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Shoulder pain and back pain and chest pain: 10 Causes, Treatments, and More

by alexxlab

10 Causes, Treatments, and More

Several different conditions may cause chest and upper back pain together. Causes can be related to the heart, digestive tract, and other parts of the body.

While some causes of chest and upper back pain aren’t emergencies, others are. You should always seek emergency medical attention if you have sudden or unexplained chest pain that lasts more than a few minutes.

Read on to learn more about the causes of upper back and chest pain, how they’re treated, and when to see a doctor.

Here are 10 potential causes of upper back and chest pain.

1. Heart attack

A heart attack happens when the blood supply to the muscles of your heart is blocked. Because of this, people having a heart attack may experience chest pain that can spread into the neck, shoulders, and back.

Other symptoms to look out for include:

  • sensations of pressure or tightness in the chest
  • cold sweats
  • shortness of breath
  • feeling lightheaded or faint
  • nausea

Women are more likely than men to experience heart attack pain involving the back or jaw. It’s also important to note that some people having a heart attack may experience very few symptoms or none at all.

2. Angina

Angina is pain that occurs when your heart tissue isn’t getting enough blood. It can commonly occur in people with coronary artery disease. It often happens while you’re exerting yourself.

Similar to pain from a heart attack, angina pain can spread to the shoulders, back, and neck.

Angina symptoms can vary between men and women. Women may feel pain in the back, neck, or abdomen in addition to or instead of chest pain.

Other angina symptoms can include:

  • feeling fatigued or weak
  • shortness of breath
  • sweating
  • feeling lightheaded or faint
  • nausea

3. Heartburn

Heartburn happens when the acid or contents of your stomach comes back up into your esophagus. This causes a painful, burning sensation in your chest, behind your breastbone. It may also sometimes be felt in your back or abdomen.

Heartburn tends to be worse after eating a meal or in the evening. You may also notice an acidic taste in your mouth or pain that gets worse while lying down or bending over.

Being pregnant, overweight, or obese can also increase your risk of developing heartburn. Some foods can also trigger the condition, including spicy foods, citrus, and fatty foods.

4. Pleurisy

Pleurisy happens when the membranes that line your lungs and your chest cavity become inflamed.

Normally, these membranes move smoothly past each other. When they’re inflamed, they can rub against each other, which leads to pain.

Pleurisy can be caused by a variety of things, including infections, autoimmune conditions, and cancers.

The pain of pleurisy gets worse as you breathe in deeply or cough. It can also spread to your shoulders and back.

Other symptoms that can occur include:

  • coughing
  • shortness of breath
  • fever
  • chills
  • unexplained weight loss

5.

Gallstones

Your gallbladder is a small organ that stores a digestive fluid called bile. Gallstones occur when this fluid hardens inside your gallbladder, forming stones.

Gallstones may cause pain to occur in several different places, including:

  • the upper right area of your abdomen
  • right below your breastbone
  • between your shoulder blades
  • in your right shoulder

The amount of time you experience pain from gallstones can last for a few minutes to several hours. You may also experience symptoms such as nausea or vomiting.

There are several risk factors that may increase your risk of gallstones, including being female, being pregnant, and being overweight or obese.

6. Pericarditis

The pericardium lines the surface of your heart. Pericarditis happens when the pericardium becomes inflamed. It can be caused by an infection or autoimmune condition. It can also happen after a heart attack or heart surgery.

Pericarditis causes sharp chest pain. This pain may become worse while breathing deeply, lying down, or swallowing. The pain from pericarditis may also be felt as pain in the left shoulder, back, or neck.

Other symptoms to be aware of include:

  • dry cough
  • feelings of fatigue
  • anxiety
  • difficulty breathing when lying down
  • swelling in your lower extremities

7. Musculoskeletal pain

Sometimes muscular problems may cause pain in the chest and upper back. Repetitive use or overuse of multiple muscle groups, for example through activities such as rowing, can lead to aching pain in the chest, back, or chest wall.

Other symptoms you may experience include muscle stiffness, muscle twitching, and feelings of fatigue.

8. Aortic aneurysm

Your aorta is the largest artery in your body. An aortic aneurysm happens when part of the aorta becomes weakened. In some cases, this weakened area may tear, which can lead to life-threatening bleeding. This is called aortic dissection.

Many times, an aortic aneurysm will develop with very little or no symptoms. However, some people may feel pain or tenderness in their chest. In some cases, pain may also occur in your back.

