[34F] With left arm and shoulder pain, neck pain, and sore throat
Patient Description
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Arora's Assessment
What might be happening
Based on the symptoms you've described, here are some possible explanations:
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Cervical Radiculopathy: 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 into the shoulder and arm, as well as numbness and weakness. The fact that your neck pain developed gradually and you have arm weakness and numbness aligns with this condition.
- Treatment typically involves physical therapy, pain management with medications, and sometimes corticosteroid injections. In severe cases, surgery may be considered.
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Thoracic Outlet Syndrome: This condition involves compression of nerves or blood vessels just below the neck, which can lead to pain, numbness, and weakness in the arm and shoulder. Your symptoms of arm pain, weakness, and difficulty with tasks could be related to this.
- Treatment often includes physical therapy to improve posture and strengthen muscles, pain relief medications, and in some cases, surgery.
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Carpal Tunnel Syndrome: Although you mentioned this feels different, it's worth noting that carpal tunnel syndrome can cause numbness and weakness in the hands and arms. However, it typically doesn't cause shoulder or neck pain.
- Treatment involves wrist splinting, avoiding activities that worsen symptoms, and sometimes corticosteroid injections or surgery.
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 in the meantime:
- Rest and Modify Activities: Avoid activities that exacerbate your symptoms, especially those involving repetitive arm or neck movements.
- Apply Heat or Cold: Use a heating pad or ice pack on your neck and shoulder to help reduce pain and inflammation.
- Practice Good Posture: Ensure your work environment is ergonomically friendly, and maintain good posture to reduce strain on your neck and shoulders.
- Gentle Stretching: Engage in gentle neck and shoulder stretches to help alleviate tension.
- Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and share this information with your healthcare provider.
What you should look out for
Seek medical attention promptly if you experience any of the following:
- Sudden or severe increase in pain
- Loss of coordination or difficulty with fine motor skills
- Symptoms that do not improve with rest or over-the-counter pain relief
- Any new or worsening symptoms, such as difficulty breathing or chest pain
Remember, while I can provide information and suggestions, it's crucial to consult a healthcare professional for a comprehensive evaluation and appropriate treatment.
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7 mo ago