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Lani, BSN, RN
Lani, BSN, RN, Nurse
Category: Health
Satisfied Customers: 4751
Experience:  A Registered Nurse for 19 years.
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Pain in ball of left thumb, extending up the forearm,

Resolved Question:

Pain in ball of left thumb, extending up the forearm, intensifying in the bend of the elbow with "soreness" in the upper arm and pain in the left shoulder. Burning sensation also intermittently accompanies the pain. Any thoughts?
Submitted: 9 years ago.
Category: Health
Expert:  Lani, BSN, RN replied 9 years ago.


The symptoms you are describing sounds like a TENOSYNOVITIS which is an inflammation of the sheaths surrounding the tendon.

It could be due to injury, strain or overuse, an infection, or can be due to unknown reasons.

Just as what you are doing, brace or splint used to immobilize the limb, rest, and anti-inflammatory as Advil are the main treatments. Warm compression application may as well be helphul in relieving pain and inflammation. After recovery, strengthening exercises will help to full recovery and avoid future injuries. In extreme cases, surgery may be required.

If difficulty of staightening the joint or extremity is noted or there are signs of infection, you need to see your doctor for appropriate management and treatment.

Just in case there is any numbness or tingling sensation, the possibility of nerve compression or herniated disc can be given consideration.

This link has more details: GO HERE.

Take care!

Lani, BSN, RN and 2 other Health Specialists are ready to help you
Customer: replied 9 years ago.
Please note that there is no swelling or difficulty extending the joints in question, as described in the information you supplied the link for. There is an occasional sharp shooting pain across the upper left breast area as well as tenderness in the rotator cuff area of theleft shoulder. I am wondering whether it could be carpal tunnel syndrome, CTS with ulnar nerve impingement, or the result of over-extending my shoulder. I am most concerned with ruling in or out whether this has to do with my heart. I have NO previous heart issues.
Expert:  Lani, BSN, RN replied 9 years ago.


Thanks for providing additional information.

The extent of the symptoms of your condition seems to UNLIKELY related to carpal tunnel syndrome but there is a possibility. There is a simple test that you can do to check on that. At the front side of your left wrist where the median nerve is located, gently tap that area, pain will be intensified if there is a carpal tunnel syndrome.

Other possibilities that had caused your symptoms is a pinched nerve in your neck, shoulder or forearm, diabetic neuropathy or an arthritis at the thumb base. There are more other possibilities and an MRI can help to find out the cause.

With the symptoms you have, association with the heart seems to be the least possibility.

Take care!