[48M] Experiencing severe and sudden arm and hand pain

Patient Description

A 48-year-old male reports sudden onset of severe pain in his right arm and left hand, described as sharp and very painful, especially when attempting to move or use the affected limbs. The pain in his right arm intensifies sharply upon raising it. This condition has occurred twice before, and the patient also mentions experiencing extreme fatigue and difficulty sleeping, but no fever, chills, or chest pain. There has been no recent injury or accident reported that might explain the sudden pain. The patient has no pre-existing medical conditions, takes no medications, and has not mentioned any other symptoms such as swelling, redness, or warmth in the affected areas.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Tendonitis: This is inflammation or irritation of a tendon, the thick fibrous cords that attach muscle to bone. The condition causes pain and tenderness just outside a joint. It can occur in any of your body's tendons, but it's most common around your shoulders, elbows, wrists, knees and heels.

    • Treatment typically involves rest, physical therapy and medications to reduce pain and inflammation. In severe cases, surgery might be necessary.
  • Bursitis: This is inflammation or irritation of the bursa, a small sac filled with lubricating fluid, located between tissues such as bone, muscle, tendons, and skin. Bursitis can cause pain, swelling, and stiffness in the affected joint.

    • Treatment typically involves rest, physical therapy, and medications to reduce pain and inflammation. In severe cases, surgery might be necessary.
  • Rheumatoid Arthritis: This is a chronic inflammatory disorder that can affect more than just your joints. In some people, the condition can damage a wide variety of body systems, including the skin, eyes, lungs, heart and blood vessels.

    • Treatment typically involves medications to reduce inflammation and slow the progression of the disease, physical therapy, and in some cases, surgery.
  • Gout: This is a common and complex form of arthritis that can affect anyone. It's characterized by sudden, severe attacks of pain, swelling, redness and tenderness in the joints, often the joint at the base of the big toe.

    • Treatment typically involves medications to reduce pain and inflammation, and lifestyle changes to manage triggers.

What you can do

Here are some things you can do to help manage your symptoms:

  1. Rest: Try to avoid using your affected hand and arm as much as possible to give them a chance to heal.

  2. Ice: Apply an ice pack to the painful areas for 15 minutes at a time, several times a day.

  3. Over-the-counter pain relievers: Non-prescription medications like ibuprofen can help reduce pain and inflammation.

  4. Seek medical attention: It's important to get a proper diagnosis and treatment plan from a healthcare provider.

What you should look out for

Here are some signs that you should seek medical attention immediately:

  • If your pain or swelling becomes severe or unbearable
  • If you develop a fever or chills
  • If you notice any redness, warmth, or pus in the affected areas, which could indicate an infection
  • If you experience any other new or worsening symptoms

Please remember that while I strive to provide accurate and helpful information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.

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8 mo ago

People Also Ask


What are the common causes of sudden severe arm and hand pain without injury?

Common causes of sudden severe arm and hand pain without injury include conditions like tendonitis, bursitis, rheumatoid arthritis, and gout. These conditions can cause inflammation and pain in the joints and tendons.


How can tendonitis be distinguished from other conditions like bursitis or rheumatoid arthritis?

Tendonitis typically presents with pain and tenderness just outside a joint, often worsening with movement. Bursitis may cause swelling and stiffness in the joint, while rheumatoid arthritis often involves multiple joints and may include systemic symptoms like fatigue. A healthcare provider can perform specific tests to differentiate these conditions.


What are some effective home remedies for managing tendonitis or bursitis pain?

Effective home remedies for managing tendonitis or bursitis pain include resting the affected area, applying ice packs for 15 minutes several times a day, and taking over-the-counter pain relievers like ibuprofen to reduce inflammation.


When should someone with arm and hand pain seek immediate medical attention?

Immediate medical attention should be sought if the pain or swelling becomes severe or unbearable, if there is a fever or chills, if there is redness, warmth, or pus indicating a possible infection, or if there are any new or worsening symptoms.


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