Discussions By Condition: Muscle conditions

Someone help diagnose me!! Right trap pain, please read dr's report!

Posted In: Muscle conditions 1 Replies
  • Posted By: Anonymous
  • June 28, 2010
  • 07:08 PM

I have been in chronic pain for 4 years. I think it started while I played high school football. It wasn't any specific hit, but the pain started during that time period. The pain is in my right trap and it feels like it is pulling. By this i mean it feels like i have 1000lb dumbbell in my right hand that is causing my trap to pull and rip.

The first dr. i saw thought i torn my labrum and did corrective surgery, that did nothing. Since then dr's have recommended (and I have done) acupuncture, acupuncture with electrical stimulation, TENS treatment, physical therapy 3 times, chiropractor, traction, epidural steroid injections, cortizone, facet joint injections, nerve blocking shots, and tons of deep tissue massages. Nothing has given me relief. I have also been given the medications skelaxin, lyrica, medrol pack, tramadol and lots of different anti inflamatories. I recently started going to a pain clinic for opiates which is actually the only thing that has given me relief to date.

I have been to over 20 dr.'s in the past 4 years and it wasn't until recently that one was actually able to determine something wrong. Here is his report on what he saw on the films of my neck:

Loss of lordosis with reversal and kyphosis apex around c4-5. The oblique x-rays show some narrowing of the left c3-4 foramen. CT scan shows moderate left foraminal narrowing at c3-4 and c4-5 and a mild spondylolisthesis, c4 and c5 and possibly a very mild one at c3-4. There is also degenerative signal change in the disks at c2-3, c3-4, c4-5, and c5-6 with annular tear at c5-6.

People have told me that nothing on this analysis screams surgery, therefore i am worried i might have surgery again and wake up in pain still. I have an appointment with this dr. next week and I think he is going to schedule surgery. I am nervous though. I'm not nervous about the surgery, just that there could be something else wrong with me that no one has seen yet. Like a torn muscle or something.

My question is does anything on his report say what would be causing my right trap to be hurt (pulling) so bad. Does anyone with knowledge about what all this means think surgery is the answer? please help. I do have severe pain on the sides of my neck as well as sometimes on my left trap. Although those areas are sometimes extremely painful, at the end of the day nothing compares to the pain on my right trap.

I can't go on with this pain anymore. I am severely depressed due to my pain and think about cutting my life short all the time. I am only 21. I have no desire in living a life in this state of pain. My relationships with everyone and everything has suffered drastically due to my state. I can't even sit through two classes in a row at school. Last time I did that I checked myself into the ER. Oh, and one thing to note, sitting is one of the main contributors to the pain, like in a classroom or at a desk. While if i were to be "running around" or something like that the pain wouldn't be as bad. Someone please give me a little advise. Thank you.

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  • Knowing that you have been through many types of treatment before, I may be just rehashing things, but I would think it is significant that you have found a position that brings on your painie sitting at a deskIs that occurring at a certain time of day? Or is it always? I assume your physio has discussed posture with you, and the effect that can have not only on joints, but muscle shortening and nerve shortening (and hence pain)...? Again without having seen you and thus not knowing really if what I am suggesting is suitable, I am wondering whether your physio has given you a program to change HOW you use WHAT muscles: if you are overloading your uppertraps and not using your lower traps (for example), then no matter how much physical work you get done on the areas of pain, it wont get better in the long term until you learn to recruit the right muscles in the right patterns.Does that make sense? Have you been through all that before?Keep in mind, it takes time and dedication to change motor recruitment patterns Hope that is a bit helpful
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