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I been having extreeme pain in the right side of my upper…

Customer Question
I been having extreeme...

I been having extreeme pain in the right side of my upper back, some where between the shoulder and the waist.

Doctor's Assistant: Have you had any recent injuries? What seems to make the pain better or worse?

I took Alive so I could work, but the pain comes back as soon as the pain med wears off

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I have fybromyalgia, at first the pain started in the lower pary of my back, I thought it was my kigneys, but the pain is now higher and only on the right side.

Submitted: 7 months ago.Category: Medical
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Customer reply replied 7 months ago
Can you please send the answer via text
Customer reply replied 7 months ago
Posted by JustAnswer at customer's request) Hello. I would like to request the following Expert Service(s) from you: Live Phone Call.
Customer reply replied 7 months ago
Let me know if you need more information, or send me the service offer(s) so we can proceed.
Answered in 9 minutes by:
12/14/2017
Doctor: Dr. Arun Phophalia, Doctor replied 7 months ago
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 38,732
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

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Doctor: Dr. Arun Phophalia, Doctor replied 7 months ago

Are your shoulder movements or upper back movements painful?

Was this precipitated by any unaccustomed activity?

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Customer reply replied 7 months ago
No I think ,it feels as if the pain is on my ribcage
Doctor: Dr. Arun Phophalia, Doctor replied 7 months ago

Is there any tender point?

Since when is the pain?

Does deep breathing cause pain?

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Customer reply replied 7 months ago
Is about 3 days deep breathing does not hurt
Doctor: Dr. Arun Phophalia, Doctor replied 7 months ago

Thanks for the additional information. I am writing the answer for you and will get back to you in 4-5 minutes. If you get a phone call request, you may ignore it as that is an automated site trigger. Thank you.

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Customer reply replied 7 months ago
Okay
Doctor: Dr. Arun Phophalia, Doctor replied 7 months ago

This is very likelihood to be myofascial trigger point. 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

" I sincerely ***** ***** I have helped you, and that I have earned my 5 star rating today! Please remember to rate my service by selecting the 5 stars at the top of the screen ( rating me now does not close your question). We can continue here until you are satisfied, simply use the reply box and let me know. Thank you!”.

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Customer reply replied 7 months ago
I do not feel the problem is that since the area has no joints, and there are no moving parts where it hurts
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