[81M] Experiencing right arm pain during exercise

Patient Description

An 81-year-old male reports a long-standing issue of dull pain in the right arm, radiating from the bicep to the shoulder, which develops gradually during exercise and is specifically exacerbated by push-ups. The pain is severe, rating an 8 out of 10, but subsides with rest. The patient has a significant medical history of heart disease, with a heart bypass performed and a pacemaker installed. Current medications include Tamsulosin, Atorvastatin, Finasteride, and various supplements such as baby aspirin, multivitamins, zinc, and magnesium. The patient has a known allergy to penicillin. No other symptoms were reported, and there is no recent history of injury or trauma to the arm.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Tendinitis: 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. While tendinitis can occur in any of your body's tendons, 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.
  • 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 is most often caused by repetitive, minor impact on the area, or from a sudden, more serious injury.

    • Treatment typically involves rest, physical therapy and medications to reduce pain and inflammation.
  • Heart-related issues: Given your history of heart disease and the fact that you have a pacemaker, it's important to consider that your arm pain could be related to your heart, especially because the pain comes on with exercise and eases with rest. However, it's less likely given that the pain is in your right arm (heart-related arm pain is typically in the left arm) and you have no other symptoms like chest pain or shortness of breath.

    • Treatment would depend on the specific heart issue, but may include medications, lifestyle changes, or in some cases, surgery.

What you can do

  1. Rest your arm and avoid activities that make your pain worse.
  2. Apply ice to your arm for 15 minutes at a time to reduce inflammation.
  3. Over-the-counter pain relievers might help, but given your age and medical history, it would be best to consult with a healthcare provider before starting any new medication.
  4. Physical therapy exercises might help reduce pain and improve flexibility and strength.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Sudden onset of severe pain
  • Inability to move your arm
  • Swelling or redness in your arm
  • Symptoms that don't improve with rest and over-the-counter pain relievers
  • Chest pain or discomfort
  • Shortness of breath
  • Pain, numbness, weakness or coldness in your legs or arms if the blood vessels in those parts of your body are narrowed

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.

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1 yr ago

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People Also Ask


What are the common causes of arm pain during exercise?

Common causes of arm pain during exercise include tendinitis, bursitis, muscle strain, and in some cases, heart-related issues. It's important to identify the specific cause to determine the appropriate treatment.


How can tendinitis be treated effectively?

Tendinitis can be treated with rest, ice application, physical therapy, and medications to reduce pain and inflammation. It's important to avoid activities that exacerbate the pain.


Could arm pain be related to heart problems, especially with a history of heart disease?

Yes, arm pain can be related to heart problems, especially if it occurs during exercise and eases with rest. However, it is more commonly associated with the left arm. Given a history of heart disease, it's important to consult a healthcare provider to rule out any cardiac issues.


What precautions should be taken when using over-the-counter pain relievers for someone with a heart condition?

For someone with a heart condition, it's crucial to consult a healthcare provider before using over-the-counter pain relievers, as some medications can interact with heart medications or exacerbate heart conditions. Options like acetaminophen may be safer, but professional guidance is essential.


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