Chronic L Shoulder pain, weakness L elbow, numbness ring/little

by Austin
(Prineville, Oregon)

I am a retired Army Combat Medic. I was retired at 23 and am now 26.

SX 1. I was diagnosed with tendonosis L elbow by the army however their (Army and VA) diagnosis' are often a check the block diagnosis. The L elbow started before all other Sx and was initially treated through RICE and occupational therepy. As soon as I put it back to work the pain and weakness returned.

I went from maxing my physical tests to having the inability to hand someone a glass of water with an outstretched hand and it's my dominant side. There is a specific location of painin my elbow ulnar side, on top. Hand grip unaffected. ROM limited with an outstretched arm nomatter the direction.

SX 2. Numbness and tingling in the fingers especially in the ring and little finger. Seem to be more susceptible to cold, including feet.

SX 3. The worst Sx yet is my L Shoulder pain. It ranges from limiting, distracting, debilitating, and excruciating. I constantly and flailing my arms about feeling the need to stretch it or create space to relieve pressure on the nerve or to have someone apply pressure to loosen the muscles.. Once while having a friend apply pressure with their elbow we both felt as if something had burst inside my shoulder (like a water balloon. It was not painful and was actually kinda relieving. pulling my shoulders back is painful.

Sx 4. Bilateral neck pain, primarily on the L side. Stiffness and swelling trailing from the neck to the shoulder. pinpoint pain location with the urge to "grind", rotate neck, stretch for and aft and to the Right.

Medical diagnosis' that apply; Sarcoidosis of the lungs and lymph nodes, tendonosis L elbow.
It seems no medications relieve the pain (unless euphoria is achieved). Have tried naprosyn, motrin, etodolac, Norco, cannabis, flexiril, mobic and indocin.

According to federal doctors there is nothing to note from x-rays, or Ct Scans. Other commonly experienced Sx include loss of balance, fatigue (even after full rest and a "biblical diet" [organic vegetarian, constant urge to pop joints in fingers sand wrists (bilateral).

I guess what I am seeking from you would just be your opinion of likely causes to all this. I feel I cannot trust the answers from my providers due to possible government secrets/weapons/cover-ups. A hollistic med provider I sought thought possibly heavy metal poisoning (I have SEVERAL fillings and some have begun to break down) and or Lyme disease.

Like I said I am now 26 and am experiencing pains and stiffness like I'm 70. Prior I had always been very fit and I am still very active most days.

I know you can't diagnose via email but your opinion is greatly appreciated. Thank you for your time and if any more information is needed I will do the best I can't to provide it.

Hello Austin,
You are a text-book chiropractic case with possible overtones of a medical condition, since sarcoidosis has presumably been confirmed.

That discomfort in the neck, the shoulder, a probable tennis elbow and tingling in the C8 dermatome. It's all one problem. The first rib, and a cervical rib also needs to be considered, though presumably would have been commented on in the x-ray.

Remember scans only show stuff when it's advanced. In the early stages, X-rays and scans are often negative. But the physical exam I'm certain would be positive. Kemp's test, Upper Limvb Tension test, resisted isometric wrist extension ...

Gather your scans and look for an experienced, thorough chiro in your neck of the woods. Talk to friends and fam, even your GP for a name.

I hope this contributes.

Dr B

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Jan 30, 2013
by: Austin

Thank you for taking the time dr. B. I'm glad to finally have a direction to take this that will actually lead to my body being fixed. Lol.

Pleasure, Austin, let us know in a few weeks how you are getting on.

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 have left alone. After seven treatments his pain and stiffness is 50 percent better, and he is 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 is 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 pain-free. 

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 is well pleased; sixty-five percent better after three treatments.

5. Mr T is a wise man; he has 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 stroll 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; he has a short leg.

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. X-rays 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 few months 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 is a non-complicated upper cervical facet syndrome, and she is doing well.

12. Mr D is a 38-year 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 could not 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 should not be treating the elderly most medical sites state but that is so much bunkum.

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