burning in my mid back and rib feel bruised on left side.

[nfld170]

hi , for the the last year i have been in PT for a shoulder injury and an a RSI to my shoulder blade for wt my doc thinks was caused by over compensating for my injuied shoulder. To make a long story short the muscle spasms in my shoulder blade area have been getting worse and it feels sore most of the time but for a few months now i have been having some pain under my last rib on the right side, its just a dull ache and it only hurts every now and then when i push on it. I also have been having pain in my mid back....well its more like burning(like the muscle is on fire). My doc blames everything on my RSI and says everything in my back is just tired , wore out and way to tight.I think if i had these symptoms without my given history of my RSI that my doc may look at these symptoms differently. I think the shoulder and shoulder blade my be a symptom not the cause of my pain.....maybe im crazy but i do know something in my shoulder area and back does feel messed up. I hope there is some1 out there that can give me an idea of wt might be going on with my back,ribs anything....i am desperate and tired of being in constant pain!!!

[nfld170]

i was wondering if you could look at an eariler post i made about my symptoms?http://www.medhelp.org/posts/Back--Neck/back-problemsneed-some-help/show/1627096?personal_page_id=2379637

[S. Kaul, MD]

Hi there!

Well, without a clinical evaluation it would be difficult to comment on the situation for sure. If your doctor feels its RSI, it is likely that he/ she is correct. I would assume there has been a complete evaluation done by your doctor (physical examination and investigational studies) to rule out other possibilities such as inflammations, degenerations, neurological issues, micronutrient deficiencies etc; that could present similarly. I would suggest following the management plan suggested by your doctor for a while (which may include rest, physiotherapy, anti-inflammatory medications etc); and see if it seems to help. If you do not see any improvement, you may consider a second opinion from another orthopedician.
Hope this helps.

Take care!