You have had a pretty comprehensive evaluation, including bone scans, MRIs and myelograms. With the MRI scans it would be unlikely that more tears on the rotator cuff would be missed.
When it comes to chronic pain, there are a couple of options. The first would be to obtain several opinions - i.e. from other orthopedic surgeon - to ensure that there is indeed no surgical options.
If that has been done, I would consider a referral to a pain management specialist. If anti-inflammatories don't help, I would consider other modalities (i.e. other classes of pain medications) that can help manage the discomfort.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
I have had shoulder tendonitis for years! It waxes and wanes, but there is never a minute when I am not in pain. Like you, anti-inflammatories don't help much and tear up my stomach. I don't take narcotics--I don't want to go down that road.
Icing the shoulder 4 times a day for 20-30 minutes seems the most helpful thing, and simply resting it as much as possible when it is bad. Heat feels good, but can make tendonitis worse.
No injury or tear shows up on tests, and they look at me like I am crazy, too--like it can't hurt THAT bad...
But it does.
I had a cortisone injection at c4 that provided no results in addition to cortisone injections in my shoulder blade bursa, shoulder, and elbow. I have had MRI work done of the shoulder and it showed no problems. Neck MRI showed some broad based disc protrusions at C4-5 producing minimal indentation of the thecal sac but no compression of the cord or encroachment upon the lateral recesses or the nerve roots. Does this mean the problem does not stem from here?
Has anyone had similiar pain and found relief with injections at C4-5, C5-6 or alternative methods?
Thanks for any advice.
I have asked many people what the problem is, but I have not seen a doctor. After listening to many, I believe I have tendonitis in my shoulder and neck.
A friend of mine from a former job had identical systems. We both did similar work (lifting and such) for 12 years. I believe the repetitive motion of the job, combined with the weight we had to lift, brought these symptoms on. What kind of work do you do?
The best method I have found for getting rid of the pain is ignore it. On days when it hurts bad, dont stretch it, dont twist, dont do anything abnormal related to the shoulder. It may feel good immediately, but a few minutes later and it will feel worse. Ignore it as much as possible. With any luck, the pain will decrease to a manageable point.
I recently started going to the gym to try and get myself in better shape. I have also been lifting with my shoulders and, while the pain isnt gone, I get less bad days.
my pain started as a burning sensation in my left back as though i had torn something, now its a constant pain up my spine which radiates around the left side, and getting comfortable in bed is almost impossible without a hot water bottle, which only numbs the pain for a short while.
i'm going to try glucosamine which i'm told is good for joints etc, and maybe some arnica, also good for sports injuries or bruising, at this stage anything is worth a try... i'll let you know how i get on..
i saw many specialists but nothing helped.
then i bought a laptop, moved to the couch and sat back and worked. maybe it was the fact that my hands were now positioned below my elbows, or that i couldn't cross my legs and had to sit properly, or maybe because i didn't lean forward, instead i leaned back a little and supported my head/neck with a roll-pillow behind my neck...anyway, within a month i had full range of motion, and within 6 months i completely recovered. three years later i now have what sounds like bursitis in my left shoulderblade, but i have also moved to a different couch and my posture has declined. i will definately be working on it as a solution because my previous recovery based on posture alone was remarkable. if you can't buy a laptop, try anything that would help you to have different and better posture while working at your computer.
I still get these stress balls every once in a while when I get too stressed out or drink too much coffee. Now that my Dad passed away, I don't have anyone strong enough to put enough heavy consistant pressure on the ball and chase the ball wherever it goes. The way I do it now is as follows:
1. Turn a short stool upside-down on the floor.
2. Sit on the floor and put my legs up on a couch.
3. Put my shoulder blade/knot/stress-ball on one of the stool legs.
4. Lift my butt up and put all of my weight (205 lbs) on the stool leg (need a strong stool/leg).
5. Chase the ball around and don't stop. Even if you think you absolutely can't handle the pain any longer. Wait a little longer. The longer you wait, the less likely you will have to go through this again anytime soon.
Note: Rubbing/pressing the stress ball on the corner of a wall can help but it usually only temporary because you can't put enough pressure on it.
Disclaimer: Consult a doctor before doing any of the items mentioned above.
Good luck and I hope this helps. I know the extreme pain that you are going through and I feel for all of you.
Bob
I also don't drink as much coffee as I used to and try to relax more and not let things bother me as much. Once I get extremely stressed out, the pain will come back and I will have to do my "stress ball smash". I don't like going through that either so it gives me more insentive to try and relax and enjoy life.
Good luck again.
Bob
It's very hard to move, sleep pain is bad. Just wish someone could help us out...........
Things that make me feel better.
