Pain in the right shoulder & hand

by V.Ayalur
(London)

I have acute pain in right hand and shoulder; the pain is experienced up to elbow. I am experiencing this for last 50 days. I am not able to reach back with my right hand and even wearing a shirt is a very painful task.

Unable to sleep because I am unable to lie on bed on any position. In any position my hand pains; sitting on a sofa resting the hand on oneside is of bit relief.

Hello V,
You'll have to give me more information. Does your neck hurt? If you turn your head does it hurt in the shoulder or arm?

If you raise your arm in front of you, to the side, does it hurt?

Which fingers hurt. Do they tingle? Does pressing on the fingers and wrist, moving the fingers and wrist hurt?

These arm/ shoulder syndromes are often worse at night.

Part of this looks like the beginnings of a frozen shoulder (can't move it backwards), but I'm uncertain. What does your doctor / chiropractor say? It's nearly two months, if you haven't consulted anyone, I would do so without delay.

Dr B



Since yesterday I feel pain in the left hand also but not as severe as right hand.

Consulted with a GP and he prescribed Ibuprofen for next 30days. This has not given any relief since three weeks.

I am aged 41, General health condition is good (obviously baring this problem); no cholostrol, no blood pressure or sugar.

I request your advice.

Many thanks.
V Ayalur

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May 24, 2012
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Shoulder condition with possible neurological complications
by: Dr B

The fact that moving your arm hurts in the shoulder, points to a shoulder condition, but with the distinct possibility of neurological complications.
"Inflammation" is not a diagnosis. I would press your doctor to define this "inflammation". Where, what tissue...?
It's good that turning your head does not refer to the arm, shoulder or hand.
There really are many possible conditions, if your doctor hasn't a clue, then it's time to see a chiropractor for a thorough examination. I don't buy this "inflammation". Did he check your reflexes, test the sensitivity of the skin, any orthopaedic testing? If not, see a real doctor of nerve-joint-muscle conditions. A chiropractor!

I hope this has contributed.

Dr B

May 24, 2012
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by: V Ayalur

Hello Dr. B,

Many thanks for the response. I give hereunder more details as desired by you.

Right side of the neck pains at times, not throughout the time I have pain in the shoulder and hand. My shoulder or arm do not hurt when turn head at any direction.

Much of the pain I felt is in the hand, just below shoulder-hand joint. I also have pain in the in the wrist and elbow though not as severe as in other areas explained.

The affected arm is right and if I raise arm in any direction it hurts severely.

My fingers have normal feeling; I have not noticed anything abnormal or tingle. It do not hurt when pressing on fingers and wrist or moving fingers and wrist.

I have consulted with a Doctor and he said it is an inflation and given Ibuprofen 200mg twice daily for a month to consume. He also asked me to take X-ray and all found normal in X-ray.

Please advice.

V.Ayalur

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Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.

5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.  

10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.



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