Pain after trauma?

[bayleef]

So three years ago, a bottle of cleaner fell off a high shelf onto my shoulder at work. I was off work for a month and on psysio therapy then returned to work with mild pain but much better. over the next year the pain gradually returned and got worse and worse but I delt with it until I lifted somethjng that weighed about 200lbs while in a rush. The pain became excruciating but it was the Christmas season so I attempted to work with it, but had to go to my doctor. Was taken off work again for a month, did physio it lessened the pain but it was still there. When I returned to work on light duty an assistant manager didn't want to listen to my requirements and told me to put away something that required lifting way over my limits. I'd had problems with this person in the past and the upper management didn't seem to care when I tried to talk to them about how she treated people and I didn't want to get retribution for refusing her so I just did it. The pain became unbearable again. I was taken off work, put into a return to work program program, when I got into the actual work hardening I hurt my shoulder yet again on the first day. Taken off that, sent for an mri and to done sort of specialist. He told me there was nothing they could see on the mri, xray, and ultrasound. My shoulder seemed healthy. Returned to the return to work program again with lots of pain but finished, returned to work, had to quit that job because they wouldn't be able to meet my restrictions and I couldn't deal with the assistant managers retribution for telling them that she ignored my limitations. Found a new job with less lifting. Dealt with the pain I had but eventually figured out I couldn't do any kind of physical labor like this without the pain, applied to school, got a higher paying summer job to help me pay tuition, didn't have it explained to me just how physical the job was, first day of work shoulder was completely decimated had the worst pain I'd felt yet. Off work, back in physio, physio is helping but not nearly as much as it was before and I'm in constant pain, but my doctor tells me she doesn't know where to go from here because the mri said I was fine

Basically: injured 3 years ago, never fully healed, gets much worse when over used, physio used to help a lot but now it's not doing much, mri, xray, and ultrasound came back clean. Doctor doesn't know where to go and my life is falling apart from this. I can't work, I can barely attend my 12 hrs of classes a week. I don't know what to do anymore, I'm starting to see a therapist next week but I still don't have a diagnosis for what is causing this pain and my doctor isn't doing much to help.

[Totie]

Have you been seen by an orthopedic? Any mention of maybe scoping the shoulder to see if they can see what is happing?

[bayleef]

Forgot to mention, I'm 23 years old and have a history of addiction in my family so I haven't been taking anything stronger than extra strength Tylenol for the last year. I was on t3s for a while while I was in the rtw program but I have a serious fear of taking pain medications so I don't ask for them and my doctor doesn't offer anything.