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ThaiPauly

severe pain in both shoulders

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Where were the cortisone injections given? (Into the shoulder? Cervical Spine?) and for what diagnosis? A doctor does not inject cortisone without some type of diagnosis (or should not...).

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4 hours ago, Oztruckie said:

Had the same problem few years ago in my right shoulder,was diagnosed as frozen shoulder,physio guys strapped it up with tape which eliminated the pain,also Voltarin tablets were very good,physio told me usually goes away after 12 months,can have surgery,doesn't always cure the problem.

Voltarin is Diclofenac.  See my previous post regarding kidneys and this class of drug.  Same advice.  If you're planning on taking this for an extended period of time, get your kidney function (eGFR) tested regularly if you're older. 

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1 hour ago, Sheryl said:

Where were the cortisone injections given? (Into the shoulder? Cervical Spine?) and for what diagnosis? A doctor does not inject cortisone without some type of diagnosis (or should not...).

In the shoulder Sheryl. if he did give me a diagnosis he probably said it was atheritis and should clear up on it's own.

Same doctor I ditched over my ankle problems

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2 hours ago, ThaiPauly said:

My mattress is hard the way I like it and my pillow is very soft as I also get neck pain

If you also have neck pain it may well point to disc compaction, traction could be beneficial.

It wouldn't hurt to stop the statins for a month to eliminate that possibility, just watch your diet ...

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36 minutes ago, ThaiPauly said:

In the shoulder Sheryl. if he did give me a diagnosis he probably said it was atheritis and should clear up on it's own.

Same doctor I ditched over my ankle problems

cortisone injections were given in shoulder to my sister for frozen shoulders,

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10 hours ago, osandpo said:

You may already have done it but get a firmer bed and use a pillow that supports your neck well (not just your head) - then read up on better sleeping positions. I had intense neck and shoulder pain before I changed to sleeping on my back more. 

 

BTW, no need to buy a special pillow. Just lie on your back and then pull your pillow down further behind your head  so it's bunched up a bit under your neck. The extra support really helps

If you wake up in the morning in pain - it may be the bed.

If the pain is at night - I don't think it's bed related.

How about seeing a chiropractor?

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On 9/18/2017 at 9:55 PM, ThaiPauly said:

I have been experiencing pain in both shoulders for 3 years now.

I have had physio but that did not work, so as the pain was not severe I have ignored it.

 

But now since I busted my foot up the pain on both sides becomes nearly unbearable until I rub tiger baslm on it and whack two tramadol tablets down me.

I must add that the pain only comes on at NIGHT (7-8), which in itself is strange.

 

I have read that statins can cause problems like this so it could be the choice of taking them off my medication list or putting up with the problem.

 

It's nothing I have done to myself, if it was in one shoulder I could buy into that ,but it's both!!

 

Has anyone had any experience of this and if so what do you do about it?

I can relate. Night pain (waking you up) is common and can be ABSOLUTELY unbearable with shoulder injuries. Ice is your best friend, but won't help you sleep. Mine was a small tear in the rotator cuff, which didn't require surgery. Took 3 months to heal with limited use, light PT, which can be done at home, and one very helpful cortisone shot. Both shoulders is a bigger mystery and should be checked. In the meantime, Don't totally stop using them as "frozen shoulder syndrome" becomes a worrisome possibility. Get them checked...unfortunately a simple x-ray won't show rotator cuff tears and will require expensive MRI. 

Edited by Skeptic7

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1 minute ago, Skeptic7 said:

I can relate. Night pain (waking you up) is common and can be ABSOLUTELY unbearable with shoulder injuries. Ice is your best friend, but won't help you sleep. Mine was a small tear in the rotator cuff, which didn't require surgery. Took 3 months to heal with limited use and light PT, which can be done at home. Both shoulders is a mystery and should be checked. In the meantime, Don't totally stop using them as "frozen shoulder syndrome" becomes a worrisome possibility. Get them checked...unfortunately a simple x-ray won't show rotator cuff tears and will require expensive MRI. 

I don't mind paying for an MRI if I have to, but as it goes I never had any pain last night after I went to bed. There was pain starting about 4 so I took painkillers then and the SOB never came back. I still need to get to the bottom of it, we shall see how today goes. Guess my situation is not as bad as yours was I am glad to hear you recovered.

