[64M] Experiencing chronic muscle aches in arms with occasional numbness

Question

Could this be caused by compression neuropathy?

Patient Description

A 64-year-old male reports chronic aching pain in the forearms, biceps, and shoulders, rating the severity as 7 out of 10. The pain has been persistent over the last few years and is exacerbated by reaching and stretching movements. The patient notes the pain is constant, without specific patterns related to time of day or activities. Additionally, occasional numbness has been experienced, but no recent injuries or accidents were reported that could have contributed to the symptoms. There has been no relief from any interventions tried so far. No other symptoms were mentioned, and there has been no mention of any weakness or changes in grip strength.

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Arora's Assessment

What might be happening

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

  • Musculoskeletal Strain: Overuse or strain of the muscles in your arms from repetitive activities or heavy lifting can cause chronic muscle pain. This is often accompanied by a dull, aching pain.

    • Treatment typically involves rest, ice, compression, and elevation (RICE), as well as over-the-counter pain relievers and physical therapy.
  • Peripheral Neuropathy: This condition, often associated with diabetes, can cause chronic pain, tingling, and numbness in the arms and other extremities.

    • Treatment typically involves managing the underlying condition and may include medications to manage symptoms.
  • Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. However, you did not mention these other symptoms.

    • Treatment often involves a combination of medications, exercise, stress management techniques, and healthy lifestyle habits.
  • Arthritis: Given your age, osteoarthritis or rheumatoid arthritis could be possible. These conditions cause joint pain and can also affect the muscles.

    • Treatment typically involves a combination of medication, physical therapy, and sometimes surgery.

Please note that these are only possibilities, and a healthcare professional should be consulted for an accurate diagnosis.

What you can do

  1. Try to rest your arms as much as possible and avoid activities that exacerbate the pain.
  2. Over-the-counter pain relievers, such as ibuprofen, may help to alleviate your symptoms.
  3. Gentle stretching exercises may help to relieve tension in your muscles.
  4. Applying a warm compress to your arms may help to soothe your muscles and alleviate pain.

What you should look out for

You should seek immediate medical attention if:

  • Your pain becomes severe or unbearable
  • You experience sudden weakness or inability to move your arms
  • You have difficulty breathing or chest pain
  • Your symptoms are accompanied by unexplained weight loss or fever

Remember, it's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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1 yr ago

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People Also Ask


What are common causes of chronic arm pain in older adults?

Common causes of chronic arm pain in older adults include musculoskeletal strain, arthritis, peripheral neuropathy, and sometimes fibromyalgia. These conditions can result from overuse, age-related changes, or underlying health issues.


How can peripheral neuropathy be managed if it is causing arm pain?

Peripheral neuropathy management involves addressing the underlying cause, such as controlling blood sugar levels in diabetes, and may include medications to relieve pain and numbness, physical therapy, and lifestyle changes like regular exercise and a healthy diet.


What lifestyle changes can help manage symptoms of musculoskeletal strain?

Lifestyle changes to manage musculoskeletal strain include resting the affected muscles, avoiding activities that worsen the pain, using over-the-counter pain relievers, engaging in gentle stretching exercises, and applying warm compresses to soothe the muscles.


When should I seek immediate medical attention for arm pain?

Immediate medical attention for arm pain is necessary if the pain becomes severe or unbearable, if there is sudden weakness or inability to move the arms, if there is difficulty breathing or chest pain, or if the symptoms are accompanied by unexplained weight loss or fever.


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3 Comments


Patt#4036

1 yr ago

I put your info into a new encounter where I chose "explain result" and MDandMe said that compression neuropathy like thoracic outlet syndrome (mostly affecting a major nerve called the ulnar nerve which stretches down your arm) could explain your symptoms. Other compression neuropathies like carpal or cubital tunnel are more associated with forearm and hand pain.

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Patt#4036

1 yr ago

Hope that helps!

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Leo#3962

1 yr ago

Is this still happening/were you able to figure out what the cause was? My father sometimes has similar symptoms so just wondering on his behalf

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