What causes right-sided arm and shoulder pain while on Tramadol and Prednisone?
Patient: I have been experiencing severe pain since Fri afternoon in my upper R. arm & shoulder. It has now spread across my shoulders. & a bit to my lower back. I was given Tramadol at an emergency room on Sat after seeing a Clinic Doctor who sent me to ER. I saw my Primary care today. She gave me prednisone injection (not in the pain area, but hip) & 10 days more of prednisone FYI I just finished 11 days of prednisone & 10 days of Levaquinn. I have been told that these drugs have been known to cause tears in muscles & ligaments. Recommendation??? I have Rx for CAT SCAN, but cannot get in til next week!!! Doctor: Dear patient you have got radicular pain in right arm cause of which mostly is nerve root compression at the level of cervical spine. Prednisone is given to reduce chemical neuritis  and should relieve pain by now. since you are having a pain even after 10 days of prednisone diagnosis needs to be confirmed by MRI of the cervical spine. Please get ot done from radiology centre nearby you. If mri is showing disc prolapse further treatment option is epidural steroid injection. Second option is surgical decompression. You need to consult neurosurgeon with the report.