Other symptoms to look out for include:

  • shortness of breath
  • cough
  • feeling hoarse

9. Spinal problems

In some cases, a pinched nerve in the upper part of the spine may cause pain to radiate to the area of the chest and possibly to the extremities.

In addition to pain, other symptoms you may experience include muscle spasms and stiffness in the affected area of the spine, which may restrict movement.

Additionally, there are some case studies in which a herniated disc in the upper portion of the spine has caused pain in the chest or chest wall.

10. Lung cancer

Chest and back pain can also occur as a symptom of lung cancer. Although chest pain is a common symptom, the Dana-Farber Cancer Institute reports that 25 percent of people with lung cancer reported back pain as a symptom.

Back pain from lung cancer can happen when a tumor in the lungs begins to put pressure on the spine. Pain from lung cancer may feel worse when you breathe deeply, laugh, or cough.

In addition to chest and back pain, other signs of lung cancer can include:

  • persistent cough, which may include coughing up blood
  • feeling hoarse
  • shortness of breath or wheezing
  • feeling weak or fatigued
  • unexplained weight loss
  • recurrent lung infections, such as pneumonia

The treatment for your upper back and chest pain will depend on the underlying cause.

Heart attack

Some treatments for heart attack are typically given immediately. These can include aspirin to limit blood clotting, nitroglycerin to improve blood flow, and oxygen therapy. Clot-busting medications, which help to break up any blood clots, may then be given.

A procedure called percutaneous coronary intervention (PCI) can help open up any arteries that are found to be narrowed or blocked. This procedure uses a small balloon attached to a catheter to compress plaque or clotted blood against the wall of the affected artery and restore blood flow.

Other potential treatments can include:

  • medications to help prevent another heart attack, such as ACE inhibitors, blood thinners, or beta-blockers
  • heart bypass surgery
  • lifestyle changes such as eating a heart-healthy diet, increasing physical activity, and managing stress

Angina

A variety of medications can be prescribed to help manage angina. These medications may prevent blood clots, reduce angina pain, or widen blood vessels. Examples of angina medications include:

  • beta-blockers
  • calcium channel blockers
  • blood thinners
  • nitrates
  • statins

Heart-healthy lifestyle changes will also be recommended as part of your treatment plan. If medications and lifestyle changes can’t successfully manage the condition, procedures like PCI and heart bypass surgery may be necessary.

Heartburn

Several over-the-counter (OTC) medications can be used to relieve heartburn. These can include antacids, h3 blockers, and proton pump inhibitors. If OTC medications aren’t helping to relieve your symptoms, your doctor may prescribe you stronger medications.

Pleurisy

Pleurisy can be treated through addressing the underlying condition that may be causing it. Medications may also help relieve symptoms, including acetaminophen or NSAIDs for pain, and cough syrups to ease cough.

In some cases, fluid may need to be removed from the affected area. This can help to prevent lung collapse.

Gallstones

Many times, gallstones don’t require treatment. In some cases, your doctor may prescribe medication to help dissolve the gallstones. People with recurring gallstones may have their gallbladder removed.

Pericarditis

Pericarditis can be managed with treatments that relieve inflammation and pain, such as NSAIDs. If these aren’t effective, your doctor may prescribe a stronger anti-inflammatory medication.

If an infection is causing your condition, an antibiotic or antifungal medication will also be prescribed.

In some cases, you may need a procedure to drain fluid. This can help reduce pressure on your heart.

Musculoskeletal pain

Muscle issues that result in upper back and chest pain may be treated with rest and medications that relieve pain and inflammation, such as NSAIDs.

Applying heat to the affected area may also help. In more severe cases, physical therapy may be recommended.

Aortic aneurysm

In some cases, your doctor will recommend monitoring of your aneurysm using imaging technology such as CT scan or MRI scan. Additionally, your doctor may prescribe medications such as beta-blockers, angiotensin II receptor blockers, and statins to help lower blood pressure or cholesterol levels.

People with larger aortic aneurysms may require repair surgery. This can be performed via open-chest surgery or endovascular surgery. Emergency surgery is required for an aortic aneurysm that has ruptured.

Spinal problems

Treatment for spinal problems depends on their severity. It can include reducing your activity level and taking medications such as NSAIDs and muscle relaxers to help with pain or inflammation. Physical therapy exercises may also be recommended.

More severe cases may require surgical intervention to repair them.

Lung cancer

Several therapies can help treat lung cancer. Which type is used depends on the type of lung cancer and how far the cancer has spread. Your doctor will work with you to create a treatment plan that’s right for you.

Treatment options can include chemotherapy, radiation therapy, and targeted therapy. Additionally, surgery may be recommended to remove the cancer tissue.

