Thank you for asking your query at DoctorSpring.
I need some additional information from you so that I can provide my best learned opinion.
1. I would like to know the exact location of your pain. Like in which part of your body (as in back of shoulder, nape of neck etc etc). Also which side.
2. Is this pain related to Temperomandibular joint (since you have a history of TMJ joint dysfunction).
3. Is there any pain (shock like pain / sensation ) while coughing or sneezing.
4. Is this pain radiating to anywhere else to the body ?
5. Do you have pain throughout the day ? (It would be great if you can describe the pain)
You can reply as a followup
Patient replied :
1) The pain is back of shoulder, between the shoulder and the neck And it is left side. ( Posterior(lateral) triangle of Trapezius muscle).
2).The pain it not related to Temperomandibluar joint.
3).When i couph i do not feel pain.
4).The pain not radiating to anywhere else, it is only between neck and shoulder.
5).I do not have the pain throughout the day, for example when i work like 4 ours or carry heavy thing after that i feel pain, wehn i sleep or rest i will be ok.
Thank you for your questioning.
if you have any farther question you can ask me.
Thank you for the additional information you have provided.
Since you have specific and localized pain, there could be two reasons for the pain. 1 - A muscle or ligament injury at the location 2 - a Nerve involvement.
You have mentioned that 'scan' has been done and it was normal. I assume you were talking about a MRI scan. If so it is safe to assume that there is no musculoskeletal involvement , rather it is a nerve compression / irritation. This could occur in the neck where the nerves come out to through out the course of it till the muscle. Further investigation including a MRI might be required to find the reason for the pain.
Meanwhile you can try Physical therapies including TENS for pain relief. NSAIDs (pain and ant inflammatory medications ) should be taken for at least couple of weeks in consult with your Doctor. You can consult a Sports Medicine specialist / Orthopedic Surgeon for this.
Hope this helps
Please feel free to ask followup queries.