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Neck to shoulder radiating pain
5 years back I was doing 10kg(i don't remember weight) barbell curls suddenly I left that barbell from that day my collar bone area started aching(very little) I ignored it for 1-2 years but when pain increased I visited a physio she did dry needling, lazer and other treatments in my shoulder for 15 days it didn't worked for me then I again ignored it for years now I'm stuck in a condition that I can't go long drives because of Pathholes my pain radiates from neck to shoulder 1.5 month back I had USG it showed calcific tendinitis I visited physio again for more than a month she did lazer,ultasound everything. recently I got done my shoulder MRI my MRI is perfectly normal there is no inflammation also but still I'm having pain in my shoulder (IMPORTANT- my pain only comes when I travel and when I take rest or sleep I have no pain in my shoulder, when wakeup in morning I don't have pain) my physio is saying that this pain could be because of cervical. I'm not getting what is she saying
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Reading to your question statement
It points towards a Cervical pathology
Questions :
1. due to have any numbness in hand
2. does your pain radiates to ur fingers
3. Any trouble in holding objects
Cervical Xray and Clinical Examination required for diagnosis
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Your shoulder MRI being completely normal is actually an important clueâit strongly suggests that the shoulder joint itself is not the main source of your pain that starts in the neck and radiates to the shoulder, worsens during long drives, potholes, vibration, or sustained posture, and is absent at rest or after sleep is very typical of a cervical spine related problem cervical muscle spasm disc irritation, or nerve root irritation calcific tendinitis seen earlier on USG may have been incidental or already resolved which is why it does not appear on MRI now. when the neck is irritated pain is often felt in the collarbone shoulder, or shoulder blade area, even though the shoulder imaging is normalâthis is called referred pain. the next logical step is evaluation of the cervical spine (X-ray ± MRI if needed) and posture-related management; treating only the shoulder will not give relief if the origin is the neck.
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