[48M] Severe neck and shoulder pain post-fall with arm radiculopathy

Patient Description

A 48-year-old male reports severe neck and right shoulder pain, rated 8/10, with radiation into the left forearm following a fall from a height of 4 feet approximately 2 weeks ago. The pain is described as sharp and shooting, and the patient also experiences numbness and tingling but no weakness in the arms or hands. There are no changes in grip strength or reflexes, and no balance or walking difficulties. The patient has a recent diagnosis of stage two hypertension but is not on any medications and has no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing:

  • Cervical Radiculopathy: This condition occurs when a nerve in the neck is irritated as it leaves the spinal canal. It can cause pain that radiates into the shoulder and arm, as well as numbness and tingling in these areas. This condition can occur as a result of trauma, such as a fall.

    • Treatment typically involves physical therapy, pain management (with non-steroidal anti-inflammatory drugs, corticosteroids, or narcotics), and in some cases, surgery.
  • Rotator Cuff Injury: This is an injury to the muscles and tendons that surround the shoulder joint. It can cause pain and weakness in the shoulder, which can radiate down the arm. This type of injury can occur as a result of a fall.

    • Treatment typically involves physical therapy, pain management, and in some cases, surgery.
  • Fracture: Given the severity of your pain and the mechanism of injury (a fall), it's also possible that you could have a fracture in your neck or shoulder.

    • Treatment typically involves immobilization, pain management, and in some cases, surgery.

What you can do

You should seek immediate medical attention. Your symptoms could indicate a serious condition, such as a fracture or a nerve injury, which require prompt treatment. In the meantime, try to avoid moving your neck and shoulder as much as possible to prevent further injury.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Increased pain, swelling, or bruising in your neck or shoulder
  • Difficulty moving your neck or shoulder
  • Numbness or tingling in your arms or hands
  • Difficulty breathing or swallowing

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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9 mo ago


People Also Ask


What is cervical radiculopathy and how is it treated?

Cervical radiculopathy occurs when a nerve in the neck is compressed or irritated, often causing pain that radiates into the shoulder and arm, along with numbness and tingling. Treatment typically involves physical therapy, pain management with medications like NSAIDs or corticosteroids, and sometimes surgery.


What are the symptoms of a rotator cuff injury?

A rotator cuff injury can cause pain and weakness in the shoulder, which may radiate down the arm. Symptoms often include difficulty lifting the arm, pain when moving the shoulder, and a crackling sensation when moving the shoulder in certain positions.


How can a fall lead to a fracture in the neck or shoulder?

A fall can lead to a fracture in the neck or shoulder due to the impact and force exerted on the bones during the fall. This can result in severe pain, swelling, and difficulty moving the affected area. Immediate medical evaluation is necessary to assess and treat potential fractures.


What should I do if I experience numbness or tingling in my arms after a fall?

If you experience numbness or tingling in your arms after a fall, it is important to seek medical attention promptly. These symptoms could indicate nerve irritation or injury, which may require specific treatments to prevent further complications. Avoid moving the affected area until you receive medical advice.


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