Test : Neck Stretching
This test will determine whether relieving tension on the nerve reduces or relieves your symptoms.
First, tilt your head to the side that does not cause discomfort. Hold your head in this position for a minute or two, stretching the neck muscle with your other arm.
Does this relieve your symptoms, including a reduced sense of numbing or warming sensation in the arm? If yes, move on to test 2.
About The Muscle Repair Shop
Drawing upon his personal experience as a former competitive athlete turned wheelchair, obese and chronic pain sufferer, Muscle Repair Shop Founder Butch Phelps decided to take his health into his own hands when at the age of 36 he was told he might not make it to his 40th birthday. Applying balanced nutrition advice from his doctor along with a sound exercise program, he went from 315 lbs. to 180 lbs. Motivated by his experience, he then acquired degrees in advanced therapeutic massage and aging sciences to help people eliminate chronic pain. This included applying his expertise in how people age, including the effects of dementia, anatomy, psychology, and the day-to-day struggles living as an older person to his practice and development of The Muscle Repair Shops one-of-a-kind Stretch n Release Technique.
Available through in-office and virtual coaching treatment sessions, this unique combination of stretching and breath work teaches the brain to release the emotional side of muscle tension and pain allows clients to find lasting relief and healing from stiffness, aches, injuries, and chronic pain. The at-home exercises come with customized instructional videos and virtual or in-office support, allowing clients to enjoy and experience life and sports as they did before limitations slowed or curtailed activities.
What Might Be Happening
The reason shoulders sometimes refer pain to the arms is due to the location of our nerve roots. The same ones that supply your rotator cuff that group of tendons and muscles which allows your arm to move and stay within its socket also supply feeling to skin further down the arm. So, in a slightly unscientific sense, your brain is fooled into thinking your arm is the problem, not your shoulder.
Now there are a number of different reasons why your shoulder might be playing this trick and, to be clear, we would need to examine you properly to know the answer.
Pain that continues when you rest particularly if its an aching feeling up and down the arm could for example indicate osteoarthritis . Pain that occurs on movement especially if its a catching or pinching kind of pain could indicate a condition like tendonitis , a subacromial mpingement or a rotator cuff tear.
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Shoulder Pain Radiating Down Arm To Fingers
It started as a nuisance and has now has progressed. Shoulder pain radiating down arm to fingers is now constant. Rest and NSAIDs are not effective. What is Cervical Radiculopathy? What is the basic anatomy of the neck? What causes cervical radiculopathy? What are the symptoms of Cervical Radiculopathy? How is Cervical Radiculopathy diagnosed? What are the treatment options? What are the regenerative treatment options? Meet GB. Lets dig in.
When To Contact A Medical Professional
Sudden left shoulder pain can sometimes be a sign of a heart attack. Call 911 or your local emergency number if you have sudden pressure or crushing pain in your shoulder, especially if the pain runs from your chest to the left jaw, arm or neck, or occurs with shortness of breath, dizziness, or sweating.
Go to the hospital emergency room if you have just had a severe injury and your shoulder is very painful, swollen, bruised, or bleeding.
- Shoulder pain with a fever, swelling, or redness
- Problems moving the shoulder
- Pain for more than 2 to 4 weeks, even after home treatment
- Swelling of the shoulder
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Push Up Against Shoulder Pain
Pushups are considered one of the best all-around exercises. They work muscles in your upper body and core while increasing your metabolic rate. You can still do pushups with shoulder arthritis, but youll need to make some modifications.
Instead of pushing away the floor, consider wall pushups. This method can ensure better alignment and less shoulder strain. Perform a few reps a day. Only increase the duration if you dont experience any pain. You shouldnt have pain at any time while doing pushups.
Common Risk Factors For Cervical Radiculopathy
There are many factors that can increase your risk of cervical radiculopathy. Having one or more of these risk factors may mean youre more likely to develop pain in the neck and shoulder that radiates down your arm:
- Age The risk of pinched neck nerves increases as a person ages. Generally, the risk is highest when youre between the ages of 40 and 59.
- Doing repetitive neck movements Years of repetitive neck movements can wear out structures in the neck. In turn, this makes cervical radiculopathy more likely.
- Working with vibrating equipment The vibrations caused by certain work equipment, such as jackhammers, can lead to a greater pinched nerve risk.
- Repeatedly overstressing your neck muscles Activities like weightlifting can put a lot of stress on your neck muscles. Over time, this can increase your risk of pinched neck nerves. Forward head posture can also cause neck muscles to be overstressed and increase your risk of this condition.
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What Are The Symptoms Of Brachial Neuritis
Brachial neuritis generally begins with pain, which leads to a period of muscle weakness. How long and how severe each of these phases is can vary from person to person. The symptoms of brachial neuritis include:
- sudden, intense shoulder pain thats often described as stabbing or burning, usually in the right shoulder, but sometimes in both
- pain that becomes worse if you move your shoulder
- pain thats only relieved by the strongest painkillers and remains constant for a number of hours or even weeks
- weakness or paralysis in the shoulder muscles as the pain goes away
- muscle atrophy, which is a decrease in muscle mass
- areas of numbness that occasionally develop in your arm or shoulder
- shortness of breath, which occurs if the nerve to your diaphragm is affected
When To Be Concerned About Shoulder Pain
It can take some time for shoulder pain to settle, perhaps weeks or months. In general, if your shoulder pain has not begun to settle in a week or two, or if it worsens over time, then it may be worthwhile seeing an experienced doctor or health practitioner.
