[22M] With chronic left-sided pain and neurological symptoms

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Cervical Radiculopathy (Pinched Nerve): This condition occurs when a nerve in the neck is compressed or irritated where it branches away from the spinal cord. This can cause pain that radiates from the neck into the shoulder and arm, along with numbness and weakness. The sharp and throbbing pain you described, along with numbness and weakness in your arm, are consistent with this condition.

  • Treatment: Treatment typically includes physical therapy, medications to reduce pain and inflammation, and sometimes corticosteroid injections. In severe cases, surgery may be necessary.

• Myofascial Pain Syndrome: This is a chronic pain disorder where pressure on sensitive points in your muscles (trigger points) causes pain in seemingly unrelated parts of your body. The dull and tearing pain in your ribs and shoulder, as well as the dull pain in your hip, could be related to this condition.

  • Treatment: Treatment often involves physical therapy, trigger point injections, and medications to relieve pain and improve sleep.

• Fibromyalgia: This is a condition characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory, and mood issues. The chronic nature of your pain and its widespread distribution could be indicative of fibromyalgia.

  • Treatment: Treatment typically includes medications, physical therapy, and lifestyle changes to manage symptoms.

• Thoracic Outlet Syndrome: This condition occurs when blood vessels or nerves in the space between your collarbone and your first rib (thoracic outlet) are compressed. This can cause pain in your shoulders and neck and numbness in your fingers.

  • Treatment: Treatment may include physical therapy and pain relief measures. In some cases, surgery may be necessary.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

1. Physical Therapy: Engage in physical therapy exercises designed to strengthen and stretch the muscles around your neck, shoulder, and back. A physical therapist can provide a tailored exercise program.
2. Pain Management: Over-the-counter pain medications like ibuprofen or acetaminophen can help manage pain. Muscle relaxers, as you have used, can also provide temporary relief.
3. Ergonomics: Ensure that your work and sleep environments are ergonomically friendly. Use supportive pillows and maintain good posture to reduce strain on your neck and back.
4. Heat and Cold Therapy: Applying heat or cold packs to the affected areas can help reduce pain and inflammation.
5. Lifestyle Changes: Incorporate regular exercise, a balanced diet, and stress management techniques into your daily routine to improve overall health and reduce pain.
6. Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and share longitudinal medical notes with your healthcare provider. This can help in identifying patterns and triggers for your pain.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe or worsening pain: If your pain becomes unbearable or significantly worsens, seek medical help.
• Loss of function: If you experience significant weakness, loss of function in your arm or hand, or difficulty with fine motor skills, consult a healthcare professional.
• Changes in bowel or bladder function: If you notice significant changes in your bowel or bladder function, seek medical advice.
• New or unusual symptoms: If you develop new symptoms or if your current symptoms change in nature, consult a healthcare provider.

Remember, while this advice can help manage your symptoms, it is important to consult a healthcare professional for a formal diagnosis and appropriate treatment.