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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.
Answers (6)
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Analgesic for 10 days following physiotherapy ( for strengthen the muscles.) If still persists then need mri evaluation.
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Get mri shoulder
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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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Given the history and examination looks like you need an MRI for further evaluation … generally tingling or burning sensation is uncommon with rotator cuff injuries…
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Please get an MRI
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Dr. Rakesh Kumar
Orthopedic surgeon
6 yrs exp
Coimbatore
Get personalised consultation done
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Dr. Rahul Kumar Pandey
Orthopedic surgeon
10 yrs exp
Lucknow
Get MRI done
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.