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Common causes of arm pain include heavy physical work, injuries, pinched nerves in the neck, wrist overuse, tennis and golf playing and arthritis. Coronary heart disease, usually after age of 40, can cause recurring pain behind the breastbone that can radiate to the left shoulder blade, neck and jaw and down the inside of the left arm, hand and fingers (Picture 1); other symptoms may include dizziness, fatigue and shortness of breath [1,57]. Pain in angina pectoris lasts less than 5 minutes and is relieved by rest or nitroglycerin [1,57].
Pain in heart attack is usually severe, lasts for more than 15 minutes and is not relieved by rest or nitroglycerin [1]. Inflammation of the heart sac (acute pericarditis) can cause low-grade fever, heaviness or sharp pain in the chest that can radiate down the left arm. In panic attack or heart anxiety neurosis (cardiac neurosis) due to emotional stress, pain behind the breastbone can radiate down the left arm; other symptoms can include hyperventilation, dizziness, pounding heart (palpitations) and excessive sweating [24,59]. In individuals with irritable bowel syndrome (IBS), trapped gas in the upper left part of the large intestine (near the spleen) can cause pain in the left upper abdomen, chest, shoulder blade that can radiate down the inside of the left arm or both arms [26,58]. Gastroesophageal reflux disease (GERD or acid reflux) can cause pain behind the breastbone (heartburn) and metallic taste in mouth and, less likely, pain in the left arm [25]. There seems to be no health conditions that would cause pain specifically in the right arm. Writer’s cramp refers to involuntary muscle contractions in the dominant (usually right) hand due to prolonged repeated handwriting.
Gallstones can cause pain in the right shoulder blade or tip of the shoulder and, rarely, in the right arm. Pinched spinal nerves in the neck (cervical radiculopathy) due to bulging or herniated spinal discs, arthritis, whiplash injury or, rarely, by vertebral fracture due to osteoporosis or cancer can cause recurring discomfort or pain in the neck, medial shoulder blade border, shoulder and outer side of the upper arm, and tingling and numbness in the forearm, hand or fingers [10] (Picture 2). Pain from a pinched nerve can be triggered by bending the neck backwards, turning the head sideways or lying down and relieved by placing the hands on the back of the neck [10].
Repetitive forward arm movements during sprints, boxing, push-ups or bench presses can result in serratus anterior muscle pain on one or both sides of the chest that can radiate down the inside of the upper arm and forearm and into the pinky and ring finger; the pain can be aggravated by deep breathing [21]. Overuse of the upper back muscles in sports, like rowing or swimming, can result in myofascial pain syndrome with upper back pain that radiates down the inside of the arm. SICK scapula syndrome with protruding scapula and pain in the upper outer part of the arm can be caused by overhead arm activities, such as swimming or volleyball. Tendonitis of the long head of the biceps muscle with pain in the front of the shoulder and snapping sound when lifting an arm can be caused by overhead activities, such as swimming, tennis and baseball [20]. Rotator cuff tendonitis (shoulder impingement) with tenderness in the front of the shoulder and pain in the outer side of the upper arm can be caused by repeated overhead activities in tennis, golf, lifting, swimming, or painting [12]. Arthritis of the shoulder joint can cause swelling in the shoulder and pain in the shoulder and entire arm.
Shoulder sprain usually presents with swelling and pain in the shoulder and pain in the upper arm. Lateral epicondylitis (tennis elbow) is an inflammation of the tendons of the forearm muscles with pain and tenderness on the outer (lateral) side of the elbow (Picture 5) due to repetitive elbow use, for example, in tennis players, carpenters, plumbers and painters [16]. DeQuervain’s tendonitis is a wrist overuse injury with an inflammation of the muscle tendons that move the thumb. Trigger finger refers to a snapping sensation and pain when trying to extend a bent finger, which can develop after repetitive hand straining [51]. In individuals with Raynaud’s disease of an uncertain cause, the exposure to cold or stress can trigger painful spasms and color changes (blue, red, white) in the fingers [23]. Systemic infections, such as influenza, infectious mononucleosis or Lyme disease, can cause fever, fatigue and generalized muscle pain including pain in the arms and legs [6]. Fibromyalgia symptoms include tender points on the outer sides of the elbows, in the back of the neck, shoulder blades, in the hips and knees, and fatigue [29]. Peripheral neuropathy is the damage of the nerves in the feet and arms, for example, in individuals with untreated diabetes mellitus, nutrient deficiencies, autoimmune diseases (Sjogren’s syndrome), and in chronic alcoholics.
