[41F] With acute left shoulder and arm pain

What might be happening

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

1. Rotator Cuff Injury

• Rationale: Sudden onset of sharp, dull, and achy pain in the shoulder that worsens with any movement could indicate a rotator cuff injury. This is common and can occur without a specific injury.
• Typical Treatments/Testing: Physical examination, imaging tests like an MRI or ultrasound, physical therapy, rest, ice, and anti-inflammatory medications.

2. Cervical Radiculopathy

• Rationale: Given your history of degenerative disc disease, the pain radiating down your left arm and associated weakness could be due to nerve compression in the cervical spine.
• Typical Treatments/Testing: Physical examination, MRI of the cervical spine, physical therapy, medications for pain relief, and possibly corticosteroid injections.

Unifying Diagnosis

• Cervical Radiculopathy: This condition could explain both the shoulder pain and the radiating arm pain, especially considering your history of degenerative disc disease.

What you can do

Shoulder and Arm Pain

1. Seek Medical Attention: Given the severity of your pain (10/10) and the associated arm weakness, it's important to consult a healthcare provider as soon as possible. They may recommend imaging tests and a physical examination to determine the exact cause.
2. Rest and Avoid Aggravating Activities: Try to rest your shoulder and avoid movements that exacerbate the pain.
3. Pain Management: Over-the-counter pain relievers like ibuprofen (Advil) or acetaminophen (Tylenol) can help manage the pain. Be sure to follow the dosage instructions.
4. Ice and Heat Therapy: Applying ice packs to the affected area for 15-20 minutes several times a day can help reduce inflammation. After a few days, you can switch to heat therapy to relax the muscles.
5. Physical Therapy: Once you see a healthcare provider, they may recommend physical therapy to strengthen the shoulder muscles and improve range of motion.

General Tips

• Document Symptoms: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider. This can help in diagnosing and managing your condition effectively.

What you should look out for

Given the severity of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Increased Weakness or Numbness: If you notice worsening weakness or numbness in your arm or hand.
• Loss of Function: If you are unable to use your arm or shoulder at all.
• Severe Pain: If the pain becomes unbearable despite taking pain medications.

Remember, while I can provide guidance, it's crucial to consult a healthcare professional for a formal diagnosis and appropriate treatment. If you have more questions or need further assistance, feel free to continue the conversation.