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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Radiating Pain In The Shoulder?

I am a 62 year old female, discharged Thursday afternoon after four days in the hospital. Now a day and a half later I am having a pain in my left shoulder that is radiating down my shoulder to my elbow. I am also having slight upper chest tightness but no pain. Blood pressure is 138/82, but I am due to take my am meds of Atenolol and Losartan. I was given 7.5 Coumidin and 120 of Heprin at discharge. Should I be worried about the Pain ? YYYY@YYYY
posted on Sat, 15 Mar 2014
Twitter Thu, 18 Sep 2014 Answered on
Twitter Fri, 19 Sep 2014 Last reviewed on
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Internal Medicine Specialist,  's  Response
HI
Thanks for posting your query to Healthcaremagic .

Two probable causes for your symptoms are :

1. Cervical Radiculapathy : It's a condition where you nerve which supplies the back of head , neck shoulder hand , chest and back gets compressed between the neck bones and causes pain in its area of distribution ( that is in the area mentioned above )

2. Acute Coronary SYndrome : Is a condition where blood supply to the heart is reduced causing some oxygen deprivation to heart and the heart starts getting damaged .

If you were my patient I would have first tested you for Acute Coronary SYndrome by doing EKG , Troponin I test and 2D Echo. And if it comes out normal then test for Cervical Radiculapathy with an X ray cervical spine or an MRI Cervical spine .

I advise you consult your doctor again for the evaluation .

Hope this answers your query .
Any clarifications or Queries feel free to ask.
Happy to help you.
Regards.
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What Causes A Radiating Pain In The Shoulder?

HI Thanks for posting your query to Healthcaremagic . Two probable causes for your symptoms are : 1. Cervical Radiculapathy : It s a condition where you nerve which supplies the back of head , neck shoulder hand , chest and back gets compressed between the neck bones and causes pain in its area of distribution ( that is in the area mentioned above ) 2. Acute Coronary SYndrome : Is a condition where blood supply to the heart is reduced causing some oxygen deprivation to heart and the heart starts getting damaged . If you were my patient I would have first tested you for Acute Coronary SYndrome by doing EKG , Troponin I test and 2D Echo. And if it comes out normal then test for Cervical Radiculapathy with an X ray cervical spine or an MRI Cervical spine . I advise you consult your doctor again for the evaluation . Hope this answers your query . Any clarifications or Queries feel free to ask. Happy to help you. Regards.