I have achy muscles in my arms that started in both thumbs. It seemed to be after a day of golf 3 weeks ago. Now my muscles in both arms feel twitchy and achy randomly no specific area of pain.
Person's Gender: Male
Person's Age: 42
I'm on a steriod pack 2nd day. My doctor set up a nerve test in a week thing carpul tunnel.
Dear customer,I am Dr.David and I’m happy to help with your question today. I need the following information from you, so that I can provide you the best answer:Are you diagnosed of carpal tunnel syndrome by the nerve test?Have you underwent any other test?Is there numbness in hands?I am online and is waiting for your reply.Kind Regards- Dr.David
I have not been diagnosed with Carpal Tunnel Syndrome. My nerve test is scheduled in a week from this Friday. Have not underwent any other tests. There is some numbness in my hands mostly at night when Im in bed. My concern is the dull achy random pain throughougt my arm muscles. I can describe it as my arms feel like they have the flu.
Dear XXXXX,Thanks for the valuable info you had given.I’ve taken a close look at your question & the reply and come up with the following answer:The symptoms you are having can be due to a condition called carpal tunnel syndrome.The carpal tunnel is a narrow tunnel formed by the bones and other tissues of your wrist.This tunnel protects your median nerve.Any condition that causes swelling or a change in position of the tissue within the carpal tunnel can squeeze and irritate the median nerve.Another possibility is of nerve root compression.Any compromise of the nerve space can lead to compression of the nerve endings.This occurs because of wear and tear or injury.You need following tests:-Electromyography(EMG)-Nerve conduction studies,-Certain blood tests,-Electro physiological studies -Nerve conduction velocity (NCV) Already you are scheduled for nerve tests.The above described tests may be required accordingly.Anti-inflammatory drugs like steroids or NSAID's are the treatment of choice.Injectable cortisone may be required.So I advice for you to consult your doctor for the nerve conduction & other tests to know the exact cause & then treatment will be done accordingly.Hope this helped.Your satisfaction is my prime goal and I'm happy to answer any follow-up questions you may have.Please feel free to ask if you have any other question.Kind Regards- Dr.David
My orthopedic doctor ordered the EMG test. What type of blood tests would I need to ask for?
Dear XXXXX,I am happy to answer your follow up question.Yes,EMG test will help greatly in diagnosing the condition.Blood tests are done as last resort if your nerve tests come out to be normal.Other less probable causes will then be considered like:Underactive thyroid,abnormal levels of calcium, potassium, or sodium in your body,lack of vitamin B12.To diagnose these conditions blood tests are required.So I advice you to first have Electromyography(EMG),Nerve conduction studies & other nerve tests & later blood tests may be required accordingly.Hope this helped.My main motive is your satisfaction.If you still have any questions in mind,please feel free to ask.Kind Regards- Dr.David
One more thing today after lunch my upper arms and back of neck feel warm to the touch. Could this be a result of the steriod pack I am taking? You have given me more information so far than my doctor so I figure just ask you?
Before I answer your this question,I would like to know:
Do you have pain in neck?
Does your pain radiates from neck to upper arm or upto fingers/thumb?
I am online and is waiting for your reply.Kind Regards- Dr.David
No neck pain just my arms and neck feel warm but I can tell you have have alot of anxiety going on right now.
Dear XXXXX,The warmth feeling is most probably due to nerve disease/nerve root compression/pinched nerve.This can also be due to a condition called cervical spondylitis and/or spondylosis.It is most likely caused by age-related changes in the intervertebral disks.It is generally caused by the compression of spinal nerves. Any compromise of the nerve space in the spinal column can lead to these symptoms.Along with above tests you may also need X-ray scan or MRI of spine.Hope this helped.My main motive is your satisfaction.If you still have any questions in mind,please feel free to ask.Kind Regards- Dr.David
Internal Medicine Specialist,MBBS