Polymyositis and dermatomyositis is an inflammatory muscle disease with mild pain in the shoulder and hip muscles, and rash [33].
Polymyalgia rheumatica is a muscle disease in older people with a sudden onset of low-grade fever and pain and stiffness in the shoulders, upper arms, hips and thighs that are worse in the morning [34]. Shingles is a reactivation of the Varicella-zoster virus in one of the spinal nerves that supply the arm. Cellulitis, a bacterial infection of the underskin tissues caused by a skin cut, vasculitis or insect or animal bite, appears as a tender, red and warm swelling [40]. Lymphangitis, an inflammation of the lymph vessels, presents as tender, red streaks travelling from the hand or arm toward the armpit, enlarged lymph nodes in the armpits, fever and chills [43]. Muscle and tendon pain are aggravated by muscle use and are associated with localized tenderness and eventual swelling.
Delayed-onset muscle soreness can develop 24-48 hours after heavy exercise, such as lifting, and may persist for few days [35]. Muscle strain (pulled muscle) can occur during overtraining or injury; symptoms include sudden pain, mild localized swelling and tenderness. Compartment syndrome refers to an acute or chronic increase of the pressure in the spaces between the muscles (compartments) due to bleeding or swelling after prolonged compression of the arm (lying unconsciously in alcoholics or surgical patients, tight splints), crush trauma or intense muscle use (cyclists, motocross racers), which blocks the blood flow to the muscles [55]. Complex regional pain syndrome can present with continuous squeezing or throbbing pain in the whole arm after an arm injury, surgery, immobilization, heart attack or stroke.
An inflammation of the joints in the fingers due to rheumatoid arthritis [30], psoriatic arthritis [54] or systemic lupus erythematosus [31], causes swelling and redness of the finger knuckles and pain and stiffness that is worse in the morning.
Bone bruise or contusion is a bleeding within a non-broken bone, for example, in the head of the upper arm bone (in the shoulder), elbow or wrist after a direct hit or fall. Bone infection (osteomyelitis) caused by trauma or systemic infection can present with fever, chills and deep dull or throbbing pain, swelling and redness [39]. Thromboangiitis obliterans (Buerger’s disease) is an inflammation of the arteries and veins, mainly in young male smokers. A blood clot in a vein can cause thrombophlebitis (thrombus = blood clot; phlebitis = inflammation of a vein).
Bone cancer in an arm can cause constant deep, dull pain, in early stages only at night [46]. Non-Hodgkin lymphoma can invade the nerves in the brachial plexus and cause pain in the shoulder and upper arm [62].
Cyclic breast pain is pain and heaviness in both breasts and, sometimes, in the armpits and arms in the period between ovulation and menstruation [45]. Breast cancer with enlarged lymph nodes in the armpits or a radical breast cancer surgery with removal of the lymph nodes can result in arm swelling (lymphedema) and pain. Phantom arm pain is boring or squeezing pain in the part of the arm that is no longer a part of the body because it has been amputated [44]. Often, the cause of the arm pain can not be identified, at least not initially, for example in brachial neuritis, Raynaud’s disease, complex regional pain syndrome or lung cancer. In most cases, it is an orthopedist or neurologist who should be able to find a cause of arm pain. If the pain persists, you may consider giving up a certain sport activity or changing a job. Over-the-counter analgesics, such as aspirin, paracetamol or ibuprofen, can help in mild to moderate pain; for severe pain, a doctor can prescribe stronger analgesics. Surgery can help in a pinched nerves, calcific tendonitis, adhesive capsulitis, complicated fracture, thoracic outlet syndrome and carpal tunnel syndrome.
I am having upper left arm pain that tightens & numbness and needle pain radiating down my arm to my fingers.
Sherry, your symptoms suggest you may have a herniated disc or other disorder in the neck spine with a pinched spinal nerve. Amy, if your pain is on the outer side of the arm or forearm, it may be due to a herniated disc in the neck. If your pain is on the inner side of the arm, it may be due to a stretched serratus anterior muscle due to lifting heavy objects. I can’t exclude anything, but, for example, heart-related pain usually goes down the left arm.
