shoulder rib pain

by Diane
(stoughton ma)

Had an MRI on shoulder results sai rotater cuff tear tendinitis and some fluid around AC joint.would this cause breast area tenderness?

Hello Diane,
That's an interesting question, and I must admit I am unable to give an unequivocal answer.

I think so, for two reasons. The first is that any dysfunction of the AcromioClavicular Joint is likely to affect the whole collar bone, and the SternoClavicular joint, very close to the breast.

The second reason is that any condition affecting the shoulder can involve the Pectoralis Major muscle, the Pec Minor too, very close to the breast tissue.

Always a good idea to have a breast examination too. The rule: Remember the patient can have two different diseases. One affecting your shoulder, the other your breast.

Getting that AC joint mobilised, exercised, iced and healthy is probably the most important factor in your problem.

I hope this has contributed. Incidently, whilst this could be related to a Tietze's syndrome, it's probably not. Are the ribs adjacent to the breastbone tender? Swollen?

Dr B

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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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