Here are some good rules of thumb for preventing many of the causes of upper back and chest pain:

  • Eat a heart-healthy diet.
  • Make sure that you get enough exercise.
  • Maintain a healthy weight.
  • Avoid smoking and secondhand smoke.
  • Limit alcohol consumption.
  • Manage your stress levels.
  • Stay on top of your routine physical appointments and be sure to see your doctor if new or worrisome symptoms appear.

Some additional tips include:

  • Limit foods that may trigger heartburn, such as spicy foods, fatty foods, or acidic foods.
  • Try not to lay down right after eating to prevent heartburn symptoms.
  • Avoid eating late or large meals to help prevent gallstones.
  • Stretch properly before engaging in exercise or sports to avoid muscle injury or strain.

You should always take chest pain seriously, as sometimes it may be an indicator of a serious health condition, like a heart attack.

Always seek emergency medical attention if you have unexplained or sudden chest pain, especially if you have difficulty breathing or the pain has spread to other areas like the arm or jaw.

You should also make a doctor’s appointment for any condition that isn’t relieved using OTC medications or has symptoms that recur, are persistent, or begin to worsen.

You can connect to a physician in your area using the Healthline FindCare tool.

There are several things that can cause upper back pain and chest pain to occur together. Some of the causes of this type of pain aren’t serious, but it’s always important to take chest pain seriously.

Chest pain can be a sign of a potentially life-threatening condition, such as a heart attack. If you have unexplained chest pain that comes on suddenly or is severe, seek emergency medical assistance.

Chest and Shoulder Pain: Symptoms, Causes, and Diagnosis

Pain from your chest to your shoulder can have many causes. Your heart, lungs, or other internal organs may be involved. If your pain is sudden or severe, it’s very important to get immediate medical care.

The pain may also be referred. This means it’s felt in your chest and shoulder but is actually caused by pain in another part of your body.

In this article, we’ll look at some of the most common causes of chest and shoulder pain and the treatment options for these causes.

Pain in the chest and shoulder can have many causes. Some can be more serious than others. The conditions listed below are some of the most common culprits of this kind of pain.

Angina is the name for chest pain that results from clogged and narrowed arteries around your heart. When this happens, your heart muscle isn’t able to get enough oxygen-rich blood.

It’s not a heart attack. Rather, it’s a sign you have a heart condition. Physical activity often triggers the pain, when you need more oxygen. Emotional stress can trigger it, too.

Angina can be stable. This means it follows a predictable pattern and typically occurs when you’re doing something, or when you’re stressed. With stable angina, symptoms usually go away within a few minutes.

Angina can also be unstable. This type of angina tends to occur suddenly or while you’re at rest. With unstable angina, symptoms can last longer than 20 minutes and may return. The pain may also get worse over time.

An unstable angina attack can be life threatening and requires emergency medical attention.

Symptoms

Chest pain is the main symptom of both stable and unstable angina. Pain usually starts behind the breastbone. Pain may be referred to your left shoulder or arms.

Other common symptoms include:

  • fatigue
  • shortness of breath
  • light-headedness
  • nausea or indigestion
  • sweating
  • weakness

A heart attack happens when a blockage in an artery in your heart stops or reduces the blood flow to your heart muscle. It’s also called a myocardial infarction.

Symptoms can start suddenly or come on slowly. People with gradual symptoms may not seek medical care right away.

If you think you’re having a heart attack, call 911 or get emergency medical help immediately.

Symptoms

Heart attack symptoms can vary in intensity.

Common heart attack symptoms include:

  • a feeling of tightness or pressure in your chest
  • chest pain that spreads to your neck, shoulders, one or both arms, or back
  • faintness or dizziness
  • shortness of breath
  • cold sweat
  • fatigue
  • indigestion, stomach pain, or heartburn

While chest pain is the most common symptom for men, women are more likely to have symptoms other than chest pain. Some of the symptoms women often experience that happen less frequently with men include:

  • unusual fatigue that lasts for several days or extreme fatigue that comes on suddenly
  • sleep disturbances
  • anxiety
  • indigestion or gas-like pain
  • jaw or back pain
  • symptoms that come on more gradually

Your gallbladder is a small organ on your right side that sits below your liver. Its purpose is to release bile into the small intestine. Bile helps the digestive process by breaking down the fats in the food you eat.

Gallstones are little masses that form out of hardened digestive fluid in the gallbladder. Gallstones can range in size, from grains of sand to pingpong balls.

