[18M] Experiencing neck and shoulder blade pain with occasional numbness

Patient Description

An 18-year-old male reports a 6-7 week history of neck and shoulder blade pain, particularly on the lower left side near the shoulder. The pain is described as an aching sensation, rated 3-4 out of 10 in severity, and is exacerbated by being hunched over and lying on the back, especially at night. The patient also experiences occasional numbness or tingling in the arms or hands but denies any weakness or changes in coordination or reflexes. There is a noted increase in pain when consuming marijuana and alcohol, though the patient has ceased using these substances since the onset of pain. The patient has no known pre-existing conditions or chronic illnesses, is not currently on any medications, and has an allergy to medications containing 'Cillin'.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Musculoskeletal Strain: This is a common cause of neck and shoulder pain, especially in younger individuals. It can occur due to poor posture, overuse, or physical strain. The pain is usually localized and may worsen with certain movements or positions.

    • Treatment typically involves rest, physical therapy, and over-the-counter pain relievers.

  • Cervical Radiculopathy: This condition occurs when a nerve in the neck is irritated or compressed. It can cause pain that radiates from the neck into the shoulder and arm, and may be associated with numbness or tingling.

    • Treatment can include physical therapy, medications to reduce inflammation and pain, and in some cases, surgery.

  • Thoracic Outlet Syndrome: This is a group of disorders that occur when the blood vessels or nerves in the space between your collarbone and your first rib (thoracic outlet) become compressed. This can cause pain in your shoulders and neck and numbness in your fingers.

    • Treatment usually involves physical therapy and pain relief measures. In some cases, surgery may be necessary.

Remember, these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for a formal evaluation.

What you can do

Here are some general suggestions that may help alleviate your symptoms:

  1. Maintain good posture: Keep your back straight and shoulders back, especially when sitting for long periods.
  2. Regular exercise: Strengthening your neck and shoulder muscles can help prevent further strain.
  3. Over-the-counter pain relievers: Non-prescription medications such as ibuprofen or acetaminophen can help manage pain.
  4. Heat or cold therapy: Applying a warm compress or ice pack to your neck can help relieve pain.
  5. Avoid activities that worsen your pain: If certain movements or positions exacerbate your pain, try to avoid them.

What you should look out for

Please seek immediate medical attention if you experience:

  • Severe pain that doesn't improve with rest
  • Pain that spreads down arms or legs
  • Numbness or loss of strength in your arms or hands
  • Trouble with balance or coordination
  • Bladder or bowel dysfunction

Again, it's important to consult with a healthcare provider for a formal evaluation of your symptoms.

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9 mo ago

People Also Ask

What are common causes of neck and shoulder blade pain in young adults?

Common causes of neck and shoulder blade pain in young adults include musculoskeletal strain due to poor posture, overuse, or physical strain. Other causes can include cervical radiculopathy, where a nerve in the neck is compressed, and thoracic outlet syndrome, where nerves or blood vessels are compressed between the collarbone and first rib.

How can poor posture contribute to neck and shoulder pain?

Poor posture, such as being hunched over, can lead to muscle strain and tension in the neck and shoulders. This can cause pain and discomfort, as the muscles are overworked to maintain an improper position. Maintaining good posture can help alleviate and prevent this type of pain.

What is cervical radiculopathy and how is it treated?

Cervical radiculopathy occurs when a nerve in the neck is irritated or compressed, leading to pain that can radiate into the shoulder and arm, often accompanied by numbness or tingling. Treatment may include physical therapy, medications to reduce inflammation and pain, and in some cases, surgery.

When should I seek medical attention for neck and shoulder pain?

You should seek medical attention for neck and shoulder pain if you experience severe pain that doesn't improve with rest, pain that spreads down your arms or legs, numbness or loss of strength in your arms or hands, trouble with balance or coordination, or bladder or bowel dysfunction.

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