question-icon

What does persistent pain in the arms, legs and below the heart indicate?

default
Posted on Wed, 4 Oct 2017
Question: I wrnt out shopping today usally go when had rest from last shop now i am so much pain i am wrak in the left arm and shooting pain down both legs right hurts more.
And i have sharp pain just below me heart this happens when i do to much getting to a stage where it dosnt stop . Hurts driving getting in n out of car just had a MRI you can c the damage . And just sitting straight tryin to i have great pain both sides just above me bottom to half way up back.
The previous doctors do say i have
doctor
Answered by Dr. Ilir Sharka (46 minutes later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that your symptoms could be related to a spine disorder.

I would exclude any cardiac disorders, because your symptoms are not typical of any cardiac disorders.

The shooting pain the arms and legs, and even in the thoracic region is typical of a nerve damage or a spine compression.

For this reason, I would recommend consulting with your attending physician for a careful physical exam and some tests:

- a cervico-thoracic spine X ray study
- a nerve conduction study to exclude a possible nerve compression
- blood electrolytes
- vitamin D levels for possible deficiency.

You should discuss with your doctor on the above issues!

Wishing all the best,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Ilir Sharka (2 hours later)
L5 s1 L4 L3 L2 didnt have much sleep last night as i am in pain thevshooting pain dwn right leg to me toes and the pain is in the bone i need to see a gd doctor back specialist i wld b a gd candidate if there any trials for pain relief i dnt go out so depressed with me pain i cant keep living the way i am. 2009 my accidant at work happened my pain level today bout 5
doctor
Answered by Dr. Ilir Sharka (15 hours later)
Brief Answer:
My answer as follows:

Detailed Answer:
Hello again!

Thank you for the additional information!

The shooting pain to your legs could be related to the disc herniation in these levels of the lumbar spine.

But the shooting pain in your arm, is related to the cervical spine.

For this reason, I recommend performing a cervical spine X ray study.

The nerve conduction study is also necessary to exclude a possible peripheral neuropathy or a pinched nerve.

You should discuss with a neurologist on this.

There are several treatment options for this kind of pain, including antidepressants (duloxetine) and anti-epilepsy drugs (pregabaline and gabapentine). These drugs are used for some months, and their target is chronic nerve or back pain.

A spinal surgeon consult may be necessary based on your cervical spine MRI. If spinal canal compression is revealed by the cervical spine MRI or lumbar spine, surgery may be needed.

You should discuss with your doctor on the above tests and issues.

Hope you will find this answer helpful!

Wishing all the best,

Dr. Iliri


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 7717 Questions

premium_optimized

The User accepted the expert's answer

Share on
What does persistent pain in the arms, legs and below the heart indicate?

Brief Answer: I would recommend as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! Regarding your concern, I would explain that your symptoms could be related to a spine disorder. I would exclude any cardiac disorders, because your symptoms are not typical of any cardiac disorders. The shooting pain the arms and legs, and even in the thoracic region is typical of a nerve damage or a spine compression. For this reason, I would recommend consulting with your attending physician for a careful physical exam and some tests: - a cervico-thoracic spine X ray study - a nerve conduction study to exclude a possible nerve compression - blood electrolytes - vitamin D levels for possible deficiency. You should discuss with your doctor on the above issues! Wishing all the best, Dr. Iliri