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What Causes Persistent Neck And Arm Pain?
Question: Hello this question is for dr Sharka . I have gone to c my gp about the pain my neck and arm I am scheduled for an X-ray . My question is of course if I should be worried about cardiac issues
I feel it more when I am sitting down and if bend my head to the side I feel the ache in both my neck and back of upper left arm ...should I again be asking for any further cardiac tests still waiting for stress test all other tests done in May came back normal
I feel it more when I am sitting down and if bend my head to the side I feel the ache in both my neck and back of upper left arm ...should I again be asking for any further cardiac tests still waiting for stress test all other tests done in May came back normal
Brief Answer:
There is no need to perform any other cardiac tests.
Detailed Answer:
Hello!
Welcome back on HCM!
Regarding your concern, I would explain that your symptoms do not seem to be related to any cardiac disorders.
The pain characteristics that you describe are typical of a musculo-skeletal pain or an irradiating nerve pain, which could be explained by a bulging intervertebral disc in the cervical spine. A cervical spine CT scan may be needed, coupled with a nerve conduction study.
Meanwhile, I recommend having some rest and avoiding straining physical activity. Ibuprofen or acetaminophen three times daily will help reduce the pain.
A cervical collar may be needed for some days, based on the above mentioned tests results.
But, there is no need of performing any further cardiac tests, as your symptoms are not cardiac related.
Hope you will find this answer helpful!
I remain at your disposal whenever you have any other uncertainties!
Kind regards,
Dr. Iliri
There is no need to perform any other cardiac tests.
Detailed Answer:
Hello!
Welcome back on HCM!
Regarding your concern, I would explain that your symptoms do not seem to be related to any cardiac disorders.
The pain characteristics that you describe are typical of a musculo-skeletal pain or an irradiating nerve pain, which could be explained by a bulging intervertebral disc in the cervical spine. A cervical spine CT scan may be needed, coupled with a nerve conduction study.
Meanwhile, I recommend having some rest and avoiding straining physical activity. Ibuprofen or acetaminophen three times daily will help reduce the pain.
A cervical collar may be needed for some days, based on the above mentioned tests results.
But, there is no need of performing any further cardiac tests, as your symptoms are not cardiac related.
Hope you will find this answer helpful!
I remain at your disposal whenever you have any other uncertainties!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello
Thank you again for your response I will be seeing my gp but right now I am getting that little sharp pain upper Sturnum with movement which I believe it to be Costo flare up as I am on the go today I goes only Tylenol will help
Thank you again for your response I will be seeing my gp but right now I am getting that little sharp pain upper Sturnum with movement which I believe it to be Costo flare up as I am on the go today I goes only Tylenol will help
Brief Answer:
My answer as follows:
Detailed Answer:
Hello again!
Yes, definitely it seems to be a musculo-skeletal issue.
I agree with you that Tylenol would be helpful. If the pain persists, you can take also ibuprofen 400 mg in addition to Tylenol.
Hope to have been helpful!
Let me know about everything!
Greetings,
Dr. Iliri
My answer as follows:
Detailed Answer:
Hello again!
Yes, definitely it seems to be a musculo-skeletal issue.
I agree with you that Tylenol would be helpful. If the pain persists, you can take also ibuprofen 400 mg in addition to Tylenol.
Hope to have been helpful!
Let me know about everything!
Greetings,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Actually I did take a extra strength Advil liquid gel
Due to the fact that it is in my Sturnum although it hurts to touch it also gives off some sharp pains in mid to upper Sturnum always makes me think it is cardiac related should I be worried
Due to the fact that it is in my Sturnum although it hurts to touch it also gives off some sharp pains in mid to upper Sturnum always makes me think it is cardiac related should I be worried
Brief Answer:
Your symptoms are not cardiac related.
Detailed Answer:
Hello again!
Your symptoms are not cardiac related. As a cardiologist I can assure you about that!
Do relax and don't worry about it!
All your pain characteristics are typical of misc upon skeletal pain. Your heart doesn't hurt when touching the chest or breathing or changing body position. It is too deep.
So try not to think about it!
I am sure that you will feel better soon. You should just be a little more patient.
Everything will be OK!
I remain at your disposal in case you have any other questions.
Regards,
Dr. Iliri
Your symptoms are not cardiac related.
Detailed Answer:
Hello again!
Your symptoms are not cardiac related. As a cardiologist I can assure you about that!
Do relax and don't worry about it!
All your pain characteristics are typical of misc upon skeletal pain. Your heart doesn't hurt when touching the chest or breathing or changing body position. It is too deep.
So try not to think about it!
I am sure that you will feel better soon. You should just be a little more patient.
Everything will be OK!
I remain at your disposal in case you have any other questions.
Regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you I do have one more question for u
Are the following tests good to rule out cardiac issues
Loop test
Echo
Ecg
Blood work
Traponin test
All of these tests were performed at the end of May 2016 and came back normal other than the stress test is there any other test I should ask my gp to perform as we r not able to see a cardiologist with out a referral or when we do out stress test
Than you
Are the following tests good to rule out cardiac issues
Loop test
Echo
Ecg
Blood work
Traponin test
All of these tests were performed at the end of May 2016 and came back normal other than the stress test is there any other test I should ask my gp to perform as we r not able to see a cardiologist with out a referral or when we do out stress test
Than you
Brief Answer:
There is no need to peform any additional cardiac tests.
