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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Dull Pain In Arm, Shoulder And Big Toe Indicate A Heart Attack?

Hi, My left arm and shoulder hurt. Just dull pain. Ijust had an attack of something in my left big toe and went to urgent care(very painful) and they gave me indocin and sent blood for test for uric acid. I m worried that these may be heart attack symptoms. Tim
Tue, 11 Feb 2014
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General & Family Physician,  's  Response
Hi and welcome to HCM. A dull pain in arm and shoulder may indicate angina (symptoms of heart attack), but not always. Your age, any other risk factors like high BP, Diabetes, High cholesterol, family history of heart attack all should be taken in to consideration to assess your risk to heart attack. Big toe pain is not a indicator of heart problem, if the pain is more intense in night time it may indicate gout. Your doctor has done right thing to diagnose this. Blood tests showing hyperuricemia can support the diagnosis. For pain in left arm and shoulder your doctor after complete examination may refer to orthopedician. Treating gout first priority is to relieve pain and shorten the acute attack. NSAIDs (nonsteroidal anti-inflammatory drugs) such as indomethacin, diclofenac, ketoprofen, and naproxen are the mainstay of treatment. All the best, Regards
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Can Dull Pain In Arm, Shoulder And Big Toe Indicate A Heart Attack?

Hi and welcome to HCM. A dull pain in arm and shoulder may indicate angina (symptoms of heart attack), but not always. Your age, any other risk factors like high BP, Diabetes, High cholesterol, family history of heart attack all should be taken in to consideration to assess your risk to heart attack. Big toe pain is not a indicator of heart problem, if the pain is more intense in night time it may indicate gout. Your doctor has done right thing to diagnose this. Blood tests showing hyperuricemia can support the diagnosis. For pain in left arm and shoulder your doctor after complete examination may refer to orthopedician. Treating gout first priority is to relieve pain and shorten the acute attack. NSAIDs (nonsteroidal anti-inflammatory drugs) such as indomethacin, diclofenac, ketoprofen, and naproxen are the mainstay of treatment. All the best, Regards