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Cigarettes and pain below left shoulder blade

Resolved Question:

I get this pain just below my left should blade, this happens almost every time I get up in the morning and fades away later. The pain also increases when I try and sit up straight and when I try and stretch upwards.

To be noted that I also smoke maybe 1- 3 cigarette's a day.

Category: Family Physician-GP

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Category: Spine Surgeon
Dr. Mukesh Tiwari is online now

Expert:  Dr. Mukesh Tiwari replied 4 Days.


Thank you for your consult at DoctorSpring.com.

I have read your question with diligence.Please answer following questions so that i can help you-

1.Since when it is there?

2.Is there any history of injury to shoulder like lifting heavy weight or road traffic accident?

3.Do you have diabetes?

4.Is there associated pain in neck?

5.Are you working for long time on computer?

Please reply as follow-up.


Patient replied :

It started say approx 2-3 weeks ago....
no road accidents etc
do not have diabetes,
no pain in the neck
yes i do spend a lot of time on the computer, especially bent forward

Expert:  Dr. Mukesh Tiwari replied 3 Days.


My sincere apologies for the delay in reply.

Since you have the pain in the mornings it is suggestive of an inflammatory condition. It could be the inflammation of the ligaments or tendons (tendintis) There is nothing to worry at this stage. I recommend an anti inflammatory medication like Ibuprofen 400mg twice daily for 5 days after food. Take absolute rest during these 5 days. (rest for the arm).

Following this the pain should decrease. You can also do a mild hot compress at the areas twice daily . Following a week you can carry on with routine activities. However make sure you are not over exerting the arm.

In the rare case pain persisting beyond 4 weeks (or if the pain gets worse,) you will require further evaluation and testing. (including and Xray and may be a MRI)

Hope this helps
Please feel free to ask followup questions.
Thank you

Dr. Mukesh Tiwari
Category: Spine Surgeon
Fellowship - Khandaka Hospital, Jaipur
Residency - MS, Rabindranath Tagore Medical College, Udaipur, 2000
Medical School, Internship - MBBS, SMS Medical College, Jaipur, 1995
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