[37M] With sudden shoulder and neck pain post-fall

What might be happening

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

• Rotator Cuff Injury or Shoulder Strain: Falling off a ladder can lead to injuries such as a rotator cuff tear or a shoulder strain. These injuries can cause pain, especially when lifting your arm, and may also lead to shooting pain or discomfort in other areas.

  • Treatment typically involves rest, ice, compression, and elevation (RICE), along with physical therapy. In some cases, imaging tests like an X-ray or MRI may be needed to assess the extent of the injury.

• Cervical Radiculopathy: This condition occurs when a nerve in the neck is compressed or irritated, often due to an injury. It can cause shooting pain from the neck down to the shoulder and arm, and sometimes even to the groin.

  • Treatment may include physical therapy, pain management, and in some cases, corticosteroid injections or surgery.

• Referred Pain from Previous Back Surgery: Given your history of lower back surgery, it's possible that your current symptoms are related to changes in your spine or nerve pathways.

  • Follow-up with a healthcare provider is important to determine if this is contributing to your symptoms.

What you can do

1. Rest and Protect the Area: Avoid activities that worsen your pain. Resting the shoulder and neck can help reduce inflammation and prevent further injury.
2. Apply Ice: Use an ice pack on the affected area for 15-20 minutes every few hours to help reduce pain and swelling.
3. Over-the-Counter Pain Relief: Consider taking over-the-counter pain medications like ibuprofen or acetaminophen to help manage your pain.
4. Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share this information with your healthcare provider. This can help in identifying patterns and triggers.
5. Seek Medical Attention: It's important to consult a healthcare professional for a formal assessment, especially given the numbness and tingling you're experiencing.

What you should look out for

• Worsening Symptoms: If your pain intensifies or you experience new symptoms such as weakness in your arm or hand, seek medical attention promptly.
• Signs of Infection: Although you haven't mentioned any open wounds, watch for signs of infection such as redness, warmth, or fever.
• Substance Use Impact: Be aware that daily meth use can affect your overall health and recovery. Consider discussing this with a healthcare provider for support and guidance.

Remember, while I can provide information and suggestions, it's crucial to seek care from a real health professional to receive a formal diagnosis and appropriate treatment.