[20M] With radiating pain, limb jerking, and systemic symptoms

What might be happening

Based on the symptoms and information you've provided, here are some possibilities:

1. Ulnar Nerve Entrapment: The pain radiating from your left shoulder to your ring and pinky fingers could be due to compression of the ulnar nerve. This condition can cause pain, tingling, and weakness in the affected arm and hand. Treatment often involves physical therapy, splinting, or, in some cases, surgery.

2. Peripheral Neuropathy: Given your family history and symptoms like tingling and burning sensations in your hands and feet, peripheral neuropathy is another possibility. This condition involves damage to the peripheral nerves and can cause pain, tingling, and muscle weakness. Treatment may include medications, lifestyle changes, and addressing any underlying conditions.

3. Fibromyalgia: Your rheumatologist's consideration of fibromyalgia is also relevant. This condition is characterized by widespread pain, fatigue, and tenderness. Treatment typically involves a combination of medication, lifestyle changes, and therapies such as physical therapy and cognitive behavioral therapy.

4. Drug-Induced Lupus: With a positive ANA test and your rheumatologist's suspicion, drug-induced lupus could be a possibility. This condition is triggered by certain medications and can cause symptoms similar to systemic lupus erythematosus. Symptoms usually resolve once the medication is discontinued.

What you can do

Pain and Tingling:

• Continue documenting your symptoms in the MDandMe journal, noting any changes or patterns.
• Follow your doctor's recommendations for managing pain, which may include medications, physical therapy, or lifestyle modifications.
• Avoid activities that exacerbate your symptoms and consider gentle stretching exercises.

Fibromyalgia:

• Engage in regular low-impact exercise, such as walking or swimming, to help manage symptoms.
• Practice stress-reduction techniques, such as mindfulness or yoga, to improve overall well-being.
• Ensure you get adequate sleep and maintain a consistent sleep schedule.

Drug-Induced Lupus:

• Discuss with your doctor the possibility of adjusting or discontinuing any medications that may be contributing to your symptoms.
• Follow up with any additional tests or evaluations your doctor recommends to monitor your condition.

What you should look out for

• Worsening Symptoms: If your pain, tingling, or other symptoms worsen, contact your healthcare provider for further evaluation.
• New Symptoms: Be vigilant for any new symptoms, such as joint swelling, rashes, or unexplained fevers, and report them to your doctor.
• Severe Reactions: Seek immediate medical attention if you experience severe reactions, such as difficulty breathing, chest pain, or sudden weakness.

Remember, it's important to work closely with your healthcare provider to determine the best course of action for your specific situation. If you have any further questions or need assistance, feel free to reach out!