Right arm - bleh.

by Allen
(Myrtle Beach, SC, USA)

The pronator teres can cause severe pain radiating down the lower arm to the fingers.

The pronator teres can cause severe pain radiating down the lower arm to the fingers.

Background:

1. I had CTS in this hand with normal return to function about 10 years ago.

2. Earlier this year was diagnosed with RNP. It, too, has since cleared.

However, at this point in the same arm, I am getting excruciating pain that moves from top from right forearm, to elbow to behind the triceps and even into upper shoulder. It cycles. I have tried NSAIDS and compressing on the same hand to verify no return to CTS. Nothing seems to help. I've also tried hot and cold therapy only to numb the nerves.

From my research, this seems to be a a case of tennis elbow (cause by excessive use of a computer mouse and/or physical activities related to moving to a new house.)

Do compression elbow/arm joints tend to work? I know my hand brace did.

Thanks.

Hello Allen,
The above in bold is not quiet clear.

The key is to find exactly what provokes the pain, and where? For example, is the pain mostly from shaking hands, lifting your arm above your head, or turning your cervical spine and then looking up?

If you press your hand inwards against the other hand, pull outwards, and turn your arm inwards, thumb down and then lift it, do you get pain? Where?

And if there's tingling, precisely in which fingers?

Then, trying pricking your arm with a needle, and comparing with the other; is there a difference? Reflexes need to be tested.

As you can see, it's quite involved and needs a professional examination. Connective tissue disorders need to be considered again, but really, they are very rare.

I hope this contributes.

Dr B


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