I wonder, is it possible

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Regular Member

Date Joined Jul 2008
Total Posts : 408
   Posted 10/17/2008 8:17 AM (GMT -7)   
I am wondering if it is possible to have a tender spot at the joint of my right shoulder.  I went to PT yesterday (missed my tuesday appt. because of a migraine) and the therapist seems puzzled by me.  I can not do any of the exercises or stretches she has given me with out pain.  She decided to see for herself where the pain was and just like all of the others, she found it.  The top of my shoulder at the joint is very painful.  So painful that I was getting lighted headed as she was probing around   shocked  .  There doesn't seem to be any inflamation causing it.  The cortisone injection did nothing and yesterday she put a steriod patch on the joint (I forget what the procedure is called) hoping that it would releave any inflamation and reduce pain, it did nothing but cause muscle spasms later in the day.  So, I'm left to wonder if this is just a tender spot and there isn't much they can do.  Has anyone encountered such a problem?  I would be able to deal with this better if I just knew what was causing it and if the pain is here to stay then I will deal with that too.  Am I being unrealistic thinking that there should be an answer to this problem.  I can deal with my other pain, fibro fog and fatique because I know what is causing it, FMS.
Well, that is my problem for today.  I hope everyone has a wonderful Friday wink .

Veteran Member

Date Joined Aug 2008
Total Posts : 1771
   Posted 10/17/2008 9:55 AM (GMT -7)   
The tops of my shoulders are EXTREMELY painful and tender around the joints.  Even very light pressure/touch hurts. 
I don't think this spot is an "official" diagnostic tender point for fibro, but I have many, many tender spots in addition to the fibro criteria.
I have also had trouble with PT.  The PT's around here haven't dealt with a lot of fibro patients.  They are used to prescribing reptitive motion exercises to help people heal from injuries, surgeries, etc.  And for a lot of people with fibro (like me), repetitive exercises can be completely counterproductive.  I had to give up on the PT and just do stretching at home.  I'm still hopeful that at some point someone here will get some intensive training in working with fibro patients.  rolleyes
"There is no charm equal to tenderness of  heart." - Jane Austen
Fibromyalgia, 2 back surgeries, Meniere's Disease, 30+ kidney stones, GERD, IBS, Asthma, Allergies, Endometriosis, Heart Arrythmia, Myofascial Pain, TMJ.

Regular Member

Date Joined Aug 2008
Total Posts : 320
   Posted 10/17/2008 10:16 AM (GMT -7)   
I have shoulder issues too. That joint is a biggie. I think alot of mine comes with my neck problems though. Not sure. Have you tried either Lidocaine patches or botox injections?

Lidocaine patches are good for muscular pain. You can wear up to 3 at one time, and cut them up to fit where needed, worn up to 12 hrs.

2 months ago I got 3 botox injections. 2 in the trigger points of my trapezius muscles and 1 in my right shoulder blade. The relief was instantneous.
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Veteran Member

Date Joined Jun 2007
Total Posts : 906
   Posted 10/17/2008 10:58 AM (GMT -7)   
My massage therapist told me that all over my body, the most tender spots were where tendons and ligaments attached to bone or muscle. Which makes sense to me with fibro. I do have pain in my shoulders, but it comes and goes, like fibro pain. Diane
Fibromyalgia since 1984, Sjogren's, Hashimoto's Thyroiditis, Auto-immune eczema, GERD, osteoarthritis, IBS, RLS, sleep apnea

Irish Babe
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Date Joined May 2007
Total Posts : 1380
   Posted 10/17/2008 11:23 AM (GMT -7)   

Meggie, I have tendonosis in both shoulder, after having had bursitis in both shoulders. I went to therapy for 2 months this summer/fall. I had the heat, exercises, stretching, massage and TENS/ice. I did the therapy at home on off days, I still have swelling in my shoulders and limited motion. I move my arms in certain directions and the pain can drop me to my knees. My ortho ck me after my last PT and found little improvement, he wanted me to go to a different rheumy than the one who dx me w/ FMS. I asked him why, he wants me to be ck for RA. I have OA thru out my body, but I was not expecting to hear RA. I read somewhere (can't remember where, sorry) that chronic tendonosis is a symptom of RA.

In PT, I had 2 different therapist, both very nice. They were surprised how much I was not getting back, and how my shoulder would lock, pop, crack. To move it in certain ways, I have to lift it to unhinge it. It sound gross, and it is. And my now former PCP felt I didn't have a problem. My hands are also weak, I can't carry much w/o possibly dropping it, a few lbs at most. The arms give out and then my hands.

I always felt exhausted after PT, needed to have something to eat and drink after it and rest for a bit. I have used the lidocaine patches on the side of my shoulder because that is where I have the referred pain. about where a short, short sleeve would end.

Hope you get some answers, soon.

God bless.   Alice.

Veteran Member

Date Joined Aug 2007
Total Posts : 6067
   Posted 10/17/2008 12:39 PM (GMT -7)   
Meggie I have tender points on top of my shoulders, below my shoulders and in front of my shoulders. They could be TRPs from MPS but whatever they stay sore. My body is so far beyond those 18 areas they have on charts.
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Regular Member

Date Joined Jul 2008
Total Posts : 408
   Posted 10/17/2008 4:04 PM (GMT -7)   
I'm sorry to hear that so many of you share this same tender spot but relieved to know that this could be a possibility.  I do feel that I have trigger points to and that could explain why the right side is so much worse than the left.   I have not tried the lidocaine patches but I'm willing to try anything to get some relief.  I don't have arthritis, I have been checked for that and I do not seem to have inflamation but I do have limited mobility and a lot of snapping and popping.  RedDiane, I wish that I knew your massage therapist.  I'm hoping to find someone someday but like Austen my choices are limited.  Not to many people here have experience with fibro, they all just seem to look at me like I'm crazy or exaggerating my problem.  I am scheduled for therapy three days next week, I hope those sessions are better than what I have been getting.  Who knows, maybe I have inspired my therapist to learn how to work with fibro smilewinkgrin .
Thank you for sharing your experiences with me, it really has helped me a lot.
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