Aching pain in the back and arms. Pain under the right shoulder blade from the back

Aching pain in the back and arms. Pain under the right shoulder blade from the back - causes, treatment

Due to severe stress on the vertebrae and back muscles, most of humanity periodically experience pain in different places of the back, including on the right side. And the nature of such pain can be different: stabbing, with a deep inhalation or exhalation, aching, sharp, sharp, dull, with movement and at rest. Back pain, radiating in different directions (to the back of the right shoulder blade, arm, collarbone) raises many questions among those suffering from it, in particular, they are all related to what its causes are, what the diagnosis is and how to treat it correctly. Pain in the right shoulder blade is a phenomenon that occurs quite often in various diseases (and not only the joints and back) and worries people with its sudden appearance.

Before determining the treatment for pain on the right side, it is necessary to understand what causes it to occur and how it manifests itself.

Nature of pain under the shoulder blade

The following types of pain are distinguished:

Aching pain in the area of the right shoulder blade, most often occurring when staying in an uncomfortable position for a long time, with the head bowed.
Acute pain in the area of the right shoulder blade that occurs when coughing, taking a deep breath, sneezing, or moving.
Sharp pain that occurs behind the right shoulder blade spontaneously, during inspiration or at rest.
A dull pain that continues for a long time, does not cease to exist in the area of the right shoulder blade on the right, either at rest or with a change in body position, intensifying with certain factors: inhalation, coughing, sometimes.

Causes of pain under the right shoulder blade

Depending on how the symptoms manifest themselves, their causes are determined. This problem has an extensive list of causes of pain under the right shoulder blade.

For example, if this:

A dull aching pain that has been present on the right side of the back for a long time, then possible causes of its occurrence can be either ordinary muscle spasm due to being in an uncomfortable position for a long time, or problems with internal organs: gall bladder, kidneys, pancreas. Usually this phenomenon occurs suddenly, when coughing, sneezing, or sharply turning the head.
Acute pain, both sharp and not, arising on the right or between the shoulder blades, speaks more about problems of the internal organs than problems with the spine. These can be various human organ systems: cardiovascular, digestive, excretory, etc.
Drawing and stabbing pain under the right shoulder blade is a sign of the onset of diseases of the musculoskeletal system in the early stages: osteochondrosis, etc. Sometimes this is a sign of neuralgia - which occurs under certain conditions (sudden movements, “blow”). The causes of such sensations may be oncological tumors, although rare, they do occur.

It is important to note the fact that pain under the right shoulder blade is accompanied by other symptoms if the cause is diseases of the internal organs.

Treatment of pain under the right shoulder blade

Treatment of pain in the area of the right shoulder blade on the right will depend on what causes it to arise. If the causes are diseases of the internal organs, then treatment is aimed at eliminating the sources of the disease. Who will do this depends on the affected organ. In order to determine the source of the disease, the therapist conducts an examination (visually and palpation), prescribes an ultrasound of organs and other tests, and after receiving the results, sends you to a highly specialized doctor (nephrologist, cardiologist, urologist, gastroenterologist, etc.). As a rule, if pain under the right shoulder blade occurs due to damage to the internal organs, then nothing is done to the sore spot itself, and the disturbing symptom goes away immediately after the treatment gives the first positive results.

If pain in the area of the right side of the back and between the shoulder blades is associated with diseases of the spine, then treatment is aimed at eliminating the source of inflammation. For this purpose, traditional drugs for orthopedics, rheumatology and traumatology are prescribed:

Analgesics.
Corticosteroids.

If the cause of dull, persistent pain is muscle spasm or neuralgia, then warming agents (, Fastum-gel, Bystrum gel, Capsicum) or are prescribed.

Corticosteroids and chondroprotectors are rarely prescribed if NSAIDs have not brought the expected effect, and pain in the back on the right still persists.

After drug treatment

When the pain between the shoulder blades or on the right is relieved, procedures are prescribed to help relax muscle tone and remove the feeling of stiffness:

Massage;
Manual therapy;
Physiotherapy;
Physiotherapy;

All the actions of the above methods are based on relaxing the back muscles, strengthening the thoracic and cervical vertebrae, and preventing pinched nerve roots.

Physiotherapy

Therapeutic gymnastics is an excellent way to cope with pain in the area between the shoulder blades and specifically on the right. The whole complex should be carried out when the disease is not in the acute phase and pain does not bother you.

Exercises are performed after a preliminary warm-up.

While lying on your back, touch the floor with your shoulders as much as possible.
Move to the side the arm from which the pain is bothering you.
With your free hand, touch the crown of your head and tilt your head to the right (since it is the right shoulder blade that hurts, if the left one hurts, tilt your head to the left).
Hold your head as long as possible, while the muscles need to be tensed as much as possible.
Then tilt your head in the opposite direction and again tense your muscles as much as possible.
Relax and repeat the exercise after a couple of minutes.

For pain in the right side of the back, you can try these simple exercises:

With your feet shoulder-width apart, straighten your shoulders as much as possible and try to bring your shoulder blades together so that there is as little space as possible between the shoulder blades.
With your feet shoulder-width apart, clasp your hands and lift them up, placing them behind your head, while looking up, while trying to tense the muscles between your shoulder blades as much as possible.
Placing a tennis ball between your shoulder blades and rolling on it helps prevent muscle spasms, plus these actions are a small massage at home, done on your own.
In a sitting position, tilt your head forward, touching your chin to your chest, while using your hands to create resistance. As soon as you feel strong tension between your shoulder blades, you can relax and repeat the exercise after a minute.
Sometimes a simple hang on the bar helps.

Conclusion

Thus, there are many reasons why there is pain between the shoulder blades; only an experienced doctor can determine them after conducting certain studies. The patient’s task is not to ignore the pain and not to self-medicate, but to seek medical help as soon as possible.

It often happens that pain between the shoulder blades is a sign of serious diseases of the internal organs, and treatment should begin immediately.

If pain from the right upper back is a concomitant sign of organ diseases, then treatment has nothing to do with taking NSAIDs. If the discomfort on the right is associated with diseases of the back and joints, then treatment is traditional for such diseases: taking NSAIDs, corticosteroids, chondroprotectors, followed by a long course of rehabilitation, including massage, physiotherapy, diet, physical therapy.

Invaluable assistance in the treatment of pain in the right upper back is provided by special exercises aimed at relaxing the muscles of the neck and back, stretching the vertebrae and preventing pinched nerve roots. The great advantage of therapeutic exercises is its accessibility: the exercises do not require special physical training or any sports equipment.

Dear readers, that’s all for today, if you want to express gratitude, add clarification or objections, or ask a question to the author, leave a comment.

Neck pain radiating to the arm, caused by cervical osteochondrosis, all kinds of spinal injuries. Treatment is carried out by a vertebrologist.

Experienced doctors at Dr. Ignatiev’s Clinic treat ailments of the cervical spine using manual therapy methods. An appointment with a chiropractor is required in advance.

Neck pain radiating to the arm occurs with equal frequency in men and women. The number of cases is increasing every year. And in childhood, neck pain may occur.

According to the mechanism of occurrence, they are distinguished: reflex and radicular (radicular) syndromes.

Reflex syndromes are a consequence of irritation of the sensory nerve endings, which are located in the longitudinal posterior ligament of the spinal column. This leads to tension in the muscle fibers at an appropriate and irritating level. The pain is characterized by local or diffuse character. Often the pain is dull within existing tight spots in the muscles or a specific muscle group. The pain only intensifies with any movement. For example, we can cite diseases such as glenohumeral periarthritis.

