Dr. Sadaf Mustafa
MBBS., RESEARCH FELLOWSHIP., MD (INTERNAL MEDICINE) RESIDENCY COMPLETION., DIPLOMATE IN AMERICAN BOARD OF
General Medicine, Internal Medicine
Welcome to icliniq.com.
- It does seem like osteoarthritis, but I would suggest ruling out rheumatological diseases as well and check vitamin D and repeat it.
- For your shoulder I would like to know how much is your range of motion.
The Probable causes:
1. Osteoarthritis.Investigations to be done:
2. Overuse injury.
3. Rheumatological diseases (less likely).
1. Complete blood count (CBC).Differential diagnosis:
2. Antinuclear antibody (ANA).
3. X-ray of the shoulder with Y-view and x-ray of the cervical and lumbar region.
1. Most likely degenerative joint disease (DJD).Treatment plan:
2. Osteoarthritis of cervical and lumbar vertebrae and shoulder joint.
3. Less likely rotator cuff injury for shoulder and nerve impingement of the lumbar (lower back) area.
1. Ibuprofen 400-600 mg every 8 hours as needed for pain. Should take the tablet with food and do not take it empty stomach.Preventive measures:
2. Muscle relaxant like Cyclobenzaprine 10 mg every 12 hours on as needed basis. You should not drive while taking it.
3. Physiotherapy would be very helpful.
1. Minimize your exercise to three times a week and strengthening exercise encouraged.Regarding follow up:
2. Use braces (knee brace and back support).
Revert back with the reports to an orthopaedician and traumatologist online.--->https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist