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Dr. Frank
Dr. Frank, Board Certified Physician
Category: Neurology
Satisfied Customers: 8999
Experience:  Board certified general Adult Neurologist, with experience in experimental neuroimaging and neurodiagnostics.
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Sudden onset of pain between shoulder blades. It is also painful

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Sudden onset of pain between shoulder blades. It is also painful to turn head left or right or up and down

neuromd2012 :

Welcome to Just Answer. I am an Adult Neurologist and was contacted to answer your question.

neuromd2012 :

Hello. You have musculoskeletal pain, and need to treat this symptomatically, and then find out the cause.

neuromd2012 :

This is unlikely to be cardiac related if you are moving your head to make the pain worse

neuromd2012 :

the most common cause is trapezius muscle spasm, but it can involve a variety of muscles in the

neuromd2012 :

cervical chain.

neuromd2012 :

Symptomatic treatment is NSAID medication (OTC Aleve, Motrin, etc), muscle relaxants like cyclobenzaprine (prescription), If you have degenerative arthritic changes in your cervical spine, this should help.

neuromd2012 :

Using a warm moist compress or heating pad to the area will also help symptomatically

neuromd2012 :

hello are you there?

Customer: Yes
neuromd2012 :

do you have a fever? or any chance this is infective?

Customer: I was concerned it could be a blood clot. I have no fever.
neuromd2012 :

do you have any other medical illnesses, meds you take?

neuromd2012 :

do you have arthritis in your neck?

Customer: I take thyroid med,an antidepressant,Advair,and generic n said for osteoarthritis. Never been told I have arthritis in neck Mostly knee problems.
neuromd2012 :

I see

neuromd2012 :

you could have an aortic artery dissection and have this sudden onset of pain. That is seen in patients

neuromd2012 :

with hypertension and high cholesterol.

neuromd2012 :

if you do not have a history of arthritis in the cervical spine, it is not likely that to be as a sudden pain but

neuromd2012 :

the fact that this seems worse with head movements can be seen in both conditions. I would

neuromd2012 :

suggest you call your doctor if you feel you could be having an aortic dissection or problem

neuromd2012 :

of the heart and blood vessels.

neuromd2012 :

do you feel dizzy or lightheaded?

Customer: No dizziness
neuromd2012 :

any cardiac history at all?

Customer: No
neuromd2012 :

so that as well is unlikely

neuromd2012 :

I would suggest you try to treat this as a cervical arthritis, and treat the muscle spasm with

neuromd2012 :

a heating pad, and see if this improves over hours time

neuromd2012 :

if it does not, you need to call you doctor and have him examine you

neuromd2012 :

do you have any symptoms of GERD or GI complaints?

Customer: Thank you so much for your help. No GI complaints.
neuromd2012 :

you are welcome.

neuromd2012 :

Dr Frank T

Dr. Frank and 2 other Neurology Specialists are ready to help you