With radicular pain (radicular), the symptom is caused by the mechanical effect of bone growths or hernial protrusion of the spinal disc on a vessel or nerve root. The pain syndrome is characterized by acute, “shooting” pain that can spread to the entire nerve root. The pain is accompanied by numbness or severe weakness of the corresponding muscle fibers. Pain may intensify with movements in the corresponding spinal region.

pain relieves after vomiting;
seasonal pain;
pain associated with eating;
has an increasing character;
heaviness and heat in the chest;
tingling;
congestion in the ears;
pressure;
hardening of the heart;
lump in the throat;
feeling of fear;
anxiety;
numbness of the limbs;
cold shiver;
unpleasant, twisting, twisting pain;
pain radiating to the arms, neck, collarbone;
pain occurs during heavy physical activity or after excitement;
pain does not go away after taking vasodilators;
nausea, fever.

To develop an effective treatment program, the doctor conducts a differential diagnosis of such ailments as torticollis, kyphosis, herniated cervical disc, scoliosis, cervical myositis, disc protrusion in the cervical spine, cervical radiculitis, spondylosis, head injuries, postpartum and birth injuries, lumbago, osteochondrosis.

direct, indirect;
soft, mechanical hard (aggressive);
active, passive.

Today, most of the therapeutic techniques of manual therapy are usually combined under one general name - neuromuscular techniques. During execution, soft tissues are affected, including such parts as muscles. All together are united by methodological influence on the functions of the nervous system.

Neuromuscular techniques include:

positional relaxation techniques - countertension or tension, craniosacral techniques, functional techniques;
muscle-energizing techniques - stretching and post-isometric relaxation, reciprocal inhibition, fast, slow eccentric isotonic contraction, concentric isotonic contraction, simple isotonic contraction;
manual direct techniques - transverse friction, pressure on trigger points, transverse friction, ischemic compression, soft tissue mobilization, acupressure;
myofascial release;
lymphatic drainage techniques;
rhythmically applied and relaxing techniques - vibration, traction, inhibition, kneading, tapping;
McKenzi method;
joint mobilization – rhythmic, positional;
stretching – static, active isolated and lightweight;
push high-speed low-amplitude techniques - leverless, short-lever and long-lever.

When performing neuromuscular techniques, a therapeutic positive effect is achieved through the application of various loads to soft tissues:

tensile loading – the use of traction, straightening, stretching and extension. The purpose of such loads will be to lengthen the soft tissues. This type of load is aimed at aggregating collagen fibers, increasing the natural thickness of the connective tissue layer with its strength characteristics, improving blood flow, and deactivating body trigger points;
compression load - used to shorten and expand tissues, leads to an improvement in the quality of blood circulation and at the same time lengthens the tissues. Lengthening the muscles leads to proper relaxation. This is achieved by directed pressure from the belly of the muscle outward, passing into the area of the tendon apparatus. Similar pressure may be applied to the muscle belly and muscle spindle cells. During compression, along with tissue elongation, mechanoprocesses are activated;
combined loads;
rotational loads – lead simultaneously to compression and elongation of soft tissues. This type of load improves blood circulation and activates mechanical processes. The doctor, performing flexion loads, causes compression of the tissues on the concave side, and stretching occurs on the curved side;
scissor loads - the doctor displaces some tissues on the surface relative to others and deeper ones.

Therapeutic mechanisms of action of individual manual techniques

Mechanisms of reflex action of manual therapy:

mechanical stimulation in the area where the stimulus is located, mechanoreceptors, which are connected directly to the spinal cord and muscle fibers of large size and diameter. The doctor activates inhibitory interneurons;
reflex relaxation with muscle lengthening. Occurs due to the activation of the reflex arc of reciprocal inhibition;
manipulation or low-amplitude, high-speed pushing techniques, with which the doctor causes inhibition of the reflexes of γ- and α-motoneurons. This leads to a reconfiguration of muscle tone with further relaxation, eliminates articular intervertebral dysfunction;
periodically repeated stimulation of proprioceptive afferents can interrupt the mechanisms of dynamic wide range chronification in a neuron. Already existing chronification processes can easily regress.

