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Pain on wrist rotation - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   I think I might have a Pancoast Tumor. For the past year I have had pain in my left wrist. It doesen't really impact me that much but when I rotate it the pain is apparent. Well about a month ago I noticed pain in my left shoulder. This pain came out of nowhere. I did not injure myself doing any activities. The pain is so bad that I have issue sleeping at night. When I do anything active I tend to use my right arm because the left one gives out. I do smoke and have been for about seven years. I am a 24 year old male in relatively good health. Occasionally I have pressure in the left side of my chest and I tend to rub it. This usually happens after a night of smoking and drinking. I have no health insurance and no income. I recently graduated college and can't find work. What should I do? Both the pain in my wrist and shoulder are not going away.
Doctor :   hello
User :   Hi
Doctor :   i am Dr XXXX here
User :   I am worried
Doctor :   give me a min let me read your query
Doctor :   how much do you smoke ?
User :   two to three a day and on weekends I smoke more
Doctor :   have you lost weight ?
User :   No I am still around the same
Doctor :   ok from the signs and symptoms you have told me its highly UNLIKELY that you have pancoast tumor
User :   What about cancer in general, why does the pain in my wrist and shoulder not let up?
Doctor :   what it looks like more of a nerve compression injury rather than something serious like a tumor
User :   So cancer and a tumor is unlikely?
Doctor :   yes
User :   How would I go about taking care of a nerve compression issue?
Doctor :   bu i would suggest you to try quit smoking
User :   Can the pain in my wrist and shoulder be linked together from having a nerve issue?
Doctor :   i would suggest you to buy a wrist wrap to give rest
Doctor :   and avoid any movement for 2 weeks
Doctor :   immobilization of the wrist in a splint, and occasionally ice application
User :   I have been unemployed for two months yet the pain the wrist has been the same for over a year. I have not been active, no sports, no heavy lifting.
Doctor :   also have Vitamin B6 capsules that you can get without prescription
Doctor :   nerve compression does not means you would be doing heavy work ... for it to happen
Doctor :   you need to give it rest for 2 weeks
User :   Other then rest is there any other way to fix it? Would surgery be possible?
Doctor :   not at this stage
Doctor :   we will go step by step .. apply cold compresses give it rest by putting it in a splint
Doctor :   and then we will see if you get relief and i am sure you will
Doctor :   you don't have to worry about tumor . that's not the case ..nor it presents like that
User :   So the word cancer and tumor shouldn't be applied to my situation... this is all I need to know.
Doctor :   yes it does not
User :   I am basically out of time correct?
Doctor :   try quitting smoking
Doctor :   you have a timer indicating your time left
Doctor :   try giving slight massage on your wrist with oil.. that will increase the circulation
Doctor :   and help you
User :   Same with the shoulder?
Doctor :   yes same with yoru shoulder
User :   Alright thank you very much.
Doctor :   your
Doctor :   your welcome
Doctor :   take care
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