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caveman27

shoulder pain, rumbness and tingling down the arm

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Well, my right shoulder started bother me, pain-wise, but I started getting pain and numbness radiating down the arm, hand and fingers. Thumb is good to go. I went to the doctor, he worked on my shoulder previously for a torn labrum repair. I have a huge bone spur growing at the the humerus at the top near the ball of the bone. It showed up in the x-ray. It could be nerve pinched at the neck. Could be nerve pinched at the shoulder.

Anyway, the tingling isn't bad, and doesn't happen while playing, but the numbness is affecting my grip strength. I can see my slapshots aren't as strong. I need to be more deliberate with passes so I'm not dishing out weak passes. Anyone else had/have a similar issue? I'm planning on getting a cortisone shot this week.

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I have had this type of issue for years.  They never positively diagnosed it.  Some stenosis in my neck but not a lot.  I have seen tons of docs, had MRIs, etc.  Bad posture seems to aggravate mine, so the stenosis would be effectively worse as my neck bends.  I focus on posture and do a lot of upper back work to help with it.

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23 hours ago, caveman27 said:

Well, my right shoulder started bother me, pain-wise, but I started getting pain and numbness radiating down the arm, hand and fingers. Thumb is good to go. I went to the doctor, he worked on my shoulder previously for a torn labrum repair. I have a huge bone spur growing at the the humerus at the top near the ball of the bone. It showed up in the x-ray. It could be nerve pinched at the neck. Could be nerve pinched at the shoulder.

Anyway, the tingling isn't bad, and doesn't happen while playing, but the numbness is affecting my grip strength. I can see my slapshots aren't as strong. I need to be more deliberate with passes so I'm not dishing out weak passes. Anyone else had/have a similar issue? I'm planning on getting a cortisone shot this week.

does the tingling in the arm start above(shoulder side) or below(wrist side) the elbow.  which part of your hand/fingers are involved(last 3/pinky, ring and middle or first 3/thumb, pointer and middle)? the way you're describing it, it could be anything from a pinched nerve in the neck(due to a disc issue, degeneration, arthritis or combo of things), to thoracic outlet syndrome(from a possible 1st rib issue or something muscular like spastic scalenes) to ulnar tunnel syndrome along with a bunch of other possibilities.  doubtful that the bone spur in your humerus is causing that.

but the fact you're having some weakness in your arm/hand is no bueno.  that likely means there is some chronicity to your issue and likely some nerve damage going on in which the impingement on whatever nerve(s) involved needs to alleviated asap along with some therapy to assist in regeneration of the nerve(s).  regardless, you need to be properly examined so that course of treatment can be administered asap to limit any possible nerve damage.

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6 hours ago, th6252 said:

does the tingling in the arm start above(shoulder side) or below(wrist side) the elbow.  which part of your hand/fingers are involved(last 3/pinky, ring and middle or first 3/thumb, pointer and middle)? the way you're describing it, it could be anything from a pinched nerve in the neck(due to a disc issue, degeneration, arthritis or combo of things), to thoracic outlet syndrome(from a possible 1st rib issue or something muscular like spastic scalenes) to ulnar tunnel syndrome along with a bunch of other possibilities.  doubtful that the bone spur in your humerus is causing that.

but the fact you're having some weakness in your arm/hand is no bueno.  that likely means there is some chronicity to your issue and likely some nerve damage going on in which the impingement on whatever nerve(s) involved needs to alleviated asap along with some therapy to assist in regeneration of the nerve(s).  regardless, you need to be properly examined so that course of treatment can be administered asap to limit any possible nerve damage.

As for the tingling, it's in the last 3. Now, it's always tingling, instead of on and off. Pain still comes and goes along the shoulder blade and tricep area in a sporadic manner.

