Medical Questions? Ask a Doctor Online!
Since how long are your symptoms?
Is there any redness, swelling, tenderness, warmth in arm or forearm?
Are you diabetic?
Are you on any medications or supplements?
Which area was x-rayed?
Was an MRI of shoulder and / or neck contemplated?
Have you consulted a specialist like orthopedics?
What specific movements of your shoulder, elbow or neck are painful and restricted?
Since how long are you taking Simvastatin?
Simvastatin can cause myalgia and arthralgia (muscle, joint, tendon and bursa problems) and pain in soft tissues; so if this started after the medication this may be one of the consideration of the cause. Please read the side effect section of the resource;
The other causes of consideration would be;
1) Bicipital tendinitis
2) Frozen shoulder
3) Biceps rupture
4) Brachial neuritis
5) Rotator cuff disease
6) Cervical radiculopathy
7) Cervical spondylosis
8) Suprascapular neuropathy
Majority of people with above problems will respond to physical therapy alone. The program should be aggressive, daily and assisted by the physical therapist. The regimen consists of active and active-assistive range-of-motion exercises combined with stretching. Pain may occur early but within six to eight weeks progress is usually made. Other treatment modalities such as heat and massage may help. Nonsteroidal anti-inflammatory analgesics may also be beneficial. Deep electrotherapy in the form of short wave diathermy, Interferential current, trans cutaneous electrical stimulation, iontophoresis, phonophoresis also is very help initially.
Those people who do not respond to the initial physical therapy are considered for the following;
1) A subacromial corticosteroid injection
2) A glenohumeral intra articular injection
3) Surgery; arthroscopic or open surgery
Following investigations would be required;
1) X-ray of the neck spine
2) MRI of the neck and shoulder
3) Nerve conduction velocity (NCV) study
4) Electromyography (EMG)
You can consult following specialists;
c) MD in Physical medicine and rehabilitation
Please feel free for your follow up questions.
Thanks very much for all of this
it is all really interesting. I have done my own research into why my arm might be sore - as sore as it is - and i too came up with the conclusion that it may very well be brachial neuritis - it was during this research that i found this website so i guess we are all on the same track.
When i first was given the statins for my heart treatment i did actually have very painful muscles in my legs so the original was switched to what i am taking now - the pain is totally different to what occured in my legs. And i have checked out all the rest of your diagnosis and ruled out most of them based on the description of the symptoms - apart from a slight swelling next to where my collarbone joins my shoulder there is nothing to suggest a rupture of any kind so i think maybe the description for brachial plexus neuritis is the closest to what i am feeling. So thank you very much. i will talk to my GP about all of this and see what she thinks
Have a fabulous day!
You are most welcome.
I wish you a very speedy recovery.
Best wishes and kindest regards,