Question

Long term shoulder/ shoulder blade pain, shoulder moved forward winter it gets worstlong term facial paining term pain in front of the ear (left side more) and aroundlong term headache long term memory issuelong term effecting my eyes/ double vision/ prescriptions going uplong term body paining term weakness long term neck paindifficulty sleeping, can't sleep on any sidedon't have enough energy to do any work? Can't sleep once wake up in the morning, lot of paining term mild fever please advise what it could be? Which Dr. specialist to refer? What are blood tests to do?

Dr.Sirish Physiotherapist · Accepted Answer

The symptoms you've listed can be complex and may indicate various underlying health conditions. Given the wide range of symptoms affecting different parts of your body, it would be best to consult with a primary care physician initially. They can conduct a thorough assessment, review your medical history, and perform any necessary physical examinations.
Based on your symptoms, the primary care physician may refer you to one or more specialists, depending on their assessment. Here are some specialists who may be involved in your care:
neurologist: given your long-term headache, memory issues, and double vision, a neurologist specializes in evaluating and treating conditions affecting the nervous system, including the brain and nerves.
Rheumatologist: if you're experiencing long-term body pain, weakness, and difficulty sleeping, a rheumatologist specializes in diagnosing and treating conditions affecting the joints, muscles, and bones, such as fibromyalgia or autoimmune disorders.
Ophthalmologist: since you're experiencing long-term effects on your eyes, including double vision and changes in prescription, an ophthalmologist specializes in diagnosing and treating eye conditions and may perform a comprehensive eye examination.
Orthopedic surgeon: if your shoulder and shoulder blade pain is persistent and affecting your mobility, an orthopedic surgeon specializes in diagnosing and treating musculoskeletal conditions, including injuries and disorders of the shoulder.
Ent specialist (otolaryngologist): if you're experiencing long-term facial pain, pain around the ear, and difficulty sleeping due to these symptoms, an ent specialist can evaluate conditions affecting the ear, nose, and throat, such as temporomandibular joint (tmj) disorder or sinusitis.
In terms of blood tests, your healthcare provider may recommend various tests based on your symptoms and suspected underlying conditions. These may include:
complete blood count (cbc)
comprehensive metabolic panel (cmp)
thyroid function tests
inflammatory markers (e.g. Erythrocyte sedimentation rate, c-reactive protein)
vitamin d levels
autoimmune markers (e.g. Antinuclear antibodies)
lyme disease testing (if relevant based on your history and symptoms)

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