[19F] With acute upper arm and shoulder pain

Patient Description

A 19-year-old female presents with searing pain in the upper arm and shoulder, which has worsened over a few hours. The pain is rated as 5 out of 10 and is exacerbated by certain arm movements. There is no history of recent injuries or accidents, and no other symptoms are reported. The patient has a history of tendinitis in the wrist and ankle, diagnosed at age 11 and about a year ago, respectively. She occasionally consumes alcohol and is currently taking Adderall. There are no known drug allergies or other medications being taken.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your shoulder pain:

  • Tendinitis: Given your history of tendinitis in other areas, it's possible that you may be experiencing tendinitis in your shoulder. Tendinitis is inflammation of the tendons, often caused by repetitive motion or overuse, even if you haven't engaged in any unusual activity recently. It can cause pain and tenderness, especially with movement.

  • Muscle Strain: This can occur if a muscle in your shoulder has been overstretched or torn. It can happen even with minor activities or awkward movements and can lead to pain and stiffness.

  • Bursitis: This is inflammation of the bursa, a small fluid-filled sac that acts as a cushion between bones and other moving parts. Bursitis can cause pain and swelling in the shoulder.

  • Rotator Cuff Injury: The rotator cuff is a group of muscles and tendons that stabilize the shoulder. An injury or strain to this area can cause pain, especially with arm movements.

Typical treatments for these conditions may include rest, ice, compression, and elevation (R.I.C.E), over-the-counter pain relievers, and physical therapy. In some cases, a doctor may recommend imaging tests or prescribe stronger medications.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

  1. Rest: Avoid activities that worsen the pain and give your shoulder time to heal.
  2. Ice: Apply ice packs to the affected area for 15-20 minutes every few hours to reduce inflammation and pain.
  3. Over-the-counter Pain Relief: Consider taking nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen to help manage pain and swelling.
  4. Gentle Stretching: Once the pain starts to subside, gentle stretching exercises may help improve flexibility and strength.
  5. Use MDandMe: Keep track of your symptoms, any activities that worsen or improve your pain, and any treatments you try. This information can be helpful for your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe pain that doesn't improve with rest and home care
  • Swelling, redness, or warmth around the shoulder
  • Inability to move your shoulder or arm
  • Numbness or tingling in your arm or hand
  • Pain that radiates down your arm

Remember, while these suggestions can help manage your symptoms, it's important to consult a healthcare professional for a proper diagnosis and treatment plan.

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1 mo ago

People Also Ask


What is tendinitis and how can it affect the shoulder?

Tendinitis is the inflammation of a tendon, which is the tissue that connects muscle to bone. In the shoulder, it can cause pain and tenderness, especially with movement, and is often due to repetitive motion or overuse.


How can I differentiate between a muscle strain and a rotator cuff injury?

A muscle strain typically involves overstretching or tearing of muscle fibers, leading to pain and stiffness. A rotator cuff injury involves damage to the muscles and tendons that stabilize the shoulder, often causing pain during specific arm movements. Both conditions can cause similar symptoms, but a rotator cuff injury may also lead to weakness in the shoulder.


What are the common symptoms of bursitis in the shoulder?

Common symptoms of bursitis in the shoulder include pain, swelling, and tenderness around the joint. The pain may worsen with movement or pressure, and there may be a noticeable decrease in the range of motion.


What are some effective home remedies for managing shoulder pain?

Effective home remedies for managing shoulder pain include rest, applying ice packs to reduce inflammation, taking over-the-counter pain relievers like ibuprofen, and performing gentle stretching exercises once the pain subsides. It's important to avoid activities that exacerbate the pain.


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