The mechanisms of manual therapy techniques, when they affect soft tissue, can:

improve or normalize the barrier functions of various tissues;
improve the quality of tissue sliding;
ensure synchronization within the muscle with the alignment of different fiber systems in the muscles themselves. This reduces the activity of nociceptive fibers, and with contraction, irritation of the nociceptors of muscle fibers occurs;
reduce deformation and stretch soft tissues. This will enhance the process of aggregation of collagen fibers, increasing their natural thickness and ability to resist applied stretching.

Each technique of therapeutic manual therapy has its own points of specific action with mechanisms for an effective therapeutic effect. For example, the therapeutic effect of the positional mobilization technique, when force is mobilized and maintained for several minutes. And it is associated with stretching tissue connective and muscle structures, improving the quality of blood circulation. The therapeutic effect of rhythmic mobilization is associated with repeated mechanical stimulation of proprioceptors and inert articular tissues. For techniques of myofascial release, transverse and longitudinal stretching, muscle-energizing techniques, the neurophysical basis lies in the gamma system of the most diverse and functional types of spindle receptors. Manual therapy techniques can be used in the treatment of a whole complex of vertebrogenic diseases of the nervous system. With the help of manual diagnostic techniques, a wide variety of pathobiomechanical disorders are identified. The chiropractor prescribes additional examinations for patients. To determine the specific type of pathology in the neck, radiography or MRI is performed. For special purposes, a CT scan can be performed. Using simple radiography, the doctor receives data on the condition of the vertebrae of the neck and indirectly judges the real condition of the intervertebral discs. Soft tissues can be seen by MRI and CT. These diagnostic methods show the tissues of the spine layer by layer: nerve roots, vertebrae, discs, muscles and ligaments. Doctors consider MRI more informative than CT. The main advantage of the first is the use of X-rays, since it is based on a powerful magnetic field. However, MRI can fail the doctor when the patient is being examined with artificial joints, implanted metal structures, electronic devices and pacemakers.

Many people have encountered people who clearly experienced pain when moving. Each step is difficult, the man limps and holds his back. This indicates that he has lower back pain, radiating to the buttock and leg. Many people take this phenomenon lightly, believing that the pain will go away. But this is a symptom that indicates a pathological problem.

Causes of pain

Similar symptoms are typical for many diseases. Pain radiating to the buttock or right leg may occur suddenly or be of increasing character. This is caused by various pathologies of the lumbar spine. At risk are older people whose work involved heavy physical labor, or office workers who spend most of their time in a sitting position. Younger patients have a genetic predisposition or congenital pathology.

When pain occurs in the lower back, it spreads throughout the body. The syndrome begins to appear on the right, left, in the gluteal muscles or in the leg. There are the following causes of such pain:

spinal injuries;
keeping the body in one position for a long time;
blood stagnation in some areas;
heavy physical activity (excess weight, heavy lifting);
scoliosis;
hypothermia.

Such indicators indicate the presence of diseases or pathologies of internal organs.

Diseases with characteristic symptoms

Back pain may not always indicate a disease; almost every adult experiences it after heavy physical exertion. Sometimes proper rest normalizes the condition of the spine. If the pain appears frequently and becomes chronic, we can assume the presence of the following diseases:

intervertebral hernia;
sciatica;
osteochondrosis;
arthritis;
diseases of the genitourinary system;
sprains;
scoliosis;
rupture of the fibrous ring;
pinching of the sciatic nerve;
gastrointestinal diseases;
cardiovascular pathology;
age-related changes in the spine.

There are a number of provoking factors, which include bad human habits. A pregnant woman may experience severe pain in the second or third trimester. This is not a pathology, and after childbirth the symptoms disappear.

