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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Shoulder Pain That Worsens At Night

I have been to the er twice had x-rays and heart checked and havehad really bad shoulder pain it get worse at night was told they don t know what it is could be a pulled muscle well it s been almost a month and still hurts like hell what can I do to help
Sat, 2 Sep 2023
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General & Family Physician 's  Response
Hello,

The treatment will depend on the diagnosis made. Get clinically examined by an orthopedist, get X-ray, CT, MRI done. The pain can be due to tendonitis, arthritis or bursitis. Get required blood tests done to anti CPP, CRP, ana, ESR, etc., done. Get connected with a Physical therapist, get massage therapy done for relieve. Warm and cold compress is helpful.

Medical conditions like rotator cuff disorders, rotator cuff tendinitis, upper arm fracture, etc. can cause similar symptoms. Keep the affected shoulder at rest and avoid overhead activities. Since pain increases at night, take NSAIDs, after food. Sleep supine of take a pillow when you sleep on your side so that you do not hurt.

Treatment of rotator cuff disorder will depend on partial or complete tear. You will be given sling, rest, NSAIDs, physiotherapy and steroids if required. Depending on the pathology detected you will be recommended treatment by surgery.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Nupur K., General & Family Physician
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Suggest Treatment For Severe Shoulder Pain That Worsens At Night

Hello, The treatment will depend on the diagnosis made. Get clinically examined by an orthopedist, get X-ray, CT, MRI done. The pain can be due to tendonitis, arthritis or bursitis. Get required blood tests done to anti CPP, CRP, ana, ESR, etc., done. Get connected with a Physical therapist, get massage therapy done for relieve. Warm and cold compress is helpful. Medical conditions like rotator cuff disorders, rotator cuff tendinitis, upper arm fracture, etc. can cause similar symptoms. Keep the affected shoulder at rest and avoid overhead activities. Since pain increases at night, take NSAIDs, after food. Sleep supine of take a pillow when you sleep on your side so that you do not hurt. Treatment of rotator cuff disorder will depend on partial or complete tear. You will be given sling, rest, NSAIDs, physiotherapy and steroids if required. Depending on the pathology detected you will be recommended treatment by surgery. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K., General & Family Physician