Evelyn, a fusion of cervical vertebra may, in theory, increase the risk of a herniation in the thoracic spine, which could explain your pain in the chest. Hi I’ve been having pain in my left upper back, left arm mainly top arm and chest pain. Afet, it can be an infection of the lungs (pneumonia), lung membrane (pleurisy) or heart sac (pericarditis), for example. Sometimes when working at armpit or shoulder height I can hear and feel my muscles moving over each other. Jean, we describe some causes of shoulder pain here: frozen shoulder, calcific tendonitis, etc.
LoLo, an orthopedist or neurologist can perform few quick tests, which can tell if you have some nerve injury. I didn’t quite understand: the tingling in both arms was before bed or in the morning?
The symptoms in two arms may be related in the way that both have nerves that arise from the same level in the spinal cord. If it does not get better in few day, I recommend you to arrange an appointment with a neurologist. The other night, just before going to bed, I noticed my right arm and hand felt a bit numb.
Blood vessels both large and small can be affected by extended periods of elevated blood sugars.
Extended periods of elevated blood sugars can cause permanent damage to nerves of the extremities. Latter stages of peripheral neuropathy can be devastating if the feet are not closely monitored.

With diabetes comes the decreased ability to fight infections, this can be from the circulation not being able to get where it needs to be or alterations in the white blood cells not being able to fight infections correctly.
Wear white socks when ever possible, not because they are the most stylish-because bleeding and other drainage are easy to see,.
If anything looks differently, do not wait, call your podiatrist, yes you need a podiatrist on speed dial. Make regular visits to a podiatrist for examinations, at least every 6 months, more often for palliative foot care if you are suffering from complications of diabetes in your feet. Corns and Verrucae can have a very similar appearance, a good way to differentiate between them is by using the squeeze test. A clear understanding of the causes of chronic gastritis was formed relatively recently, after the discovery of the bacterium Helicobacter pylori. Without timely and comprehensive treatment of gastritis can lead to ulcers and stomach bleeding. Only a doctor can diagnose gastritis and appoint competent therapy, depending on the shape and severity.
In chronic gastritis with low acidity from the diet should also exclude acute, smoked and spicy food, which, as we already know, not only uselimit acidity, but also irritates the stomach lining. In addition, you may be given a blood test to detect anemia, a blood test for the presence of antibodies to Helicobacter pilori, fecal occult blood test, x-rays of the abdomen and other research.
On our website describes the most common disease of adults and children, causes and symptoms of these diseases, as well as the most effective treatments for these diseases.
The information on this health site are for informational purposes only, professional diagnosis and treatment of the disease should be done by the doctor in the clinic.
Other causes of swollen ankles are more systemic, and include lymphodema, venous insufficiency, heart, liver or kidney disease.
If you regularly experience swollen ankles, it is recommended that you see a podiatrist to determine the cause of your swollen ankles.
If you have an underlying condition that is causing your ankles to swell, then the most important thing is to ensure that this condition is being managed effectively. Once any underlying conditions are suitably addressed, you may find that compression socks or compression stockings are a good solution to help prevent swollen ankles in the future. Compression socks and stockings help to reduce swelling in the ankles by exerting pressure against the feet and legs, to improve venous blood flow and reduce pooling of fluid. A claw toe is a toe that is contracted at the PIP and DIP joints (middle and end joints in the toe), and can lead to severe pressure and pain.
Claw toes result from a muscle imbalance which causes the ligaments and tendons to become unnaturally tight.
Other conservative treatments include using forefoot products designed to relieve claw toes, such as toe crests and hammer toe splints.
Mostly, an individual will remember the incident or cause of bruising but certain instances like banging your arm against the door, or stumbling into a piece of furniture, are often forgotten as they do not cause significant pain.
