[43M] Experiencing throbbing arm pain and unilateral hand swelling

Patient Description

A 43-year-old male reports persistent throbbing pain in both arms, particularly around the shoulders, described as similar to 'Charlie horses.' Additionally, the patient is experiencing swelling in the hands, particularly around the wrists, which has been worsening over the past one to two weeks. The swelling is accompanied by constant warmth and redness, and it is not symmetrical, with one hand being more affected than the other. The patient has not provided further details about the sharp pain mentioned.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possible conditions:

  • Carpal Tunnel Syndrome: This condition is caused by pressure on the median nerve in your wrist, leading to pain, numbness, and weakness in the hand and arm. The condition is often associated with repetitive movements or conditions like diabetes, thyroid disease, or rheumatoid arthritis.

    • Treatment typically involves wrist splinting, avoiding activities that worsen symptoms, and physical therapy. Severe cases may require corticosteroid injections or surgery.
  • Tendonitis: This is inflammation or irritation of a tendon, the thick fibrous cords that attach muscle to bone. It can cause pain and tenderness just outside a joint. While tendonitis can occur in any of your tendons, it's most common around your shoulders, elbows, wrists, knees and heels.

    • Treatment typically involves rest, physical therapy, pain relievers, and in some cases, surgery.
  • Rheumatoid Arthritis: This is a chronic inflammatory disorder affecting many joints, including those in the hands and feet. It involves more than just your joints and can cause swelling, pain, and stiffness.

    • Treatment typically involves medications, physical therapy, and in some cases, surgery.

What you can do

Please seek immediate medical attention. These symptoms could be indicative of a serious condition that requires treatment. In the meantime, try to rest and avoid any activities that may exacerbate the pain and swelling.

What you should look out for

If you experience any of the following, seek immediate medical attention:

  • Severe pain or swelling
  • An inability to move or use the joint
  • Joint deformity
  • Signs of an infection, including redness, warmth and tenderness in the affected area, or a fever over 100 F (37.8 C)

Remember, I'm an AI and this advice is based on the symptoms you've told me. It's always important to consult with a healthcare professional for an accurate diagnosis.

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10 mo ago

People Also Ask


What are the common symptoms of carpal tunnel syndrome?

Common symptoms of carpal tunnel syndrome include numbness, tingling, and pain in the thumb, index, middle, and ring fingers, as well as weakness in the hand and difficulty gripping objects.


How can tendonitis be treated effectively?

Tendonitis can be treated with rest, ice application, compression, elevation, physical therapy, and over-the-counter pain relievers. In some cases, corticosteroid injections or surgery may be necessary.


What are the early signs of rheumatoid arthritis?

Early signs of rheumatoid arthritis include joint pain, swelling, stiffness (especially in the morning or after inactivity), fatigue, and sometimes fever. It often affects the same joints on both sides of the body.


When should I seek medical attention for joint pain and swelling?

You should seek medical attention for joint pain and swelling if you experience severe pain, an inability to move or use the joint, joint deformity, or signs of infection such as redness, warmth, tenderness, or fever over 100 F (37.8 C).


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