[18F] Experiencing arm pain post-physical activity with concurrent nasal congestion

Patient Description

An 18-year-old female reports sudden onset of pain in the elbow, forearm, and slightly in the shoulder, which began during a game of golf. The pain is described as constant and severe, with a severity score of 7 out of 10, and is exacerbated by movement or pressure. The patient likens the pain to post-vaccination soreness. Additionally, the patient is experiencing significant nasal congestion and sneezing, without any known exposure to cold, flu, or allergens. There is no observed redness, swelling, or fever, and no difficulty breathing. The patient has a history of neurofibromatosis 1, diagnosed at birth, but is not currently on any medication and has no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Overuse Injury: Given the sudden onset of your arm pain during golf, you may have an overuse injury, such as golfer's elbow. This condition is caused by damage to the muscles and tendons that control your wrist and fingers, resulting in pain and tenderness on the inside of the elbow.

    • Treatment typically involves rest, ice, and over-the-counter pain relievers. Physical therapy exercises may also be helpful.
  • Musculoskeletal Strain: You might have strained the muscles in your arm during golf, leading to pain and discomfort.

    • Treatment usually involves rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers may also be helpful.
  • Common Cold or Allergies: Your sneezing and nasal congestion could be symptoms of a common cold or allergies. Even though you haven't been exposed to anyone with a cold or flu recently, these viruses can be easily caught from surfaces or the air. Allergies can also develop at any time, even if you haven't been in an environment with known allergens.

    • Treatment for a cold typically involves rest, hydration, and over-the-counter cold remedies. If allergies are the cause, antihistamines may help.

Remember, I'm an AI and not a doctor. These are potential explanations for your symptoms based on the information you've provided, but they're not definitive diagnoses.

What you can do

Here are some steps you can take to manage your symptoms:

  1. Rest your arm and avoid activities that cause pain, such as golf.
  2. Apply ice to your elbow for 15-20 minutes at a time, several times a day.
  3. Take over-the-counter pain relievers, such as ibuprofen or acetaminophen, as directed on the package.
  4. For your nasal congestion and sneezing, try over-the-counter cold remedies or antihistamines. A nasal spray may also help.
  5. Stay hydrated and get plenty of rest to help your body recover.

What you should look out for

Please seek immediate medical attention if:

  • Your arm pain becomes severe or unbearable
  • You develop a fever, chills, or other signs of infection
  • Your nasal congestion and sneezing persist for more than a week, or are accompanied by a high fever or severe facial pain

Remember to consult with a healthcare professional for a formal diagnosis and treatment.

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People Also Ask


What is golfer's elbow and how is it treated?

Golfer's elbow, or medial epicondylitis, is a condition caused by damage to the muscles and tendons that control the wrist and fingers, resulting in pain and tenderness on the inside of the elbow. Treatment typically involves rest, ice, over-the-counter pain relievers, and physical therapy exercises.


How can I differentiate between a musculoskeletal strain and an overuse injury?

A musculoskeletal strain is often due to overstretching or tearing of muscles or tendons, usually from a sudden movement or heavy lifting. An overuse injury, like golfer's elbow, develops over time due to repetitive motion. Both conditions can cause pain and discomfort, but an overuse injury is more likely to have a gradual onset.


What are some common causes of sudden nasal congestion and sneezing?

Sudden nasal congestion and sneezing can be caused by a common cold, allergies, or exposure to irritants. Even without known exposure to cold or flu, viruses can be caught from surfaces or the air. Allergies can develop at any time, even without previous exposure to allergens.


How can neurofibromatosis 1 affect my overall health?

Neurofibromatosis 1 (NF1) is a genetic disorder that can cause skin changes and the growth of tumors along nerves in the skin, brain, and other parts of the body. It can affect overall health by potentially leading to learning disabilities, bone deformities, and other complications, but the severity varies widely among individuals.


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