Comments for shoulder rib pain

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Apr 27, 2013
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sternum ribpain
by: diane

Hello, Dr b, I apologize in my writing mistake I meant to say a hernia. Can a hernia cause ribs to swell with sternum pain?

Apr 27, 2013
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sternum ribpain
by: Anonymous

Hello, Dr b, its Diane I apologize I miss printed I meant to write a hernia.I'm wondering if a hernia can cause swollen rib cage and stomach?

Apr 26, 2013
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sternum rib pain
by: Anonymous




sternum rib pain

Hello, Dr.b.,it's.Diane
I am still waiting for test for scope

my stomach is bigger with swollen ribs hadst with sternum bone poking through in-between chest?

I believe I may have Avernus? Any thoughts would help.

Hello Diane,
Confess I've never heard of Avernus. Sorry. Let me know the result of the scope.

Dr B

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Apr 04, 2013
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shoulder rib pain
by: diane

Hello, Dr b, had a mammagram done yesterday and all is normal. More tests will be done in a couple of weeks for the swollen ribs. Thank you,I will be in touch again.

It's looking more and more like Tietzes, Diane, that's good news. Whilst not easy to treat a whole lot better than the lung, boob, rib conditions!

Let me know...

Dr B

Mar 31, 2013
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shoulder rib pain
by: diane

Hello Dr b, the MRI said visual lung was clear. My thought now could mean bone Mets. The doctors are now contacting me for an ultrasound that was supposed to be done several weeks ago.I think I should go to the er this week. I will get back in touch. Thank you again

Good news, Diane, that the lungs are clear. Rib metastases are unlikely, you haven't had breast CA?

Breast cancer and prevention ...

Mar 30, 2013
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shoulder rib pain
by: diane

shoulder rib pain

HELLO DR. B. THIS IS DIANE. RIBS FROM STERNUM. FEEL SWELLED AND FIRST RIB CAGE ..HURTS WHEN IM DOING PHYSICAL WORK I HAD ALOT OF TINGLING DOWN THE ARM AS WELL. IT SEEMS TO ME THAT MY WHOLE RIB CAGE ON RIGHT SIDE FEELS SWOLLEN. IM HOPEING FOR SOME TESTS TO BE DONE SOON. I WILL GET BACK TO YOU. THANK YOU FOR YOUR TIME

Hello again, Diane,
Make sure the tests include a lung X-ray. If it's affecting your whole rib cage on the right, then I'm less inclined to think of Tietze's Syndrome.

No cough? More tests indeed are indicated.

Dr B

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Mar 24, 2013
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shoulder rib pain
by: dianes

Yes, Dr. B. The ribs connecting from sternum bone to breast are tender and swollen!

Hello again, Diane,
Then indeed many of the symptoms and signs fit with Tietzes syndrome but only a careful and thorough examination will confirm it. Could you attach a photo for me?

When the first rib and/or collar bone are involved in Tietze's syndrome then many of the signs of a Thoracic Outlet syndrome may follow including pain and tingling in the arms and hands.

The disturbance of nerve and arterial flow to the limb make it vulnerable to many arm syndromes like carpal tunnel syndrome and even frozen shoulder...

However, other conditions can affect the arm, and always the astute clinician keeps in mind that the patient can have two different diseases.

I hope this contributes, Diane. There is hope, but I'm afraid finding someone with experience with Tietzes syndrome may be difficult. Meantime, keep active, and avoid working with hands above your head, and carrying heavy parcels.

A photo of the swollen joints would be good.

Dr B

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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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Interesting questions from visitors

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Knowing that up to 70% of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there's a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong! Give plenty of detail if you want a sensible reply.


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