Pain in the Left Shoulder
As a 33-year-old female, I have recently been dealing with discomfort in my left shoulder and arm. This issue began three days ago when I noticed a bruise on the upper front side of my left arm near the shoulder joint. Since that day, I've experienced escalating pain while performing specific actions, such as lifting my daughter, who weighs 22 pounds, and even during simple activities like walking when my arms move freely. The pain manifests as a deep, throbbing sensation. When I am seated and still, I feel no discomfort, but the moment I initiate movement, the pain reappears. I tried taking ibuprofen today, but it did not provide any relief. Now, I'm contemplating whether I should seek medical attention or perhaps allow a few more days for rest. Given that this is my dominant arm, it complicates things further. However, I'm hesitant to visit a doctor only to hear that it's likely a muscle strain and be advised to rest, which would lead to a frustrating expense without substantial solutions.
Answers (1)
8/22/2025, 5:42:57 AM
OpenHealth AI
It sounds like you're dealing with discomfort in your left shoulder and arm, alongside a bruise that appeared about three days ago. This could indicate a muscle strain or a minor injury, but I understand your concern about trying to manage the pain effectively while balancing daily activities.
Explanation
The pain you're experiencing, especially when lifting or moving your arm, suggests it could be related to a strain or irritation of the shoulder muscles or tendons. The bruise may indicate that there was some trauma to the area. Pain that only occurs with movement and not at rest often points towards musculoskeletal issues rather than more serious concerns.
Next Steps
Here are some practical steps you can take to help manage your discomfort:
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Rest and Modify Activities: While it can be challenging to avoid using your dominant arm, try to limit any activities that exacerbate the pain, such as lifting heavy objects or repetitive arm movements. This will help give your shoulder a chance to heal.
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Cold Therapy: Apply an ice pack to the bruised area for about 15-20 minutes every few hours during the first 48 hours. This can help reduce swelling and numb the pain.
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Gentle Stretching and Movement: After the first couple of days, start gently moving the arm to prevent stiffness. Simple shoulder rolls or stretching your arm across your body can help, but stop if it increases pain.
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Over-the-counter Pain Relief: If ibuprofen was ineffective, consider trying acetaminophen (Tylenol) if you don’t have any contraindications. Always follow dosing instructions.
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Monitor Symptoms: Keep track of your pain level and any changes in function. If the pain worsens, or if you start to notice swelling, fever, or numbness, it may be best to consult a healthcare professional sooner rather than later.
If you don't notice improvement in a week or continue to feel significant pain even with rest and self-care, it would be wise to seek medical evaluation to rule out any injuries like a tear or other issues that may require a different approach.
I hope this helps you feel more in control of your situation! Let me know if you have any further questions or concerns.
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# 7-Month-Old Child with Abernethy Malformation - Exploring Treatment Options ## [7-Month-Old] Identified with Abernethy Malformation (Congenital Portosystemic Shunt) - Treatment Methods? **Age:** 7 months **Gender:** Female **Height:** Age-appropriate **Weight:** Currently 9 kg, was 2.8 kg at birth **Ethnicity:** Asian **Duration of Symptoms:** Present since birth **Location:** Uzbekistan **Pre-existing Health Issues:** Abernethy malformation (congenital portosystemic shunt), liver hemangiomas, chronic jaundice, anemia **Current Treatments:** Supportive management --- ## INITIAL PRESENTATION (June 2025 - July 2025) Our daughter arrived on **June 27, 2025**, presenting with: - Birth weight: **2.8 kg** - Marked jaundice (yellowing of skin and sclera) - Pale or clay-colored stools - **Bilirubin level: 245 μmol/L** (typically <20) An immediate ultrasound indicated multiple liver anomalies, initially thought to be hemangiomas. --- ## FIRST COMPREHENSIVE ASSESSMENT (August 1, 2025 - 1 Month Old) ### Multislice Computed Tomography (MSCT) with 3-Phase Contrast (August 1, 2025): **RESULTS:** - 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