[45F] With severe arm and shoulder pain and recent tooth infection

Patient Description

A 45-year-old female reports experiencing severe, sharp, and tense pain in the left arm, shoulder, and back for approximately two weeks. The pain is constant, rated 10/10, and radiates from the left shoulder up towards the neck, down around the breast, and into the arm. The affected skin is hot, red, and inflamed. The patient also experiences weakness in the arm, neck stiffness, numbness, and tingling in the neck and arm, along with headaches and dizziness. There are no changes in vision or hearing. The patient reports flu-like symptoms but no fever or chills. A recent untreated tooth infection was noted, with previous swelling and a foul taste. There is minimal swelling in the face or neck. The patient is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Cervical Radiculopathy: This occurs when a nerve in the neck is compressed or irritated, causing pain to radiate into the shoulder and arm. The numbness, tingling, and weakness you’re experiencing could be related to this. Treatment often involves physical therapy, pain management, and sometimes corticosteroid injections.

  • Brachial Plexus Injury: This involves damage to the network of nerves that sends signals from your spine to your shoulder, arm, and hand. It can cause severe pain, weakness, and numbness. Treatment may include physical therapy and pain relief medications.

  • Infection or Inflammation: Given your recent tooth infection, there could be a spread of infection or inflammation affecting nearby areas. This might require antibiotics or other medical interventions.

What you can do

  • Seek Medical Attention: It's important to consult a healthcare professional to get a proper diagnosis and treatment plan. They may recommend imaging tests or other evaluations.

  • Pain Management: Over-the-counter pain relievers like ibuprofen can help manage pain and inflammation. However, consult a doctor before continuing any medication.

  • Rest and Gentle Movement: Avoid activities that worsen the pain. Gentle stretching and movement might help, but ensure you do this under guidance.

  • Symptom Tracking: Use MDandMe to journal your symptoms, track any changes, and share this information with your healthcare provider.

What you should look out for

  • Worsening Symptoms: If the pain intensifies or you experience new symptoms like difficulty breathing or swallowing, seek immediate medical care.

  • Signs of Infection: Watch for fever, increased swelling, or pus, which could indicate an infection requiring urgent treatment.

  • Neurological Changes: Any changes in sensation or strength should be evaluated by a healthcare professional promptly.

Remember, this information is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and treatment.

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People Also Ask


What is cervical radiculopathy and how is it treated?

Cervical radiculopathy occurs when a nerve in the neck is compressed or irritated, leading to pain that radiates into the shoulder and arm, along with numbness, tingling, and weakness. Treatment often includes physical therapy, pain management, and sometimes corticosteroid injections.


How can a brachial plexus injury affect my arm and shoulder?

A brachial plexus injury involves damage to the network of nerves that send signals from the spine to the shoulder, arm, and hand. It can cause severe pain, weakness, and numbness in these areas. Treatment may include physical therapy and pain relief medications.


Could a tooth infection cause pain in my arm and shoulder?

Yes, a tooth infection can potentially spread and cause inflammation or infection in nearby areas, which might lead to pain in the arm and shoulder. This situation may require antibiotics or other medical interventions.


What should I do if my symptoms worsen or I notice new symptoms?

If your symptoms worsen or you experience new symptoms such as difficulty breathing or swallowing, you should seek immediate medical care. Additionally, watch for signs of infection like fever, increased swelling, or pus, and consult a healthcare professional promptly if these occur.


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