Shoulder pain: Hi, I've had consistent shoulder... - Thyroid UK

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Shoulder pain

Hel66 profile image
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Hi, I've had consistent shoulder pain upon waking for some months now and I'm worried it may develop into frozen shoulder. I've got borderline low thyroid and have been on 50mg levo for past 3months.

Are there any top tips on how to reduce onset of frozen shoulder through exercise or medication? I do body balance (pilates/yoga) regularly.

My arms seem to be weak (have carpel tunnel) and had tennis elbow in the past and I suppose these may be linked to hypothyroidism..

Any advice great fully received.

Thanks

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Hel66
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SlowDragon profile image
SlowDragonAdministrator

Bloods should be retested 6-8 weeks after each dose increase in Levothyroxine

Do you have results and ranges you can add

50mcg is only a starter dose. The aim of Levothyroxine is to increase the dose slowly in 25mcg steps upwards until TSH is under 2, FT4 in top third of range

Carpel tunnel is classic hypothyroid symptom.

cks.nice.org.uk/hypothyroid...

The initial recommended dose is:

For most people: 50–100 micrograms once daily, preferably taken at least 30 minutes before breakfast, caffeine-containing liquids (such as coffee or tea), or other drugs.

* This should be adjusted in increments of 25–50 micrograms every 3–4 weeks according to response. The usual maintenance dose is 100–200 micrograms once daily.

For full Thyroid evaluation you need TSH, FT4 and FT3 plus both TPO and TG thyroid antibodies tested. Also extremely important to test vitamin D, folate, ferritin and B12

Low vitamin levels are extremely common, especially if Thyroid antibodies are raised

Recommended on here that all thyroid blood tests should ideally be done as early as possible in morning and fasting. Last Levothyroxine dose should be 24 hours prior to test, (taking delayed dose immediately after blood draw). This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, best not mentioned to GP or phlebotomist)

Private tests are available. Thousands on here forced to do this as NHS often refuses to test FT3 or antibodies or all vitamins

thyroiduk.org.uk/tuk/testin...

Medichecks Thyroid plus ultra vitamin or Blue Horizon Thyroid plus eleven are the most popular choice. DIY finger prick test or option to pay extra for private blood draw. Both companies often have special offers, Medichecks usually have offers on Thursdays, Blue Horizon its more random

If antibodies are high this is Hashimoto's, (also known by medics here in UK more commonly as autoimmune thyroid disease).

About 90% of all hypothyroidism in Uk is due to Hashimoto's.

Low vitamins are especially common with Hashimoto's. Food intolerances are very common too, especially gluten.

So it's important to get TPO and TG thyroid antibodies tested at least once .

Link about thyroid blood tests

thyroiduk.org/tuk/testing/t...

Link about antibodies and Hashimoto's

thyroiduk.org.uk/tuk/about_...

thyroiduk.org.uk/tuk/about_...

List of hypothyroid symptoms

thyroiduk.org.uk/tuk/about_...

samaja profile image
samaja

You might have TMS which is linked to autoimmune conditions. If you would like to explore this link read dr John Sarno's Healing Back Pain book.

Hel66 profile image
Hel66 in reply to samaja

Hi Samaja, What is TMS? Have looked it up online and I'm sure you don't mean transcranial magnetic stimulation.

Thanks

samaja profile image
samaja in reply to Hel66

Tension Myositis Syndrome, diagnosis developed by dr John Sarno and now in the centre of SIRPA's work in the UK.

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