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Doctor insights on: Lupus Sore Achy Muscles In The Shoulder Blades Achy Chest Muscles

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For days now both my upper arms ache and my left shoulder aches. Also upper left chest muscles are sore and down left side of neck feels stiff.

For days now both my upper arms ache and my left shoulder aches. Also upper left chest muscles are sore and down left side of neck feels stiff.

Aching upper body: Would check for strep throat, even if not symptomatic, or mycoplasma infection may also be TMJ or bruxism (grinding teeth at night), reflux check for h pylori as well, check ESR, CBC, CPK, ANA for autoimmune process, though less likely check EKG, troponin, check CXR and for lymph nodes / thyroid would follow up with doc ER today. ...Read more

Muscle (Definition)

It is a body tissue that has the ability to contract. It shortens and generates force. It relaxes and returns to its original length. Muscles move joints, stabilize the body, move air and food through the organs, act as valves for bladder, bowel and other organs. They control movement of the eyes. They help us express ourselves by changing the shape of our ...Read more


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I have chronic pain between my shoulder blades and my sternum is sore. Omt, muscle relaxers, and pain killers help temporarily. Is there a fix?

I have chronic pain between my shoulder blades and my sternum is sore. Omt, muscle relaxers, and pain killers help temporarily. Is there a fix?

Cure not likely: If investigations have proved normal then pain is most likely coming from thoracic spine and usual cause is osteo arthritis. Only pain management is possible. ...Read more

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Had sore muscles back, neck, shoulders for 5 months. Read online it could be a symptom of lung cancer esp because of shoulder ache. I don't smoke.

Had sore muscles back, neck, shoulders for 5 months. Read online it could be a symptom of lung cancer esp because of shoulder ache. I don't smoke.

See physician: Many other causes of symptoms besides lung cancer particularly in musculoskeletal system. You should seek physician for proper physical exam and possibly further imaging and blood testing. ...Read more

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Pain in right shoulder blade. Circular motion with head cause pain in neck when I go to the right. Heart attack, lung cancer or just muscle sore?

Pain in right shoulder blade. Circular motion with head cause pain in neck when I go to the right. Heart attack, lung cancer or just muscle sore?

No heart attack: The pain probably is due to joint or muscle and is not heart attack, so you should see your doctor for evaluation and treatment. ...Read more

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Chest pains localized Left side top of breast. Worse when pushed on. Shoulder sore and tight muscles around shoulder. Cardiac?

Chest pains localized Left side top of breast. Worse when pushed on. Shoulder sore and tight muscles around shoulder. Cardiac?

Doubt cardiac: You will need in an evaluation but my first diagnosis is chest wall pain also known as costochondritis or teitze's syndrome other possibilities could be shoulder bursitis or tendinitis or combination of both. See your physician for confirmation ...Read more

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Waking up with left side chest pain tat radiates to my left back (under shoulder blade), what can this be caused by? 30yr. Female with lupus.

Waking up with left side chest pain tat radiates to my left back (under shoulder blade), what can this be caused by? 30yr. Female with lupus.

Chest pain in Lupus: Dear Lupi: Chest pain in a patient with lupus could be from the lungs or the heart. For example, Inflammation of the lung lining is called pleurisy which is a sharp pain and can radiate to the back. But there are also many other possibilities - the heart sac can be inflamed - called pericarditis and can present in the same way. You must see your physician for a thorough physical exam. Nisha ...Read more

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Could upper body aching (shoulder, neck, upper back, collar bone, chest muscles) be caused by repeatedly laying/sitting awkwardly as I know I do this?

Could upper body aching (shoulder, neck, upper back, collar bone, chest muscles) be caused by repeatedly laying/sitting awkwardly as I know I do this?

Perhaps but more: This needs to be clarified as to whether there are other medical issues that could be causing the symptoms. This type of widespread discomfort we see in Fibromyalgia but there may be mechanical issues or other things I need to be considered. You need to see your physician to get clarification ...Read more

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Can a pulled pectoral muscle cause shoulder/neck/jaw pain also hve bad tennis elbow pain on same side breast towards middle also sore on move repi wor?

Can a pulled pectoral muscle cause shoulder/neck/jaw pain also hve bad tennis elbow pain on same side breast towards middle also sore on move repi wor?

