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Radiating chest pain due to nerve compression - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
User :   Hi, Have had radiating discomfort in my left armpit and pins and needles in left arm and hand when I use them or when I sleep ( sleep on my stomach with hands above head which I rest my head on). Pain is also under my left pectoral muscle but deep. This has been going on for 3 weeks and seems to get worse if I ingest stimulant(coffee/coke/alcohol). Pain has started now just below meck in spine and am getting small headaches in right side of head. Someone suggested that it is a pinch nerve of something which I have had before. Left check and neck are now feeling pins and needles.
Streched today and felt better -- I do take Diovan of Stage 1 Hypertension. Have been taking constant readings and always 130-135 over 85-90
Had 1/2 of glass of beer at lunch and felt very good -- almost no discomfort, but now I am flushed red in face and head, back of neck espically.
Doctor :   Let me read your query for few minutes to be able to have a good discussion here.
Doctor :   Ok, I studies your history
Doctor :   Is there any alteration in the temperature sense in the affected area ?
User :   In the shoulder and arm. No nothing. Only Face, head, neck front and back
Doctor :   How is the difference ?
User :   How is the difference in what? My face,neck and head are flushed like I have a fever. But I am not running a fever. I am more concerned about the radiating pain and it being cardio or something.
Doctor :   I meant to ask whether the temperature perception is normal in the affected areas ?
Doctor :   also about touch perception ?
Doctor :   this helps me to differ between a cardio and a neuro cause
User :   yes. It seems to be. I am reading 98.9. hands are warm and shoulder warm. not sure if they were before. have normal color.
Doctor :   ok, i get it
Doctor :   well that cant be expected if its a blood circulation deficit, i consider the problem in the nerves
Doctor :   the headache you have is it more and please tell me the exact location ?
User :   right front cortex area ( behind and above eye) -- comes and goes. Almost gone again now.
Doctor :   ok, did you take any medication for the problem ?
User :   took 2 Ecotrin about an 45 minutes ago.
Doctor :   did it help ?
User :   the headache yes. The pins and needles in the left jowel/cheek are still there a little and hand and arm still have small amounts still
Doctor :   ok, i suggest you to get a screening MRI scan of the head and neck and also a ECHOCRDIOGRAPHY
Doctor :   both will give a detailed insight into the exact cause
Doctor :   i still consider it to be due to CNS affection,
Doctor :   either in the motor cortex of the brain which lies just behind the frontal cortex
Doctor :   or in the spinal cord in the neck
Doctor :   the MRI will surely spot it out clearly
Doctor :   Are you there ?
User :   I will get both. Thanks
Doctor :   you are welcome
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