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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Are My Shoulders Hurting And How Long Will It Take To Recover?

I had 4 cortisone injections about 6 weeks ago, 1 in my left shoulder between my spine and shoulder blade 2 in my right shoulder same place as the left and 1 around my cervical spine. They hurt pretty bad and the doctor didn t numb me because he said he wanted to know when it hurt cause he would know he was in the right place. Well about 1 week later I had a knott come up on the side of my neck, the size of a marble kinda like a lymphoid well it is still there it really doesn t hurt unless I push on it but doesn t hurt bad. It that normal and if so how long will it be there?
Tue, 5 Mar 2019
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Physical Therapist or Physiotherapist 's  Response
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
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Why Are My Shoulders Hurting And How Long Will It Take To Recover?

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