Toothache pain in arm and shoulder

by Katie
(Yorkshire)


Past three months every day I have a constant dull ache in my shoulder and in my left arm. Sometimes it varies to where it feels sometimes like it's in the top of my shoulder/collarbone to sometimes on top of my arm, sometimes it's around my elbow and can even go as far as my wrist especially when I'm driving.

It first happened when I was at work because I'm a nurse and my day to day involvement includes moving and handling, however even after taking 2 week off work to rest I'm still no better.

I cannot lay on my left arm as the ache gets more intense, when I stretch out my arm underneath feels a pulling sensation. I've have been to doctors 3 times and still not resolved this issue. First doctor said it was strain and to take anti inflammatory medication (doesn't help); the second doctor said it was a trapped nerve and prescribed me medication which hasn't released it and the third one now has referred me to physio which I'm so worried about as nobody has actually sent me for any tests or scans; just checked my range of movement in my arm which I have full range and checked for arm swelling which there isn't any. I'm only 23 I shouldn't be feeling like this for such a young age.

Hello Katie,
I'm reminded of a Punch cartoon showing four doctors standing around a hospital bed; one lifts his head and remarks, 'Well, we've narrowed it down to one of four things.'

Three months is certainly a long time to have no diagnosis; especially of a nurse; I'd assume they'd take special extra care of their own.

Katie, you make no mention of neck pain; if you turn your head to the left and simultaneously look up, does it provoke anything? This is called Spurling's test.

Do no movements of the arm and shoulder provoke the ache? Did any of your doctors take a reflex in the arm, or test for numbness? Prick you arm with a pin, and compare with the right arm.

The test for a pinched nerve in the neck is called the upper limb tension test; type that into the Site Search function at Chiropractic Help; you'll need a friend to do this test. Let me know the result.

Locate the radial pulse in your left wrist with your right hand; turn your head to the left, look up and take in a deep breath; does it change the pulse?

With your left elbow at your side, bent at 90*, press in and pull out against the resistance of your right hand; without moving the arm. Does it provoke pain? This is called an isometric test for a muscle tear, or tendonitis.

These are the kinds of tests that a chiropractor would do; they should be done first before expensive tests or x-rays requiring the use of ionising radiation. Let me have some answers.

Dr B


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Mar 21, 2018
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Always in pain
by: Anonymous Dee

I have been having the toothache pains in my shoulders, arms, and right leg,for 2 years I take pain pills 800 ibuprofen to ease the pain my right legs hurts so bad and a burning hot feeling comes on I have to set down before I fall down, when my shoulders hurt it brings me to tears the doctor said it's coming from my back pains, spinal stenosis so I applied for disability a year ago, I have no insurance, I just waiting, and taking pain pills

Mar 21, 2018
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Always in pain
by: Anonymous Dee

I have been having the toothache pains in my shoulders, arms, and right leg, for 2 years. I take pain pills 800 ibuprofen to ease the pain; my right legs hurts so bad and a burning hot feeling comes on I have to sit down before I fall down.

When my shoulders hurt it brings me to tears; the doctor said it's coming from my back pains, spinal stenosis so I applied for disability a year ago.

I have no insurance, so I'm just waiting, and taking pain pills.

Hello Dee,
You're in a tough place, but taking out no medical insurance, remember you are many thousands of dollars ahead, and it's now time to consider spending those savings. Just taking pain pills doesn't treat the cause of your pain and will give you an ulcer and ruin your kidneys.

What's really needed here is an accurate diagnosis. Is the pain in your shoulders and leg radiating pain from your neck and spine, or are they local problems?

Chiropractic Help is about aiding you to help yourself. Look for the shoulder and lower back exercises and do them diligently every day; start gently, the Winter Olympics are over! Take a walk or swim every day.

If you're on an inflammatory diet of fast food, french fries and refined carbohydrates, then it's time to change your ways. If you need to lose a significant amount of weight, get it off; or suffer.

Do some studying of the meaning of resistant starch and glycemic index; apply your mind. With no insurance you have to help yourself.

Writing this letter is a very positive first step; it means you are really tired of pain and pills; that's where change of lifestyle begins.

Good luck and I hope this contributes.

Dr B

Reheating resistant starch

Feb 24, 2018
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Daz
by: Anonymous

I got my results. My EMG shown that their is pressure on one of my nerves from my neck. The pain has fully gone now though. I have no clue why? Maybe you could explain how it fixed itself? I do feel a dull ache on the top of my shoulder from time to time but it is nothing compared to what I had.