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10 hours ago, caveman27 said:

As for the tingling, it's in the last 3. Now, it's always tingling, instead of on and off. Pain still comes and goes along the shoulder blade and tricep area in a sporadic manner.

can't really be sure, but it sounds like a lower neck problem.  C7 innervates the triceps and middle finger, while C8 innervates the ring and pinky.  go see either a good musculoskeletal based chiropractor or ortho (preferably not an urgent care facility or a gp/pcp as they tend to really be terrible with musculoskeletal and nerve injuries) to get a proper work up asap.  the longer you let that nerve issue go, the higher the chance it can cause permanent issues.

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I had something similar. It started with light muscle spasms just below the deltoid. Then my arm would go numb and tingle. That progressed into fingers numb and pain referred down my arm. Then it went into full pinched nerve, shoulder pain, referred pain, and a month of agony. Went to doctor. X rays showed some wear on a disk. Scared the shit out of me. Went to physio. They gave me stretches and exercises. In a week the pain went from like a 7 to a 2. 

It was muscle tightness around my shoulders, specifically some muscles in around my peck/armpit area clamping down on a nerve. Took me a few months of stretching all the muscles in my neck and around my shoulders to get things to where there was no pain. It was an hour of stretching every day during that time. The problem tries to raise its head from time to time, but I recognize the feeling and nip it in the bud with regular stretching. 

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I'm in the camp of getting to an Ortho as soon as you can, ideally getting an MRI of your neck. I've got 3 levels of my neck fused together and a titanium plate so when anyone starts mentioning any of the symptoms I had before my surgery I always tell them to get it looked at ASAP. Not trying to scare you or anything but like everyone says if you don't get this addressed the nerve damage can really mess things up and living in pain really does take its toll.

My only other piece of wisdom here is to push for the health care you want & need. Push to see an Ortho, push for an MRI, push for second opinions, etc. etc. etc. The healthcare system can kinda suck and some providers just want to shuffle you along, pass you off to PT, or give you pain meds or make you go to PT for 8 weeks before they'll see you again. Definitely be your own best advocate and if you want something or you're getting info you don't think is right, speak up for yourself and ask for you what you want. 

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On 1/23/2020 at 10:52 AM, the_game said:

I'm in the camp of getting to an Ortho as soon as you can, ideally getting an MRI of your neck. I've got 3 levels of my neck fused together and a titanium plate so when anyone starts mentioning any of the symptoms I had before my surgery I always tell them to get it looked at ASAP. Not trying to scare you or anything but like everyone says if you don't get this addressed the nerve damage can really mess things up and living in pain really does take its toll.

My only other piece of wisdom here is to push for the health care you want & need. Push to see an Ortho, push for an MRI, push for second opinions, etc. etc. etc. The healthcare system can kinda suck and some providers just want to shuffle you along, pass you off to PT, or give you pain meds or make you go to PT for 8 weeks before they'll see you again. Definitely be your own best advocate and if you want something or you're getting info you don't think is right, speak up for yourself and ask for you what you want. 

I have pretty good insurance. I've already had a variety of surgeries in the last couple years. Last one was a spinal fusion, L4 and L5. A couple months before that was a hip arthoscopy. A couple years before that was shoulder labrum repair. 

The cortisone shot helped the shoulder pain a bit. It's been two days since I got that shot. The numbness/tingling is still happening in my pinky and ring finger. Pain in fingers, hand and arm are sporadic. MRIs are pretty expensive, especially if you need the dye. Does neck MRI require a dye? I know for my lumbar, it didn't.

Surprised you can play after three cervical vertibrae are fused. 

Edited by caveman27

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9 minutes ago, caveman27 said:

I have pretty good insurance. I've already had a variety of surgeries in the last couple years. Last one was a spinal fusion, L4 and L5. A couple months before that was a hip arthoscopy. A couple years before that was shoulder labrum repair. 

The cortisone shot helped the shoulder pain a bit. It's been two days since I got that shot. The numbness/tingling is still happening in my pinky and ring finger. Pain in fingers, hand and arm are sporadic. MRIs are pretty expensive, especially if you need the dye. Does neck MRI require a dye? I know for my lumbar, it didn't.