Many times taking medications like aspirin, ibuprofen, non steroidal anti-inflammatory drugs, and even birth control pills increases chances of sudden bruising. The body takes time in absorbing the blood spilled in the surrounding tissues from the broken capillaries. When you suffer from general bruising, you need to take rest, apply ice compression within 24 to 48 hours. Disclaimer: This Buzzle article is for informative purposes only, and should not be used as a replacement for expert medical advice. Pancreatic cancer is among the worst killers in modern medicine, for numerous different reasons. The incredibly low prognosis for those eventually diagnosed with pancreatic cancer largely relates to the fact that identifying this cancer can be an incredible challenge – it is largely a silent killer until the later stages of the disease, at which point it becomes incredibly difficult to cure. There are, however, warning signs that you can and should look out for, especially if you have anything in your medical or family history that could mean you are at larger risk for the disease. Any one of these warning signs, or a combination of these signs, could indicate that you need to see your doctor for a thorough checkup. Pancreatic cancer can lead to jaundice, or a yellowing of the skin and the whites of the eyes, in two ways.
One of the first symptoms noticed by those with pancreatic cancer is a pain in the abdomen. Unexplained weight loss is one of the first noticeable symptoms of many different types of cancer.
Gas and inflammation of the gastrointestinal tract, as well as associated feelings of bloating or stomach discomfort, can be associated with any of a number of different issues.
It may be a bit of a sensitive topic, but it’s important to seek medical help if you notice any significant changes in the color of your stools. Problems related to the pancreas and the bile ducts can lead to a number of skin issues, including patchiness, itchiness, and flaking. The sudden development of diabetes with all its associated symptoms can also be an indicator of pancreatic cancer. The pain, which is called angina pectoris, can be triggered by exercise, stress, large meals or exposure to heat or cold, but not by arm movements. Risk factors include anatomical abnormalities (cervical rib), bad posture and arm overuse [11].
Entrapment of the radial nerve on the outside of the elbow due to repetitive elbow extension or forearm rotation can cause pain on the outer side of the forearm and back of the hand, but no numbness or tingling [15]. Entrapment of the median nerve in the wrist due to arthritis, hypothyroidism, diabetes mellitus or wrist overuse can cause pain, tingling and numbness in the first 3 fingers (thumb, index and middle) and the related part of the palmar side of the hand, wrist or forearm [14] (Picture 7). Entrapment of the ulnar nerve in the wrist due to repetitive compression of the pinky side of the hand, for example in cyclists, can cause pain, tingling and numbness in the little and ring finger and in the related side of the hand and wrist and on the inside of the forearm (Picture 7). Symptoms include pain, swelling and a catching sensation at the thumb side of the wrist and forearm, especially during grasping and twisting the wrist [50]. Repeated twisting of the upper part of the body, for example, in electricians, seated assembly workers, dentists and surgeons, can irritate sympathetic nerves near the spine in the upper chest and cause pain between the shoulder blades and abnormal sensations (paresthesia) in the forearm, hand and all 5 fingers on one or both sides [19].
When an underlying cause is known, for example, systemic sclerosis, systemic lupus erythematosus (SLE), vasculitis, lymphoma, leukemia, vibration injury or diabetes mellitus, the condition is called Raynaud’s phenomenon [23].
Symptoms include intense burning pain, swelling and tightness in the affected part of the arm [56]. Changes in the skin appearance and temperature, abnormal sensations, muscle loss and weakness are common [48,49]. Risk factors include an injury, prolonged immobilization, smoking, vasculitis, cancer and intravenous drug abuse [41].
Phantom pain can appear within days or years after amputation and can persist for several weeks or even years [44]. Investigations, such as computer tomography (CT), magnetic resonance imaging (MRI) or blood tests, may be needed.
Osteoarthritis alone does not cause swelling or dizziness, so you may want ask a doctor about that. One possible cause that could prevent raising your arm above the shoulder is thoracic outlet syndrome from a damage of the brachial plexus (a bunch of nerves that travel from the neck through an armpit into an arm.
I think, myofascial pain, a problem with shoulder joints or shoulder capsules would be more likely than a herniated disc in the neck. A small bruise becoming big and with arm swelling — my first taught was a spider or some other insect bite. A corn is a thicker, more focal area with a central core which usually forms over a bony prominence such as a joint – they are almost always painful. They are caused by abnormal pressure or friction on the foot, the body’s natural response to this change in pressure is to build up a hard layer of skin to protect the underlying tissues. Use of these types of remedies can be very risky in those with poor circulation or diabetes and is not recommended.
