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Avatar universal

Someone please help...

I'll try to be brief and get right to the direct symptoms  I have been experiencing over the past 6 months and appreciate any feedback given.  I have been experiencing this constant burning pain/discomfort which is usually between my left shoulder blade and spine area.  When I lay or sit back on the area my arm sometimes goes numb.   Sometimes my arm is numb throughout the day and other days the numbness disappears.  I've had every blood test you can imagine and an mri which all came back normal.  Thank you for any information..
5 Responses
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351246 tn?1379682132
MEDICAL PROFESSIONAL
Hi
I think it should be treatable and wish you all the best! A good orthopedic should be able to help you out.
Please let me know if you need any further help. I would really appreciate if you keep me posted.

Helpful - 0
Avatar universal
I cant believe this is so clear to one doctor and others cant figure me out!  I tell you, you are a god send!!  I have been so bummed out over this and trying to explain my s/s clearly to all these doc's has been truely exhausting... I will definitely find a good Ortho Doc who will understand me better and keep you posted.
One last question.  I know you cant diagnose without seeing me but do you think this is something treatable or something that will get better over time?
  I thank you so much for your time and wish I would have consulted with you much sooner.
Helpful - 0
351246 tn?1379682132
MEDICAL PROFESSIONAL
Hi

Thanks for such a detailed post. I read through it very carefully. It does make things very clear and I am amazed at all that you have gone through.
The area which you talk of is supplied by cervical nerves. “The C-5 nerve transmits pain to the shoulder and lateral arm, and occasionally the radial forearm. The C-6 nerve pattern is very similar but invariably includes the radial forearm and thumb, and occasionally the index finger. The C-7 nerve refers pain to the posterior arm, dorsal (occasionally ventral) forearm, and the index and middle fingers. The C-8 nerve classically radiates pain to the medial arm, ulnar forearm, and the ring and little fingers.
Additionally, evidence indicates that the lower cervical nerve roots, disks, spinal longitudinal ligaments, and facet joints  refer pain to the scapular region. Along with myofascial pain trigger points or biomechanically induced muscle strains, these structures are the common origins of scapular and periscapular pain.”
I would suggest you see an orthopedic specialist and discuss your case with him. You have to focus on cervical nerves C5-C8, cervical disks, spinal longitudinal ligaments, and cervical facet joints. The origin of your pain is definitely here. I know you had a MRI but please discuss with an orthopedic and get a repeat MRI or CT scan only of the areas mentioned. It should solve your problem.
Please let me know if there is any thing else and keep me posted. I am there to help you out.
Helpful - 0
Avatar universal
Hi again and thank you so much for responding to my post!!  Your feedback and professional opinion is so very much appreciated.  As a take off from your response I hope it is okay that I provide you with a little more detailed infomation so you might be able to help me narrow things down a bit & so I will know which direction to take from here.  
You asked about which level of the spine that the MRI captured.  I actually had a T & C Spine MRI which was read as normal without any degenerative changes, etc.  I have also had Abdominal CT and Chest CT back in April  around the time when my s/s began. The only abnormality noted was that I had an abnormal spleen which was identified as being either a cyst or some type of lesion.  This sent me on a wild goose chase in an effort to try and find out what was going on in my spleen.  As a result, I had a PET scan to rule out CA which was normal and have seen a GI, Cardiologist, Rheumatologist,  ID &  Neurologist.  
I had a repeat MRI of my abdomen in July to compare the spleen lesions with prior ones and to note any changes and there were none.  However,  I continued to have this burning pain in my left shoulder area which sometimes is felt in my left rib cage area and my arm goes numb.  So my GP recommended that I see a surgeon and have my spleen removed because it was evident that this was the cause of my "deferred shoulder pain".  The MRI report also stated that the lesion in my spleen looked like a hytadid cyst and this kinda freaked my out knowing that some kind of parasite might be living in my body.  So I had the splenectomy two weeks ago today and still have the same pain as before.  Do you think that it might be too early and that there is still inflammation going on in the area where the spleen was removed that is causing these same symptoms or do you think it could be other causes?   The test i've had include Upper Endoscopy, EKG, Stress Test, enough blood work to transfuse several patients in need, including a D-Dymlar?? not sure if I spelled that correctly, and all have been normal.  
By the way, the pathology report stated that I had a hemangoma which was probaly from old trauma.  I aplologize in advance for the long journey here but i'm a little confused about what to do or who to see to make sure someone hasnt missed something with me.  Sometimes I think because I look normaland have always lead a very healthy lifestyle and diet, i'm not taken seriously enough when seeing some doctors.   I really dont have any family history of anything weird except for arthiritis and normal age related disorders.
It is so generous of you to offer your services and knowledge to others who need sensible answers.  You are so appreciated...  Thank you.
Helpful - 0
351246 tn?1379682132
MEDICAL PROFESSIONAL
Hi

Thanks for the post.

Yes, I understand your dilemma. “Pains that occur under the shoulder blade may signal a warning that the pain is not in the shoulder itself, but can be related to a pain from one of the organs in the body. The shoulder where the pain occurs can give the clue which of the organs are affected and causing the radiating pain into the shoulder. Pain under the left shoulder blade can be a signal that there is a problem with the stomach or other abdominal structures (ulcers, pancreatitis, ectopic pregnancy) or in the chest (myocardial infarction [heart attack], pericarditis, pleuritis, pneumonia, pulmonary embolus, aortic dissection).” “Pain in the spine area near the shoulder blade may also occur as a result of primary spine disorders such as degenerative disc disease and osteoporosis.”(Refer: http://www.arthritis-treatment-and-relief.com/back-pains-below-left-shoulder-blade.html) These can be caught by X-ray and MRI. You had MRI at which level of spine? Maybe the level at which MRI was done was not correct.

If you have discomfort in chest area, heart burn, regurgitation of food, belching, feeling very hungry early in the morning, then you probably have acidity.

Please consult a physician and rule out the above mentioned causes.

Hope this helps. If you need more help, please feel free to contact. I’ll be happy to answer your queries. Please keep me posted.

Helpful - 0
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