1. Sleeping on a towel that is rolled up and placed under my neck.
2. Sleeping with my right arm over my head. (like I'm raising my hand)
3. Keeping your posture upright really helps! Especially when sitting at a computer.
My problem area is from from my right upper neck all the way down to my right shoulder blade. I have the burning feeling under the shoulder blade area too. I have had probably 12 sets of trigger point injections. Some work great for a month or so. The Drs cant figure out why the TP's keep coming back. They tell me I dont need an MRI and that it's my "postural muscles" and that I simple need to strengthen them. I did PT for 7 months strengthening my back/neck and once I went back to my normal hobbies, the pain was back again.
A cervical MRI showed a bulging disk in c5/c6 so I've had about 6 sets of Epidural Steriod Injections which helped some of the pain for awhile but it always returns.
I notice when I lay flat on the floor and raise my right arm from my side all the way up above my head, I get 3 big pop/clicking sounds. I can make it pop over and over and then the pain is worse. Its a constant pain. I also have pain in my right forearm from my elbow.
I recently had surgery for cubital tunnel syndrom (syndrome) and tendonitious in both my right and left elbows. That helped the issue of my hands/fingers going numb after typing so long.
By the way, what is everyones occupation?? I am a computer programmer so I'm on the PC for 8 hrs a day. My station is supposed to be ergonomic but my keyboard keeps my mouse from being in the right spot. I was off for 3 months after the CBS surgeries and my back was somewhat better but then one day all the TP's came back with a vengenance. Now that I'm back at work, the pain is worse and seems to be like an electical feeling that is turned up in all painful areas.
I am going to DEMAND MRI and anything else that may show what the crunching/popping is in my back/shoulder.
My PT said my right shoulder was 3 CM off for some reason too. I bought a smaller lighter purse on his advice and try not to carry anything with one arm/shoulder.
I agree that the dr's seem to not know what to do for me. It is so frustrating living with the pain or taking drugs to get thru the day!!
Anyone else have rib issues?
Angela--So sorry to hear of your problems:(. No, I don't have rib problems but do have shoulder/bicep/trapezius/neck.etc. Good luck.
I have had the pain for 5 months now, and is unberable, I cannot sleep well and I'm so tired all the time.
Now I'm having the same type of pain in my right shoulder and left leg, so now I have pain in both my shoulders and both my legs!!!!
From what I have been reading most people get bursitis in one area of the body, since I have it in 4 parts of my body I'm really concerned. Please anybody give an answer. The pain is terrible.
Thank you.
After the pain is gone, keep good posture especially at your computer at work, don't tilt your head down for a long length of time i.e. reading a book, try to not get very stressed out about things, and cut down on coffee if you drink it.
Disclaimer: Consult a doctor before doing any of the items mentioned above.
Bob
I don't want to go through the trouble and expense of surgery, if it probably won't help the neck pain.
Thanks for listening
This occured several (10) months ago. I had been lifting weights at the gym for about 5 weeks, was on a bodybuilders cutting diet 6 days a week, and had lost about 20lbs...I felt great.
I was doing seated cable rows and felt a pain in the right shoulder blade area, mostly when I would contract them during the lift. It was a stinging/slight shooting pain. I thought I just over did it and needed to give it a week of rest. When I awoke the next morning my right shoulder felt stiff and sore. I thought I just slept in a weird position. Pain continued almost every morning in the right shoulder area and I stopped going to the gym. I don't have health insurance so I didn't see a Doc.
Then my shoulder started "popping". Getting out of my car, off the sofa, most movements where Im pressing myself up. I could also rotate my arm and feel the pop. I finally went to the hospital clinic where the PA had me move my arm around for a few minutes(didn't feel pain)and asked if I had insurance because I probably need to see a phys. therapist, then gave me a $150 bill...Geez I wished I lived in Canada sometimes!
Since then I've noticed the shoulder appears to be lower than the other and looks out of place...more foward than the other. The "pops" are audible a lot of the time now. It feels like I need to pop/rotate it several times a day. I went to the gym a while back and pretty much ALL chest movements like the bench press, flys, dumbell presses, etc. and medium and closer grip upright rows make it feel as if the shoulder will dislocate. When I wake up in the morning there is always some pain, and if I turned on that side during the night it really hurts...burning sensations.
I searched for several hours last night online and the info at exrx.net points to "protracted shoulder girdle." It lists examples of affected exercises and they're the exact ones I cannot perform. If thats correct, what treatment options are there? I was denied a low-cost state health plan. Am I assuming correctly if I go to a hospital it would be pointless? And that I'm going to have to spend a bunch of money for a health plan and LIE about this injury to get on the health insurance plan? Or is that 5-minutes I spent with the PA going to show up and the health insurance company will know about it anyway? Do health insurance companies make you get a physical exam before they approve you? I'm a 22/male if that matters.
Any advise would be appreciated and good luck to everyone else.