It became apparent that these bacteria colonizing the mucosa of the stomach, are the most frequent causative agent of gastritis gastritis with high acidity of gastric juice.
Because the treatment of this disease requires a long period of dieting and rigorous taking the prescribed medicines. But meat and fish broth, which stimulate acid-formation, it is necessary to enter in the daily diet. Therefore, diagnosis and treatment of this disease should be done by a qualified doctor of the gastroenterologist. Some causes are specific to the ankle region, such as swelling due to injury or trauma to the ankle, or a localised infection around the ankle.
Swollen ankles are also more common in people with diabetes as peripheral circulation is commonly affected by this condition. For example, you may notice swelling in your ankles at the end of the day if you have been standing or walking a lot more than usual. Depending on your medical history and clinical examination, further investigations may be recommended to confirm diagnosis and ensure the most appropriate treatment plan to address your ankle swelling. For example, if your swollen ankles are related to a localised infection, then treatment to eliminate any infection will be the first priority. At Entire Podiatry, we believe that most people can benefit from compression socks or stockings, and many people find these help to reduce swelling and aching legs.
When choosing a shoe, make sure the toe box (toe area) is high and broad, and can accommodate the claw toes. But if the cause or reason of bruising cannot be recollected, and the frequency of such bruising is quite high, the cause needs to be diagnosed. Sometimes an injury might not occur on the surface of the skin, or may not lead to breaking of the skin, rather occur deep within the skin.
A couple of days later, bruising is noticed on the arm or leg and one tends to forget the cause.

The relation between unexplained bruises and diabetes is a condition called Acanthosis nigricans.
This may be due to bumping in the bed post or a slight brush with doors, wall corners, etc. If you experience longer and heavy periods, nosebleed, bleeding gums, you should seek medical help. In case of swollen, unexplained bruises on arms, you can wrap the area with an elastic bandage. Make sure you eat an iron rich diet and include all the essential vitamins and minerals in the food you eat. First, it can lead to an excess of bilirubin in the bloodstream, and second, it can lead to tumors that block the bile ducts of the liver. If you or someone that you know has begun to lose weight without any significant changes to your diet or exercise plan, then it is crucial to see a doctor right away to determine what the cause of the weight loss may be. This is especially true if you have stools that are a pale, chalky, or clay color, as this can indicate bile duct blockage.
Though these skin issues can’t be used alone to diagnose a severe problem such as pancreatic cancer, they can be a serious symptom when combined with other issues, such as jaundice. If you are experiencing the symptoms of diabetes or have been shown to have diabetes on a blood test, but have other symptoms as well, speak with your doctor to determine whether further testing might be needed.
Approximately eighty percent of adults will experience this ailment at some point in their lives. Symptoms include pain in the neck, shoulder and outer side of the upper arm, and pain, pins and needles, numbness, coldness or weakness in the forearm, hand and fingers (Picture 4); symptoms are typically aggravated by raising an arm above the shoulder [11]. Delay in treatment can result in muscle death (necrosis), which may require the amputation of an arm. Pain, tenderness, and red lines along the affected veins may persist for several weeks [41].
Sometimes, a minor cut in the hand can cause inflammation of the lymph vessels and pain along their way to the armpit. In a herniated disc in the neck, symptoms in the arm are relieved when you put the hand on the top of the head. But maybe 2 hours later, as I lay in bed, my right arm began hurting so bad, as if it were bfoken, from the shoulder to the tips of my fingers. Do not try to cut away corns and calluses yourself, they can be removed safely and painlessly by a podiatrist with immediate relief. Acute gastritis develops as a result of poisoning by acids or alkalis, radiation injury, when taken in high doses of some drugs, such as aspirin.
However, if your ankle swelling does not go away with rest and elevation, or if your ankles are regularly swollen at the end of a normal day, then you may have an underlying condition that requires treatment. This sometimes causes foot movement to become restricted leading to extra stress at the ball-of-the-foot, and possibly causing pain and the development of corns and calluses. A shoe with a high, broad toe box will provide enough room in the forefoot area so that there is less friction against the toes. Gel toe shields and gel toe caps are also recommended to eliminate friction between the shoe and the toe, while providing comfort and lubrication. As the underlying cause can range from something as obvious as aging to hemophilia and even diabetes. Now, such bruising once in while is understandable but if occurs frequently should be investigated thoroughly since it can indicate an underlying medical condition or ailment. In this condition, you may observe patches of brown and black skin that have been accumulated in the body folds and creases, that is, armpits and neck.
