[54M] Experiencing occasional tingling in neck and shoulder

Patient Description

A 54-year-old male reports occasional tingling sensations on the left side of his neck and shoulder, described as similar to the 'pins and needles' feeling that occurs when a limb 'falls asleep.' These episodes have occurred 2 or 3 times in the last 24 hours, with no specific activities or positions identified that exacerbate the sensation. There are no other accompanying symptoms. The patient has a past medical history of valve repair surgery 10 years ago with no current issues related to the surgery. He is on a 40mg statin medication and has no known drug allergies or adverse reactions to medications.

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Arora's Assessment

What might be happening

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

  • Cervical Radiculopathy: This condition occurs when a nerve in your neck becomes irritated or compressed. The symptoms can include tingling, numbness, or weakness in your shoulder, arm, or hand. It can be caused by aging changes, arthritis, or disc herniation.

    • Treatment often involves physical therapy, pain relievers, and sometimes surgery.
  • Peripheral Neuropathy: This condition results from damage to your peripheral nerves, which can cause weakness, numbness, and pain, usually in your hands and feet. It can also affect other areas of your body.

    • Treatment typically involves managing the condition causing your neuropathy and relieving symptoms with medications.
  • Thoracic Outlet Syndrome (TOS): This condition is caused by compression of the nerves or blood vessels that pass through the thoracic outlet (an area between your collarbone and your first rib). This can cause pain in your shoulders and neck and numbness in your fingers.

    • Treatment can include physical therapy, pain relief, and in some cases, surgery.

Please remember, these are just possibilities and not a definitive diagnosis.

What you can do

  1. Try gentle neck stretches and changes in posture. This may help relieve symptoms of cervical radiculopathy and thoracic outlet syndrome.
  2. Over-the-counter pain relievers may help with mild symptoms.
  3. Avoid repetitive neck movements and prolonged periods in one position, as these can sometimes exacerbate symptoms.
  4. Maintain a healthy lifestyle. Regular exercise, a balanced diet, and adequate sleep can help overall nerve health.

What you should look out for

Reasons to see a doctor more urgently:

  • If your symptoms worsen or persist
  • If you develop weakness or numbness in your arm or hand
  • If you experience difficulty walking or loss of coordination
  • If you have difficulty with bladder or bowel control

Remember, this advice is intended to be general in nature, and specific causes may need different management. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

People Also Ask


What is cervical radiculopathy and how is it treated?

Cervical radiculopathy occurs when a nerve in the neck is irritated or compressed, leading to symptoms like tingling, numbness, or weakness in the shoulder, arm, or hand. Treatment often involves physical therapy, pain relievers, and sometimes surgery.


What are the common causes and treatments for peripheral neuropathy?

Peripheral neuropathy is caused by damage to the peripheral nerves, leading to symptoms such as weakness, numbness, and pain, usually in the hands and feet. Treatment focuses on managing the underlying condition and relieving symptoms with medications.


What is thoracic outlet syndrome and what are its symptoms?

Thoracic outlet syndrome is caused by compression of the nerves or blood vessels between the collarbone and the first rib, leading to pain in the shoulders and neck and numbness in the fingers. Treatment can include physical therapy, pain relief, and sometimes surgery.


When should I see a doctor for tingling sensations in my neck and shoulder?

You should see a doctor if your symptoms worsen or persist, if you develop weakness or numbness in your arm or hand, if you experience difficulty walking or loss of coordination, or if you have difficulty with bladder or bowel control.


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