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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 33883
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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I am having left arm pain below my elbow that bone thumb

Customer Question

I am having left arm pain below my elbow that bone thumb side sticks up and I have a tender spot on my forearm . It makes my pointer finger go numb aND pain radiates up under my arm pit .
JA: What seems to make the symptoms worse or better? Have you noticed any swelling?
Customer: Stress and anxiety. Laying down trying to get comfortable if I let my arm dangle down
JA: Anything else in your medical history you think the doctor should know?
Customer: I have Cerebral Palsy
Submitted: 4 months ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 4 months ago.

Hello! My name is***** to JustAnswer. I'm reviewing your question now, and will post back with the reply momentarily.

Expert:  Dr. Arun Phophalia replied 4 months ago.

What is your age and gender?

Since when do you have pain and these symptoms?

Were you investigated for this and what are the treatment tried?

Customer: replied 4 months ago.
Tracie Pendleton , I am 46 female. I have been trying ice ,heat, ibrofen a asprin, stretching. And no I have not been seen.for this
Customer: replied 4 months ago.
If I lay on my left it's like it hurts worse and that's how It started out with me sleeping with my hand under my pillow on the left side been doing this for years not being able to sleep on that side
Expert:  Dr. Arun Phophalia replied 4 months ago.

Hello Tracie Pendleton,

Your symptoms are suggestive of carpal tunnel syndrome. The other possibilities of the diagnosis are;

1) Pinched nerves in neck (cervical disc disease)

2) Neuropathy

3) Myofascial pain

4) Cervical spondylosis

5) De Quervain tenosynovitis.

Please read about carpal tunnel syndrome:

http://www.mayoclinic.org/diseases-conditions/carpal-tunnel-syndrome/basics/definition/con-20030332

Please read about De quervain's;

http://www.mayoclinic.org/diseases-conditions/de-quervains-tenosynovitis/basics/definition/con-20027238

Following measures would likely help you;

1) passive stretching of the affected muscle after application of sprayed vapocoolant

2) physical therapy

3) deep electrotherapy; iontophoresis, phonophoresis, short wave diathermy, electrical stimulation

4) local analgesic patch / ointment / spray

5) anti-inflammatory analgesics; Ibuprofen (Motrin / Advil)

6) ischemic compression therapy; pressure on the points

7) massage

8) steroid shots

9) acupuncture

10) Elbow and wrist brace.

You may need a nerve conduction velocity study and electromyography, apart from MRI for the diagnosis.

Wish you a very happy, prosperous, healthy and safe new year 2017.

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 4 months ago.

With your symptoms, neuropathy also may be the diagnostic consideration, as we discussed. Following investigations should be done by your primary care physician or a neurologist for it;

1) Electromyography/nerve conduction studies (EMG/NCS)

2) MRI of the spine and brain

3) blood glucose, glucose tolerance test and glycosylated hemoglobin

4) serum B12 level with methylmalonic acid (with or without homocysteine),

5) serum protein electrophoresis

6) Anti-nuclear antibody

7) Lyme testing

8) Rheumatoid factor

9) Sjogren's syndrome testing (Anti-Ro, Anti-La Antibodies)

Following are the causes of neuropathy;

1) Diabetes

2) An underactive thyroid gland

3) Excessive use of alcohol

4) Thiamine deficiency

5) Vitamin B 12 deficiency (pernicious anemia)

6) Vitamin B 6 (pyridoxine) taken in excessive amounts

7) Drugs, medications, herbs

8) Autoimmune diseases

9) Heavy metals such as lead and mercury.

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Expert:  Dr. Arun Phophalia replied 4 months ago.

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Thank you.

Expert:  Dr. Arun Phophalia replied 4 months ago.

Best wishes,
It was my pleasure to help you.
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