Seeking Insights on Ongoing Pain Issues
Hello everyone, this is a lengthy post, but I genuinely seek your advice or different viewpoints and would be grateful for any input. I’m a 23-year-old female, standing at 5 feet 11 inches and weighing 170 pounds. My current medications include buspirone, bupropion, propranolol, prazosin, trazodone, birth control, and I take over-the-counter ibuprofen, roughly 400 mg per day. I consume alcohol occasionally, typically just once a week during social gatherings, and I do not use any other substances. For the past year, I have been experiencing persistent shoulder pain. Previously, it would flare up occasionally, but I'm uncertain whether this is related to my current health concerns. Now, the discomfort is almost constant, regardless of my level of activity, intensifying post-exercise and becoming excruciating when I try to sleep on my right side. In May, following a physical examination, my surgeon suggested that I had a torn rotator cuff. However, after an MRI in mid-July and a follow-up appointment a couple of weeks later, he revealed that it was not a rotator cuff tear but rather a mass, the nature of which remains unclear—he’s uncertain if it's a cyst or a tumor. I've also noticed additional symptoms that seem related to the shoulder issue, such as sporadic intense soreness in the muscles around my neck and shoulder despite my efforts to favor the left side to alleviate strain. There’s a constant feeling of muscle tightness, and at times, my shoulder feels like it might dislocate. I can manipulate it back into position by using my muscles, but it repeatedly pops in and out unless I also move my arm. Other symptoms that may be connected include frequent headaches, constant fatigue regardless of sleep duration, increased sensitivity to light, and more hair falling out than usual. While it hasn’t progressed to baldness, I've taken to wearing a bonnet at night and opting for protective hairstyles to manage it, and I find myself needing to sweep up hair more often. During the same appointment where my surgeon discussed my shoulder condition, I learned that I have labrum tears in both hips. Last year, I underwent surgery for extensive tearing in my right hip, which included femur shaving to alleviate impingement, but the relief only lasted a few months before I returned to my pre-surgery symptoms—the surgeon confirmed that the operation did not succeed, and I am now awaiting an MRI for my right hip. During that surgery, he emphasized that my labrum was too fragile to stitch effectively without further tearing, despite my age and physical fitness. I also suffer from significant back pain that tends to worsen after standing for prolonged periods, which I suspect might be related to my labrum issues, although I’m not entirely sure. A different doctor ordered spine and sacroiliac joint X-rays, but those results appeared normal. When the pain intensifies, it feels as if my lower vertebrae are crumbling, and the discomfort radiates throughout my lower back. At times, when lying down to rest, the pain can become so severe that it makes breathing difficult until it eases. I would greatly appreciate any thoughts on my situation. I am considering sharing imaging results or photos if it would help. At this point, I'm just waiting for an appointment regarding a second opinion. The pain is daunting, and I truly desire clarity. Thank you for any insights you can provide.
Answers (1)
8/24/2025, 10:11:06 AM
OpenHealth AI
It sounds like you're going through a very challenging time with your persistent and complex pain issues, coupled with additional symptoms that are understandably concerning. Your health history, including your shoulder and hip conditions, combined with ongoing pain and fatigue, indicates a multifaceted situation that requires careful attention. Here’s a breakdown of your concerns and some actionable steps you can take.
Main Points
- Persistent Pain and Symptoms: You have chronic shoulder pain, labrum tears in both hips, significant back pain, fatigue, and additional symptoms like headaches and hair loss.
- Imaging and Consultations: You've undergone imaging and are seeking a second opinion regarding your shoulder and hip issues.
- Need for Clarity and Treatment: You're looking for insights and hope to gain clarity on your conditions.
Explanation
The ongoing pain in your shoulder and hips, coupled with symptoms like fatigue and hair loss, can result from various factors including structural issues (like your labrum tears), possible inflammation, or even muscle strain due to compensation from pain. The popping and sensation of dislocation in your shoulder may indicate instability. Additionally, your back pain could be linked to your hip issues or may involve other structural problems, even if your X-rays appeared normal.
Your medications, including buspirone and bupropion, can sometimes have side effects that affect energy levels and even contribute to mood changes, which may complicate your perception of pain and fatigue. It’s essential to be cognizant of how these medications may impact your overall condition.
Next Steps
Here are some prioritized actions you can take based on your situation:
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Pain Management:
- Continue using over-the-counter ibuprofen as directed but monitor your daily intake to avoid potential side effects (do not exceed 1200 mg per day without medical advice).
- Consider exploring alternative pain management strategies such as topical treatments, heat/cold therapy for sore muscles, or gentle stretching.
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Symptom Tracking:
- Keep a symptom diary. Document when your pain flares up, the intensity, and any activities that may exacerbate or relieve symptoms. This documentation will be helpful during your next medical consultation.
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Follow-Up on Imaging:
- Share results of your previous MRIs, X-rays, and any other relevant imaging with your next healthcare provider. Ensure they are fully aware of your history and current status.
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Seek Multidisciplinary Care:
- Consider seeking a multidisciplinary approach by consulting physiotherapists, pain specialists, or rheumatologists. Physical therapy may help strengthen supporting muscles around your shoulders and hips.
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General Health Considerations:
- Monitor your overall nutrition to support general well-being and hair health. Staying hydrated, eating a balanced diet rich in vitamins, and including protein can contribute positively to your condition.
- Check for potential nutritional deficiencies (for example, vitamins D and B12 could be relevant).
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Mental/Emotional Support:
- If you feel overwhelmed by your health issues, consider speaking with a counselor or therapist who can help you cope with the psychological impact of chronic pain.
It's understandable to search for clarity and effective treatment, and seeking a second opinion is a wise decision. Your experience is valid, and finding the right support team can make a significant difference in your journey. Take care, and feel free to share more updates or ask further questions!
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