Yes: A pulled muscle will affect the adjacent muscles. The muscles that you mention are part of the longitudinal muscle support for your body so when one gets injured the others get strained to make up for the injury. ...Read more

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Strong ache under the arm pit on the chest side radiated later to the shoulder blade, then down to make a band on the left upper arm. Pain stronger when standing. Nothing done to cause muscle strain.

Strong ache under the arm pit on the chest side radiated later to the shoulder blade, then down to make a band on the left upper arm. Pain stronger when standing. Nothing done to cause muscle strain.

Go to the hospital: The symptoms you describe are very concerning given your age. Without something that makes you think of a muscle strain, this is even more concerning. If you are short of breath, nauseated, have palpitations or are sweaty, please seek care immediately. Call 911. This can be a heart attack or a problem with your aorta. I hope it is neither of those things, but you should be seen asap to be sure. ...Read more

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If my lupus was in remissino (no inflammation present), would I still get muscle & pleuritic chest pain) tapering below 5mg? Is inflamm cause of pain?

If my lupus was in remissino (no inflammation present), would I still get muscle & pleuritic chest pain) tapering below 5mg? Is inflamm cause of pain?

No: If lupus is in remission you should not have symptoms of the disease and you should be able to taper off prednisone. It is very common to have Fibromyalgia with lupus. This may cause your chest pain and muscle pain. It requires a different treatment. Your rheumatologist can help you sort this out. ...Read more

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I am experiencing tender lump in breast. It hurts my shoulder muscles.

I am experiencing tender lump in breast. It hurts my shoulder muscles.

Have it checked: At your age this is usually what is called fibrocystic disease of the breast, which is a benign condition resulting from breast cysts. This is usually treated with birth control pills. Caffeine and chocolate may make the symptoms worse, although this not entirely clear. Wound have a doctor examine the breasts to exclude anything more serious, especially if a family history of breast cancer. ...Read more

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I have sjogrens/lupus. When do I need to call my rheum about a small sore on my leg and one on my chest?

I have sjogrens/lupus. When do I need to call my rheum about a small sore on my leg and one on my chest?

Call your rheum doc: Rashes can occur in sjogren's syndrome. If the sore has been there for more than a week and is not healing, or appears infected (pus, tender, red), call your rheumatologist. Based on your particular sjogren's (or lupus?) and medications, he/she may want you to see them or just go to your primary care doctor to have it checked out. If you are worried about it, at least call your regular doctor. ...Read more

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Blue nails, pain in chest/shoulder for months upon any sort of deep breathing. Can't sleep b/c of pain... Have lupus. Thank you?

Blue nails, pain in chest/shoulder for months upon any sort of deep breathing. Can't sleep b/c of pain... Have lupus. Thank you?

You may have Raynaud: Syndrome. Lupus is one cause. Please refer to this article from Mayo clinic. Hope it helps.

http://www. Mayoclinic. Org/diseases-conditions/raynauds-disease/basics/causes/con-20022916 ...Read more

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7 yr s of unexpland body pain rashes misscarraiges fatigue lung nodules. Now for 6 mos strait hip shoulder + chest pain. And a + ANA lab. Lupus?

7 yr s of unexpland body pain rashes misscarraiges fatigue lung nodules. Now for 6 mos strait hip shoulder + chest pain. And a + ANA lab. Lupus?

Maybe: Lupus is a complex autoimmune disease in which the body is attacking its own tissue. Lupus is famous for affecting different people in different ways. The effects can be so different from person to person that it does not even look like they have the same diagnosis. ANA is only a screening test that tells us more tests are needed. See a rheumatologist! ...Read more

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On prednisone taper below 6 mg, can withdrawal symptoms simply be mini flare up of my lupus symptoms (pleuritic chest pain, muscles aches, etc)or no?

On prednisone taper below 6 mg, can withdrawal symptoms simply be mini flare up of my lupus symptoms (pleuritic chest pain, muscles aches, etc)or no?

Yes: Withdrawal from steroid treatment may take several "tries" before its successful! Don't be discouraged!

Hope this helps!
Dr Z ...Read more

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Lupus & struggling w/prednisone drop from 6mg to 5.5 mg. Get pleuritic chest pain, muscles pain/stiffness, brain fog (mini flare or withdrawal sx)?

Lupus & struggling w/prednisone drop from 6mg to 5.5 mg. Get pleuritic chest pain, muscles pain/stiffness, brain fog (mini flare or withdrawal sx)?

