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Pain with shoulder blade protruding more than other. Cause.

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My girlfriend is experiencing shoulder pain, and her right shoulder blade seems to be protruding out more than the other when she holds her arm in certain ways.

Category: Family Physician-GP

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Dr. Deepu Sebin Sebastian is online now

Expert:  Dr. Deepu Sebin Sebastian replied 4 Days.

Thank you for your query at DoctorSpring.com
I understand your concern.
I need a few more details to get a clearer picture.
- Did she suffer any shoulder injury/ trauma to shoulder?
- What's her age?
- Does she have diabetes?
- Has an X- RAY been taken?
Kindly reply to the questions, and i will get back to you.

Patient replied :

She is 27 years old and has not suffered any obvious trauma, though she has been lifting more due to the fact that she is helping me move. She is not diabetic and we haven't taken an x-ray. Also, the right shoulder makes loud obvious clicking sounds when rolled or rotated as opposed to the normal left one. Driving is painful for her when the hands are on 10 and 4 so she has been steering underhanded on 5 and 7. Thank you for your help.

Expert:  Dr. Deepu Sebin Sebastian replied 3 Days.

Thank you for the follow up.
It seems like a ligament sprain, and she needs to rest her right shoulder joint.
Some of the causes that need to be ruled out after an x ray is : Bursitis ( inflammation of the fluid filled scas that help in reducing friction in the shoulder joint, limiting the range of motion/ROM ), tenosynovitis, where the tendond get inflamed, and a plain ligament sprain.
She needs to rest and limit her activities with the affected shoulder as far as possible. Also she can take Tab. Advil 400 mg twice daily for 5 days after food. If the pain still does not subside an x ray will be required and a follow up with Orthopaedician will be helpful.

Patient replied :

Thank you for the help, but what is tab?

Expert:  Dr. Deepu Sebin Sebastian replied 2 Days.

Tab. Advil is Ibuprofen, an anti-inflammatory, which reduces inflammation through out the body.
Espeically helpful in muscle or joint related problems.
It seems her pain is more due to an inflammation, and hence i suggested.
Can you update me after 3 days, if the pain subsides.
Kind Regards.

Dr. Deepu Sebin Sebastian
Category: Select Speciality
MD, Internal Medicine - Stanley Medical School
Medical School - MBBS - Govt. Medical College, Kottyaam

Diagnostic Prediction - Stanford School of Medicine
Received Specialty training in Critical Care, Cardiology, Neurology, Gastroenterology, Nephrology from Stanley Medical College and in Endocrinology, Rheumatology.

Hematology and Geriatrics from Madras Medical College.
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