[44F] Experiencing sharp pain and numbness in various locations

Question

What's wrong with me

Patient Description

A 44-year-old female reports experiencing sharp pain in the lower back, left hip, both arms, upper forearms, and elbows, along with numbness in the hands. The lower back pain, present for about a month, is localized to the left side and occasionally prevents standing up straight. Hip pain is constant, unaffected by movement. Elbow pain began a week ago, initially constant and sharp, now fluctuates but remains dull. Hand numbness, initially nocturnal, now occurs throughout the day, described as a complete loss of sensation, alleviated by lowering the arms and hands. No recent injuries, pre-existing conditions, or medications reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, several conditions could be causing your discomfort:

  • Cervical Radiculopathy: This condition occurs when a nerve root in the cervical spine becomes inflamed or damaged, resulting in a change in neurological function. Symptoms can include sharp pain that radiates into the arm, with numbness or weakness in the hands. The pain can be worsened by certain movements or positions.

    • Typical treatment includes physical therapy, pain management (like over-the-counter pain relievers), and sometimes surgery.
  • Carpal Tunnel Syndrome: This condition is caused by pressure on the median nerve in your wrist, leading to numbness and tingling in your hand. It can be worse at night or when the wrist is flexed for long periods.

    • Initial treatment usually involves wrist splints and avoiding activities that worsen symptoms. If these don't help, your doctor may suggest medication or surgery.
  • Lumbar Radiculopathy (Sciatica): This condition occurs when a nerve root in the lower back is compressed, causing pain and numbness to radiate into the hip and leg. The pain is often worse when sitting or standing in certain positions.

    • Treatment typically involves physical therapy, pain management, and sometimes surgery.
  • Tennis Elbow (Lateral Epicondylitis): This condition is an overuse injury that causes pain in the outer elbow, often worsened by lifting or gripping objects.

    • Treatment usually involves rest, physical therapy, and pain management.

Please note that these are potential explanations for your symptoms, but only a healthcare professional can provide a definitive diagnosis.

What you can do

  1. Rest: Try to avoid activities that worsen your symptoms, especially lifting heavy objects or repetitive movements.
  2. Over-the-counter pain relievers: Non-prescription medications like ibuprofen or acetaminophen can help manage your pain.
  3. Physical therapy: Exercises to strengthen your muscles and improve flexibility may help alleviate your symptoms.
  4. Wrist splints: If carpal tunnel syndrome is suspected, wearing a wrist splint, especially at night, can help relieve symptoms.

What you should look out for

Please seek immediate medical attention if you experience:

  • Sudden, severe pain
  • Loss of bowel or bladder control
  • Progressive weakness or numbness
  • Difficulty walking or balancing

Remember, while I strive to provide accurate information, I'm an AI and not a substitute for professional medical advice. Please consult with a healthcare provider for a formal diagnosis and treatment options.

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7 mo ago


People Also Ask


What are the common symptoms of cervical radiculopathy?

Common symptoms of cervical radiculopathy include sharp pain that radiates into the arm, numbness or weakness in the hands, and pain that can be worsened by certain movements or positions.


How can carpal tunnel syndrome be managed at home?

Carpal tunnel syndrome can be managed at home by wearing wrist splints, especially at night, avoiding activities that worsen symptoms, and using over-the-counter pain relievers if needed.


What are the typical treatments for lumbar radiculopathy?

Typical treatments for lumbar radiculopathy include physical therapy, pain management with medications like NSAIDs, and in some cases, surgery if conservative treatments do not provide relief.


What activities should be avoided if you have tennis elbow?

If you have tennis elbow, you should avoid activities that involve repetitive wrist and arm motions, such as lifting heavy objects or gripping tightly, to prevent worsening the condition.


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2 Comments


Leo#3962

7 mo ago

The hand numbness, if it is relieved when lowering arms, may be related to reduced blood circulation or a nerve compression issue. Your back and hip pain sounds like it could be due to degenerative changes to your cartilage with aging. Are you taking any medication for the pain?

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Anonymous#16974

7 mo ago

Just Motrin

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