Treatment of spinal diseases that cause pain in the hip or leg involves drug therapy. In rare cases, surgery may be recommended. The course of treatment includes the use of:

analgesics;
non-steroidal anti-inflammatory drugs;
chondoprotectors;
corticosteroids;
physiotherapy;
traditional medicine.

This complex will help eliminate pain, relieve inflammation, and restore cartilage tissue. Corticosteroids are prescribed for topical use in the form of ointments or creams. In severe cases of the disease, they can be administered as injections directly into the tissue affected by the pathology.

How to relieve pain

When such symptoms occur, it is important to provide the person with complete rest.

In order to alleviate the condition, doctors recommend that the patient take the fetal position. You need to kneel down, place your buttocks on your feet, and your stomach on your knees. Hands are located on the floor along the body. Relax your shoulders and back. Remain in this position until the pain subsides.

You can perform the exercise while on the bed. If your right leg hurts, lie on your left side. Pull your leg to your chest and clasp it with your arms. Remain in this position until the pain goes away. If you have pain in both legs, you can take the fetal position, lying on your back. Various preventive measures and therapeutic exercises give good results. It is necessary to remove the load from the spine; this is easiest to do in a lying position.

If the pain does not go away, you can take Aspirin, Analgin or Ibuprofen. These drugs have analgesic and anti-inflammatory effects. After the pain disappears, it is important to fix the spine. For this purpose, special belts or bandages are used. If there is nothing like this in the house, use a wide scarf or towel.

It is important to limit movement not only at the site of pain, but also in areas located above and below.

Preventive measures

As preventive measures, doctors recommend monitoring body position while awake and sleeping, so you must follow simple rules:

sit and walk correctly;
do not make sudden movements when getting out of bed;
lift and move weights correctly;
follow a diet;
to refuse from bad habits;
eliminate stress;
perform a simple complex of exercise therapy.

Exercises can be used as a form of prevention, even if the bone or back does not hurt. Before performing the complex, it is necessary to ventilate the room. Do everything smoothly, without strain.

Before starting a preventive set of exercises, it is not advisable to wear tight clothing. Exercises are designed to strengthen the muscle corset and relieve pain:

Place your feet shoulder-width apart. The arms are located along the body, the legs are slightly bent at the knees. Gradually bend in the lumbar region and tilt the body towards the floor. Perform until the head is 20 cm from the floor. Then do it in the opposite direction. Do it 5 times.
Lie on your back on the floor. Bend your knees, press your feet firmly to the floor. Slowly raise your body. At the top point, linger for a few seconds and slowly return to the starting position. Repeat 5 times.
Get on all fours. Smoothly raise your right arm and at the same time move your left leg back. Make sure your back is straight. Repeat with the other arm and leg. This exercise can be performed if sudden pain appears or a diagnosis has already been made.
Stay on all fours, hands on the floor. Raise your head and simultaneously bend in the lumbar region. Do it 5 times.
Lie on the floor, bend your knees and raise your legs. Alternately slowly touch both feet to one side or the other. Perform 10 times in each direction.
Lie on your back on the floor. Legs are straight. At the same time, point your socks toward yourself, away from you. Perform 10 times.

All exercises are performed easily, without strain. If fatigue is present, it means that some kind of violation was committed during execution. It is important to review your diet and daily routine. Include regular cycling and swimming in the pool. These are excellent preventative measures against spinal pathologies.

You may be interested in: Why does the hip joint hurt and radiate to the leg?

Igor Petrovich Vlasov

Site Map

Diagnostics
Bones and joints
Neuralgia
Spine
Drugs
Ligaments and muscles
Injuries

Pain under the right shoulder blade from the back - causes, treatment

Due to severe stress on the vertebrae and back muscles, most of humanity periodically experience pain in different places of the back, including on the right side. And the nature of such pain can be different: stabbing, with a deep inhalation or exhalation, aching, sharp, between the shoulder blades, sharp, dull, with movement and at rest. Back pain radiating in different directions (to the back of the right shoulder blade, arm, collarbone) raises many questions among those suffering from it, in particular, they are all related to what its causes are, what the diagnosis is and how to treat it correctly. Pain in the right shoulder blade is a phenomenon that occurs quite often in various diseases (and not only the joints and back) and worries people with its sudden appearance.

