Thank you for reaching out. We understand how challenging it must be for your wife to deal with persistent shoulder and neck pain for two years, along with diabetes. Let us guide you through the next steps:
Comprehensive Evaluation: Chronic pain like this requires a detailed assessment. It’s essential to identify the root cause—whether it's due to muscle strain, nerve compression, cervical spondylosis, or diabetic neuropathy.
Diagnostic Tests: I recommend an MRI of the cervical spine and shoulder joint, along with blood tests to assess inflammation, vitamin deficiencies (e.g., Vitamin D, B12), and diabetic control (HbA1c).
Specialist Consultation: If not already done, consult an orthopedic specialist or neurologist for a deeper evaluation. If phototherapy hasn’t worked, alternative options like physiotherapy (specific exercises or TENS therapy), trigger-point injections, or advanced pain management approaches could help.
Surgical Treatment: Surgery is typically considered only if conservative treatments fail or if diagnostic imaging reveals a condition requiring intervention, such as severe nerve compression (e.g., a herniated disc or cervical spondylosis with radiculopathy). An expert evaluation will help determine if surgery, such as decompression or joint repair, is necessary.
Diabetes Management: Poorly controlled diabetes can worsen pain and delay healing. Ensure her blood sugar levels are well-managed. Consulting a diabetologist for medication optimization might be beneficial.
Lifestyle Modifications: Encourage light stretching exercises and ergonomic adjustments during daily activities. Avoid prolonged sitting or neck strain.
At HexaHealth, we can help connect you with top specialists to determine the need for surgery or alternative treatments. Let us assist you in scheduling an expert consultation or arranging a second opinion for a clearer direction.
Feel free to share her previous reports or any other medical details for personalized guidance. We're here to support you every step of the way!