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Having shoulder pain, swelling in ankles and toes. Having pinched nerve in neck. Due to B12 shortage?

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Practicing since : 2007
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hi this happens mostly in the morning shoulder pain .gets better standing and can come on suddenly as i get in truck to shortness of wind.belching will help.i work all day on my feet with no trouble.can also come on bending over to do something.i have swelling in both ankles tingly toes tingly fingers.have had pinched nerve in neck.heart stent in 1998.have run the test on med md.may be b12 shortage?
Posted Sun, 17 Nov 2013 in Medicines and Side Effects
Answered by Dr. Jorge Brenes-Salazar 1 hour later
Brief Answer:
Rule out nerve compression

Detailed Answer:
Dear patient,

Thanks for the query. Although it is difficult to make a specific diagnosis without dynamic maneuvers on physical examination and additional imaging, given your history of a pinched nereve in the neck, the first thing that should be done would be that of ensuring that a new nerve compression is not the cause of pain in the shoulder, in which case it would be a referred pain. As you knwo, the nerves that give sensation and movement to both the neck and arms originate at the base of the neck (brachail plexus). As it comes all suddenly without mechanical strain, it could be a nerve rather than one of the many degenerative causes of shoulder pain.

Yours truly,

Dr Brenes-Salazar MD
Mayo Clinic MN
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