Question

my sore spots  

my back   Dear Doctor Steve,

I have pain in my neck and shoulder on my right side, when I breathe in it hurts and it is muscular, I move my right arm, cough or sneeze and get a deep pain in my shoulder blade.

I also have tight neck muscles and I have noticed I cannot turn my head either side properly but my left side is much worse.

The pain in my shoulder hurts when I lay down or move.

I have attached a photo of my hot spots.
The strange  thing is my friend woke with this too, only her neck  is not stiff.
Could you give me an idea of what could be causing this.  My arm is sore also on the Deltoids and trigger point is not releasing these muscles.  
My Rhomboids are also hurting, feels torn.

I have more pics to send if you require please send me an email address to forward


Kind Regards

Cardy

Answer
Hi Cardy,

That is quite involved and seems rather acute. It is difficult to discern what the cause may be. It would seem to relate to overuse or activity, however, waking with this would be somewhat unusual, and could be from sleeping under a cold draft. If it is acute, trigger point therapy may not be advised in favor of anti-inflammatory measures like ice or Ibuprofen. It seems to follow muscular patterning, however, disc irritation may be involved. I would try to relate this to some type of activity related strain and perhaps seek medical advice from a professional who can do an involved history and examination.

Wish I could be of more help.

Hope you both are better soon!

Dr. Steve