Question 1

im having right side rib cage pain is it my liver or no? when i touch a certain bone in that area it hurts so its more likely muscle pain you think?

Accepted Answer

Not liver: Liver disease is almost never painful. Far more likely would be muscle strain or costochondritis (sore joint wher rib meets cartilage.)

Question 2

i have shoulder pain for over a month, it seems as if my muscles hurt and when i lift my arm up over my head it really hurts. the pain is a dull ache during the day and intensifies at night, it is as if my muscles down to my bones ache and it hurts in my

Accepted Answer

Hello:

Since : Hello:

since there are many possibilities of shoulder issues with your descriptions, i would recommend an evaluation by an orthopedic physician. I will discuss three possibilities:

the most common would be a rotator cuff strain. The muscles controlling the stability of your shoulder joint are irritated and with use or strains from prolonged postures (at night, especially) they can hurt. Usually this is successfully treated with anti-inflammatory medications and activity modifications. Physical therapy may be necessary, and usually will speed up recovery.

A more concerning problem would be a rotator cuff tear. Does your shoulder feel weak? Does holding an object away from your torso , especially at shoulder-height level, cause a lot more pain than you expect for the weight of the object? This is a problem that may present exactly the same way as cuff strain, but the difference is that a tear will not heal and will usually get worse over time. This is a condition your orthopedic physician can help you rule out, on physical exam or other imaging studies (mri, ultrasound).

Finally, your symptoms may also indicate frozen shoulder syndrome. This is an often spontaneous loss of shoulder range of motion that starts out with shoulder pain, especially at night. Start of physical therapy and stretching exercises can nip this potentially long-lasting and debilitating problem before it gets too severe. Again, your orthopedic doctor will be looking out for this condition and prescribe appropriate treatments.

Once again, if your symptoms have been ongoing for a month or more, it is important to be evaluated to make sure you are getting the right treatment to feel better sooner, and that you are not missing out on a window of treatment opportunity.

I hope this helps!

sincerely,

jim hsu, md
seattle, wa.

Question 3

hi, have lots of bone and muscle pain and aches , under my foot hurts, alkaline phosphatase level 25, b6 level 25.4 and vitamind level 8.what cause that?

Accepted Answer

Low vitamin D: A vitamin d level of 8 is very low.  You need to take vitamin d.  Take 5000iu of vitamin d3 daily.  Low d causes osteoporosis and that is why your foot hurts.

Question 4

what is the best way to treat a muscle pain on your left back bone?

Accepted Answer

: YOUR BODY IS TALKING TO YOU!

Listen &amp; take good notes. 
When does it start/stop? 
Where does it go? 
What makes it better/worse? 
How long does it last?  
Medication helps/worsens?
 If you think it is something you eat/drink/do stop it &amp; see. If better, go back again &amp; retest until u r convinced it is something u should stop. Then stop it.

Discuss with your Drs. You all will figure it out.

Question 5

how can i differentiate between soft tissue/muscle pain and pain in the bone from a potential break?

Accepted Answer

Sometimes you can't.: It takes a competent physical exam in association with a directed clinical history, hours of practice and many times just plain old fashioned luck. Of course, all of this should be verified by the appropriate testing. In the mean time a little bit of "RICE" with the tincture of time may work wonders. REST, ICE, Compression and ELEVATION.

Question 6

i had a reclase iv in may and i have had severe bone/muscle pain.  i need to know how to flush it out. i cannot take any type of pill.   ?

Accepted Answer

See details: Reclast (zoledronic acid) reactions are rare and usually last only a few days. Have your doctor or a rheumatologist evaluate the problem as there can be several other possible causes.

Question 7

how to tell difference between bone and muscle pain. i have pain in my back 5 months postop bilat pars repairs. how long for muscles to heal to norm?

Accepted Answer

Bone vs muscle: At this point the surgical approach thru the muscles should have healed . Bone pain is usually deep , worse at night , muscle pain tends to be more related to activities during the day . Having said  that you need to get in with your surgeon. There can be different causes of ongoing pain

Question 8

how are bone pain or muscle pain different?

Accepted Answer

Difficult to say: I am not sure anyone can answer this question. Pain is generally either soft tissue or joint rather than bone or muscle.

Question 9

how does bone pain differ from muscle pain?

Accepted Answer

Pain is pain: You cannot tell muscle pain from bone pain. They both hurt. Only a physical exam and x-ray can make the right diagnosis.

Question 10

what is the difference between muscle pain and bone pain?

Accepted Answer

Different origin: Muscle pain is due to anoxia that develops in the muscle which when at rest usually resolves.  Bone pain is due to the expansion  of periosteum with a lesion within the cortex that enlarges to  impinge on the periosteum. One of the factors causing muscle  pain is build up  of lactic acid dehydrogenase.

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Doctor answers about:

Why do my bones and muscles hurt

A member asked:

Im having right side rib cage pain is it my liver or no? when i touch a certain bone in that area it hurts so its more likely muscle pain you think?

A member asked:

I have shoulder pain for over a month, it seems as if my muscles hurt and when i lift my arm up over my head it really hurts. the pain is a dull ache during the day and intensifies at night, it is as if my muscles down to my bones ache and it hurts in my

A member asked:

Hi, have lots of bone and muscle pain and aches , under my foot hurts, alkaline phosphatase level 25, b6 level 25.4 and vitamind level 8.what cause that?

A member asked:

What is the best way to treat a muscle pain on your left back bone?

A member asked:

How can i differentiate between soft tissue/muscle pain and pain in the bone from a potential break?

A member asked:

I had a reclase iv in may and i have had severe bone/muscle pain. i need to know how to flush it out. i cannot take any type of pill. ?

A member asked:

How to tell difference between bone and muscle pain. i have pain in my back 5 months postop bilat pars repairs. how long for muscles to heal to norm?

A member asked:

How are bone pain or muscle pain different?

A member asked:

How does bone pain differ from muscle pain?

A member asked:

What is the difference between muscle pain and bone pain?

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