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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 60402
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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Had a fall 2 years ago still constant pain in shoulders and

Customer Question

Had a fall 2 years ago still constant pain in shoulders and arms X-rays showed nothing can't get any answers with own GP
JA: What seems to make the symptoms worse or better? Have you noticed any swelling?
Customer: more pain when asleep pain keeps awake at night
JA: Is there anything else the Doctor should know before I connect you? Rest assured that they'll be able to help you.
Customer: Constant pain day and night
Submitted: 10 days ago.
Category: Medical
Expert:  Dr. Arun Phophalia replied 10 days ago.

Welcome to JustAnswer.
Answers here are for education and information.
I will respond shortly with an answer or further information request.

Expert:  Dr. Arun Phophalia replied 10 days ago.

I am sorry for your symptoms.

What are your age and gender?

What are the treatments done?

Customer: replied 10 days ago.
I'm 65 yr old female physio done but no help
Expert:  Dr. Arun Phophalia replied 10 days ago.

Thanks for the further information.

I am writing the answer for you and will get back to you in 5 minutes.

Unless you wish to speak in person, you can ignore the request for a phone call automatically generated by the website, not by me.

Thank you.

Customer: replied 10 days ago.
Can you just text thanks
Expert:  Dr. Arun Phophalia replied 10 days ago.

Apologies for any intrusion of those automatic offers for phone calls. These are produced by the website automatically and outside of my control.

Customer: replied 10 days ago.
No problem
Expert:  Dr. Arun Phophalia replied 10 days ago.

Your symptoms are suggestive of pinched nerves in the neck causing referred pain in the shoulders and arms.

Following measures would be helpful;

1) Neck care in the activities of daily living.

a) No working on the computer for more than half an hour in a single stretch. Same for TV/ IPad/ Mobile.

b) Monitors and televisions exactly in front (180 degrees).

c) Contour pillow: Should fill the hollow when lying on the back /straight or sideways. The principal is neck to be in the neutral position and supported. Available over the counter.

2) Soft Cervical Collar or Brace

3) Cervical traction

4) Anti-inflammatory analgesics like Ibuprofen etc.

5) Some physicians do give oral steroids in severe radiculopathy cases, in whom pain/numbness/tingling is quite significant.

6) Physical therapy: gradually increasing exercises from passive stretching to active ROM and against resistance regime.

7) Electrotherapy in the form of TENS, interferential and laser, and ultrasound.

8) Hot fomentation

9) Local analgesic patch/ointment/ spray.

10) Gentle massage.

11) Acupuncture

This is an exercise resource;

https://www.spine.org/Portals/0/assets/downloads/KnowYourBack/CervicalExercise.pdf

The investigations advised are;

MRI of the neck.

Electromyography

Nerve conduction velocity study.

Vitamin B-12

Blood sugar

I wish your symptoms resolve soon.

I would be happy to assist you further if you need any more information.
Thanks for using JustAnswer.