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Conditions and Diseases > Back Pain Forum > pain along upper scapula
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Q: pain along upper scapula
asked by: timeforhelp on November 12th, 2008
New User
Hi all,

I'm in desperate need of help, because I feel like my dr.s don't really care and aren't trying to find the problem. In Jan of 08 i started having back pain along my upper right scapula. I thought I'd pulled a muscle but after 5 months when it didn't heal I went to an orthopaedic back surgeon. He said it was prob a pinched nerve and sent me for 3 months of physical therapy. That didn't help much at all. Then about a month ago in October the pain started radiating around my right armpit and into my chest, underneath my breast and rib. They did an ultrasound and Hida scan to check if it was my gallbladder, but that was neg. I had a MRI of the thoracic spine and the radiologist and back dr. said that there was nothing to suggest there was pressure on my nerves or anything wrong with my spine. So he said go back to your regular physician. I did and she said well maybe he missed something cause he's a surgeon and they just look for what can be fixed with surgery. So she wants me to go to a spine center where they will inject me with cortazone, but not find the problem.

If you know anything It could be please let me know! I'm feeling so helpless and like dr.'s couldn't give two craps about me.


I appreciate your time.


Tia
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littleonefb
replied on November 12th, 2008
Extremely eHealthy
I would suggest that you seek another opinion from another spinal surgeon ASAP.

The opinion you have is of one doctor and a second opinion may give you a different opinion.

I have had the experience when seeking other opinions on my spinal issues before I had surgery.

Different doctors have different opinions on what is wrong.

You have been suffering in pain for to long to be told that nothing is wrong. or they can't find anything wrong.


Get another opinion as fast as you can.

Fran
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Users who thank littleonefb for this post: timeforhelp 
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timeforhelp
replied on November 12th, 2008
New User
Thanks Fran.

Do you have any idea of anything It could be besides the spine?
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littleonefb
replied on November 12th, 2008
Extremely eHealthy
Hi Tia,

I'm not a doctor so I can't really diagnose you. but this comment from your regular doctor is very disturbing to me.

"she said well maybe he missed something cause he's a surgeon and they just look for what can be fixed with surgery."

That statement is a huge misnomer. Spine surgeons are the specialists in all kinds of spinal problems. They are either orthopedic surgeons who specialize in spine or they are neurosurgeons that specialize in spines only.

They are specially trained to treat all kinds of spinal problems, whether they require surgery or they don't require surgery.

Not every spinal issue requires surgery to "fix" and the first course of treatment, barring an emergency situation is to try any and all conservative treatments first.
Many times the conservative approach can be highly effective and work quite well.

I'm also disturbed by the comment from the radiologist and the spine doctor that you saw who both said, "I had a MRI of the thoracic spine and the radiologist and back dr. said that there was nothing to suggest there was pressure on my nerves or anything wrong with my spine."

An MRI is only one tool that is used aid in the diagnosis of a patient. It is not the be all that ends all in diagnosis. Just because something doesn't appear to be a problem, doesn't mean that it isn't.
The patient is still in extreme pain. Something is not right.

Did you have an MRI of your cervical spine done at all?

It is possible that it could be cervical spine issues that are causing your initial pain and that has affected how you are moving and now you are straining other muscles in your body.

The best thing is to find another spinal surgeon to see for a second opinion.

It is possible that the spinal center your regular doctor wants you to go to will have a different opinion or the steroid injections they plan to do are diagnostic ones to see if they can pin point where the pain is coming from.

If it where me, I would get another spine surgeon opinion before having any steroid injections done.

Did they tell you where and what kind of injections where going to be done?

Fran
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smudga121
replied on November 22nd, 2008
New User
Sounds to me like a t-spine issue to me however, the rad an tech saying they see no abnormalities is a little discouraging. A CT Myleogram (not the nicest of tests) is really the be all and and end all of looking at compressions etc.

I had very similiar experiences but in my T6-T8 region. Upon MRI, it showed a huge herniation that needed immediate surgery but, mine was literally pushing on my spinal column to the point of near paralysis.

Good luck.


C
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