If you find that you need stronger medication to manage your shoulder pain, discuss this with your doctor. You may need a referral to a specialist.
Note: Shoulder pain or discomfort around the front of one or both of the shoulders can be a sign of a heart attack. It is often described as an ache, heaviness or pressure sensation spreading from the chest to the shoulders. This requires immediate medical attention. Call 000 immediately if you are experiencing these symptoms.
Why Is My Shoulder Pain Worse At Night
There are basically three conditions that can cause shoulder pain to worsen at night: bursitis, tendonitis, and rotator cuff injuries. This is because the inflammation involved in each can pull on the shoulder joint, especially when the area is compressed .
This can make your shoulder feel stiff and painful. You may also experience muscle spasms, numbness, or tingling that radiates down to your fingers.
Shoulder pain that worsens at night may be caused by the following:
What Is The Best Treatment For A Rotator Cuff Injury
Depending on the reason for the injury and the severity of your symptoms, it is possible for your rotator cuff injury to heal on its own with a few weeks or months of rest. Beyond that, there are a variety of treatment options that will help manage your pain and improve your ability to perform routine activities. A Texas orthopedic doctor can help determine which one is best for you.
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What Is A Rotator Cuff Injury
Pain in your shoulder or at the top of your arm is often a sign of a rotator cuff injury. The rotator cuff is made up of muscles and tendons in the shoulder. These muscles and tendons hold the bones of the shoulder in place while allowing a wide range of movement. Of all the joints in the body, the shoulder joint is one of the most moveable. It allows you to reach up, behind you, and across your body.
When you have a problem with your rotator cuff, you will usually feel a pain or ache near the top of the arm, down the front, or on the outside of the arm. The rotator cuff can develop tendinitis from wear and tear or strain or have a sudden injury a full or partial rotator cuff tear.
Tendinitis or Burisitis of the Rotator Cuff
Tendinitis of the shoulder is when the rotator cuff tendons get irritated and inflamed. The tendon connect the muscles to the bones. They can get worn down from overuse and start to get small tears. Overuse or strain can be from doing a certain activity over and over again, or from the usual wear and tear that comes with living. Tendinitis causes soreness in the shoulder. It may hurt to do things like lift your arms up.
Bursitis happens when the bursae in the shoulder become swollen and inflamed. Bursae are small sacs fluid that make it easier for the tendons to glide over the bones when you move. Strain and overuse can cause inflammation in these sacs. This can make it painful to use your shoulder even for simple tasks.
Torn Rotator Cuff
Warning Signs Of More Serious Arm & Shoulder Problems
In some instances, shoulder pain and arm pain can indicate more serious problems. These problems might include cancer, fractures, infection, severe nerve compression and ankylosis spondylitis.
If there is cancer in the bones of the spine, this usually means metastases .
Fractures of the spine can be caused by a direct hit, fall, accident but sometimes can occur without trauma, called spontaneous fractures. Spontaneous fractures, usually can occur in elderly people with osteoporosis or those who may be taking steroid medications that weaken the bone.
Infections of the spine tend to occur if patients have a weakened immune system from any cause or medical condition. Sometimes infections of the spine can occur if there is an infection elsewhere in the body. People with spinal infections usually feel unwell and can have sweats and a fever.
Nerve compression, called myelopathy, where there is a dangerous compression of the spinal cord in the neck. Myelopathy could cause symptoms that might include, weakness or problems with coordination in the arms, hands, legs, or even feet.
Ankylosing spondylitis is progressive arthritis of the spine and can cause widespread inflammation, pain and stiffness throughout the spine.
Seek urgent and specialist medical advice if:
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Shoulder Pain Radiating Down Arm Causes And Treatments
Shoulder or arm pain is the third most popular muscle and bone complaint in the United States, contributing to $3 billion of annual healthcare costs. The pain usually appears on the outside of the shoulder that may radiate further down your arm or elbow. Causes of shoulder and arm pain include injuries, overuse conditions, and pain that travels to the arm.
Overuse conditions that can cause shoulder and arm pain include tendinitis, bursitis, tennis elbow, or rotator cuff tears. Tennis elbow is the result of irritation of the tendons that can cause pain in the lower portion of the arm or outside of the elbow joint.
A rotator cuff problem can also cause a deep aching sensation outside or further down the arm. This pain usually occurs when you lift the arms overhead or sleep at night.
Traumatic Conditions such as fractures, muscle contusions, dislocation of the elbow or shoulder can cause significant shoulder and arm pain. If you suffer from a fall or significant injury, youd better see your doctor as soon as possible.
