[41M] With severe itching and musculoskeletal pain
Patient Description
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Arora's Assessment
What might be happening
Based on the symptoms you've described, there are a few potential explanations:
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Nerve-related issues: The needle-like itching in your arm, along with numbness in your toes, could be related to nerve compression or irritation. This might be due to your history of neck and back issues, possibly involving conditions like cervical radiculopathy or peripheral neuropathy. These conditions can cause symptoms like tingling, numbness, and pain.
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Chronic pain and musculoskeletal strain: Your history of working in construction and the previous rib and neck issues suggest that musculoskeletal strain could be contributing to your symptoms. This might explain the persistent neck, shoulder, and back pain.
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Lymph node swelling: The swollen lymph node in your neck could be due to a variety of causes, including past infections or inflammation. Since it's been a long-term issue, it's important to monitor for any changes.
What you can do
Itching and nerve-related symptoms:
- Continue using ice packs for temporary relief.
- Consider consulting a healthcare provider for a thorough evaluation, which may include imaging or nerve conduction studies to assess for nerve compression.
- Keep track of your symptoms using MDandMe to identify any patterns or triggers.
Neck, shoulder, and back pain:
- Practice good posture and ergonomic techniques, especially if your work involves repetitive movements.
- Engage in gentle stretching and strengthening exercises for your neck and back, possibly with guidance from a physical therapist.
- Over-the-counter pain relief, such as NSAIDs, may help manage pain, but consult a healthcare provider for personalized advice.
Swollen lymph node:
- Monitor the lymph node for any changes in size, tenderness, or new symptoms.
- If the swelling persists or worsens, seek medical evaluation to rule out any underlying conditions.
Numbness in toes:
- Ensure proper footwear and avoid prolonged pressure on your feet.
- Consider consulting a healthcare provider to evaluate for potential causes, such as nerve compression or circulation issues.
What you should look out for
- Seek medical attention if you experience worsening pain, new or increasing numbness, or any changes in the swollen lymph node.
- Be aware of any new symptoms, such as weakness, significant changes in sensation, or difficulty with coordination, and report these to a healthcare provider.
Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and personalized treatment plan.
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21 d ago