[39F] With electric pains and multiple chronic conditions

Patient Description

A 39-year-old female presents with electric pains in the left leg, both arms, and chest for a couple of days. The pain worsens when curling up and is accompanied by tingling in the left fingers, weakness in the left hand or arm, neck pain, headaches, dizziness upon standing, and unsteadiness in the legs. The patient has a medical history of rheumatoid arthritis, fibromyalgia, ankylosing spondylitis, degenerative disc disease, liver disease, high cholesterol, high blood pressure, diabetes, supraspinous tendinopathy, and factor V blood clotting disorder. Recent imaging revealed mild degenerative changes in the cervical spine. The patient is allergic to tramadol and is currently on several medications, including Duloxetine, Pregabalin, Rosuvastatin, Naproxen, Cyclobenzaprine, Furosemide, Amoxicillin, Pioglitazone, Methocarbamol, and Amitriptyline, for managing various conditions such as nerve pain, arthritis, cholesterol, blood pressure, diabetes, and edema.

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Arora's Assessment

What might be happening

Your symptoms and medical history suggest a few possible explanations:

  1. Cervical Spine Issues: The electric pains, tingling, and weakness in your arms and fingers could be related to the mild degenerative changes in your cervical spine. These changes can sometimes compress nerves, leading to the symptoms you're experiencing.

  2. Fibromyalgia and Rheumatoid Arthritis: These conditions can cause widespread pain and may contribute to the electric sensations and muscle weakness.

  3. Medication Side Effects: Some of your medications, like Duloxetine and Pregabalin, can cause side effects such as dizziness and tingling.

Typical treatments might include physical therapy, adjustments to your medication, or further imaging to assess nerve involvement.

What you can do

For Electric Pains and Tingling:

  • Consult Your Doctor: It's important to discuss these symptoms with your healthcare provider, especially given your complex medical history. They may recommend further tests or adjustments to your treatment plan.
  • Physical Therapy: Consider asking for a referral to a physical therapist who can help with exercises to relieve nerve compression.

For Dizziness and Weakness:

  • Monitor Symptoms: Keep track of when these symptoms occur and any potential triggers. This information can be helpful for your doctor.
  • Stay Hydrated: Ensure you're drinking enough fluids, as dehydration can worsen dizziness.

General Management:

  • Symptom Journal: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.
  • Medication Review: Regularly review your medications with your doctor to ensure they're still appropriate for your needs.

What you should look out for

Seek medical attention if you experience:

  • Worsening weakness or numbness
  • Severe or sudden headaches
  • Difficulty walking or maintaining balance
  • Any new or concerning symptoms

Remember, it's important to consult with your healthcare provider for a formal diagnosis and treatment plan.

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3 mo ago

Top picked over-the-counter products for Tingling or Cold Sensations at the Back of Your Head

People Also Ask


What could be causing the electric pains and tingling in my arms and fingers?

The electric pains and tingling in your arms and fingers could be due to mild degenerative changes in your cervical spine, which may compress nerves. It's important to discuss these symptoms with your healthcare provider for a proper assessment.


How can my existing conditions like rheumatoid arthritis and fibromyalgia contribute to my current symptoms?

Rheumatoid arthritis and fibromyalgia can cause widespread pain and may contribute to sensations like electric pains and muscle weakness. These conditions can exacerbate nerve-related symptoms.


Are my medications potentially causing side effects like dizziness and tingling?

Yes, some of your medications, such as Duloxetine and Pregabalin, can cause side effects like dizziness and tingling. It's important to review your medications with your doctor to determine if they might be contributing to your symptoms.


What steps can I take to manage dizziness and weakness effectively?

To manage dizziness and weakness, monitor your symptoms and any triggers, stay hydrated, and consider physical therapy to relieve nerve compression. Keeping a symptom journal can also help track your progress and provide valuable information to your healthcare provider.


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