HomeAnswersGeneral Medicineback painWhat do you suggest for persistent upper back and shoulder pain?

What is the treatment for persistent upper back and shoulder pain?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At May 4, 2024
Reviewed AtMay 4, 2024

Patient's Query

Hello doctor,

I am a 30-year-old male. I have had continuous upper back and shoulder pain for the past two weeks. Despite taking various medications, the relief seems temporary, and the pain returns once the medication wears off. I am reaching out for advice on what steps I should take next. Are there specific exercises, lifestyle changes, or further medical evaluations you would recommend to reduce this persistent pain? Please help.

Thank you.

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

Simple musculoskeletal back pain is often associated with poor posture, commonly linked to prolonged work computer use or muscle strain from excessive exercise or physical labor. To better assist with the management of your upper back and shoulder pain, kindly provide more information.

  1. What has triggered your upper back and shoulder pain?
  2. Do you have a history of previous shoulder or neck injuries? For example, certain activities like spin bowling in cricket can lead to shoulder pain, while prolonged poor posture at work, especially in front of a computer, may result in upper back and neck pain.
  3. Do you have scoliosis?
  4. Is there any associated headache?
  5. What medications have you been taking? Please specify the type, dose, duration, and their effects.
  6. Could you share details about your occupation?
  7. Do you engage in regular exercise or use a gym?
  8. Are you allergic to anything?
  9. What regular medications and medicinal herbs do you take?
  10. Could you provide a brief medical history?

Your responses will help me understand your condition better and allow me to guide you better. Kindly revert with the answers.

Thank you.

The Probable causes

1. Poor posture. 2. Excessive exercises

Differential diagnosis

Previous injury flare-up.

Probable diagnosis

Poor posture and musculoskeletal strain.

Treatment plan

1. Correct upper back and neck posture. 2. Moderate exercise prescription. 3. Lifestyle changes as adjunct to medication taken as directed when needed.

Preventive measures

1. Correct size pillow for the patient. 2. Ergonomics at the work desk. 3. Postural correction. 4. Upper back core muscle activation.

Regarding follow up

Please respond to the above questions for further review and management including specific exercises and lifestyle changes as appropriate.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Matthew Michael Stott
Dr. Matthew Michael Stott

General Medicine

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