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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 34998
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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I've been having a really sharp pain under my left shoulder

Customer Question

I've been having a really sharp pain under my left shoulder blade for a bout a week and a half. I don't necessarily remember doing anything to it but I can't even lay on it. Any idea what it might be?
JA: How long have you had the pain? What seems to make the pain better or worse?
Customer: For about two weeks. If anything touches it it gets bad, includingy bra strap. Heat can soothe it. I got a massage thinking they could press it out like a cramp but the pain started lingering/burning.
JA: Anything else in your medical history you think the doctor should know?
Customer: T
Submitted: 2 months ago.
Category: Medical
Expert:  Dr. Arun Phophalia replied 2 months ago.

Hello! My name is***** to JustAnswer. I'm reviewing your question now, and will post back with the reply momentarily.

Customer: replied 2 months ago.
Thank you. I meant to post I also get sebaceous cyst in my underarm but no other health issues. My mom had a slipped disk in her spine 6 years ago and needed surgery.
Expert:  Dr. Arun Phophalia replied 2 months ago.

This is very likelihood to be myofascial trigger point. This can be associated with degenerative disc disease in neck causing pinched nerves. Trigger points may develop after an initial injury to muscle fibers. This injury may be a noticeable traumatic event or repetitive microtrauma to the muscles. The trigger point causes pain and stress in the muscle or muscle fiber. As the stress increases, the muscles become fatigued and more susceptible to activation of additional trigger points. When predisposing factors combine with a triggering stress event, activation of a trigger point occurs. Myofascial trigger point is a hyperirritable spot, usually within a taut band of skeletal muscle or in the muscle fascia which is painful on compression. The treatment is following;

1) passive stretching of the affected muscle after application of sprayed vapocoolant

2) physical therapy

3) deep electrotherapy; iontophoresis, phonophoresis, short wave diathermy, electrical stimulation

4) local analgesic patch / ointment / spray

5) anti-inflammatory analgesics; Ibuprofen (Motrin / Advil)

6) ischemic compression therapy; pressure on the points

7) massage

8) steroid shots

9) acupuncture.

The arm pit sebaceous cyst is unlikely to be related to it.

Please feel free for your follow up questions.I would be happy to assist you further, if you need any more information.Thanks for using Just Answer.
Customer: replied 2 months ago.
Thank you!
Expert:  Dr. Arun Phophalia replied 2 months ago.

You are very welcome.

It is privilege assisting you.

Please let me know if you have further queries or unanswered questions.

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Thank you.

Wishing you all the very best in life.

Expert:  Dr. Arun Phophalia replied 2 months ago.

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