Before determining the treatment for pain on the right side, it is necessary to understand what causes it to occur and how it manifests itself.

Nature of pain under the shoulder blade

The following types of pain are distinguished:

Aching pain in the area of the right shoulder blade, most often occurring when staying in an uncomfortable position for a long time, with the head bowed.
Acute pain in the area of the right shoulder blade that occurs when coughing, taking a deep breath, sneezing, or moving.
Sharp pain that occurs behind the right shoulder blade spontaneously, during inspiration or at rest.
A dull pain that continues for a long time, does not cease to exist in the area of the right shoulder blade on the right, either at rest or when changing the position of the body, intensifying with certain factors: when turning the head, inhaling, coughing, sometimes radiating to the arm.

Causes of pain under the right shoulder blade

Depending on how the symptoms manifest themselves, their causes are determined. This problem has an extensive list of causes of pain under the right shoulder blade.

For example, if this:

A dull aching pain that has been present on the right side of the back for a long time, then possible causes of its occurrence can be either ordinary muscle spasm due to being in an uncomfortable position for a long time, or problems with internal organs: gall bladder, kidneys, pancreas. Usually this phenomenon occurs suddenly, when coughing, sneezing, or sharply turning the head.
Acute pain, both sharp and not, arising on the right or between the shoulder blades, speaks more about problems of the internal organs than problems with the spine. These can be various human organ systems: cardiovascular, digestive, excretory, etc.
Drawing and stabbing pain under the right shoulder blade is a sign of the onset of diseases of the musculoskeletal system in the early stages: osteochondrosis, chondrosis, spondylosis, etc. Sometimes this is a sign of neuralgia - pinching of the sciatic nerve, which occurs under certain conditions (sudden movements, “blow”). The causes of such sensations may be oncological tumors, although rare, they do occur.

It is important to note the fact that pain under the right shoulder blade is accompanied by other symptoms if the cause is diseases of the internal organs.

Treatment of pain under the right shoulder blade

Non-steroidal anti-inflammatory drugs.
Analgesics.
Corticosteroids.
Chondroprotectors.

If the cause of dull, persistent pain is muscle spasm or neuralgia, then warming anesthetic ointments (Voltaren, Diclofenac, Fastum-gel, Bystrum gel, Capsicum) or warming patches are prescribed.

Corticosteroids and chondroprotectors are rarely prescribed if NSAIDs have not brought the expected effect, and pain in the back on the right still persists.

After drug treatment

When the pain between the shoulder blades or on the right is relieved, procedures are prescribed to help relax muscle tone and remove the feeling of stiffness:

Massage;
Manual therapy;
Physiotherapy;
Physiotherapy;
Swimming.

All the actions of the above methods are based on relaxing the back muscles, strengthening the thoracic and cervical vertebrae, and preventing pinched nerve roots.

Physiotherapy

Exercises are performed after a preliminary warm-up.

While lying on your back, touch the floor with your shoulders as much as possible.
Move to the side the arm from which the pain is bothering you.
With your free hand, touch the crown of your head and tilt your head to the right (since it is the right shoulder blade that hurts, if the left one hurts, tilt your head to the left).
Hold your head as long as possible, while the muscles need to be tensed as much as possible.
Then tilt your head in the opposite direction and again tense your muscles as much as possible.
Relax and repeat the exercise after a couple of minutes.

