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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Pain In The Shoulder Blade

My shoulder blade has been hurting since Sunday for no reason. It s been hurting still and sometimes it feels like it s burning on my shoulder and shoulder blade sometimes pain goes through my arm. And the day before yesterday it had yellow bruising for a day. Do you have any idea what this could be from? I didn t do anything Sunday I stayed in bed all day watching TV and that s when it started hurting
Tue, 10 Jan 2017
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General & Family Physician,  's  Response
Hi,

Burning pain can sometimes be nerve related. Nerve related pain is called neuralgia. It can be due to abnormal function of the nerves, this is called neuropathy. Abnormal nerve function (neuropathy) can cause neuralgia (nerve related pain).It can be temporary or permanent.

The causes include:

(1) vitamin b12 or folate deficiency
(2) thyroid disease
(3) trauma- this does not have to be direct trauma but may be due to arthritis for example in a joint affecting a nerve in the area

(4) side effect of medication
(5) abnormal levels of vitamin b6 (either high or low levels can cause this problem)
(6) diabetes
(7) liver or kidney disease
(8) exposure to toxins

For the time being, you can try over the counter pain killers such as Naproxen, Ibuprofen, Voltaren. If there is no improvement then you may need additional medication such as medication directed towards the nerves, that is Lyrica, Amitriptyline, Nortriptyline, Tegretol, Gabapentin.

I hope this helps. Let me know if I can assist you further.

Regards,
Dr. Michelle Gibson James
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Suggest Treatment For Severe Pain In The Shoulder Blade

Hi, Burning pain can sometimes be nerve related. Nerve related pain is called neuralgia. It can be due to abnormal function of the nerves, this is called neuropathy. Abnormal nerve function (neuropathy) can cause neuralgia (nerve related pain).It can be temporary or permanent. The causes include: (1) vitamin b12 or folate deficiency (2) thyroid disease (3) trauma- this does not have to be direct trauma but may be due to arthritis for example in a joint affecting a nerve in the area (4) side effect of medication (5) abnormal levels of vitamin b6 (either high or low levels can cause this problem) (6) diabetes (7) liver or kidney disease (8) exposure to toxins For the time being, you can try over the counter pain killers such as Naproxen, Ibuprofen, Voltaren. If there is no improvement then you may need additional medication such as medication directed towards the nerves, that is Lyrica, Amitriptyline, Nortriptyline, Tegretol, Gabapentin. I hope this helps. Let me know if I can assist you further. Regards, Dr. Michelle Gibson James