Surprised you can play after three cervical vertibrae are fused. 

typically no dye necessary for spinal mri's when looking for disc issues.  dye is sometimes necessary when looking for a labral tear because it can be difficult to pick up on the images and the dye will fill any cracks or tears in the cartilage.

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1 hour ago, caveman27 said:

I have pretty good insurance. I've already had a variety of surgeries in the last couple years. Last one was a spinal fusion, L4 and L5. A couple months before that was a hip arthoscopy. A couple years before that was shoulder labrum repair. 

The cortisone shot helped the shoulder pain a bit. It's been two days since I got that shot. The numbness/tingling is still happening in my pinky and ring finger. Pain in fingers, hand and arm are sporadic. MRIs are pretty expensive, especially if you need the dye. Does neck MRI require a dye? I know for my lumbar, it didn't.

Surprised you can play after three cervical vertibrae are fused. 

Common.  I described my issues to the neck ortho and basically said it is kind of numb, but kind of tingly and has a dull pain, all at the same time.  He said that was not at all out of the ordinary because with nerve issues the nerve is sending weird signals to the brain.

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1 hour ago, BenBreeg said:

Common.  I described my issues to the neck ortho and basically said it is kind of numb, but kind of tingly and has a dull pain, all at the same time.  He said that was not at all out of the ordinary because with nerve issues the nerve is sending weird signals to the brain.

My ortho (who specializes in shoulder and knee) suspected pain going below the elbow is from pinched nerve at C5. 

The pain that I get is usually along the outside of the forearm and along the triceps, and along the shoulder blade in the back. That pain level is like a 5 to 8. The hand tingling pain level is usually 1 to 2, but can go up to 4 or 5, and sometimes I get the effect of losing hand strength, like pressing on top of a soap dispenser or reaching into my right side jeans pocket, but I can still open up and close my fingers. 

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I had c3-c4, c4-c5, & c5-c6 fused. Also experienced a lot of similar things to what you’re describing, my pain started out in my trap/shoulder and spread quite rapidly over a month. Just a dull ache/pain from my trap/shoulder down the backside of my tricep. Fingers, ring & pinky where def tingly or just felt off, holding a pen/trying to write was a chore, dexterity was just off. Also they we’re always cold. I lost grip strength in my hand, def could feel losing Strength it in my tricep and my chest. Again not trying to scare you but like I said any time I hear this stuff I urge people to get checked out. Def sounds as if something is pinched so I would push to get care focused in and around that. 
 

Neck MRI was no dye, just a small tube so it sucked considering I’m claustrophobic. But I was willing to put up with that to find out what was wrong ha. 
 

if you’ve got any questions don’t hesitate to hit me up and I hope you can this looked at and straightened out with minimal issues!

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I ended up asking for a cortisone shot in the shoulder, as the pain pill wasn't doing anything more than over-the-counter ibuprofen.

That helped stop pain across my back shoulder blade, top of deltoid, along the tricep, and the outside forearm. The loss of strength and pain in the hand and fingers went away. But now, there's a constant tingling in the pinky and ring finger. It doesn't go away. 

The orthopaedic surgeon didn't think it was worth removing the bone spur and has recommended to stop weight lifting and continue coming back for cortisone shots every 6+ months until I need shoulder replacement surgery.

So, I'm going to see a neurologist about my neck. There's one who did my lumbar fusion over a year ago so I trust him.

I'm going to look around for an orthopaedic surgeon who does 'ream and run" shoulder replacement. Anyone know of someone who has had that procedure done? I want to stay active, I'm not that old yet.

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Have you looked into ESWT? There are a number of studies out over the last couple of years that show it's effectiveness in the right circumstances. Whether or not it is suitable for you I don't know but ESWT versus cortisone studies in hip injuries such as gluteal or hamstring tendinopathy have shown ESWT to be more effective.

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