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Pain in shoulder after cervical surgery

Spine Health | Last Active: Nov 22, 2023 | Replies (61)

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@muttwoman

Hello Ginger, Thank you for your response. I was searching for additional information on the internet, and selected the Mayo Clinic as a trusted source of information. The shared responses were of great interest to me. My surgery was complicated, and I ultimately retired so I could take care of my health. I certainly would describe myself as one who is an excellent historian, and keeping details of this journey would be quite easy. I wondered if the surgical positioning of the shoulder (and learned during a Post-Op visit from a Nurse Practitioner that the shoulder is pressed to better access the spine) caused my subsequent injury. Elizabeth

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Replies to "Hello Ginger, Thank you for your response. I was searching for additional information on the internet,..."

Hello Elizabeth, I have been searching for information about what caused injury to my shoulders during multi-level ACDF surgery several years ago. Immediately following the surgery, I had a 3 to 4 inch circular bruised area located between my collarbone and shoulder on the soft skin tissue on each shoulder. I wish I had taken pictures! I won't go over every detail between then and now, suffice it to say, I concluded it was caused by something used for positioning the patient during the surgery. I have never located anything online indicating a device or even that this may be done during this surgery, but common sense and injury location led me to conclude this. The result was a brachial plexus injury, which occurs when the shoulder is forced down while the neck is stretched upwards and away from the shoulder. I was thrilled to see that you actually were told about learned about the surgical positioning by a medical professional. The surgeon who performed my ACDF actually denied any knowledge of such an injury. Can you imagine? Thank goodness my husband was there with me to hear the doctor's denial, because I don't know if anyone would really believe me. I suppose he was concerned about some kind of liability, although that wasn't my reason for asking him about it. I just wanted him to tell me what could be done about it. To date, I've had some self-referred PT to address some of the problem and now, two years later, I've reinjured the injury in a fall. The symptoms and decrease in ADL are the same now as then: restricted range of motion with my arms, cannot lift them above my shoulders or use them behind my back. I also have nerve pain run down my arms and very intense pain in my hands and lower arms. I have about a 50% decrease in my physical ability to do housework and gardening tasks such as carrying anything like clothes, or reaching inside the washer and dryer. Forget cleaning floors with vacuums, dust mops, brooms or wet mops, they result in setbacks and more pain. I take Tylenol when the aching and burning get bad, but of course, nothing helps the sharp nerve pain. Because I have stage 3 kidney disease, there are very few pain meds I can take. I'm sorry I don't have a specific remedy for you, but it sounds as if you were questioning whether the positioning during surgery had caused your shoulder injury, to which I say, yes, I absolutely do. I wish you the very best in your search for relief from pain and injury. I cannot tell you how overjoyed and relieved I am that you posted real information about this. By the way, when the surgeon denied any knowledge of my injury resulting from a procedure, I was crushed, it was such a let down from someone I had admired and relied on to perform this complex surgery. I never returned for any follow up care.
My best regards,
Nan
P.S. Dylan and Hope, both doggie rescues who are now part of our family, send doggie hugs to you and Molly!

I think I mentioned in a post that when I had PCDF C2-T2 , my surgeon warned me that he might really hurt my shoulder bc of the positioning for surgery and I would be in that position for almost a whole day I assume . It was bruised and almost cut from whatever had been pressed up against the skin of my right shoulder . Fortunately for me , it did not really persist for that long . But he certainly felt I would gage some damage . I was very lucky ! I don’t need any other body part replaced both causing pain .