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Suggest Remedy For Pain And Tingling Sensation In Right Side Of Body

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Posted on Tue, 27 Jan 2015
Question: Hello I have been taking 15,000 units of tinzaparin since the middle of October, 2014. In the Last few weeks I have a lot of pain and tingling in my right side. From my right shoulder blade all the way to my fingers.
I was diagnosed with massive pulmonary embolism on both lungs and my left groins.
Are these discomfort cause to be concerned and also I have a hard time to sleep with these constant and painful buzzing. thank you.
doctor
Answered by Dr. Panagiotis Zografakis (1 hour later)
Brief Answer:
Probably not, but investigation is needed

Detailed Answer:
Hello,

let me understand your situation better. You've had pulmonary embolism in the past, you've been prescribed tinzaparin and while on tinzaparin you started having pain and tingling in your right shoulder and arm, Right?
Why did you have this embolism? Do you have tendency for thrombosis? Did it happen after been immobilized for some reason (fracture, surgery etc)?
Tingling and pain may be a result of pressure on the nerves that come out of the spinal canal on your neck. This is commonly caused by either an intervertebral disc protrusion or by chronic degenerative changes in vertebrae but can also be caused by tumors, infection and other equally serious conditions.
Tendinitis can sometimes cause similar symptoms but this is less likely.
Upper extremity thrombosis usually presents with edema (swelling), dilated superficial veins, bluish discoloration of the skin (cyanosis), perhaps low grade fever but it can also present with branchial plexus symptoms which may include the symptoms you mentioned but also muscle weakness.
In conclusion, I believe that nerve pressure either by an intervertebral disc protrusion or by chronic degenerative vertebral changes is the most probable explanation. Tinzaparin should protect you against any kind of thrombosis, so the thrombosis scenario does not sound very likely.
Investigation is needed anyway.

I hope you find my answer helpful!
If you'd like further information, please let me know.

Kind Regards!
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
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Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3809 Questions

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Suggest Remedy For Pain And Tingling Sensation In Right Side Of Body

Brief Answer: Probably not, but investigation is needed Detailed Answer: Hello, let me understand your situation better. You've had pulmonary embolism in the past, you've been prescribed tinzaparin and while on tinzaparin you started having pain and tingling in your right shoulder and arm, Right? Why did you have this embolism? Do you have tendency for thrombosis? Did it happen after been immobilized for some reason (fracture, surgery etc)? Tingling and pain may be a result of pressure on the nerves that come out of the spinal canal on your neck. This is commonly caused by either an intervertebral disc protrusion or by chronic degenerative changes in vertebrae but can also be caused by tumors, infection and other equally serious conditions. Tendinitis can sometimes cause similar symptoms but this is less likely. Upper extremity thrombosis usually presents with edema (swelling), dilated superficial veins, bluish discoloration of the skin (cyanosis), perhaps low grade fever but it can also present with branchial plexus symptoms which may include the symptoms you mentioned but also muscle weakness. In conclusion, I believe that nerve pressure either by an intervertebral disc protrusion or by chronic degenerative vertebral changes is the most probable explanation. Tinzaparin should protect you against any kind of thrombosis, so the thrombosis scenario does not sound very likely. Investigation is needed anyway. I hope you find my answer helpful! If you'd like further information, please let me know. Kind Regards!