[57M] Experiencing dull muscle ache in shoulders and arms post-moderate exercise

Patient Description

A 57-year-old male reports a dull ache in the shoulders and arms rated as a 3 or 4 out of 10 in severity, which has been persisting for a few months. The pain is specifically triggered by activity, particularly the use of arms, and improves with rest. There is an associated feeling of general tiredness. The patient has not experienced any recent injuries, swelling, redness, warmth, weakness, or numbness in the affected areas. The pain is not present at rest and there is no decrease in range of motion or localized tenderness reported. The patient has been out of sports practice, which may be relevant to the onset of symptoms.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing one of the following conditions:

  • Overuse Injury: This is a common cause of muscle pain and discomfort, especially in individuals who engage in regular physical activity. Overuse injuries occur when a specific muscle or group of muscles are used repetitively, leading to strain and damage.

    • Treatment typically involves rest, ice, compression, and elevation (RICE). Nonsteroidal anti-inflammatory drugs (NSAIDs) like Diclofenac can also help manage the pain.

  • Tendinitis: This is inflammation or irritation of a tendon, the thick fibrous cords that attach muscle to bone. It's caused by repetitive, minor impact on the affected area, or from a sudden more serious injury.

    • Treatment usually involves rest, physical therapy, and medications to reduce pain and inflammation.

  • Age-Related Muscle Loss (Sarcopenia): As we age, we naturally lose muscle mass and strength. This can lead to muscle fatigue and pain, especially after physical activity.

    • Treatment involves resistance and strength training exercises and ensuring adequate protein intake.

What you can do

  1. Rest: Give your muscles time to recover. Avoid activities that cause pain.
  2. Ice: Apply an ice pack to the affected area for 15 minutes at a time to reduce inflammation.
  3. Over-the-counter pain relievers: Non-prescription medicines like Diclofenac can help relieve pain and reduce inflammation.
  4. Physical Therapy: A physical therapist can provide exercises to help improve your flexibility, strength, and posture.

What you should look out for

If your symptoms persist or worsen, you should seek medical attention. Specifically, if you experience:

  • Severe pain that doesn't improve with rest
  • Pain that occurs at night or while resting
  • Pain that persists beyond a few days
  • Swelling, redness, or warmth in the affected area
  • Any signs of infection, such as fever or chills

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.

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9 mo ago

People Also Ask

What are common causes of shoulder and arm pain that worsen with activity?

Common causes of shoulder and arm pain that worsen with activity include overuse injuries, tendinitis, and age-related muscle loss. These conditions are often due to repetitive use or strain on the muscles and tendons.

How can overuse injuries be treated at home?

Overuse injuries can be treated at home by following the RICE method: Rest the affected area, apply Ice to reduce swelling, use Compression to support the area, and Elevate the limb. Over-the-counter pain relievers like NSAIDs can also help manage pain and inflammation.

What is tendinitis and how is it different from other muscle pains?

Tendinitis is the inflammation or irritation of a tendon, often caused by repetitive minor impacts or sudden injuries. It differs from other muscle pains as it specifically involves the tendons, which connect muscles to bones, and is characterized by pain and tenderness near a joint.

How does age-related muscle loss affect physical activity and what can be done to manage it?

Age-related muscle loss, or sarcopenia, can lead to decreased muscle mass and strength, affecting physical activity. It can be managed through regular resistance and strength training exercises and ensuring adequate protein intake to support muscle health.

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