[33F] Experiencing left arm pain and neck ache

Patient Description

A 33-year-old female has been experiencing sharp pain in the left arm when moved and a dull ache when still for the past 2 days. The pain, rated as a 7 out of 10 in severity, is located on the inside of the elbow and forearm and radiates from the neck down. Additionally, there is some numbness, tingling, and weakness in the arm, with the patient noting that even holding a phone feels heavy. The patient also reports tiredness and a neck ache. There is no recent history of injury or repetitive movement that could explain these symptoms, and the patient is not aware of any family history of neurological or musculoskeletal conditions. The patient has no pre-existing conditions or chronic illnesses, no known drug allergies, and the only medication being taken is a daily birth control pill, Yaz.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Cervical Radiculopathy: This condition occurs when a nerve root in the cervical spine (neck) becomes inflamed or damaged, resulting in a change in neurological function. Symptoms can include pain that radiates from the neck down the arm, as well as numbness, tingling, and weakness in the arm. This could be due to various causes such as a herniated disc or spinal stenosis.

    • Treatment typically involves physical therapy, pain management (such as NSAIDs or corticosteroids), and in some cases, surgery.

  • Thoracic Outlet Syndrome: This condition occurs when the 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 may include physical therapy to strengthen the shoulder muscles, improve posture and increase the range of motion. In some cases, pain medication or surgery may be required.

  • Peripheral Neuropathy: This results from damage to the peripheral nerves, often causing weakness, numbness and pain, usually in your hands and feet. It can also affect other areas of your body.

    • Treatment generally involves managing the condition causing your neuropathy. Pain relief options include a variety of medications.

Please note that these are potential explanations for your symptoms and it's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Rest and avoid any activities that may be causing or worsening your symptoms.
  2. Over-the-counter pain relievers such as ibuprofen can help manage your pain. Always follow the instructions on the packaging.
  3. Gentle stretching exercises may help alleviate some of your symptoms. However, it's important to consult with a healthcare provider before starting any new exercise regimen.
  4. Make an appointment with a healthcare provider for a formal evaluation.

What you should look out for

Please seek immediate medical attention if:

  • Your symptoms worsen or do not improve with rest.
  • You experience severe pain.
  • You have difficulty moving your arm or hand.
  • You experience any changes in your ability to feel in the arm or hand.
  • You have any other concerning symptoms.

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 accurate information.

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9 mo ago

People Also Ask

What is cervical radiculopathy and what are its symptoms?

Cervical radiculopathy occurs when a nerve root in the cervical spine becomes inflamed or damaged, often due to a herniated disc or spinal stenosis. Symptoms include pain radiating from the neck down the arm, numbness, tingling, and weakness in the arm.

How is thoracic outlet syndrome diagnosed and treated?

Thoracic outlet syndrome is diagnosed through a combination of physical examinations, imaging tests, and sometimes nerve conduction studies. Treatment may include physical therapy to improve posture and strengthen shoulder muscles, pain medication, and in some cases, surgery.

What are the common causes of peripheral neuropathy?

Peripheral neuropathy can be caused by a variety of factors including diabetes, infections, traumatic injuries, metabolic problems, and exposure to toxins. It results in damage to the peripheral nerves, causing symptoms like weakness, numbness, and pain.

When should I seek immediate medical attention for arm pain and numbness?

You should seek immediate medical attention if your symptoms worsen or do not improve with rest, if you experience severe pain, difficulty moving your arm or hand, changes in sensation, or any other concerning symptoms.

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