Q. I have severe pain in my shoulder and neck. Please suggest a treatment.

Answered by
Dr. Durgesh Srivastava
and medically reviewed by iCliniq medical review team.
Published on Mar 08, 2018

Hello doctor,

I am a 40 year old female. I have been having pain in the shoulder and many times, this pain extends from the neck to the whole left hand. It pains a lot. I am suffering from this pain for more than six months. It pains so much like I have no control over my body and I get tears in my eyes. Please help me get this pain out of me.

#

Hello,

Welcome to icliniq.com.

  • The probable causes are cervical spondylosis or peri-arthritis of the shoulder.
  • First, I need to ask few things:
  1. Do you have any co-morbidity like diabetes or hypothyroid?
  2. Do you have pain in any other joints?
  3. Do you have pain just when you get up in the morning?
  4. Does the pain vary with neck movement?
  • You need to get few tests, to establish your diagnosis.
  1. X-ray of the cervical spine in anteroposterior and lateral view.
  2. X-ray of both the shoulders in the anteroposterior view.
  3. Serum calcium.
  4. ALP.
  5. Erythrocyte Sedimentation Rate (Westergren).
  6. Random blood sugar.
  7. Creatinine.
  • I suggest the following medicines:
  1. Tablet Ultracet (Tramadol) twice a day.
  2. Tablet Calten D (Calcium carbonate and Vitamin D3) twice a day.
  3. Calcirol (Cholecalciferol) sachet once a week for ten weeks.
  4. Tablet Preega M (Pregabalin and Methylcobalamin) 75 once a day in the evening. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent.
  5. You may also require a cervical collar after investigations.
  • You can follow these preventive measures:
  1. Keep the neck straight at all times.
  2. Do not use a thick pillow.
  3. Do isometric neck exercises.

For more information consult a rheumatologist online --> https://icliniq.com./ask-a-doctor-online/rheumatologist


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