How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Mark Your Own Question

Dr. Mark
Dr. Mark, Doctor (MD)
Category: Health
Satisfied Customers: 11946
Experience:  U.S. Physician/Surgeon in Neurosurgery
Type Your Health Question Here...
Dr. Mark is online now
A new question is answered every 9 seconds

ive been having chest pains for a while, ive had tests like

Resolved Question:

ive been having chest pains for a while, ive had tests like ecg, blood and x-ray that show that my heart is ok but still the pains are there especially when i lean forward and now it seems to be effecting my arms and legs especially the joints.
Submitted: 5 years ago.
Category: Health
Expert:  Dr. Mark replied 5 years ago.
What parts of your arms are affected? Do you have pains that seem to radiate into the hands?

Where exactly in the legs is painful? Is the pain radiating from the back/hips down the legs?
Customer: replied 5 years ago.
the elbow, wrist and get pins and needles in fingers .. my legs feel week especially round the knee joint. the pain doest seem to radiate but just seems to stay at those areas.
Expert:  Dr. Mark replied 5 years ago.
Is one side of the hand worse?

For example, is the thumb and index fingers worse? Or the pinky and ring fingers?

And is this only on the palm side of the hand, or on the back side of the hand as well?
Customer: replied 5 years ago.

the right hand seems to be a little worse than the left and it effects the pinky

Expert:  Dr. Mark replied 5 years ago.
OK.

Do you have neck pain at all? Or does the tingling in the hands get worse with movement of the neck?

And is the chest pains primarily the upper chest area only, near the collarbones?
Customer: replied 5 years ago.
no i don't get neck pain. no the tingling doesnt get effected by the neck. the chest pains are central and at the side of the chest especially when i lean forward.
Expert:  Dr. Mark replied 5 years ago.
OK.

In this case, it probably sounds like there is more than one thing going on.

The tingling in the fingers, especially the pinky finger which goes up to the elbow and arm can be related to "pinching" of a nerve, either in the neck area, or the elbow area. Considering you don't have neck pain, it may be more likely in the elbow area, though having a herniated disc in the neck can often cause pain/numbness in the arms without significant neck pain.

The following is a description of ulnar neuropathy, compression of the nerve at the elbow:
http://neurosurgeon.com/conditions/ulnar_neuropathy.htm

As for the chest pain, your doctors have ruled out a heart cause, which is good, so one has to wonder about chest wall pains, or nerve pains as well. Hopefully the doctors have ruled out inflammation of the heart lining, "pericarditis", which is classic for chest pain while leaning forward. As for the pain in the leg, those could also be coming from nerve issues or inflammatory issues.

Essentially, you still need more evaluation to figure this out, because further bloodwork to rule out inflammatory causes for joint pains (arthritis and infections and similar conditions) and neurologic testing to determine the reasons for your arm symptoms would be helpful.
Customer: replied 5 years ago.
just 1 last question? could panic/anxiety attacks be causing this?
Customer: replied 5 years ago.
just one last question, could pain/anxiety attacks have any influence on these pains?
Expert:  Dr. Mark replied 5 years ago.
Sure. Anxiety can always make symptoms feel worse, and can often be seen to be the cause of symptoms as well, such as chest discomfort and tingling in the extremities.

Of course, if you have these symptoms even when you are relaxed, lying at home, for example, then further evaluation should be done.
Dr. Mark, Doctor (MD)
Category: Health
Satisfied Customers: 11946
Experience: U.S. Physician/Surgeon in Neurosurgery
Dr. Mark and 2 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery