Hello Doctor,
As a patient with diabetes and hypertension, I'm experiencing severe shoulder and back pain. I've already undergone MRI, sonography, and X-rays. What could be the specific issue causing this pain, and what further steps should I take?
Hello,
Thank you for reaching out to Dr. Galen. Please find the below response to your query.
Diagnosing Shoulder Pain Challenges:
1. Identifying the source of shoulder pain can be difficult.
2. It could stem from a disc bulge in the neck or inflammation in the shoulder.
Mechanical vs. Constant Pain:
1. Mechanical pain occurs only with shoulder movement, especially above the head.
2. Constant pain persists even at rest, suggesting a possible disc prolapse.
Physical Examination Importance:
A thorough physical examination is crucial for an accurate diagnosis.
Recommended Actions:
1. Limit shoulder movement, heavy lifting, and neck-leaning.
2. Consider a two-week course of anti-inflammatory medication.
3. Engage in physiotherapy sessions for relief and recovery.
Thanks
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