Why some people develop gallstones isn’t clear. But risk factors include:

  • being female
  • being over 40 years old
  • having overweight
  • being pregnant

Symptoms

Sometimes gallstones don’t cause any symptoms. But gallstones can cause intense pain when they block a bile duct or when you eat fatty foods. Pain can last up to several hours.

Pain may occur on:

  • your right side, above the stomach
  • in the center of your stomach, below the breastbone
  • in your right shoulder
  • between your shoulder blades

You may also have fatigue, nausea, or vomiting.

Pericarditis is the inflammation of the pericardium, the thin sac that surrounds your heart. The two-layered pericardium protects your heart and holds it in place. Fluid between the pericardium layers prevents friction when your heart beats.

Pericarditis usually starts suddenly. It can last from a few days to a few weeks. A viral infection is thought to cause most cases.

Symptoms

The main symptom is sharp or dull pain in the center of your chest or on the left side.

Other common symptoms include:

  • pain that spreads from your chest to the shoulder blade
  • pain that worsens when you lie down or take a deep breath
  • pain that decreases when you lean forward
  • weakness
  • mild fever
  • fatigue

Your pancreas is located behind your stomach near the first part of your small intestine. It releases fluids that help break down the food in your intestine. It also controls your body’s blood sugar by regulating the release of insulin.

Pancreatitis is an inflammation of the pancreas. It can be chronic or acute. Acute pancreatitis can come on suddenly and usually gets better with treatment. Chronic pancreatitis gets worse over time.

The most common cause of acute pancreatitis is gallstones.

Symptoms

Symptoms of pancreatitis can vary, depending on the type of pancreatitis. The main symptom of both acute and chronic pancreatitis is pain in your upper abdomen, as well as pain that radiates to your back.

Acute pancreatitis symptoms include:

  • mild or severe pain that lasts for several days
  • abdominal pain that gets worse after eating
  • fever
  • nausea and vomiting
  • fast pulse
  • swollen or tender stomach

Chronic pancreatitis symptoms include:

  • pain in your upper abdomen
  • nausea or vomiting
  • weight loss without trying
  • oily stools that smell bad

Pleurisy is an inflammation of the thin layer of tissues, called pleura, that separate your lungs from your chest wall.

The most common cause of pleurisy is a viral infection in the lungs.

Symptoms

The most common symptoms of pleurisy include:

  • sharp chest pain that gets worse when you breathe, cough, laugh, or sneeze
  • pain in your shoulders or back
  • shortness of breath
  • muscle or joint pain
  • headaches

Some people may also experience a cough or fever.

Chest pain with shoulder pain isn’t always an emergency, but it can be very hard to tell. That’s why it’s important to pay attention to any other symptoms you may have.

Call 911 or go to an emergency room if you have:

  • severe chest and shoulder pain
  • have an existing heart condition
  • think you’re having a heart attack

Other symptoms that can be a sign you need immediate medical attention are:

  • escalating chest and shoulder pain
  • difficulty breathing
  • fainting or dizziness
  • extreme weakness

A 2019 review looked at the most common causes of chest pain for people who went to an emergency room. The review found that:

  • 31 percent of the causes were due to acute coronary syndrome, which included angina and other heart problems
  • 30 percent of chest pain causes were due to acid reflux
  • 28 percent of causes were due to a musculoskeletal condition

See your doctor if you have unexplained chest and shoulder pain. Any time you have chest pain, it’s important to get a proper diagnosis and appropriate treatment.

Because there are many possible causes for chest and shoulder pain, diagnosis can be challenging.

Your doctor will take a full medical history to find out about any other health conditions you may have. They’ll also ask if your family members have heart disease or other types of conditions.

Your doctor will ask about your symptoms, when they started, how long they lasted, and if they changed.

Once your doctor knows more about your symptoms and any other health conditions, they’ll do a physical exam and listen to your heart and lungs.

There are many diagnostic tests your doctor may use to determine what’s causing your shoulder and chest pain. Common diagnostic tests include:

  • an X-ray of your lungs, heart, gallbladder, or other organs
  • an electrocardiogram (EKG) to look at how your heart is beating
  • an echocardiogram to look at your heart muscle and how it’s working
  • blood tests to look for signs of a heart attack or specific enzyme levels for certain conditions, like pancreatitis
  • a stress test to see how your heart functions when you exercise
  • a coronary angiography to find out if you have a blockage in a coronary artery
  • a heart CT scan, also known as CT angiography, to look at your heart and blood vessels and to check for blood clots or other problems
  • an MRI to look at heart movement and blood flow, or to get a more detailed view of your gallbladder or pancreas
  • a biopsy of lung tissue if pleurisy is suspected
  • a pancreatic function test to see if your pancreas is responding normally to specific hormones

Treatment for shoulder and chest pain depends on what’s causing the pain.

