Thank you for your question.
For the lest shoulder pain a referral to an orthopedic surgeon would be better, since they will be able to do an accurate physical examination and also order the necessary investigation to get a correct diagnosis. However for your other symptoms you need to follow up with your general physician.
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Thank you for your reply.
This may be neuropathic pain or even muscular pain, further investigations are needed.
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The characteristic of the pain as well as the cause is different in these conditions. You may consult a neurologist regarding this.
Neuropathic pain is due to a disease or problem in the nerves and is often described by patients as burning, stabbing, shooting, aching, or like an electric shock. Basically this is more like an abnormal sensation that the typical pain characteristic of muscular pain. Muscular pain tends to be sharp or aching, and is relieved by painkillers such as paracetamol, anti-inflammatory painkillers, codeine and morphine. Neuropathic pain does not respond to pain killers and need other types of medications such as anti-seizure medication or anti-depressants.
Both of these types of pain are possible due to the rare adverse effect of Hep B vaccine.
t is a privilege answering your question.Thank you.Please let me know if you have further queries or unanswered questions.Please rate the answer with a positive rating of 5 stars, because this is the only way we experts are credited and compensated for our time and work.Wishing you all the very best in life.May you be happy, successful, and healthy.
Thanks for your reply.
Yes that is the reason I mentioned that this may be due to both, and at this stage we cannot tell for certain the causative factor.
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