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Shoulder pain, chest pain, back pain, arm numbness, sweating, breathlessness, high heart rate. Done X-ray. Need to know how this pain happens

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Internal Medicine Specialist
Practicing since : 1998
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pain ok for about a couple days now I've had serve shooting pericing pains in left shoulder blade that happen within secs and disapper but leave behind a achy pain thats unbearable:(( also I've been to the er 3 times in these past couple days they have checked for heart with ekgs,heart enyzems blood work, and xray in the past I've had a stress test last year ,I've had the heart sono test, I've had a d dimer test about two weeks ago ,and a arital blood gas test too, ive had chest pain ,back pain ARM numbness so on ,sweats, short of breath ,high heart rate and no one can seen to tell me my problems I've had scope ran down my throat last year everything turned out ok ,I had xray on chest ,shoulders ,neck I need help I need to kno how this pain happens,what's causing these serve Sharp attacks because its been putting me down on my butt for the last few days I'm scared I'm a mother a four kids my husband stays gone a week at a time and I don't want something bad to happen while he's gone( my history I've had hypothyroid since I was 15, I don't smoke ne more, I don't have high blood pressure it usually runs low ,my cholesterol was high til my thyroid got fixed now its normal, no family history of heart dieases ,or strokes, or clots ,and I'm not diabetic.. so please help me
Posted Wed, 30 May 2012 in General Health
 
 
Answered by Dr. Jasvinder Singh 5 hours later
Hello,
Thanks for posting your query.

These symptoms can be due to thoracic outlet syndrome which is is a group of symptoms produced by a positional, intermittent compression of the brachial plexus and/or subclavian artery vein and the vertebral artery.

It is good that your cardiac status has come out fine and the x-rays have also come out fine. In this case, thoracic outlet syndrome is an important possibility to be explored.

Mostly it comprises of neurological symptoms characterized by compression of the brachial plexus which is a network of nerves that come from your spinal cord. This may cause Pain in your shoulder and neck, Numbness or tingling in your fingers and hands, ache in your arm and hand and ultimately weakening grip.

Diagnosis is difficult and apart from physical examination may involve provocation tests, electromyography and nerve conduction velocity tests. High resolution MRI/MRA of the Brachial Plexus may also be done.

You should get this possibility explored by your physician to confirm the diagnosis.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.










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Follow-up: Shoulder pain, chest pain, back pain, arm numbness, sweating, breathlessness, high heart rate. Done X-ray. Need to know how this pain happens 7 hours later
Okay well then I get these symptoms but most of the Sharp pains have been occurring from my vagina/ lower stomach it feels as if I need to fart but can't sometimes if I pee it will send the Sharp pain up into my shoulder blade like pain in my rib and sharp pains n tummy woke me up from my sleep this morning and also this syndrome u speak of I've been taking baby asprin for a lil while now and there a chance o have a clot in arm even with a d dimer done just curious and is this syndrome life threaten I want to also mention everytime I eat the pain will tend to get worse afterwards and that the pain has been there non stop for hours of dull ,achy pain after the Sharp pains ,the Sharp pericing pain I experience last bout two to three sec then gone buy appear later * So my question to u would be I didn't see those signs or symptoms with that syndrome so is it still possible and its hard for me to go to a Dr cause I stay home alone with kids while my husband is out of town a lot so when he does get home if I'm not feeling well then we go to er witch they run the standard test n send me home witch does me no good I keep pain in my neck ,n shoulder all the time sometimes n the jaw too I've had that awhile now but this Sharp pains are somethin new anf scary and I've had this other pains like neck,shoulder,tingling fingers,painfully arm for months and months so is there chance that I have a clot somewhere or blockage even after xray ,test and so on this pain is beginning to debilitate me so please help me understand more and other possible things :))
 
 
Answered by Dr. Jasvinder Singh 17 hours later
Hello,

Thanks for writing back to me.

I can understand your concern for this pain. But it is a relief that your cardiac tests are normal. Considering your pains are worse after eating and having sharp pain in lower stomach also, it is important to rule out any acid reflux as well which can be precipitated by anxiety attack.

If you had previous cesarean sections, then adhesions can also be thought of. Thoracic outlet syndrome is not life threatening and is curable. You can get these possibilities investigated from your doctor.

Till that time, try raising the head of your bed about four inches with blocks. It also might help to avoid eating or drinking for two hours before you lie down. To help control the stomach acid, one should not drink alcohol or drinks with caffeine in them, or eat chocolate or spicy or greasy foods .

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.
Above answer was peer-reviewed by
 
Follow-up: Shoulder pain, chest pain, back pain, arm numbness, sweating, breathlessness, high heart rate. Done X-ray. Need to know how this pain happens 16 hours later
okay I have acid refulx have had it since I was 18 so along time also I wanted to ask you something else y I have the the time I've had serve pain in right leg by calf ,some in hip I haven't on top of thigh ,feels like Sharp pain sometime and then I get bad pain n hip and back I've been checked prob 10 times within this last year with a doppler test and d dimer tests, plus I have been on ne long car rides without walking ,and haven't been on no plane rides ever ,I don't excerise tho I sit around a lot ,I have no family history for clots,have no diabetes ,don't smoke, don't drink, I'm 27 5'5 254pds so I'm a lil over weight sometimes my foot will go numb ,and at times my knee will hurt bad I've been having these pains for a lil while now just tho I'd ask bout it :) I just feel like I spend all my time at the er then at home cause I'm steadly worry myself bout ever lil pain in my body cause I'm home alone with my kids my other pain after taking tums, and some protonix eased up thank goodness now I'm stressing over this bad leg pain and I've had it before as I said just seems a lot worse this time and hurts when I sit,drive ,don't hurt to walk ,don't hurt to pull foot forward or back so please please give me your full opinion thank you for all the advice u have gave me greatly appreciative and relaxes me more:)
 
 
Answered by Dr. Jasvinder Singh 28 hours later
Hello,


Thanks for writing back.

One possibility for such pain in calf and hips and numbness in foot can be sciatica which is characterized by pain radiating downward from the buttock over the posterior or lateral side of the lower limb. It is caused by certain positions are usually associated with continually holding a poor posture either at home or at work.

Imaging methods such as MR Neurography may help diagnosis and treatment of sciatica. You can take OTC pain killers like brufen,do some stretching exercises and yoga and maintain a correct upright posture while sitting.

Severe cases may require surgery.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.
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