Because there can be so many variables, treatment plans for the same condition may be different from one person to the next. Some factors that may influence your treatment plan include:

  • your age
  • other health conditions you may have, including overweight
  • whether or not you smoke

Heart problems

For heart problems, your doctor may prescribe:

  • aspirin
  • nitroglycerin
  • blood thinners to prevent clots
  • clot-busting drugs (thrombolytics)
  • antibiotics for pain caused by an infection
  • fluid drainage for pericarditis

For life threatening situations, you may need surgery, such as bypass surgery or angioplasty.

Your doctor will likely recommend lifestyle changes, including changes to your diet, physical activity, and stress management.

Gallstone attack

Depending on the frequency of your gallstone attacks, your doctor may recommend surgery to remove your gallbladder. This is usually done laparoscopically.

For a less serious gallstone condition, your doctor may prescribe a drug called ursodiol. This drug may help dissolve the gallstones over time. Your doctor may also put you on a low fat diet to help prevent further gallstone development.

Some people have success with natural remedies for gallstones. Be sure to talk to your doctor before trying any at-home treatments for gallstones.

Pleurisy

Treatment for pleurisy will depend on the cause.

Your doctor may prescribe antibiotics if you have a bacterial infection. Viral infections often clear up without treatment. Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) may help relieve chest pain.

If you have a lot of fluid buildup, known as pleural effusion, your doctor may want to drain it. This is done with local or general anesthetic. It may require a hospital stay.

A hospital stay may also be necessary if you have other health conditions that make your pleurisy more difficult to treat.

Pancreatitis

Your doctor will give you medications to help reduce the pain. You may also have to fast for a couple of days to give your pancreas a rest. You may need intravenous fluids to prevent dehydration.

You may be hospitalized if your pancreatitis is severe.

Other treatment may include surgery to drain your pancreas, or surgery to remove your gallbladder if gallstones caused your pancreatitis.

Longer-term treatments may include:

  • diet changes
  • limiting alcohol use
  • taking pancreatic enzyme supplements to aid digestion

Other chest pain causes

For chest pain conditions that aren’t related to your heart or coronary arteries, you doctor may prescribe:

  • acid suppressing drugs to reduce acid reflux
  • antidepressants or therapy to help control panic attacks

Pain in your chest and shoulder can have many causes. Some of the most common include angina or other heart conditions, gallstones, pericarditis, pleurisy, or pancreatitis.

Unexplained pain that occurs in both your chest and shoulder should always be checked out by your doctor.

If the pain is severe or lasts longer than a few minutes, immediately go to the emergency room or call 911. For many conditions, the earlier you receive treatment, the better your outcome is likely to be.

Pain in the thoracic spine

I completely trusted and the results were not long in coming!

I turned to Igor Nikolaevich with acute severe pain in the cervical spine. Since I live in Germany, I first looked for help there, but unfortunately I didn’t get a result, and my good friend, who has been treated with him for many years, said that I need to go to him, he cured her hernia. I came with an MRI, the doctor studied the history, examined, said that I had chondrosis of the cervical spine, that there were many problems from this: pinched nerves, blood vessels were out of order. He prescribed therapy according to his own method, 14 sessions in total, which included osteopathy, which takes about an hour, electrophoresis, injections and gravitational therapy, I liked it the most, I felt like an astronaut. After the third session, I already felt an improvement, that the pains were gradually released, a bright consciousness appeared, my head felt better. I have not seen such a technique, but I have met a person who “flies”
after this technique, this is my friend, and she completely trusted and really the results were not long in coming.

Marina from Germany

Attending physician: Yarukhin I.N.

We solved the problem in 3 sessions!

Just a month ago I faced a problem – my back began to hurt. I have been looking for a way to get rid of this problem for a very long time. I went to a neurologist, because at first they thought that I had something with my nerves. After many attempts to help, she sent me to a vertebrologist. This was the first time we heard of such a specialist. Then we learned about the medical center “Palikha”, as we were purposefully looking for a vertebrologist, he was not in our city and we found him here in Moscow. My specialist’s name is Novichkov Evgeny Nikolaevich, I was very lucky with him, because after three sessions I felt much better. Initially, a course of three sessions was prescribed, but I was very lucky and felt better in three.

Olga

Attending physician: Novichkov E.N.

There was a hernia. Within a month the pain was gone!

