[58F] Experiencing muscle pain, numbness, tingling, swelling, weakness, and memory issues

Patient Description

A 58-year-old female has been experiencing a range of symptoms for the past few years, including muscle pain, numbness, tingling, swelling, weakness, and memory issues. The muscle pain, described as severe and rated 9 out of 10, affects her arms, hands, neck, and back, with specific intense pain from behind and below her left ear down to her middle finger. This pain has been present for approximately 3 years in her arms and hands and 4 months in her neck and back, worsening in the evening and with movement, especially when turning her head. Numbness and tingling in her hands and fingers have been ongoing for 2 years, worsening when holding objects and partially relieved by shaking her hands or holding them down. Swelling, noted in her hands and feet, causes discoloration, with hands turning red and feet turning gray. Muscle weakness, particularly in her hands, has made it difficult to open bottles or packages, and she rates this weakness as 6 out of 10 in severity. Memory issues have been affecting her for the past year, leading to forgetfulness in daily tasks and important information. Additionally, she has noticed cysts under her skin but has not been diagnosed with any related condition. She reports a change in vision but no severe headaches. The patient does not take any medications and has no known allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Fibromyalgia: This is a chronic condition characterized by widespread pain, fatigue, sleep, memory and mood issues. It's often accompanied by tension headaches, temporomandibular joint (TMJ) disorders, irritable bowel syndrome, anxiety and depression.

    • Treatment typically involves a combination of medications, exercise, stress management measures, and healthy lifestyle habits.
  • Peripheral Neuropathy: This condition results from damage to your peripheral nerves, which often causes weakness, numbness, and pain, usually in your hands and feet. It can also affect other areas of your body.

    • Treatment involves managing the condition causing your neuropathy. In some cases, over-the-counter pain relievers can help. Other times, your doctor might recommend prescription medications or physical therapy.
  • Hypothyroidism: This is a condition in which your thyroid gland doesn't produce enough of certain crucial hormones. Hypothyroidism may not cause noticeable symptoms in the early stages, but over time, untreated hypothyroidism can cause a number of health problems, such as obesity, joint pain, infertility and heart disease.

    • Treatment typically involves daily use of the synthetic thyroid hormone levothyroxine.
  • Vitamin B12 deficiency: This can lead to a variety of symptoms including fatigue, weakness, numbness and tingling in the hands and feet, and memory problems.

    • Treatment usually involves supplementation with vitamin B12.

Please note that this is not an exhaustive list and other conditions could also explain your symptoms.

What you can do

You should definitely see a healthcare provider for a formal evaluation. They may order blood tests, imaging studies, or other diagnostic tests to help determine the cause of your symptoms. In the meantime, you could:

  1. Try over-the-counter pain relievers to help manage your muscle pain.
  2. Apply warm or cold compresses to the painful areas.
  3. Try to maintain a regular sleep schedule to help manage fatigue and cognitive symptoms.
  4. Stay active, as regular physical activity can help reduce pain and improve your mood.

What you should look out for

Please seek immediate medical attention if:

  • Your pain, numbness, or weakness becomes severe or rapidly worsens.
  • You experience confusion, difficulty speaking, or difficulty understanding speech.
  • You have chest pain, difficulty breathing, or fainting spells.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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9 mo ago

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People Also Ask


What are the common symptoms of fibromyalgia?

Common symptoms of fibromyalgia include widespread muscle pain, fatigue, sleep disturbances, memory issues, and mood changes. It may also be associated with tension headaches, TMJ disorders, and irritable bowel syndrome.


How is peripheral neuropathy diagnosed and treated?

Peripheral neuropathy is diagnosed through a combination of physical exams, blood tests, imaging studies, and nerve function tests. Treatment focuses on managing the underlying cause, pain relief, and physical therapy.


What are the signs of hypothyroidism and how is it managed?

Signs of hypothyroidism include fatigue, weight gain, cold intolerance, dry skin, hair loss, and depression. It is managed with daily use of synthetic thyroid hormone levothyroxine to normalize hormone levels.


How can a vitamin B12 deficiency affect the body?

Vitamin B12 deficiency can lead to symptoms such as fatigue, weakness, numbness and tingling in the hands and feet, memory problems, and mood changes. It is treated with vitamin B12 supplements, either orally or through injections.


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