Alternate: If you need to come off the prednisone check with your specialist because some stay on a low dose everday for life to decrease symptoms you may start with 6 then next day 5.5 then 6 and alternate for a couple of weeks before decreasing to 5.5 alternating with 5 SOmeimtes though it still small even going 6 then 5 3/4 is possible to slowly decrease ...Read more

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Blotchy rash in malar pattern along with migrating joint/muscle pain, chest pain, fatigue. Rheum says it's not lupus due to bloods. No idea what it is?

Impossible to say: There are many disorders that can present with the symptoms you describe. Does your rheumatologist have any idea what it is? If not, get another opinion. ...Read more

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I pop and crack--knees, neck, shoulder, hip, low back, and it is sometimes painful or brings upon soreness. Have lupus, but what could cause this?

I pop and crack--knees, neck, shoulder, hip, low back, and it is sometimes painful or brings upon soreness. Have lupus, but what could cause this?

JHS: 34yo fem. W. "pop & crack neck, shoulder, hip, low back" likely has Joint Hypermobility Syndrome. Joint crepitations are common with this disorder. However the pain sometimes aroused in this patient is not usual with JHS. Widespread muscle spasm might be explanatory or another pathology might be involved. A Rheumatologist would be the best specialist to answer this patient's question. ...Read more

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I had a C1 neck fusion in Aug 2015 and today my right shoulder is very painful. I also have Lupus SLE and RA and OA plus a lot of other lupus related stuff. I just don't know why my shoulder is so sore today and what can I do about it?

I had a C1 neck fusion in Aug 2015 and today my right shoulder is very painful. I also have Lupus SLE and RA and OA plus a lot of other lupus related stuff. I just don't know why my shoulder is so sore today and what can I do about it?

Acute shoulder: Pain. It is hard to say which of the conditions is causing the pain or if local injury to the should like a sprain is present. Use of topical analgesics and or oral analgesics. If no improvement follow up with PCP or your Rheumatologist ...Read more

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Pain (ache) under left shoulder blade and under left breast. Gets worse with deep breath. Can't inhale fully. Is this sign of disease or muscle issue?

Pain (ache) under left shoulder blade and under left breast. Gets worse with deep breath. Can't inhale fully. Is this sign of disease or muscle issue?

Possibly: Yes, it is likely a sign of muscle strain/spasm. But, there are also other potential causes. If you've done recent heavy lifting/strenuous exercise, had a cold wherein you coughed a lot, etc, then this is very much possible. If you are having any chest pain, shortness of breath, or fever, however, you should see a doctor ASAP. Best wishes. ...Read more

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My back chest & arm is in severe pain. My shoulderblade is swollen chest is tender to touch and I have lupus just found out no meds do I go to the er?

My back chest & arm is in severe pain. My shoulderblade is swollen chest is tender to touch and I have lupus just found out no meds do I go to the er?

Probably Should: Lupus can cause cardiac complications which might possible explain some of your chest pain. Will probably need an ekg and chest x-ray with some other blood tests. ...Read more

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I was 16 my right knee swelled for 1wk. After a month my right/left shoulder, hands, wrist are aching. And now my finger is deform. Is this lupus or jra?

Several possibles: There are several possible causes including RA and sle. A rheumatologist through an evaluation and lab studies would be able to tell you the specific cause. ...Read more

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10 days before the 40th birthday I could not move out of bed. Something was wrong with my back in the upper region toward my neck.....?

10 days before the 40th birthday I could not move out of bed. Something was wrong with my back in the upper region toward my neck.....?

Honest: This is not a case for HealthTap. You need a 1-1 evaluation by a neurologist and/or rheumatologist. The efforts of the available HealthTap MD's have been outstanding as far as they could go In fact, if you are near the Mayo or Lahey clinics, then you should go there for an inter-discipline evaluation. In absolutely no sense of criticism, you have been through what I call "too much:" and need important psychological support to help you work this thru. H. Robert Silverstein, MD, FACC ...Read more

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If you pulled a muscle in your shoulder area can it cause your upper arm and right breast to ache?

If you pulled a muscle in your shoulder area can it cause your upper arm and right breast to ache?

Specialist will help: A variety of pain patterns of the back or shoulder joint can produce upper arm or chest/breast pain. See a musculoskeletal specialist, ie a doctor of osteopathic medicine (D.O.) that specializes in omm (osteopathic manual medicine) or nmm (neuromuscular medicine) with a sports medicine background. While unlikely heart in origin, if the pain gets worse, doesn't ease with rest then go to er asap. ...Read more