[29F] With left arm, shoulder, and chest muscle pain
Patient Description
A 29-year-old female reports experiencing left arm and shoulder pain, along with muscle pain in the chest, for approximately one month. The arm and shoulder pain is described as both sharp and dull, with a severity of 7 out of 10. The pain occurs off and on daily, and while pain medication provides relief for about 6 hours, the pain returns. There is no swelling, weakness, numbness, or tingling noted. The muscle pain in the chest is sharp and rated as an 8 out of 10. There is no history of recent injuries, illnesses, or infections, and no family history of heart disease. The patient takes Tylenol 500mg as needed for pain and has no known allergies. No use of tobacco, alcohol, or recreational drugs is reported.
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Arora's Assessment
What might be happening
Based on your symptoms, here are some possible explanations:
-
Muscle Strain or Overuse: This is common and can occur from repetitive activities or sudden movements. It often causes pain in the arm and shoulder.
- Treatment typically involves rest, ice, and over-the-counter pain relief.
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Tendonitis: Inflammation of the tendons, often due to repetitive motion, can cause pain in the shoulder and arm.
- Treatment includes rest, ice, and anti-inflammatory medications.
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Referred Pain: Sometimes, pain in the shoulder and arm can be referred from other areas, such as the neck or chest.
- Treatment depends on the underlying cause and may involve physical therapy.
What you can do
- Rest and Ice: Rest the affected area and apply ice to reduce inflammation.
- Pain Relief: Continue using Tylenol as needed, but follow the recommended dosage.
- Gentle Stretching: Engage in gentle stretching exercises to maintain mobility.
- Track Symptoms: Use MDandMe to journal your symptoms, track progress, and share notes with your healthcare provider.
What you should look out for
Seek medical attention if you experience:
- Increased pain or swelling
- Weakness or numbness in the arm
- Chest pain or difficulty breathing
- Any new or worsening symptoms
Remember, it's important to consult a healthcare professional for a formal diagnosis and treatment plan.
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2 mo ago