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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31598
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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Dull pain in my left forearm comes and goes like heart burn but in my lower arm no chest

Customer Question

dull pain in my left forearm comes and goes
like heart burn but in my lower arm
no chest pain sleep not so well
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 1 year ago.
Hello,
I am Dr. Arun and will be helping you today.
I am sorry that your question was unanswered for long.

Since when are your symptoms?
What are your present medications?
Any significant past medical history?
Do you have any of the following;

1) stress and sedentary life style

2) peripheral vascular disease (claudication),


3) previous stroke,


4) heavy smoking,


5) high blood pressure,


6) diabetes,


7) high cholesterol, and


8) a family history of heart disease

9) over weight

Expert:  Dr. Arun Phophalia replied 1 year ago.
Steve,

Your symptom of dull intermittent ache in lower arm is unlikely to be due to heart disease. The most likely cause for it is pinched nerves in neck. This can be due to;

1) Herniated/degenerated disc in neck

2) Cervical spondylosis; bone spurs in the neck vertebrae pressing on the nerves.

Following investigations would be required;

1) X-ray of the neck spine

2) MRI of the neck

3) Nerve conduction velocity (NCV) study

4) Electromyography (EMG)

Following measures would be helpful;

1) Neck care in the activities of daily living.

a) No working on computer for more than half an hour in a single stretch. Same for TV.

b) Monitors and televisions exactly in front (180 degrees).

c) Contour pillow: Should fill the hollow when lying on back or straight. Available over the counter.

2) Cervical Collar or Brace

3) Cervical traction

4) Anti-inflammatory analgesics like Ibuprofen

5) Some physicians do give oral steroids in severe radiculopathy cases, in whom pain is quite significant.

6) Physical therapy: gradually increasing exercises from passive stretching to active against resistance regime.

7) Electrotherapy in the form of TENS, interferential and laser and ultrasound.

8) Hot fomentation

9) Local analgesic patch / ointment / spray

You can consult following specialists;

a) Orthopedist

b) Neurologist

c) MD in Physical medicine and rehabilitation.

If you do not have the risk factors, I had mentioned above you should not be worried. If you have any of the risk factors for heart disease, getting an EKG would be prudent.

It is privilege assisting you.

Please let me know if you have further queries or unanswered questions.

Please consider a positive rating if this interaction has been satisfactory, as this is the only way we experts are credited and compensated for the time and work. You are not charged again for giving a rating.

Thank you.

Wishing you all the very best in life.

Expert:  Dr. Arun Phophalia replied 1 year ago.

Thank you for the opportunity to answer completely your Question. Please make sure to rate me because that is how I am credited for my work.

Now, I will provide an Additional Service offer so that you have this option available on your question list to get a hold of me directly in the future.

This additional service offer can be used for

- if you would like to schedule a new, private email session or to ask me directly a new question. It's up to you.

Thank you.