This question was answered on Sat 23, Oct 2010 10:41am by Dr Deepak Singh

right shoulder swelling, shoulder blade and neck.

    
Asked by chris511 (Male; 33; fracture to rib on right side slight deformation in healing, some sciatic injury problems mainly right side both around age 19; Relevant drugs:analgesic cream ) on Sat 23, Oct 2010 09:52am

Hello I started work as a postman about seven moths ago and ever since carrying some very heavy weight in a one strap bag on my right shoulder one late afternoon doing overtime in cold and VERY rainy conditions I've had the following problems for about three months: Their seems to be a slight swelling or protusion on the horizontal line just above my right shoulder blade roughly halfway between my shoulder and neck. I've had pain in this spot which decreases somewhat with rest and returns when strain is put on my arm eg: turning the steering wheel whilst driving or holding something with weight at arms length. The pain can radiate down either side of my bicep and up behind my right ear. I've also had a slight corrisponding tingling or numbness in my fingers and the top of my hand. There is a hardish swollen feeling to the area just above the right collar bone and the tendens in my neck on the right feel slightly more promenant and tighter than on the left. I have a softish swelling in the lower right side of my throat where it meets the collar bone which seems to reduce sometimes but increases to the best of my knowledge after pain builds in the spot above my shoulder blade. (This was one of the first things I noticed and has caused me some concern) A few weeks ago a lot of the glands in the right side of my neck were swollen as well, could this recent swelling be fluid? Also i've sometimes noticed a creaking or clunking sound in my shoulder joint when I raise and lower my right arm. I've been to my doctors practice a few times now and some said I might have infection with regards to the glands a few weeks ago and just recently I've been told to use analgesic cream on my shouder and that it was a muscle sprain. (I've been using my other shoulder to carry weight since it first happend) I feel like I still don't know what's really happend though or if the swelling in my neck is definately connected as I've also been very tired lately and feeling unwell at times. Thanks!

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Answer by Dr Deepak Singh  on Sat 23, Oct 2010 10:41am:

Hi. Your right shoulder seems to be predominantly of muscular origin, the reason being your job requiring you to carry heavy bag and consequent injury to the shoulder muscles. The swollen neck glands probably are due to infections maybe of throat or other soft tissues. As you are already consulting various doctors and seeking professional advice, i would concentrate on the aspect that i think is neglected. It involves physiotherapy and can improve your pain and help in healing of muscle injury. As for neck swellings, please consult an ENT specialist for work up and definitive diagnosis. Hope this helps you with your decision making. Take care.

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