Anyone scared about going for an EMG, don't be. It is pretty painless apart from the jolts you feel. Also the needle is not that bad at all. Forearm is worse but bearable. Think of a cat scratch. Nothing to worry about.

Hello Daz, this will be helpful to others; thank you.

The body has amazing healing properties, given time and common sense.

Now just be sensible at the gym. The Winter Olympics are over and it's early to start training for the next one! Otherwise the pain will just come back.

Dr b

Jan 22, 2018
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Arm pain.
by: Anonymous

Thank you doctor B. I have not been for my tests yet but the pain is really weird. It does not hurt half as much now. I even coughed the other day and thought something was missing. It then hit me that was my first cough in about two months with no pain. I have started going to the gym again, at first it hurt but it seems to be helping my arm a lot. Like I say it is really weird. I will post back my results from the tests to try help anyone experiencing the same.

If this is a pinched nerve, and I suspect it is, then stretching out the arm will aggravate it. Be really careful at the gym and listen to your body. It's great that you seem to be improving.

Dr B

Jan 09, 2018
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Did you get it sorted?
by: daz

Did you ever get the problem diagnosed Katie?

I have the exact same problem but on my right. I have told the doctor before the pain is hard to describe but at best like toothache in my arm only to get a bewildered look, I am so thankful I typed Toothache pain in arm in Google and know it is not in my head.

I have an Electromyography next month, which to be honest is far too long as the pain is getting worse, I can not sleep as good and sometimes I have to go home from work because the job I do is physical.

I hope you have got a diagnosis and got it sorted, if you have and see this please let me know.

Thanks.

Thanks Daz for your comment; we'll see what Katie has to say.

Meantime, an ache in the arm is often the sign of nerve pain. Try to work out which movements provoke the toothache type pain; moving your arm, neck, shoulder?

Dr B

Apr 02, 2017
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Additional Info
by: Katie

Hello,
Nobody has tested me for any of the things above. On movement the pain intensifies and I've just tried the rest of bending my elbow and the ache radiates. I sometimes get the sensation of pins and needles / heat in my arm on movement.

I'm happy that you understand from the profession point of view I'm quite frustrated. I know personally that everything what is going off with me is not normal, I've even suggested to the dr about ultrasound scan to rule out any trapped nerve as I also do have neck pain when I look to the left on occasion but I feel like I'm in a plastic box shouting and nobody's listening to me, I've tried every over the counter medication before I even went to see the doctor on first occasion in February yet the last time I went which was on Friday he ended the conversation with self refer yourself to physio and start taking ibuprofen for 1-2 weeks and I felt like screaming at him then. It doesn't help seeing 3 different doctors all about the same problem.

The main symptoms are:
Constant ache in and around the shoulder at the top which radiates down my arm sometimes around my elbow and certainly when it's on movement / bend. I get cramp in my arm when I'm driving into the palm of my hand, I get tingles in my hand when it's bent, I cannot lay on my left side, my neck hurts sometimes at the back when I turn to my left and sometimes the ache shoulder can radiate near the end of my collarbone which is all tender to touch. (I have no cardiac problems had recent ECG all fine)

As it stands at the moment I have a number to ring tomorrow for self referral to physio but I'm reluctant to want to have physio for something which hasn't been medically diagnosed as I'm worried that may be out of there depth? I just don't know what's the best thing to do about it anymore it's starting to affect my work life home life balance for too long now,

The truth is you've been neglected, Katie. Your doctors are either out of their depth, or idle or both. You are probably not paying for that medical care, so they couldn't be bothered to stretch themselves; I have to guard against it myself when treating friends, family and colleagues. It's sheer neglect not to have taken at least a reflex. You know when you've been properly examined, and when you're being fobbed off, so it's little wonder you are frustrated.

You say 'with movement the pain intensifies' but you don't say movement of what; neck, shoulder or lower arm?

You certainly have lower neck problems and when the shoulder is not properly innervated, then strains in the muscles occur on top of the spinal issues. I suspect from what you describe that this is both a neck and shoulder issue, and perhaps a thoracic outlet involvement of the first rib, clavicle and scalenes.

Both physios and chiros often have far more knowledge of these issues that the average general practitioner; we work with them every day, they see them only occasionally.

In these circumstances, I think it might be best to ask for a referral to an orthopaedic surgeon; talk first to folk, colleagues and find out who comes strongly recommended; I wish you luck; it's a minefield.

Let me know how you get on.

Dr B

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Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.

5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.  

10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.



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