[18M] Experiencing joint pain and neurological symptoms

Patient Description

An 18-year-old male reports pain in the wrist and a shocking sensation in the left elbow when under stress or fully extended, which has been a long-standing issue but has worsened since starting gym workouts. The patient also experiences sharp pain between the shoulder blades on the spine, described as needing to be 'cracked into place,' but attempts to do so are painful. During workouts, the patient notes joint pain in the hands and a loss of grip strength, as well as a pins and needles sensation in the arm. The pain severity fluctuates between 4 and 7 on a scale of 10. There have been no recent injuries, and no other symptoms were reported. The patient has been experiencing these symptoms for a few weeks, with the shocking sensation in the elbow being a chronic issue.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible conditions:

  • Cubital Tunnel Syndrome: This condition occurs when the ulnar nerve, which passes through the cubital tunnel (a tunnel of muscle, ligament, and bone) on the inside of the elbow, is injured or becomes inflamed. This can cause numbness or tingling in the ring and small fingers, pain in the forearm, and/or weakness in the hand. The symptoms often feel worse when the elbow is bent, such as when driving or holding a phone. Some people feel weak or clumsy.

    • Treatment can include avoiding activities that cause symptoms, wearing a splint or foam elbow pad at night, or surgery in severe cases.
  • Thoracic Outlet Syndrome (TOS): This condition is caused by compression of the nerves or blood vessels that serve the arms and hands. It can cause pain in the neck and shoulder, numbness and tingling of the fingers, and a weak grip. The deep, aching shoulder pain can also radiate down the arm.

    • Treatment can include physical therapy, pain relief measures, and sometimes surgery.
  • Muscle Strain or Sprain: Overuse or injury to your muscles or ligaments may cause inflammation and pain.

    • Treatment usually involves rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers may also help.

What you can do

  1. Rest and avoid activities that make your symptoms worse.
  2. Apply ice to your elbow and upper back for 15 minutes at a time, several times a day.
  3. Over-the-counter pain relievers, such as ibuprofen, can help reduce pain and inflammation.
  4. Gentle stretching exercises may help relieve tension and improve range of motion. Consider seeking guidance from a physical therapist.
  5. If your symptoms persist or worsen, seek medical attention. Your healthcare provider may refer you to a specialist or order imaging tests to further evaluate your symptoms.

What you should look out for

Seek immediate medical attention if:

  • You have severe pain or swelling.
  • You can't move your elbow or fingers.
  • You have signs of an infection, such as redness, warmth or tenderness, or you have a fever.
  • You have symptoms of a heart attack, such as chest pain, shortness of breath, nausea, or lightheadedness.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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1 yr ago

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People Also Ask


What is cubital tunnel syndrome and how can it affect my daily activities?

Cubital tunnel syndrome is a condition where the ulnar nerve in the elbow becomes compressed or irritated, leading to symptoms like numbness or tingling in the fingers, pain in the forearm, and weakness in the hand. It can affect daily activities that involve bending the elbow, such as driving or using a phone.


How can thoracic outlet syndrome be managed without surgery?

Thoracic outlet syndrome can often be managed with physical therapy to improve posture and strengthen shoulder muscles, pain relief measures like over-the-counter medications, and lifestyle changes to avoid activities that exacerbate symptoms. In some cases, a healthcare provider may recommend specific exercises or ergonomic adjustments.


What are some effective home remedies for muscle strain or sprain?

Effective home remedies for muscle strain or sprain include the RICE method: Resting the affected area, applying Ice to reduce swelling, using Compression with a bandage, and Elevating the limb. Over-the-counter pain relievers can also help manage pain and inflammation.


When should I seek medical attention for joint pain and numbness?

You should seek medical attention if you experience severe pain or swelling, inability to move your elbow or fingers, signs of infection such as redness or fever, or symptoms that could indicate a heart attack, like chest pain or shortness of breath.


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