieve pain and restore movement and shoulder function.
2) Physiotherapy and home exercise are first-line treatments for all stages of FSS.
3) These are often combined with anti-inflammatory medications and glenohumeral joint corticosteroid injection.
4) Most patients with adhesive capsulitis are treated nonoperatively; more than 90% respond to conservative interventions to control pain and restore motion.
5) Invasive options for refractory cases include extracorporeal shockwave therapy, manipulation under anesthesia, hydro dilatation (hydrodistension), and selective arthroscopic capsular release.
Please discuss the above options with your orthopedic surgeon.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Pallavi M., Anesthesiologist
Shoulder pain can be due to adhesive capsulitis or frozen shoulder syndrome, calcifying tendinitis, glenohumoral isteoarthritis, glenohumoral synovitis, polymyalgia rheumatica, polymyositis, subacromial bursitis or rotator cuff tendinopathy. Frozen shoulder syndrome is mostly clinical diagnosis and imaging is not very useful in its diagnosis.
Please discuss the above mentioned causes with your orthopedic doctor. Treatment for frozen shoulder syndrome is as follows:
1) The goals of treatment for frozen shoulder syndrome (FSS) are to relieve pain and restore movement and shoulder function.
2) Physiotherapy and home exercise are first-line treatments for all stages of FSS.
3) These are often combined with anti-inflammatory medications and glenohumeral joint corticosteroid injection.
4) Most patients with adhesive capsulitis are treated nonoperatively; more than 90% respond to conservative interventions to control pain and restore motion.
5) Invasive options for refractory cases include extracorporeal shockwave therapy, manipulation under anesthesia, hydro dilatation (hydrodistension), and selective arthroscopic capsular release.
Please discuss the above options with your orthopedic surgeon.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Pallavi M., Anesthesiologist
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