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. Arun Phophalia Your Own Question

Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 29549
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
Type Your Medical Question Here...
Dr. Arun Phophalia is online now
A new question is answered every 9 seconds

hey there my upper arm is really sore, it has a burning sensation

Resolved Question:

hey there
my upper arm is really sore, it has a burning sensation with pain that radiates from that down and through my bicep muscle, into the muscles that run down my forearm and into my hand, i also have a dull burning ache into my shoulder muscle up into the side of my neck. my collar bone is seriously painful. My hand tingles most of the time. my doctor has sent me for x-rays but this has not shown anything. i have two distinct lines at either end of my bicep that were never there before - the top line actually creases when i lift my arm - i am not a weight lifter so this should not be happening. I have had no accidents or broken any bones. It is very draining and i am tired all of the time ..
Submitted: 4 years ago.
Category: Medical
Expert:  Dr. Arun Phophalia replied 4 years ago.

Greetings.

 

Since how long are your symptoms?

Is there any redness, swelling, tenderness, warmth in arm or forearm?

Are you diabetic?

Are you on any medications or supplements?

 

Dr. Arun

Customer: replied 4 years ago.
My symptoms have been maybe three months now - it started out as being quite manageable but over time it is an awful lot worse - there is only slight swelling around the out part of my arm pit - nothing else except for the funny lines. there is no 'warmth' in my arm or forearm. i am not a diabetic but i do have a slight heart condition that i am taking aspirin, amlodipine and simvastatin for - this condition was diagnosed maybe in February last year? the specialist thought i might have syndrome x but this has not been confirmed as my doctor has never discussed his findings with me (she is a bit forgetful) the pain in my arm is very very sore and it is the worst it has been yesterday and today - i am not looking forward to tomorrow. I have almost full movement in my arm, i have trouble getting my car into reverse gear and driving is pretty sore too. it is more painful when i lift my arm outwards and when i move it across my body with the elbow pointing outwards. it pops sometimes and when it does that i almost faint it is that sore ..
Expert:  Dr. Arun Phophalia replied 4 years ago.

Greetings.

 

Which area was x-rayed?

Was an MRI of shoulder and / or neck contemplated?

Have you consulted a specialist like orthopedics?

What specific movements of your shoulder, elbow or neck are painful and restricted?

Since how long are you taking Simvastatin?

 

Dr. Arun

Customer: replied 4 years ago.
6 xrays were taken, front, back, twist out twist in upper and under. My doctor has ordered a scan to be done but that could take months for the appointment, have been taking simvastatin for about 9 months -
Expert:  Dr. Arun Phophalia replied 4 years ago.

Hello,

 

Simvastatin can cause myalgia and arthralgia (muscle, joint, tendon and bursa problems) and pain in soft tissues; so if this started after the medication this may be one of the consideration of the cause. Please read the side effect section of the resource;

 

http://www.rxlist.com/zocor-drug.htm

 

The other causes of consideration would be;

 

1) Bicipital tendinitis

2) Frozen shoulder

3) Biceps rupture

4) Brachial neuritis

5) Rotator cuff disease

6) Cervical radiculopathy

7) Cervical spondylosis

8) Suprascapular neuropathy

 

Majority of people with above problems will respond to physical therapy alone. The program should be aggressive, daily and assisted by the physical therapist. The regimen consists of active and active-assistive range-of-motion exercises combined with stretching. Pain may occur early but within six to eight weeks progress is usually made. Other treatment modalities such as heat and massage may help. Nonsteroidal anti-inflammatory analgesics may also be beneficial. Deep electrotherapy in the form of short wave diathermy, Interferential current, trans cutaneous electrical stimulation, iontophoresis, phonophoresis also is very help initially.

 

Those people who do not respond to the initial physical therapy are considered for the following;

 

1) A subacromial corticosteroid injection

 

2) A glenohumeral intra articular injection

 

3) Surgery; arthroscopic or open surgery

 

Following investigations would be required;

 

1) X-ray of the neck spine

2) MRI of the neck and shoulder

3) Nerve conduction velocity (NCV) study

4) Electromyography (EMG)

 

You can consult following specialists;

 

a) Orthopedist

b) Neurologist

c) MD in Physical medicine and rehabilitation

 

Please feel free for your follow up questions.

 

Dr. Arun



Edited by Dr. Arun Phophalia on 1/2/2010 at 10:52 AM EST
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 29549
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
Dr. Arun Phophalia and 5 other Medical Specialists are ready to help you
Customer: replied 4 years ago.

Thanks very much for all of this

 

it is all really interesting. I have done my own research into why my arm might be sore - as sore as it is - and i too came up with the conclusion that it may very well be brachial neuritis - it was during this research that i found this website so i guess we are all on the same track.

 

When i first was given the statins for my heart treatment i did actually have very painful muscles in my legs so the original was switched to what i am taking now - the pain is totally different to what occured in my legs. And i have checked out all the rest of your diagnosis and ruled out most of them based on the description of the symptoms - apart from a slight swelling next to where my collarbone joins my shoulder there is nothing to suggest a rupture of any kind so i think maybe the description for brachial plexus neuritis is the closest to what i am feeling. So thank you very much. i will talk to my GP about all of this and see what she thinks

 

Have a fabulous day!

Expert:  Dr. Arun Phophalia replied 4 years ago.

You are most welcome.

 

I wish you a very speedy recovery.

 

Best wishes and kindest regards,

 

Dr. Arun

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 feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • 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
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    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

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.