Thinner people are more prone to bruising as they lack the fat cushion that helps prevent injury. Unexplained bruising accompanied by unnatural bleeding and a lot of pain and swelling requires immediate medical care.
Jaundice should be checked out whenever it appears, as it can be an indicator of many different types of problems concerning the liver. Remember that loss of appetite can also be a symptom, and that loss of appetite and weight loss can go hand in hand. While it probably should not be treated as a warning sign of something serious all on its own, it should be seen as serious if combined with other serious symptoms. When I tried to get out of bed to find some ibuprofen, I couldn’t even stand to my feet! Thus there is a sharp burning pain in the upper abdomen, nausea, vomiting, dizziness, and weakness. There is often discomfort at the top part of the toe that is rubbing against the shoe and at the end of the toe that is pressed against the bottom of the shoe. Bruises, also called contusions, heal within 2 to 4 weeks and you may observe the bruise turning black, then reddish-blue, or sometimes even yellowish-green. This is hyper-pigmentation that is caused as the excess insulin spills in the skin due to insulin resistance associated with Type II Diabetes. Initially, the bruise is reddish in color as the blood has just begun to appear underneath the skin. If you experience pain in this region, or in the back around the same area, be sure to see a doctor right away.
A few common-sense rules to use and a basic understanding of your back will decrease most of the anxiety associated with this condition.
He says he used to have a firm handshake but now it causes him excruciating pain to squeeze anything. In thoracic outlet syndrome, symptoms are aggravated by raising an arm above the shoulder level. I literally had to crawl to get medicine (which NEVER even worked, by the way…) That’s how bad my arm was hurting!! Acute gastritis requires urgent treatment by a doctor and, in severe cases, hospitalization. You should look out for other symptoms like excessive thirst, fatigue, blurred vision, frequent infections, etc. No idea if these are all related but I don’t think gall stones are as they tend to effect the right side.
It doesn’t hurt anywhere in neck when I do my neck stretches but it hurts in my shoulder.
After treatment of acute gastritis can become chronic, however, often chronic gastritis is a disease. In addition, you have to abandon the products of irritating the gastric mucosa from all spicy, smoked, marinated and grilled.
Most of the conditions that cause back pain are not life-threatening, however, a thorough history and physical exam is necessary to rule out more serious problems.
Thus, it causes the skin to be damaged easily due to sun exposure and the blood vessels under the skin rupture easily. After about 5 to 10 days, the bruise may begin to appear slightly yellowish or greenish in color.
Last but not least my shoulder blade is stiff as a board and I can barely lift my arm to shampoo, cannot lift anything I can barely get it out of bed. Those dead-lifts you did for high school football are typically not appropriate for the aging back.
Weight-lifting is part of a healthy lifestyle for most people and should be incorporated into your workouts after a check-up with your primary care doctor. Where you work out is also a key element in the prevention of back and lower extremity injuries. Runners and walkers are generally recommended to avoid sidewalks and to use dirt, asphalt, or wood chip trails.Footwear is another significant element in the prevention of back pain. Scientists are not able to determine how all of the chemicals in tobacco affect the human body. However, nicotine is known to cause our arteries to constrict, or get smaller, and this can decrease blood circulation to certain body parts. These complex structures are between most of the bones in your spine, and they act like shock absorbers and stabilizers. Therefore, when their already poor blood supply is compromised, it is natural to assume that this could lead to degeneration. Cessation of tobacco use is not likely to affect your back pain in the short term, but it could have a positive long term affect. In fact, many plastic surgeons and spine surgeons will not perform some types of procedures on patients who use tobacco.Low back pain is extremely common, but usually short-lived. In most cases, it does not last more that six to twelve weeks, and many times only a few days. Initial treatment is usually acetaminophen or anti-inflammatory medication, short duration of rest, and avoidance of offending activities. Doctors will often prescribe physical therapy and certain kinds of medications for persistent pain. However, in the patient with six or more months of constant, severe back pain, surgery can be appropriate.

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