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Shoulder pain after 2010 combination flu shot
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Shoulder pain after 2010 combination flu shot

  I just got a flu shot at Target pharmacy.  The person administering the shot was pretty inexperienced and the shot seemed to be positioned way up on the shoulder.  No problem on the day of the shot.  But, the next day and days following, my shoulder joint is very painful.   It limits my range of motion and wakes me up repeatedly at night.  I've had many flu shots and vaccinations, but never had this problem  before.
  The pain is not muscular, it is in the joint.

  I'm 54, do not smoke and have no other illnesses, so I don't take any medications. I'm in pretty good shape and work out regularly (4 times a week) on treadmill/walks and weight machine.  My questions:
1) Could this have been caused by the injection being placed too near (or in)  the shoulder joint?
2) If so, how can I get rid of the pain?

   Thank you.
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Avatar_dr_m_tn
Hello,

Depending on the length of the needle used and the exact location of the injection, it is theoretically possible for the injectate (the influenza vaccine, in your case) to be injected into or near the subdeltoid bursa (http://medical-dictionary.thefreedictionary.com/subdeltoid+bursa). This can result in a bursitis or inflammation of the bursa. Bursitis can be quite painful and result in pain that feels like joint pain.

It is very important that, for the most part, you keep using your shoulder so that the tendons of the rotator cuff and the deltoid muscle remain strong. Usually, with subdeltoid bursitis, it is quite painful to elevate the shoulder above 90 degrees or above shoulder level. And, your health care provider might recommend that you limit activities over your head for this reason.

Some health care providers will recommend prescription doses of anti-inflammatory medications or a steroid injection for bursitis. Slings are generally NOT recommended.

Often, physical therapy is recommended in an effort to increase range of motion and to maintain or increase the strength of the muscles and tendons around the shoulder joint.

~•~ Dr. Parks

This answer is not intended as and does not substitute for medical advice. The information presented in this posting is for patients’ education only. As always, I encourage you to see your personal physician for further evaluation of your individual case.
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Philip D Parks, MD, MPH, MOccH, F...Blank
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