Where Could Your Shoulder Pain be Coming From?

At some point during life, two out of three individuals will experience shoulder pain. For a decent amount of those people who have shoulder pain, it is not actually coming from the shoulder. Where else could it be coming from?Pain Management Phoenix

One of the most common areas of shoulder pain coming from outside the joint is from the neck. If an individual has either a herniated disc that is pushing on a cervical nerve roots or spinal stenosis that is pushing on one or multiple nerve roots, that can lead to referred pain in the shoulder that may masquerade as originating from the shoulder.

Another source of pain that refers to the shoulder is from the biceps tendon. The biceps itself has two origins, one in the shoulder and one actually outside it. If it’s gets inflamed and tendinitis is occurring, a person may complain of shoulder pain when actuality it is coming from the tendon and should be treated as such.

It is a little-known fact that carpal tunnel syndrome can cause pain that goes backwards into the shoulder. Another potential source of shoulder pain from outside the joint is from

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A cervical herniated disc may lead to pain in the shoulder.

the acromioclavicular joint, called the AC joint for short. This is the joint where the clavicle meets up with the acromion. It is a small joint, but can cause a lot of shoulder area pain if it is arthritic and inflamed.

There is a nerve called the suprascapular nerve that may become pinched in the spinoglenoid notch. This may cause pain and weakness in the shoulder, but the source of the pain is actually not in the joint at all.

A cardiac event can refer pain into the shoulder, specifically the left shoulder. This may cause pain that appears to emanate from the shoulder, but in actuality it is occurring from angina or an ongoing cardiac event.

For a physician working up shoulder pain, it is often evident on physical examination that the shoulder is not actually the source of the pain. It also may take a diagnostic Injection into either the joint or the subacromial space to see if that relieves the discomfort. if it does, the shoulder can be assumed as being the generation of the pain.

The most concerning external source of shoulder pain is obviously the potential for a cardiac event, so physicians should have a low threshold for getting this worked up emergently if suspected.

The bottom line here is that just because a person is having shoulder pain, does not mean

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Rotator cuff problems lead to shoulder pain.

that the shoulder is actually causing that pain. It may be coming from somewhere else and simply referring pain in.

If you live in the Phoenix or Henderson area and are experiencing shoulder pain, a pain clinic in Phoenix can help delineate whether or not your shoulder pain is actually coming from the shoulder. Pain management Phoenix clinics have Board Certified doctors and Phoenix chiropractor doctors who are experts in the workup and treatment of shoulder pain.

What to Expect With an Epidural Steroid Injection

When an individual is suffering from sciatica due to a pinched nerve, the pain may be excruciating. It may prevent a person from being able to work, play with their kids, concentrate or enjoy life for weeks to months.Sciatica treatment

Of the various treatments that can help reduce the pain of sciatica, epidural steroid injections at a Phoenix pain management clinic are one of the best ways of making life much more tolerable for individuals.

When an epidural steroid injection is recommended by a Phoenix pain management doctor, it is performed as an outpatient with the person being able to go home the same day. The procedure itself does not require either oral or IV sedation, however, some patients are used to that or have significant anxiety and want to have sedation. Often times, the procedure is performed simply with numbing medicine around the skin and through the soft tissues down to the bone overlying the spine.

Modern Phoenix pain doctors use either ultrasound guidance or fluoroscopy, which is a real-time form of x-ray. This allows for the highest level of accuracy available, as previous studies have shown without image guidance the miss rate for epidural injections is as high as 40%.

Phoenix pain managementPatients are usually placed on their belly on a well padded table that allows x-rays to go right through. The procedure itself takes approximately 10 to 30 minutes depending on the difficulty encountered with needle placement.

Once the needle is satisfactorily placed, the pain doctor will place contrast in the area to make sure it is successful. At that point numbing medicine along with steroid medication is injected to relieve the sciatica pain.

The patient is then taken to the recovery area and watched for approximately 30 to 60 minutes to make sure no allergic reaction occurs and the vital signs remain stable.

Pain relief may be immediate with an epidural steroid injection. Also it may be immediate and then wear off after a day once the numbing medicine wears off. When that occurs, steroid medication will often “kick in” after three days or so and may last for weeks to months.

Many studies have looked at the effectiveness of epidural steroid injections for sciatica. Overall, the good to excellent results occur in 75 to 90 individuals. The duration of pain relief is typically six weeks to upwards of 2 to 3 months. At that point, the injections may be repeated. Typically an individual will receive a series of three injections 1 to 2 weeks apart.

The risks of epidural steroid injections are small but real. There is a risk of infection, bleeding, nerve injury which is usually transient, and allergic reaction. A person may also have some transient reaction to the cortisone used, which may include a temporary blood sugar increase or slight weight gain or water retention.Pain Clinic Phoenix

Overall, epidural steroid injections are some of the most beneficial procedures in pain management today. If you are experiencing significant sciatica pain or what you think may be due to a pinched nerve, seek treatment with pain management Phoenix trusts today.

Treatment may include epidural injections and also possibly pain medication, Phoenix chiropractor treatment, physical therapy, acupuncture or spinal decompression therapy.