The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.
Thanks for your question.
Since your heart, blood pressure and blood sugar are good, this is likely related to the nerves.
The nerve impingement either at shoulder level or at the cervical spine level can cause radiating pain and numbness.
This can be checked by a nerve conduction study.
Any suggestions as to how to treat it?
You should consider seeing a neurologist.
Physical therapy will be helpful.
Done all of the above and nothing helps
Physical therapy will focus on strengthening the upper back muscles and also traction to release pressure on nerves.
Then the next step can be epidural corticosteroid injection or intra articular corticosteroid injection.
Another option is of course surgery depending on the location of the problem.
Pain medications can be used but they have side effects and do not provide long lasting relief.
I've had cortisone shots in my left shoulder, left and right elboes
The best answer, which isn't an option, is to quit my job
yes not possible.
you should consider seeing a orthopedic surgeon to find a surgical solution.
after 24 years of this business, it's too late to change careers
surgery is the only option that can provide a solution.
yes but many people do well after surgery
what kind of recuperation time would I be looking at from a surgery?
6 to 10 weeks
I'd be out of a job
you may go back to work after 4 weeks
but full recovery may take longer.
to continue what I do?
yes at a reduced schedule
or with frequent breaks.
no such thing in my business
court reporters usually are writing between 6 to 8 hours per session with maybe 5 to 10 minute breaks every so often............
may be possible
discuss with a surgeon.
thanks for the info