I live in the Moscow region, in the city of Elektrostal. I have already climbed to the top for 70 years, and from this peak you can see a lot, but diseases also come. In September 2019, I felt very severe pain in my left shoulder blade and left arm. I did an MRI – it turned out that this was due to a vertebral hernia. Went to the clinic at the place of residence. The doctor prescribed injections and pills. For two weeks of their use, the pain did not go away, the result left much to be desired. I signed up for another doctor, everything was the same, injections, pills, and so for another two weeks, but the pain still tormented me. I remembered that a few years ago I applied to the Palikha clinic in Moscow on the issue of pressure. And there I saw a stand on which it was written that Dr. Igor Nikolayevich Yarukhin treats vertebral hernias according to his method, that as a result of this complex treatment, a hernia decreases by 2 times in a year and cartilaginous tissues grow in the intervertebral discs. I turned to Igor Nikolaevich, we started a course of treatment. A month later, the pain disappeared, I felt like a completely healthy person, but I continue the course of treatment so far. Today is already February, soon 23, and I can say that over the past month I have not experienced any pain, I feel like a completely healthy person, I can only say that Igor Nikolayevich is a great merit in this. So today I came for another procedure. In 3 months I will come for a follow-up examination. There is already hope that my health has returned, I don’t feel pain, I do exercises with 5 kg dumbbells, and everything is fine. Thanks to Igor Nikolaevich.

Viktor Semenovich, 70 years old

Attending physician: Yarukhin I.N.

I had a problem with my back. At the end of the course, I do not feel any problems!

I had a problem with my back. My good friend, a work colleague, advised Novichkov Evgeny Nikolaevich. Called, made an appointment, came by appointment. Evgeniy Nikolayevich took a look and prescribed a course of manual procedures. I did not argue with the doctor, the entire course that was prescribed passed. In general, at the end of the course, the problem went away, I don’t feel the problem, everything is fine, the back works, moves. Conducted field tests in the country – withstood, everything is fine. There are no restrictions on loads, everything is possible. I highly recommend the doctor, highly recommended. Even among my acquaintances, several people are being treated by him. Impressions are only positive. Professionally. Correctly. Politely. I recommend both the clinic and the doctor to everyone.

Maxim, 32 years old

Attending physician: Novichkov E.N.

After the second procedure the discomfort disappeared!

I turned to Dr. Novichkov on the recommendation of a neurologist from a clinic in the city of Korolev. I have had a problem with my back for a long time – an intervertebral hernia. After the MRI, the neurologist advised me to take a course of osteopathy and manual therapy with Dr. Novichkov. She advised him as a knowledgeable, competent specialist in this particular problem. I underwent a course of osteopathy and an injection of the chondroprotector GiarRepair to moisturize the intervertebral discs. After the second procedure, I felt that my body became more obedient to me, there were no difficulties when turning the neck, when bending the body, and I no longer experienced other unpleasant sensations.

Elena

Attending physician: Novichkov E.N.

It became easy to breathe, the spine became soft and mobile!

I came to the medical center with my back problems. I have a hernia, my back hurt, not much, but it bothered me. I visited many neurologists, went to the state polyclinic, they could not help me there, the pain does not go away, I sleep badly. My friend suggested that I turn to Palikha specifically to Igor Nikolaevich Yarukhin. He received me, looked at me very well, all the pictures, x-rays. Interrogated from and to. We started treatment, osteopathic procedures, electrophoresis. And I want to say that after about 4 procedures I felt better. I realized that it became so easy for me to breathe, the spine became soft and more mobile. I like it. I began to sleep well, sound sleep. If earlier I could not sleep soundly, twisted, rolled over, worried about my back, now I sleep and feel good. I advise, if someone needs help in this regard, contact Igor Nikolaevich, they will definitely help.

Irina, 55 years old

Attending physician: Yarukhin I.N.

Thanks to Igor Nikolaevich for a new opportunity to a full life!

I went to the clinic when they were talking about an operation to replace the vertebrae. Came in for a consultation on the recommendation of a friend. The doctors said that if Yarukhin does not take it, then it will definitely be an operation. I came to Igor Nikolaevich. He said, “No operation! Will be working!”. I did not believe, because I could hardly walk, there was already swelling of the bone marrow, one leg pulled the other. When people passed by, it seemed to me that they were birds that fly, and I was lined. A month later I started walking, after two or three months the pain went away, and now I don’t have a single hernia. I remember that pain, and I am glad that I can walk. I am very grateful to the Palikha Medical Center and Igor Nikolaevich for giving me a new opportunity to a full life, thank you very much! Very nice staff, always helpful and helpful.

