Hi from past 1 month I am having shoulder blade, shoulder and upper left arm pain that is radiating to elbow. Mostly pain is severe and when it pain I am unable to do any activity. I even experience tingling in left shoulder blade. The pain is come and go and not constant. But one thing I noted that when I have tingling in shoulder blade I don't experience pain. It mostly pain in morning and evening times. Please suggest me treatment and what could be the cause.

Dr. Julie Mercy J DavidPhysiotherapist26yrs exp

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Shoulder exercises and stretches regular exercises and stretches can keep your shoulder strong and flexible. A few things to remember before swinging in to exercises: ?stop any exercise if you have more shoulder pain. It may be too soon for you to try. ?watch your form. Exercising incorrectly can also cause or worsen shoulder problems. ?warm up, even before deep stretching. Light shoulder rolls, gentle movements, or even a warm shower are all ways to warm up your muscles before exercise and stretching. Pendulum stretch for range of motion?stand and bend at the waist. ?let your arm on the injured side hang straight down. ?keep your neck relaxed. ?move your arm in a circle up to 20 times. ?do once or more times in a day. Overhead shoulder stretch?sit or stand to do this shoulder stretch. ?intertwine your fingers in front of you. ?bend your elbows and raise your arms above your head. You can also place your hands on your head or behind it. ?gently squeeze your shoulder blades together to move your elbows back. ?continue for up to 20 repetitions. Repeat 5 to 10 times a day.Do?s and don?ts for shoulder pain do?s do the prescribed exercise regularly to maintain strength, flexibility and range of motion. Do keep the affected arm supported. Use an ice pack for pain relief. Apply the ice pack 3-4 times a day for 10 minutes. Don?ts don't sleep on the affected side. Don't lift heavyweight with the affected arm. Don't jerk your shoulder to avoid stress. Don't use the arm to push yourself up in bed or from a chair. Don't participate in contact sports or do any repetitive heavy lifting. We suggest you to wear shoulder support brace which is available in two different sizes which makes the patient to feel comfortable as it maintains the shoulder in anatomical position and the short lever is maintained. The reason to maintain the short lever in the shoulder joint is it helps the shoulder to prevent the movements which itself is the key to have better progression of healing in the shoulder region. This is suggested for the following conditions. This shoulder support brace what we are suggesting for you is available at our clinic. If you want you can buy from us, if you are far away from chennai we can send you by courier. The reason why we are conveying you to buy from us is we can demonstrate over the videocall (using whatsapp) and also we can monitor you throughout when to wear it and how long to wear it. And also if you find any difficulty wearing the brace you can also revert back to us for few more suggestions and we can propose you good solution how to go about it. Pa shoulder: do?s: ?exercise regularly and immediately follow a physical therapy program. ?use an ice pack for pain relief. Apply the ice pack 3-4 times a day for 10 minutes. ?take pain relievers as directed by your shoulder doctor. Don?ts: ?don?t stop moving your shoulders entirely because of the pain. ?do not do activities that involve sudden movements, such as heavy lifting on the affected side. As your body recovers, continue to make gentle movements, but avoid irritating and moving your shoulders. ?doesn?t sleep on a sore shoulder ?don?t miss your workout routine and physical therapy. ?don?t neglect your diet. Frozen shoulder is associated with general health. Frozen shoulder is strongly associated with many low-grade systemic inflammatory conditions. Your body needs healthy, anti-inflammatory food to recover. ?stop smoking and drinking alcohol. No it will definitely help you to come out of pain. You can consume preferably one tablet per day and not more than that. Drink lot of hot water during your cycle time as there might be gastric trouble during menstrual cycle. We cannot give suggestions about homeopathy medicine as we are physiotherapists. I have given the following suggestions and protocols for your other pain in the back, heel and shoulder.  

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