Rotator cuff ?

[almostgone]

My doctors file is probably thick as a Chinese phone book . I've seen every type of doctor imaginable besides a butt doctor and foot doctor.

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Your primary care physician should have:

a) referred you to an orthopedic clinic
b) sent you far an MRI
or
c) a combination of a and b.


Your physical therapy should have included an evaluation at the end of your scheduled session to determine your level of improvement and if it wasn't as much as expected, scheduled you for more therapy. Also, they should have given you stretches and exercises to do on your own. It's very important that you do your part. A good PT is worth their weight in gold, but you have to do your part. Not berating you, just want to stress how important that is.

Your Dr. has attacked both nerve pain and muscle pain with the gabapentin,Flexeril, and Nsaids which makes me think you need a cervical spine and shoulder MRI.

Now, I am not a physical therapist guy, but we do have a member here who is pretty darn good with physiology. He has helped several of us quite a bit and he generally has some good suggestions, which is impressive since the communication is via keyboard and not a Skype session.

Most insurance will kick in somewhat or the radiology clinic will hopefully make sure you don't pay more than the negotiated rate. You have been prescribed and I assume taking the following meds with no improvement:

Tylenol, ibuprofen, aleve, pamprin, dicoflenac, meloxicam ,gabapentin, so I'm going out on a limb and again say you need MRI(s) in addition to your Xray. Most insurance providers like to do a pre-authorization prior to imaging, so you may have to jump that hurdle ....it usually isn't too bad, especially given your history of the meds you've tried and the PT you have completed.

At this point, I would pretty much either demand a referral to a competent orthopedic surgeon from your current Dr and have your relevant records forwarded, or if the pain and function of the arm is really bad, get a copy of your records, and go to a Redi-Med clinic and have the Dr. or nurse practitioner write the imaging order.

As far as your heart feeling funny during thunderstorm, honestly that sounds more like anxiety/ borderline panic attack if it affects your mood a lot.

Good luck....and don't put this off. It's doesn't sound likely to resolve itself given the information you have provided....and I'm no Dr. Just going by some of my past experiences.