[19F] Experiencing severe upper arm pain

Patient Description

A 19-year-old female has been experiencing severe pain in her upper arm, rated as a 10 on the pain scale, for almost a week. The pain is described as similar to a pulled muscle, located between the elbow and shoulder, and is exacerbated by certain movements or positions. The patient reports a slight weakness in the arm but no swelling, redness, warmth, fever, or red streaks. There has been no recent injury, but the patient notes that the pain occurs in a repetitive motion, such as setting the arm in a certain position in the car. The patient has a family history of musculoskeletal disorders, no pre-existing conditions, chronic illnesses, allergies, or current medications.

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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:

  • Muscle Strain or Sprain: This occurs when a muscle or ligament is overstretched or torn, often due to overuse or improper use of a muscle. Your description of pain and weakness in your arm, especially with certain movements or positions, is consistent with this condition.

    • Treatment typically includes rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers may also be helpful.
  • Tendonitis: This is inflammation or irritation of a tendon, the thick fibrous cords that attach muscle to bone. It's often caused by repetitive, minor impact on the affected area, or from a sudden more serious injury. Given your family history of musculoskeletal disorders and the repetitive motion you described, this could be a possibility.

    • Treatment often involves rest, physical therapy, and medications to reduce pain and inflammation.
  • Bursitis: This is inflammation of the bursa, a small, fluid-filled sac that acts as a cushion between a bone and other moving parts, such as muscles, tendons, or skin. Bursitis is most often caused by repetitive, minor impact on the area, or from a sudden, more serious injury.

    • Treatment typically involves rest, ice, and medications to reduce pain and inflammation. In severe cases, a doctor may recommend physical therapy or injections.

What you can do

In the meantime, you can try the following to help alleviate your symptoms:

  1. Rest your arm and avoid any activities that make your pain worse.
  2. Apply ice to your arm for 15 minutes at a time, several times a day.
  3. Use an over-the-counter pain reliever, such as ibuprofen or acetaminophen, to help reduce pain and inflammation.
  4. If possible, elevate your arm to help reduce swelling.

What you should look out for

Please seek immediate medical attention if:

  • Your pain becomes severe or unbearable
  • You notice a significant increase in swelling or redness
  • You develop a fever
  • You experience numbness or tingling in your arm or hand
  • Your arm becomes weak to the point where you can't use it

Remember, while I strive to provide accurate information, I'm not a doctor. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common causes of upper arm pain without injury?

Common causes of upper arm pain without a recent injury include muscle strain, tendonitis, bursitis, and overuse from repetitive motions. These conditions can result from activities that put stress on the arm muscles and tendons.


How can I differentiate between muscle strain and tendonitis?

Muscle strain typically involves pain and weakness in the muscle, often due to overstretching or tearing. Tendonitis, on the other hand, is characterized by inflammation of the tendons and is often associated with repetitive motion. Both conditions can cause pain during specific movements, but tendonitis may also present with a more localized tenderness along the tendon.


What are the recommended treatments for tendonitis in the arm?

Treatment for tendonitis generally includes rest, ice application, and over-the-counter pain relievers to reduce inflammation. Physical therapy may be recommended to strengthen the muscles and improve flexibility. In some cases, a doctor might suggest corticosteroid injections to reduce inflammation.


When should I seek medical attention for arm pain?

You should seek medical attention for arm pain if the pain becomes severe or unbearable, if there is significant swelling or redness, if you develop a fever, if you experience numbness or tingling, or if your arm becomes weak to the point where you cannot use it.


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