Irina Zolotareva

Attending physician: Yarukhin I.N.

Evgeniy Nikolaevich set me on my feet with his procedures!

An age-related problem of urban sedentary life that also covered me – lower back pain. Since I already went to the clinic for hirudotherapy, I saw information about other services of the clinic, I decided to do manual therapy and massage. Luckily, I managed to see a clinic doctor even during an acute period, and what is especially pleasant, during the winter holidays. He helped me a lot, literally put me on my feet with his procedures, because I could not even stand for 2-3 minutes near the sink – I immediately felt drawn to my side. I have had manual therapy sessions. Went in for a massage and manual therapy. Of course, I can’t say that everything went well for me, but the situation is under control and I already know how to behave, whom to contact, how to optimize the load so as not to fall out of active life at all. I recommend Evgeny Nikolayevich Novichkov to all those who suffer with pain in the back, neck and other places, because he is a very attentive, sensitive therapist who uses techniques aimingly, and proceeding not from the method but from the patient’s condition, always in dialogue and able to understand those problems, that this particular sufferer has and help in their resolution. Only positive feedback.

Galina Lyubimova, 64 years old

Attending physician: Novichkov E.N.

Life seems to be getting better!

I have osteochondrosis of the cervical vertebrae, hernia of the cervical vertebrae, protrusion of the cervical vertebrae, and even swelling of the (spinal) cord in these vertebrae. Unfortunately, what neuropathologists offered – classical methods did not help me very much. After I got dizzy, it was even hard to walk. After I turned to Igor Nikolayevich at the Palikha clinic, I was given a course of osteopathy, electrophoresis, injections, which significantly changed the situation. Pain in the vertebrae subsided, dizziness significantly decreased, confidence appeared when walking, no swaying. Life seems to be getting better. In general, I am satisfied, I can advise. In my opinion, in such a situation, the best treatment is osteopathy, manual therapy and electrophoresis.

Viktor Ivanovich

Attending physician: Yarukhin I.N.

Condition improved by 90%!

With my problem of cervicothoracic osteochondrosis, I went to the Palikha clinic to Igor Nikolaevich Yarukhin, having found information on the Internet. He helped me a lot by conducting 10 sessions of manual therapy and electrophoresis. My condition has improved by 90%, for which I am grateful to the clinic. The result exceeded all expectations, especially considering that my age has already exceeded 80 years.

Evgenia, 82 years old

Attending physician: Yarukhin I.N.

The doctor deals with my problem individually!

I had a series of osteopathic sessions with Dr. Yarukhin. I turned to the Palikha clinic, as I always had problems with my back. I was tormented by osteochondrosis, pain for a long time, 2 years ago there was a serious attack. After that, she began to do gymnastics and look for a solution to the problem. I came to the clinic with an MRI, I liked that the doctor got acquainted with the pictures, and during the sessions I noticed that the doctor deals individually with my problems of my spine. At the 1st session, I still felt severe stiffness and stiffness in the lumbosacral region on the right side, where my muscles and tendons have always been tightened. After 3-4 sessions, I felt that I could take the positions that the doctor recommended, the muscles became stretched. I received very valuable advice on maintaining health, which I follow at home. I plan to have several massage sessions and return to Dr. Yarukhin for another course of osteopathy and supplement it with electrophoresis. Now my condition and general mood is much better. I saw positive dynamics and hope to put my spine in order. I recommend everyone who has back problems to contact this clinic, which I have the best impression of.

Marina Vladimirovna

Attending physician: Yarukhin I.N.

Shoulder pain – causes, symptoms, diagnosis, treatment of diseases of the shoulder joint

Common injuries and diseases of the shoulder joint

Diagnosis

Methods of treatment of pain in the shoulder joint

Pain in the shoulder joints of the hands is one of the most common reasons for patients to visit an orthopedic traumatologist. They can be caused by various shoulder injuries (for example, those received when falling, twisting the arm, lifting weight from an uncomfortable position), and other factors (hypothermia, overexertion, repeated hand movements of the same type). In some cases, shoulder pain is a manifestation of serious diseases (for example, hernia of the cervical spine, autoimmune pathologies, benign and malignant neoplasms).

Pain in the shoulder joint is caused by damage to the cartilage of the head of the shoulder and the glenoid cavity, capsule, and soft tissues. Pain can be sharp, bursting, pulling, dull. The pain appears periodically or persists constantly, increases with movement, at a certain time of the day, depends on weather conditions.