For pain in the right side of the back, you can try these simple exercises:

With your feet shoulder-width apart, straighten your shoulders as much as possible and try to bring your shoulder blades together so that there is as little space as possible between the shoulder blades.
With your feet shoulder-width apart, clasp your hands and lift them up, placing them behind your head, while looking up, while trying to tense the muscles between your shoulder blades as much as possible.
Placing a tennis ball between your shoulder blades and rolling on it helps prevent muscle spasms, plus these actions are a small massage at home, done on your own.
In a sitting position, tilt your head forward, touching your chin to your chest, while using your hands to create resistance. As soon as you feel strong tension between your shoulder blades, you can relax and repeat the exercise after a minute.
Sometimes a simple hang on the bar helps.

Conclusion

It often happens that pain between the shoulder blades is a sign of serious diseases of the internal organs, and treatment should begin immediately.

Pain in the right upper limb can occur at any age, the underlying cause should be determined based on the site, nature of the pain, age of the patient, and examination results. Often the pain is combined with back pain, numbness, shoulder blade or neck, and trembling fingers. In children, signs rarely appear, but even minor complaints should be consulted with a doctor.

There can be many reasons for the complaint, ranging from myocardial infarction to intervertebral hernia/protrusion of the cervical spine. Since for most people the right hand is the main one in their work, the symptoms more often occur in programmers and builders.

Localization of pain:

Elbow joint on the right;
Right shoulder or forearm;
Muscles of the arm;
Right hand;

Discomfort in the fingers of the right hand, in 90% this indicates damage to the nerve roots in the neck area or the places where they pass. Diseases such as cervical osteochondrosis, spondyloarthrosis, spondylosis, etc. All fingers of the hand can be affected, most often the right ring finger and little finger, index and middle fingers are affected. Numbness of the fingertips, a feeling of coldness, and slight tingling may bother you.

Pain in the forearm and shoulder in young people indicates periarthrosis of the right shoulder joint. At a later age, arthritis or arthrosis may appear. Muscle pain can indicate physical strain or injury. Epicondylitis or post-traumatic conditions can be found in the elbow joint of the right hand.

It is also possible that you may need to contact a cardiologist, rheumatologist, endocrinologist, etc.

Note! Online counseling is NOT provided. Sign up by contact numbers...

My right hand hurts a lot
...from the shoulder to the fingers..aching unbearable pain...3rd day.especially at night.what painkiller can I take?

Pain in the right shoulder and soft tissues from the shoulder to the elbow, some movements are limited, the pain has been intensifying for two months now, the soft tissues have been hurting on the outer and inner sides, also pain in the left side of the back in the area of the shoulder blade below and above it, certain pain points hurt, aching aching feeling of heaviness what is it and what to do

My right hand hurts up to the elbow and only at night. I wake up with pain 3 times a night, walk for 5 minutes and it goes away quickly. The pain is terrible. Tell me what to do? Thank you.

My right arm hurts as if it was being shot. This happens before important events.
The pain starts from the elbows and goes to the wrists. External factors do not affect pain if (if you press on the painful area)

My right hand hurts. It’s as if they’re being shot from the elbows to the wrists.

Hello. I am 22 years old. Recently at the gym after a year off I was a little overworked. While exercising, I noticed that my back hurt and I immediately stopped exercising. For a couple of days my legs (hips, calves) hurt terribly; the pain was so severe that I literally could not move, and could not sleep at night. But my back didn't hurt at all. After some time, everything calmed down, but pain appeared in my right arm, and it has not gone away for a week. Approximately from the elbow to the hand. Aching, tiring, at times subsiding, disappearing for a while (an hour or two) altogether. The pain gets worse when I do something with my right hand. This is starting to worry me, even though I apply Voltaren and Gepotrombin. Thank you in advance!

