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What could be causing pain in my right shoulder and bumps on the soles of my feet?
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Bone and Orthopedic Conditions
Question #29517
92 days ago
246

What could be causing pain in my right shoulder and bumps on the soles of my feet?

Client_e90df7

Buenas tardes mi nombre es Marvin Rivas tengo mucho dolor en mi hombro derecho, mis pies están la parte media de mi espalda la planta de mis pies se ven con protuberancias

How long have you been experiencing shoulder pain?:

- More than 6 months

How would you describe the pain in your shoulder?:

- Constant and severe

Have you noticed any specific activities that worsen the shoulder pain?:

- Reaching overhead

How long have you had the bumps on the soles of your feet?:

- More than 6 months

Do the bumps on your feet cause any pain or discomfort?:

- Yes, they are painful

Have you experienced any other symptoms, like numbness or tingling?:

- Yes, in my legs or feet

Do you have any history of injuries or conditions affecting your shoulder or feet?:

- Yes, diagnosed conditions
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Doctors' responses

Pain in the right shoulder for more than six months together with painful bumps on the soles of the feet and tingling in the legs suggests that there may be more than one condition happening at the same time, but there are a few patterns doctors commonly consider. I’ll explain the most likely possibilities in clear terms.

For the shoulder, constant severe pain that worsens when reaching overhead is very commonly related to a rotator cuff problem, especially Rotator cuff tendinitis or a partial tear. These conditions develop from repetitive use, aging, or prior injury and can persist for months if not treated. Another frequent cause is Shoulder impingement syndrome, where the tendons get pinched during arm movement. Less commonly, arthritis in the shoulder joint or nerve irritation from the neck can produce similar long-lasting pain.

The bumps on the soles of the feet that have been present for more than six months and are painful could represent Plantar fibroma, which is a firm lump in the arch of the foot. Another common possibility is **Plantar warts consider nerve-related conditions such as Peripheral neuropathy. This is more likely if there is diabetes, vitamin deficiency, spine problems, or another chronic condition.

The mention of pain in the middle of the back along with leg or foot tingling raises the possibility of a spine-related issue, such as Lumbar radiculopathy, where a nerve coming from the spine is compressed and causes symptoms down the leg or into the foot.

Because your symptoms have lasted more than six months and include severe pain and nerve sensations, this is a situation where a proper physical examination is important. Imaging such as an X-ray or MRI of the shoulder, and possibly evaluation of the feet and spine, may be needed to confirm the diagnosis and guide treatment.

You should seek medical evaluation soon, especially if the pain is limiting movement, the bumps are growing, or the numbness or tingling is worsening. Urgent care is needed if you develop weakness in the arm or leg, loss of bladder or bowel control, fever with severe pain, or sudden swelling and redness.

In the meantime, gentle activity modification, avoiding repeated overhead lifting, supportive footwear, and simple pain relief measures can help temporarily, but they will not replace a proper diagnosis.

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Hello Gracias por la información detallada, Marvin. Basado en lo que describes—dolor crónico y severo en el hombro derecho que empeora al levantar el brazo, protuberancias dolorosas en las plantas de los pies desde hace más de 6 meses, y entumecimiento/“hormigueo” en las piernas o pies—esto podría indicar un problema nervioso que afecta tanto la espalda como las extremidades.

Esto puede ser causado por: - Compresión de nervios en la columna (como una hernia de disco o estenosis espinal) - Problemas articulares o musculares crónicos - Otras condiciones menos comunes que afectan los nervios periféricos

¿Has notado debilidad en el brazo, mano, piernas o dificultad para caminar?

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Hay varias razones por las que podrías estar experimentando dolor en el hombro derecho junto con protuberancias en la planta de tus pies. Para el dolor en el hombro, una causa común podría ser una tendinitis, bursitis o incluso una lesión del manguito rotador si has realizado movimientos repetitivos o algún esfuerzo físico excesivo. También podría ser debido a problemas estructurales en la columna cervical que irradian dolor hacia el hombro. Un posible consejo inicial podría ser evitar actividades que empeoren el dolor, aplicar compresas frías en el área afectada durante 15-20 minutos varias veces al día para reducir la inflamación y considerar el uso de analgésicos de venta libre como el paracetamol o ibuprofeno, siempre y cuando no tengas alguna contraindicación médica para estos medicamentos.

En cuanto a las protuberancias en las plantas de los pies, pueden ser múltiples cosas, como callosidades provocadas por presión donde caminas, o incluso verrugas plantares que son causadas por el virus del papiloma humano. También es posible que se trate de una condición como la fascitis plantar, donde la fascia en la parte inferior del pie se inflama, aunque típicamente presenta dolor más que protuberancias visibles. Mantener tus pies bien hidratados, evitar calzado que no ofrezca soporte adecuado y, si las protuberancias son dolorosas, utilizar parches específicos para la presión plantar podrían ser medidas iniciales útiles.

En ambas situaciones, si no hay mejoría con medidas simples o si los síntomas empeoran, sería importante que consultes con un médico para una evaluación más detallada. Es crucial tener en cuenta que hay enfermedades sistémicas que pueden presentarse con dolor en diferentes partes del cuerpo junto con cambios en la piel o en los pies, por lo que una evaluación médica adecuada ayudará a garantizar que se aborde cualquier posible problema subyacente.

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Hello dear See as per clinical history it seems Plantar fasciitis Rhematoid arthritis affecting small joints Plantar fibromatosis Iam suggesting some tests Please share the result with rhematologist or general physician medicine for better clarity and for safety please donot take any medication without consulting the concerned physician Esr CBC Serum ferritin Rft Lft Serum TSH Vitamin d 3 level Crp Ccp ckmb Urine analysis Hemogram Hba1c Culture if recommended by general physician medicine Antibodies titre Hopefully you recover soon Regards

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Por los síntomas que describes—dolor intenso y persistente en el hombro derecho que empeora al levantar el brazo, dolor en la parte media de la espalda, y protuberancias dolorosas en la planta de los pies con sensación de hormigueo—es probable que estés enfrentando una combinación de problemas musculoesqueléticos y posiblemente inflamatorios. El dolor de hombro podría estar relacionado con una lesión del manguito rotador o tendinitis, mientras que las protuberancias en los pies podrían corresponder a fascitis plantar, fibromas plantares o sobrecarga mecánica, especialmente si causan dolor al caminar. El hormigueo también sugiere posible irritación nerviosa. Dado que los síntomas llevan más de 6 meses y son severos, es importante acudir a un médico (traumatólogo o reumatólogo) para una evaluación completa, que puede incluir estudios de imagen como radiografía o resonancia y un plan de tratamiento adecuado (fisioterapia, medicamentos antiinflamatorios o manejo específico según diagnóstico). En general, no parece algo peligroso inmediato, pero sí una condición que necesita atención médica para evitar que empeore y mejorar tu calidad de vida.

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