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Rotator cuff strain shoulder impingement
28-year-old male with right shoulder pain after a forceful volleyball serve 1.5 months ago. Symptoms initially improved after I stopped playing sports but flared up again 7–8 days ago. Orthopedic examination diagnosed rotator cuff strain with a positive impingement test. Current symptoms include burning/crawling sensation around the right shoulder blade, occasional tingling, and stiffness around the right shoulder and upper trapezius region. A neurologist documented a right shoulder injury and referred me back to orthopedics. I have not had an MRI or started physiotherapy yet. Given the burning/tingling symptoms, I'm unsure whether I should continue orthopedic treatment or whether this could be a neurological issue.
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Both orthopaedic and neurological components can coexist here. The rotator cuff strain and impingement explain the shoulder pain and stiffness. The burning, crawling sensation and tingling around the shoulder blade suggest possible suprascapular nerve irritation or brachial neuritis (Parsonage-Turner syndrome) â which can follow sports injury or overuse and causes exactly these burning/tingling symptoms around the shoulder blade. An MRI shoulder (including labrum and rotator cuff) is essential now to define the structural injury. An EMG/NCV study of the right upper limb will clarify if there is nerve involvement. Continue with Orthopaedics as the primary specialist â Physiotherapy should begin once MRI results are available.
Next Steps
Get MRI right shoulder done. Ask your Orthopaedic for an EMG/NCV if burning/tingling persists. Start physiotherapy once MRI reviewed. Please consult me directly on Practo.
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