[35F] With neck and shoulder pain and weakness post-assault

What might be happening

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

• Shoulder and Neck Strain or Sprain: The trauma from the assault could have caused a strain or sprain in the muscles, tendons, or ligaments in your shoulder and neck. This can lead to pain, stiffness, and muscle spasms.

  • Treatment: Rest, ice, compression, and elevation (RICE) are common initial treatments. Physical therapy and pain management medications like gabapentin can also be helpful.

• Cervical Radiculopathy: This condition occurs when a nerve in the neck is compressed or irritated, leading to pain that radiates into the shoulder and arm, along with weakness and numbness.

  • Treatment: Physical therapy, medications, and sometimes corticosteroid injections are used. In severe cases, surgery might be considered.

• Rotator Cuff Injury: The rotator cuff is a group of muscles and tendons that stabilize the shoulder. An injury here can cause pain, weakness, and difficulty with arm movements.

  • Treatment: Rest, physical therapy, and anti-inflammatory medications are common treatments. Severe cases might require surgical intervention.

• Myofascial Pain Syndrome: This is a chronic pain disorder where pressure on sensitive points in your muscles (trigger points) causes pain in seemingly unrelated parts of your body.

  • Treatment: Physical therapy, trigger point injections, and medications can help manage symptoms.

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 and Avoid Overuse: Give your shoulder and neck time to heal by avoiding activities that exacerbate the pain.
2. Apply Ice or Heat: Ice can help reduce inflammation, while heat can relax and soothe tense muscles.
3. Gentle Stretching and Strengthening Exercises: Engage in gentle exercises to maintain mobility and strength, but avoid pushing through severe pain.
4. Pain Management: Continue taking medications as prescribed by your doctor. Over-the-counter pain relievers like ibuprofen can also help.
5. Posture and Ergonomics: Maintain good posture and use ergonomic supports to reduce strain on your neck and shoulder.
6. Use MDandMe: Journal your symptoms, track your progress, and share your notes with your healthcare provider for better management of your condition.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe or Worsening Pain: If your pain becomes unbearable or significantly worsens.
• Numbness or Tingling: Persistent or worsening numbness or tingling in your arm or hand.
• Loss of Function: If you find it increasingly difficult to move your arm or perform daily activities.
• Signs of Infection: Redness, warmth, or swelling in the affected area, or if you develop a fever.

Remember, while these suggestions can help manage your symptoms, it's crucial to consult a healthcare professional for a thorough evaluation and personalized treatment plan.