Hello! I am 31 years old, my right arm bothers me and it radiates to my legs, it aches and gets on my nerves... I can’t sleep because of the aching pain. In 2015, I went to see a neurologist and she diagnosed osteochondrosis and that there was a curvature on the right spine, possibly caused by an injury in childhood. She prescribed an injection of Actovegini 2.0 and ac.nicofinici, but I didn’t take them because the pain went away and now it hurts again.
You need to undergo an MRI examination of the spine, and then begin treatment of the spine. Check out our methodology and sign up for a consultation. Sincerely

The pain often occurs in the morning, immediately after waking up. Sensations of compression, not so much in the bones, but also in the muscles or joints (shoulder joint). Sometimes the pain is sharp and very strong. As a rule, the patient complains not only of pain, but also of numbness or burning of the shoulder and arm. Sometimes there is a feeling of weakness in the muscles (patients say that “the hand has become weaker”), and there is a limited ability to grasp and make precise movements with the fingers. Loss of control may affect the shoulder or elbow, or rather their joints.

Possible reasons

Cervicobrachial (radicular) syndrome is a phenomenon in which the nerve roots are affected by intervertebral discs. This is not so much an independent disease, but a symptom (pain syndrome), as a rule, indicating degenerative changes in the upper part of the spine.

What are nerve roots and why are they damaged? In order to protect against whiplash injuries, which are possible in the event of a sharp extension and contraction of the spine, the nerve roots grow outward from it. In the cervical region, they contain nerve plexuses that cover the entire upper limb (arm). They form peculiar weaves, emerging through narrow intervertebral foramina. This place is especially susceptible to back problems and pain in places where the spine is overloaded. These plexus sites are also susceptible to pain in the event of a slipped disc. And when the nerve plexuses suffer, the pain manifests itself not only in the back, but also problems and discomfort arise in the limbs where they pass (in this case, the upper limbs).

Also, the cause of radicular syndrome, in addition to disc displacements, can be a herniation of the nucleus pulposus - this is one of the manifestations of already severe degeneration of the intervertebral disc. It usually penetrates the posterior side of the weakest part of the annulus fibrosus and goes to the beginning of the nerve root, which is irritated. It is a type of myelopathy (damage to the spinal cord).

There is also such a thing as sciatica. It is similar to the above-mentioned cervical-brachial syndrome, only pain and other unpleasant sensations appear in the lower extremities (legs), respectively, the cause is the impact of other nerve roots located lower in the spine (in the lumbar region).

Diagnostics

First of all, its goal is to discover the specific cause of cervical-brachial syndrome. Usually this is not difficult to do for a neurologist, who will be referred to by a therapist if such symptoms occur. During the examination, it is important to determine the severity of pain, its type, factors that increase symptoms and that reduce them.

Accurate determination of the location of pain makes it possible to say with a high degree of probability which nerve roots are irritated. A detailed neurological examination can assess the degree of weakening of the muscle strength of the limbs, as well as the presence of other symptoms indicating the so-called possible myelopathy, which in this case is a radicular syndrome caused by pressure on the spinal cord. The most complete picture is provided by MRI (magnetic resonance imaging). In the case of radicular syndrome, it is more effective than X-ray computed tomography (CT), which better reflects changes in the bones (for example, after injury). Electromyography (EMG), which assesses nerve conduction, may be helpful.

Treatment

Myelopathy detected during a neurological examination requires urgent treatment and, as a rule, surgery is necessary. In less developed countries, they are limited to physiotherapy and drug treatment: taking painkillers, anti-edema and drugs that relieve muscle tension (antispasmodics). But nowadays, similar operations are performed in many countries; it is not necessary to fly to one of the European countries or Israel. For problems with spinal stability, it is sometimes necessary to use orthopedic braces, but this is recommended only in the acute phase of the disease, and in situations of particular exposure to vibration.

Find out other types of back pain and their causes:

Neck pain radiating to the back of the head

Pain in the upper back, usually radiating to the neck or shoulder Pain in the scapula and shoulder Pain in the upper back Pain in the back at and above the sacrum. Pain in the back below the waist, radiating to the hips, often felt in the leg Pain associated with poor posture Pain radiating to the back