Right Shoulder Pain with tingling in Arm and Hand
Exactly which part of the arm and hand is tingling?
Right Shoulder Pain with tingling in Arm and Hand are common complaints at the chiropractic clinic.
Since November, I've experienced some discomfort win my right shoulder, specifically near my right upper scapula area (actually if feels like it's behind the scapula). Over the past month I've begun to experience tingling down my right arm to my hand. I can trigger the tingling by pressing on an area between my right armpit and the scapula.
The pain is greatest only in certain circumstances, such as riding my bike. Supporting my weight on my right arm is painful. Doing yoga, however, it's only a problem in a few poses.
The tingling is now more frequent. I suspect a pinched nerve. I look forward to your thoughts.
Good morning Michael,
A frankly pinched nerve would give you pain in the neck, with referral to the arm when you turn your head to the right, and look up simultaneously. Also the upper limb tension test would be positive, which you can find below.
The midback region can be particularly difficult as it sometimes is a referral from the lower neck following the dorsal scapular nerve; it innervates the rhomboids and levator scapular muscle causing deep upper back pain.
Or this could be a rotator cuff strain; I'm suspecting the subscapularis with an active trigger point going down your arm.
Then one needs to examine the ribs, and in particular whether the first rib could be causing a thoracic outlet syndrome. Do the symptoms increase, or decrease, when you work with your hand above your head?
All in all, it's time to find a thorough and conscientious chiropractor. Don't go to the guy with the biggest yellow pages advert. Do your homework in the usual way and find the right person.
Good luck.
Dr B
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