Sometimes, other conditions such as angina, thoracic outlet syndrome, or a heart attack can also lead to pain radiating down the arm. Another common cause of radiating pain may be a trapped or pinched nerve. This problem can cause tingling, numbness, and shoulder pain that radiate down your arm.
Repetitive Strain Injury Of The Shoulder
Repetitive strain injury of the shoulder is caused by consistent repetitive use.
Top Symptoms: shoulder pain from overuse, shoulder weakness, shoulder numbness
Symptoms that always occur with repetitive strain injury of the shoulder : shoulder pain from overuse
Symptoms that never occur with repetitive strain injury of the shoulder : severe shoulder pain, shoulder injury
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How Is Brachial Neuritis Diagnosed
Your doctor will ask you about your condition and conduct an examination to look for painful or wasted muscles. Theyll also test your shoulder movement and strength. In some people, the shoulder blade on the affected side protrudes or stands out more than usual, and your doctor will check for this. They may also test your reflexes and skin sensation to check for any abnormalities.
Your doctor may order X-rays, CT scans, and MRIs of your neck and shoulder. The scans can help rule out other causes, such as a slipped disc or tumor, which could press on the nerves and cause similar symptoms.
Electrical testing may be performed to show whether individual nerves are functioning correctly. Your doctor may also use blood tests to look for any underlying illnesses.
Brachial neuritis can often be treated with a combination of medication and physical therapy. However, in rare cases, your doctor may say you need surgery.
Pain Around The Upper Arm And Shoulder
This happens when the pain is localized predominantly in the area of your shoulder and upper part of your humerus. The conditions that cause this can include:
- Rotator cuff disease: Initially, pain is often felt at the front of the shoulder.
- Torn rotator cuff: Tears in the rotator cuff can include pain that begins near the shoulder.
- Dislocated shoulder: Pain from a shoulder dislocation is most acutely felt near the shoulder.
- Broken collarbone: The pain from a broken collarbone can be felt close to the shoulder, particularly when you try to move your arm.
- Frozen shoulder: This type of pain typically comes on gradually and feels dull and deep.
- Calcific tendinitis: Pain due to calcific tendinitis can be severe and can come on suddenly, often in the morning.
- Shoulder sprain: You can feel pain from a shoulder sprain not only in your shoulder, but also in the area of your upper arm and collarbone.
- The pain due to a separated shoulder is felt around the shoulder and upper arm.
- Shoulder osteoarthritis and RA: People with arthritis in their shoulder often feel a deep ache in their shoulder and upper arm.
- Brachial neuritis: Pain from brachial neuritis is typically severe and most often happens in the area of the shoulder and upper arm.
- Brachial plexus injury: Pain from a brachial plexus injury can happen around the shoulder and upper arm. It may be long lasting.
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Find Effective Cervical Radiculopathy Treatment At Border Therapy Services
Feeling pain in your neck and shoulders thats radiating down your arm? Our physical therapists at Border Therapy Services can help you treat the cervical radiculopathy thats causing your symptoms. Well start by doing a free screening on you to confirm this is the cause of your symptoms. Then, our specialists will create a personalized therapy plan for you. This plan will be designed to offer benefits like:
Pinched Nerve In The Neck
A pinched nerve in the neck is also called cervical radiculopathy. It means that a nerve in the neck, at a point where it branches off from the spinal cord, is being compressed by the surrounding bones, muscles, or other tissues.
It can be caused by a traumatic injury, such as from sports or an automobile accident, especially if the injury results in a herniated disk. It may also arise from the normal wear and tear of aging.
Symptoms include sharp, burning pain with numbness and tingling from the neck to the shoulder, as well as weakness and numbness into the arm and hand.
Diagnosis is made through patient history, physical examination, and simple neurological tests to check the reflexes. Imaging such as x-ray, CT scan, or MRI may be done, as well as electromyography to measure nerve impulses in the muscles.
A pinched nerve in the neck often improves with simply a few days or weeks of rest. Physical therapy, nonsteroidal anti-inflammatory drugs, and steroid injections into the spine can all be very helpful.
Top Symptoms: pain in one shoulder, spontaneous shoulder pain, pain that radiates down arm, pain in the back of the neck, severe shoulder pain
Urgency: Primary care doctor
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Shoulder Impingement Or Painful Arc Syndrome
The rotator cuff is a group of muscles and tendons that keep the upper arm bone held in the shoulder blade socket.
Pain from a problem with the rotator cuff is often called shoulder impingement. The condition causes swelling, pain or damage to the tendons of the rotator cuff. This can make it painful and difficult to move your arm properly.
You may find it painful and difficult to lift your arm away from your body, particularly if youre trying to lift your arm above your head. Your arm may feel weak or you may have a dull lingering pain in your upper arm.
Really, its nothing to do with your tendons being trapped by bones, as was previously thought. Instead, its caused by overuse or age-related problems with the tendons themselves but the name is still used. This condition can also be called painful arc syndrome.
Rest and physiotherapy are the main courses of treatment for a shoulder impingement. Your doctor may recommend an injection of steroids and a local anaesthetic, to help with the pain.
If the pain doesnt settle, or comes back within a few months of treatment, you may need keyhole surgery.