The truth about living with Rheumatoid Arthritis

#snapping scapula

Dealing with my shoulder arthritis, bursitis, snapping scapula and whatever else might be wrong

I have had a lot of trouble with my right shoulder for many years.  For many months it has felt like a knife is lodged behind my shoulder blade. It is always there. I am used to it.  The pain briefly departed after a cortisone injection into the bursa under my shoulder blade, which confirmed a diagnosis of snapping scapula.

The next step from there is surgery.

I have previously had a subacromial decompression on my right shoulder, and I can tell you that I need the same done on my left shoulder.  All movement is painful and I can hear everything cracking and grinding as I force my arms to move in big circles every day. Move it or lose it.  Pain does not stop me moving joints. In fact, pain makes me move them more. I have seen what happens when I stop moving…those joints seize. And to get them moving again is more pain than if I never let them seize in the first place.

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GP appointment, pain meds, shoulder, stomach pain, chest pain…just the usual, really

So GP appointment this morning.  The main purpose was my monthly pain prescriptions. I have been out of slow release oxycodone for two days, and it has been a good experiment.  It makes a huge difference.  I still need it.  I have been doing well with my pain meds, still holding at almost half what they were before Xeljanz.  I’m very happy with that, even if the ‘Don’t even look at an opioid or you’ll turn into an addict!!! ’ brigade are not.

Weirdly he had no idea about my ER adventure last Friday. So which doctor was the ER doctor talking to?  No idea.

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Scapulothoracic bursitis – cortisone injection

I had my cortisone injection into both of my right scapulothoracic bursa under ultrasound yesterday to treat scapulothoracic bursitis.  The doctor was lovely, and chatty and discussed the rarity of the condition, and told me she could clearly see the inflamed bursa, and excess fluid, at both the tip of the scapula and the lower area, where the pain is usually the worst.  Diagnosis confirmed.

She injected both areas, and by the time I had driven home I could already feel a reduction in pain.  Of course this would be the anesthetic, as they also inject local anesthetic along with the cortisone/steroid.  The anesthetic acts immediately and is long lasting, and the cortisone takes a few days, even a couple of weeks to reach full effect.

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What is scapulothoracic bursitis (snapping scapula) syndrome

Symptoms of Scapulothoracic Bursitis

Scapulothoracic Bursitis is a condition that causes pain behind the shoulder blade.  It is often associated with audible cracking, grating, grinding and popping, hence the alternative name ‘snapping scapula’ syndrome.  The cause is inflammation of the bursa (bursitis) underneath the scapula. The bursa usually acts as lubricating tissue that allows the scapula to glide smoothly over the ribs during every day shoulder motion.  When the bursa becomes inflamed, it causes significant pain, and loss of function.

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