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Treatment for pain and anxiety - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2585 Questions
User :   Weird pain in my bicep at the bottom, almost like a muscle cramp that wont go away. I have anxiety about having a heart attack.
Doctor :   Hi
User :   Hello
Doctor :   May I know your age?
User :   Im 18.
Doctor :   Since when are you having this pain?
User :   I dont really ever have the pain, my arm just seemed to cramp up out of no where without muscle strain.
User :   I have high anxiety, sometimes I cant really tell the diference.
Doctor :   Ok
Doctor :   Is the pain located at one particular point or is it radiating pain?
User :   Just really one point.
Doctor :   Ok
Doctor :   Do you feel the pain increase with movement of the arm?
User :   Just when I extend.
User :   Which makes me think its the muscle, but usually a good rub will get it out.
Doctor :   Ok
Doctor :   Do you have chest pain, shortness of breath?
User :   Not really.
User :   Just really bad anxiety.
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   Your symptoms are not suggesting of a cardiac problem.
Doctor :   It is either a muscular pain or a functional symptoms secondary to anxiety.
Doctor :   A good rest and heat therapy should relieve you off this discomfort.
User :   Its feel like there is a bit of a knot.
Doctor :   It is probably the muscle tissue that may be felt as a knot.
Doctor :   Do not worry.
User :   I have this a lot where I think Im having a heart attack, is that just anxiety too?
User :   Randomly throughout the day Im constantly checking my pulse a lot.
Doctor :   You need not worry with your heart
Doctor :   Your symptoms are in no way related to heart attacks.
Doctor :   Its probably the anxiety that is the cause of concern now.
User :   Could it be a pintched nerve?
User :   In the past Ive had a doctor tell me my muscle in my should to neck tense up and put pressure ont hem.
User :   But that was a while ago.
Doctor :   No, symptoms are not suggestive of pinched nerve.
Doctor :   A pinched nerve presents as a radiating pain and not a localised pain.
User :   Well now my shoulder is a bit stiff
Doctor :   Yes, cervical spondylosis can put pressure on the nerves and cause radiating pain.
User :   How can I fix that?
Doctor :   This kind of pain are radiating pain localised on the back of the arm spreading down to your hand.
Doctor :   Good rest to the neck, use of neck collars, painkillers and physiotherapy are used as treatment if nerve compressions are diagnosed.
User :   Should I see a doctor in person to fix this?
Doctor :   Your symptoms are not suggestive of such problems and neither are they due to heart attacks.
Doctor :   I would suggest you to a proper bed rest,
Doctor :   relaxation techniques such as deep breathing exercise.
Doctor :   These simple measures can be tried before you meet your doctor.
Doctor :   Consult a doctor if these 2 measures do not help you.
Doctor :   and if your symptoms are worse despite these measures.
Doctor :   Have you followed what I have suggested?
User :   Yea, I ran some hot water over a towel a while ago and put it on.
User :   No luck yet, just still a steady pain.
Doctor :   Continue heat therapy by using hot water bags, along with deep breathing exercise.
Doctor :   Good and adequate sleep on most instance should relieve you from your symptoms.
Doctor :   See your doctor if your symptoms persists for medication and antianxiety pills.
Doctor :   Have you followed what I have suggested?
Doctor :   Are you there?
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