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16 hours ago, ThaiPauly said:

In the shoulder Sheryl. if he did give me a diagnosis he probably said it was atheritis and should clear up on it's own.

Same doctor I ditched over my ankle problems

If he injected you with cortisone without even an MRI and no clear diagnosis then indeed, should ditch him for the shoulder as well.

 

Any treatment not based on an actual diagnosis is at best a waste of time and at worst, may worsen whatever the underlying problem is.

 

Even for physiotherapy, need a diagnosis of the underlying cause to be sure the exercises are the right ones

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On 19 September 2017 at 9:23 AM, MarkusAUST said:

You should visit a specialised remedial therapist. The only one I know of is Nigel Kelsey in Pattaya, who is absolutely brilliant. My dad had the same thing and he spent a fortune trying everything. One visit to Nigel fixed it 80% and the second solved it completely. From someone who couldn't move his shoulders without pain, he is now playing badminton again. I will message you his details.

Hi Markus, would you please message me his details also. I'm no where near Pattaya, but if he's that good I'll travel.

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On 19 September 2017 at 2:22 PM, ThaiWai said:

Since it is both shoulders it is possibly a compressed nerve between c6 and c7.  Pain or tingling can manifest in the shoulders and can go down the arms all the way to the fingers.  See my scan below.  For temporary pain relief skip the tramadols for a few days instead load on Tylenol.  By load I mean take 2 caplets every 6 hours while symptoms last. Do not take more than 6 caplets in 24 hours, unless directed by a doctor.  The level of medication needed to reduce swelling must be brought up and kept at that level to be effective.  The Tylenol should reduce swelling rather than mask the pain like the tramadol.  If it is a herniated disk don't rush to surgery.  I saw a top surgeon in NY who advised me to give the disk time to heal as the vast majority will on their own.  Mine in fact did.  See a specialist.

 

 

Screen Shot 2017-09-19 at 2.06.39 PM.png

Wish I'd posted the question on here before I spent a considerable sum on our local physio practitioner. That's exactly the problem I have right now. 

I'll try your medication solution as after 7 visits to physo I'm still suffering,  albeit to a lesser degree. Thanks.

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On 9/19/2017 at 3:33 PM, klauskunkel said:

Just have to ask: what kind of work do you do?

Ah ah ah!  Well site Geologist, I sleep on location but in a very comfortable setting traveling by helicopter...  Often we are given a foam mattress, not a Leesa mattress.

Edited by yimlitnoy

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On 9/19/2017 at 3:33 PM, Sheryl said:

If you have had "a couple of injections" for it, there must be some sort of diagnosis? Ditto if you were referred to physio?.

 

Were these steroid injections?  What is the underlying diagnosis? Have you had an MRI of the cervical spine?

 

This sort of thing can have a number of causes, including spinal problems. You need to start by getting the cause ascertained.

 

Statins can indeed cause muscle aches but usually these are generalized. The fact that only the shoulders are affected -- but both of them -- makes me suspect a possible spinal cause.

 

In Chiang Mai, Dr. Torphong Bunmaprasert is an excellent, US-trained  spinal specialist. Can be seen at Sripat. I've heard he is also   at CM Ram on Saturdays  though I do not find him listed on their website.

 

 

To hide the pain with Diclophenac is not the solution.  In another topic, Sheryl you were right, cataract surgery under local anesthetic does not hurt at all., the surgery took 5 min.  Thank you for your advice.

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spend the money , get a 2nd or 3rd opinion,  seems wise ,  not enough information to guess much more than that ,  eg  whats the rest of your medication list ?

 

Guidelines for discovering serious spinal health problems list a number of "red flags," among them nocturnal back pain.

Nocturnal back pain can be a symptom of spinal tumors. It could be a primary tumor, one that originates in the spine, or it could be a metastatic tumor, one that results from cancer that started elsewhere in the body and then spread to the spine.

Nocturnal back pain is also a symptom of spinal bone infection (osteomyelitis) and ankylosing spondylitis (AS), a condition that can cause the spine to fuse in a fixed, immobile position.

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