Hello,
For the last line in history. Yes, this is normal sometimes to have lump kind. But resolved with hot water fermentation and gentle
massage.
Coming to the actual cause, your shoulder, why do they hurt. I feel you should take an
MRI of the
cervical spine as I understand from the history that you have Trapezitis. And this occurs due to multiple factors but still, an MRI is suggested to find is any cervical disc is leading troubling. Trapezitis is some time a protective inflammation of the muscles to safeguard the
spinal cord in the cervical region. What I would advice is to follow the therapeutic plan which should help you.
1. Hot water fermentation
2. Neck collar for a week (only when not exercising)
3. Static neck exercises
4. Strengthening the triceps and deltoid (free exercise without any weight)
5 Stretching of
biceps and pectoralis muscles
6. Neck rotational exercise slowly.
In my clinical practice of 12 years most cases have similar complains of pain but fortunately very few had
nerve blocks or
steroids to reduce pain. But therapeutic plan was always same - examination, assessment and diagnosis. Individual-based plan of exercise.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Jay Indravadan Patel, Physical Therapist or Physiotherapist