I'm feeling very frustrated...My 14 year old daughter has been having shoulder pain on and off for the last year. She's a basketball player and when the pain first started I thought it was probably just over use/muscle strain. After basketball ended last March her symptoms were for the most part alleviated except for the occasional twitch here and there. Fast Forward to September and the start of Fall ball...her shoulder pain came back full force she described it as sharp stabbing pain in her right shoulder blade, numbness/tingling in her right arm/hand, and pain in her right tricep. I took her in for a visit to her primary and her primary said it sounded like joint instability combined with poor posture. My daughter was sent in for an MRI of her cervical spine to rule out any abnormalities and was prescribed physical therapy. She started physical therapy and it helped a little bit but she still had the nagging pain and neural symptoms. The results from the MRI came back showing she has a cervical herniated disc at the C6-7 level which her primary informed me was normal at any age and not something we needed to worry about. We continued with PT until her yearly visits were exhausted, her ROM definitely got better and there were a few days that she was actually able to play a little basketball with a small amount of pain. She continued her PT at home for a little while then grew lax when she was starting to feel better. Well her symptoms are back and she is in so much pain that sleeping is non-existent, she hurts all the time and it's affecting all of aspects of her life now and we've tried ibuprofen and Naprosyn to no avail, nothing is working. After much research of her symptoms I came to my own conclusion that this herniated disc she has is more than likely compressing a nerve, causing all of her symptoms. I finally had enough and took her in for another apt unfortunately her primary was on vacation so we had to see another GP. I took all my research with me and laid it out for this GP who in turn pretty much blew off what I had to say and stated that if she was a betting women she'd bet on ligament laxity...I'd never even heard of that before. When I asked if that would cause the numbness and tingling in her arm/hand she said I don't know about that. At this point all I want is a referral to a specialist because this is becoming ridiculous so I suggest getting an MRI of her shoulder to rule that out, GP says she's not making that call and refers us to an ortho. Yay, progress! But my kid is still in pain so while she is getting all the referral stuff in order I ask if there is anything we can do for the pain in the mean time to which she states No just ice it. At this point I'm feeling like both her primary and this second GP are focusing so much on the pain in her shoulder that they are discounting all of the rest of her symptoms and I'm angry. Sitting up with my daughter night after night while she cries from the pain is not something that I would wish on my worst enemy but that's what my life has come down to. So we have a referral to an ortho which is good but have yet to get scheduled and in the mean time the pain is real. The day after our second appointment with the GP I took my daughter to Urgent Care to basically see if there was anything they might be able to do for the pain while we for the ortho. After explaining to the physician the background, what we've done and what hasn't been working he said that it sounds like my suspicions might be correct. He gave us a script for a very mild muscle relaxer and prednisone to help get her through. It's been two days and she's still not sleeping really well but a little bit better than before and the pain seems to be at least some what manageable. Am I missing something that her primary and the gp are seeing? I feel like there is validity to my suspicions but if they are willing to discount it then am I way off base? Frustrated!****************************************************************************************************** Welcome to Spine-Health
While you may have provided us with some information, there is always more to provide.
One of the most important things that members can do is to provide the rest of the community with as much information about themselves as possible. It is so very difficult for anyone to respond when we do not have enough information to go on. This is not meant to indicate that you are doing anything wrong or violated any rule, we are just trying to be pro-active and get the information upfront so that people can start responding and your thread is more effective.
So many times we read about members who have different tests and they all come back negative. The more clues and information you provide, the better chances in finding out what is wrong, The fact that your test results are negative does not mean that you are fine and without any concerns. Many times it takes several diagnostic tests and procedures to isolate a specific condition.
Here are some questions that you should answer:
- When did this first start?
. Year, Your age, etc
- Was it the result of an accident or trauma?
- Are there others in your family with similar medication conditions?
- What doctors have you seen? (Orthopedic, Neurosurgeon, Spine Specialist, etc)
. Which doctor did you start with? Ie Primary Care Physician
. Who are you currently seeing?
- What Conservative treatments have you had? Which ones?
. Physical Therapy
. Ultrasound / Tens unit
. Spinal Injections
. Massage Therapy
- What diagnostic tests have you had? And their results (MRI, CTScan, XRay, EMG, etc)
. Summarize the results, please do not post all details, we cannot analyze them
. How many different tests have you had over the years? Similar results?
- What medications are you currently using? (details, dosage, frequency, etc)
. Name of Medication
. How long have you been using this?
- Has surgery been discussed as an option? (If so, what kind)
- Is there any nerve pain/damage associated?
- What is your doctor’s action plan for treating you?
Providing answers to questions like this will give the member community here a better understanding
of your situation and make it easier to respond.
Please take a look at our forum rules: Forum Rules
I also strongly suggest that you take a look at our FAQ (Frequently Asked Questions) which can be found at the top of the forum menu tab or by going to FAQ
There you will find much information that will
- Help you better utilize the Spine-Health system
- Provide pointers on how to make your threads / posts
- Tips on how to create your avatar (your picture), posting images, etc
- General pieces of valuable information
Please remember that no one at Spine-Health is a formally trained medical professional.
Everything that is posted here is based on personal experiences and perhaps additional research.
As such, no member is permitted to provide
- Analysis or interpretation of any diagnostic test (ie MRI, CTscan, Xray, etc)
- Medical advice of any kind
- Recommendations in terms of Medications, Treatments, Exercises, etc
What could be good for someone could spell disaster for another.
You should also consult your doctor to better understand your condition and the do’s and don’t’s.
It is very important that new members (or even seasoned members) provide others with details about their condition(s). It is virtually impossible to help another member when all the details we have areI’ve had this for years, it hurts, I cant move my shoulder – what could this be, what treatment should I get?
Diagnosing spinal problems can be very difficult. In many ways it’s like a game of clue. Especially, when the diagnostic tests come back negative – no trouble found! Then it’s up to the patient and the doctor to start digging deeper. The doctor is like a detective. They need clues to help them move along. So, you as the patient need to provide the doctor with all sorts of clues. That is like it is here. Without having information about a condition, its impossible for anyone here to try to help.Specific comments :Personal Opinion, not medical advice :
--- Ron DiLauro, Spine-Health System Moderator : 01/08/16 15:31 est