Common injuries and diseases of the shoulder joint

Dislocation of the joint can occur if a person receives a strong blow to the shoulder or falls on a straightened arm. Such an injury is characterized by sharp pain, deformity of the shoulder joint, the appearance of a depression at the site of the head of the shoulder. At the same time, it is impossible to move the shoulder, and the acute pain does not go away until the joint is repositioned. The doctor adjusts the shoulder under general anesthesia or under local anesthesia.

Fractures occur with a strong blow, falling on the shoulder. With such an injury, a person feels severe pain, when trying to move, a crunch can be heard, swelling and pathological mobility appear. To prevent pain from getting worse, it is necessary to support the affected arm or fix it to limit movement.

Partial and complete ruptures of muscles and tendons present with acute pain that radiates to the neck or arm. When you raise your arm, the pain in your shoulder may get worse. Also, pain sensations can become more intense when rotating the hand, moving it to the side. With a complete rupture, the victim cannot move his arm.

Tendinitis (inflammation of the tendon sheaths) and bursitis (inflammation of the periarticular mucous bags) develop under the influence of various factors. The most common causes of such diseases include injuries, hypothermia, overexertion, which occur as a result of repetitive monotonous movements (for example, when working as a painter) or incorrect hand position during work (usually at a computer). Bursitis and tendinitis can develop secondarily as a manifestation of the underlying disease (usually systemic). At an early stage of such diseases, only minor discomfort is observed, which appears at the peak of the load. As the pathological process progresses, aching or pulling pain in the shoulder occurs during movement, even if the load on it is insignificant. Pain can also appear at rest, at night, a crunch is possible during movements.

In patients with adhesive capsulitis (an inflammatory disease of the joint capsule), pain usually occurs spontaneously, without any obvious external cause. Discomfort gradually increases, more often at night, if a person lies on a sore shoulder. Severe pain is permanent, prevents any movement.

Benign neoplasms develop slowly, for a long time they are manifested by mild symptoms. They are characterized by low-intensity pain of a local nature, which does not change its severity for a long time.

Pain in the shoulder of the right or left arm can also be caused by neurological causes, most often problems in the cervical region. In this case, the characteristic symptoms are the so-called “lumbago”, which are felt throughout the arm, pain in the shoulder joint when the arm is abducted, numbness and weakness in the fingers.

Diagnostics

To make an accurate diagnosis, an orthopedic traumatologist interviews the patient in detail to find out complaints, establish all the symptoms, the dynamics of their development, and dependence on various factors.

After that, the doctor conducts a complete examination and, based on the results, chooses a program for additional examination.

Ultrasound, computed tomography and magnetic resonance imaging, laboratory and invasive studies can be used to accurately diagnose shoulder pain.

Shoulder pain management

The orthopedic surgeon chooses the tactics of treatment depending on the diagnosis. In case of injuries, no independent actions should be taken before consulting a doctor and examining. Attempts to reduce the joint, jerks by the hand, massage, active movements of the limb can lead to aggravation of the injury and a significant increase in the duration of treatment.

To eliminate the causes of pain, physiotherapeutic procedures (for example, shock wave, laser and ultrasound therapy), drug treatment are used. In some cases, surgical treatment is indicated, most often arthroscopy (minimally invasive surgery). It is important for the patient at all stages of treatment to strictly follow all the recommendations of the doctor, including the activity regimen.

Bruises, partial injuries of ligaments and tendons are treated conservatively. Usually, for patients with such injuries, the doctor prescribes non-steroidal anti-inflammatory drugs orally and locally, a course of physiotherapy, and recommends functional rest. For a complete recovery in most cases, 3-4 weeks are enough.

For fractures, the doctor chooses the treatment method after examination, depending on the location of the fracture and the degree of displacement. If the displacement is small or absent, conservative treatment is sufficient. Surgical treatment (reposition, osteosynthesis using metal fixators) is indicated for patients with a fracture with a pronounced displacement.

Partial and complete ruptures of muscles and tendons require surgical treatment (arthroscopy, tendon suture). It is important to perform surgery as soon as possible to avoid complications.

Adhesive capsulitis should be treated as early as possible, as long-term immobilization of the joint can lead to contracture (scar tightening of the tendons).

In the event of discomfort in the shoulder area, the effectiveness of treatment depends on the timeliness of its initiation. If you experience pain in this area, you should not postpone a visit to the doctor.

Contact our clinic to get rid of pain and regain your freedom of movement.

The author of the article:

Starochkin Konstantin Anatolyevich

traumatologist-orthopedist, surgeon

work experience 14 years

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