[26F] With shoulder pain and stiffness post-disc golf injury

Patient Description

A 26-year-old female experienced sudden onset of dull, moderate pain between her right breast and top shoulder after a backhand throw while playing disc golf. The pain has been present for about a day and worsens with any movement of her right arm. Additionally, she reports overall stiffness in her right arm, loss of strength, and intermittent numbness and tingling in her right arm or hand. The right arm appears slightly discolored, but there is no swelling, bruising, or temperature change noted. The patient has no prior history of shoulder injuries or issues, is not on any medications, and does not use tobacco, alcohol, or recreational drugs. No diagnostic tests have been performed yet.

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Arora's Assessment

What might be happening

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

  • Rotator Cuff Injury: This is a common injury that can occur from repetitive shoulder movements or a sudden strain, such as a backhand throw in disc golf. Symptoms include shoulder pain, stiffness, and weakness, especially when lifting or moving the arm.

    • Treatment: Rest, ice, and over-the-counter pain relievers can help manage the pain. Physical therapy exercises may be recommended to strengthen the shoulder muscles. In severe cases, a doctor may suggest corticosteroid injections or surgery.
  • Shoulder Strain or Sprain: This can happen when the muscles or ligaments in the shoulder are overstretched or torn. Symptoms include pain, stiffness, and limited range of motion.

    • Treatment: Rest, ice, compression, and elevation (RICE) are commonly recommended. Over-the-counter pain relievers can help manage the pain. Physical therapy may be needed to restore strength and flexibility.
  • Brachial Plexus Injury: This involves damage to the network of nerves that sends signals from your spine to your shoulder, arm, and hand. Symptoms can include pain, numbness, tingling, and weakness in the arm.

    • Treatment: Rest and physical therapy are often recommended. In some cases, medications or surgery may be necessary.

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 aggravate your shoulder pain. Give your shoulder time to heal.
  2. Ice: Apply an ice pack to the affected area for 15-20 minutes several times a day to reduce pain and swelling.
  3. Over-the-Counter Pain Relievers: Medications like ibuprofen or acetaminophen can help manage pain and reduce inflammation.
  4. Gentle Stretching: Once the initial pain subsides, gentle stretching exercises can help improve flexibility and reduce stiffness. Be sure to consult a healthcare professional before starting any exercise regimen.
  5. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe pain that does not improve with rest and over-the-counter pain relievers
  • Significant swelling or bruising around the shoulder
  • Persistent numbness, tingling, or weakness in your arm or hand
  • Difficulty moving your shoulder or arm
  • Changes in the color or temperature of your arm or hand

Remember, while this advice can help you manage your symptoms, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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5 mo ago

People Also Ask


What are common symptoms of a rotator cuff injury?

Common symptoms of a rotator cuff injury include shoulder pain, stiffness, and weakness, especially when lifting or moving the arm. The pain may worsen at night or when lying on the affected shoulder.


How can I differentiate between a shoulder strain and a brachial plexus injury?

A shoulder strain typically involves pain, stiffness, and limited range of motion due to overstretched or torn muscles or ligaments. A brachial plexus injury, on the other hand, often includes symptoms like numbness, tingling, and weakness in the arm, as it involves nerve damage.


What are some effective home treatments for shoulder pain?

Effective home treatments for shoulder pain include rest, applying ice to reduce pain and swelling, taking over-the-counter pain relievers like ibuprofen or acetaminophen, and performing gentle stretching exercises once the initial pain subsides.


When should I seek medical attention for shoulder pain?

You should seek medical attention for shoulder pain if you experience severe pain that does not improve with rest and over-the-counter pain relievers, significant swelling or bruising, persistent numbness, tingling, or weakness in your arm or hand, difficulty moving your shoulder or arm, or changes in the color or temperature of your arm or hand.


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