[39M] Experiencing shoulder pain and arm numbness

Patient Description

A 39-year-old male presents with a 3-week history of pain below the left shoulder radiating to the left hand, described as a tingling sensation. The pain is rated 7 out of 10 in severity and occurs suddenly, approximately 20 to 30 times daily, without specific triggers. Additionally, the patient reports 2 weeks of numbness in the left hand, extending from the fingertips to the elbow, akin to a limb 'falling asleep.' No relief measures have been mentioned. The patient has neck pain but no arm weakness, severe chest pain, shortness of breath, headaches, or loss of consciousness. Medical history is unremarkable with no known allergies or chronic illnesses. Current medications include Nitroglycerin and Pozarex. No other medications or treatments have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, the symptoms you're experiencing could be due to a number of different conditions. Here are some possibilities:

  • Cervical Radiculopathy: This condition is caused by compression or irritation of the nerves as they exit the spine in the neck, which can lead to pain, numbness, or tingling in the shoulder, arm, or hand. The fact that your pain and numbness are localized to your left side and extend from your shoulder to your hand could be indicative of this condition.

    • Treatment typically involves physical therapy, pain management (such as non-steroidal anti-inflammatory drugs), and in some cases, surgery.
  • Peripheral Neuropathy: This condition involves damage to the peripheral nerves, which can cause pain, tingling, and numbness in the extremities. It can be caused by a variety of factors, including certain medications, vitamin deficiencies, and underlying medical conditions.

    • Treatment usually focuses on managing the underlying cause and relieving symptoms.
  • 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 can include physical therapy, pain relief medications, and in some cases, surgery.

What you can do

You should seek medical attention to get a proper diagnosis and treatment. In the meantime, here are some things you can do:

  1. Try to avoid activities that exacerbate your symptoms.
  2. Over-the-counter pain relievers may help alleviate some of your discomfort.
  3. Gentle stretching exercises may help relieve some of the pressure on your nerves.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms worsen or do not improve.
  • You experience sudden, severe pain in your chest or back.
  • You have difficulty breathing or swallowing.
  • You have weakness or paralysis in any part of your body.

Please remember that while I strive to provide accurate information, I am an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What is cervical radiculopathy and how is it treated?

Cervical radiculopathy is a condition caused by compression or irritation of the nerves as they exit the spine in the neck, leading to pain, numbness, or tingling in the shoulder, arm, or hand. Treatment typically involves physical therapy, pain management with non-steroidal anti-inflammatory drugs, and in some cases, surgery.


What are the common causes of peripheral neuropathy?

Peripheral neuropathy involves damage to the peripheral nerves and can be caused by factors such as certain medications, vitamin deficiencies, diabetes, infections, and autoimmune diseases. Treatment focuses on managing the underlying cause and relieving symptoms.


What is thoracic outlet syndrome and what are its symptoms?

Thoracic outlet syndrome occurs when the blood vessels or nerves in the space between the collarbone and the first rib are compressed, causing pain in the shoulders and neck and numbness in the fingers. Symptoms can include pain, tingling, and weakness in the affected areas.


When should I seek immediate medical attention for these symptoms?

You should seek immediate medical attention if your symptoms worsen or do not improve, if you experience sudden, severe pain in your chest or back, if you have difficulty breathing or swallowing, or if you experience weakness or paralysis in any part of your body.


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