Detailed Answer:
Hello again!
The above mentioned tests are sufficient to exclude a cardiac issue.
So, there is no need to perform any additional cardiac tests.
Let me explain as follows:
a- the resting ECG and troponin test have excluded any coronary artery disease, related to the chest pain, in the period that is has been performed. A cardiac stress test would help to totally exclude coronary artery disease.
b- the cardiac echo has shown a normal heart structure and function and has excluded possible valvular disease or any anatomical defect of the heart.
c- the blood work has excluded possible infection or inflammation.
So, there is nothing to worry about. Everything seems to be OK with your heart. Besides, as I already explained, your symptoms do not seem to be related to any cardiac disorders.
So there is nothing to raise suspicions of any cardiac disorders. You should just try not to think about this any more.
Hope to have clarified some of your uncertainties!
Wishing all the best,
Dr. Iliri
There is no need to peform any additional cardiac tests.
Detailed Answer:
Hello again!
The above mentioned tests are sufficient to exclude a cardiac issue.
So, there is no need to perform any additional cardiac tests.
Let me explain as follows:
a- the resting ECG and troponin test have excluded any coronary artery disease, related to the chest pain, in the period that is has been performed. A cardiac stress test would help to totally exclude coronary artery disease.
b- the cardiac echo has shown a normal heart structure and function and has excluded possible valvular disease or any anatomical defect of the heart.
c- the blood work has excluded possible infection or inflammation.
So, there is nothing to worry about. Everything seems to be OK with your heart. Besides, as I already explained, your symptoms do not seem to be related to any cardiac disorders.
So there is nothing to raise suspicions of any cardiac disorders. You should just try not to think about this any more.
Hope to have clarified some of your uncertainties!
Wishing all the best,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello
Thank you you have cleared them up and given my some piece ...I was wondering if a muscle relaxant would work for the Costo pain
Also thank you again for your patience it is refreshing to have a dr take time and patience to explain things
Thank you you have cleared them up and given my some piece ...I was wondering if a muscle relaxant would work for the Costo pain
Also thank you again for your patience it is refreshing to have a dr take time and patience to explain things
Brief Answer:
My answer as follows:
Detailed Answer:
Hello again!
I am glad you find my answer helpful.
Regarding musle relaxants, you should know that they are not effective in costochondritis, as it is a deep pain related to inflammation of the cartilages. The main therapy in this case would be anti-inflammatory drugs like NSAID (ibuprofen, naproxen, ketoprofen, etc.).
But, as it is really difficult to differentiate chostochondritis from a muscular pain (which is related to inflammation and contractions of the muscles in this area), you can try a muscle relaxant. If the pain is relieved, it would indicate a muscular pain more than chostocondritis. So a trial would help differentiate the origin of the pain.
Hope to have been helpful!
If you have any other questions, please do not hesitate to ask me!
Wishing all the best,
Dr. Iliri
My answer as follows:
Detailed Answer:
Hello again!
I am glad you find my answer helpful.
Regarding musle relaxants, you should know that they are not effective in costochondritis, as it is a deep pain related to inflammation of the cartilages. The main therapy in this case would be anti-inflammatory drugs like NSAID (ibuprofen, naproxen, ketoprofen, etc.).
But, as it is really difficult to differentiate chostochondritis from a muscular pain (which is related to inflammation and contractions of the muscles in this area), you can try a muscle relaxant. If the pain is relieved, it would indicate a muscular pain more than chostocondritis. So a trial would help differentiate the origin of the pain.
Hope to have been helpful!
If you have any other questions, please do not hesitate to ask me!
Wishing all the best,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello
To give u an update I will be loading my results for u to look at also I went to my osteopath and she did say my ribs r not adjusted she also adjusted my upper chest a bit but now my Sturnum hurts more I will load my results once I have all of them for u to look at
Also I am guessing that my Sturnum will hurt more because she adjusted it
To give u an update I will be loading my results for u to look at also I went to my osteopath and she did say my ribs r not adjusted she also adjusted my upper chest a bit but now my Sturnum hurts more I will load my results once I have all of them for u to look at
Also I am guessing that my Sturnum will hurt more because she adjusted it
Brief Answer:
My answer as follows:
Detailed Answer:
Hello again!
Thank you for the additional information.
Yes, sometimes the maneuvers used can cause a little inflammation and pain. It is usually temporary.
I recommend taking ibuprofen and Tylenol for some days.
Anyway, it does not seem to be anything concerning.
So try to relax and don't worry about this too much.
I would be happy to review all your uploaded tests for another professional opinion!
Regards,
Dr. Iliri
My answer as follows:
Detailed Answer:
Hello again!
Thank you for the additional information.
Yes, sometimes the maneuvers used can cause a little inflammation and pain. It is usually temporary.
I recommend taking ibuprofen and Tylenol for some days.
Anyway, it does not seem to be anything concerning.
So try to relax and don't worry about this too much.
I would be happy to review all your uploaded tests for another professional opinion!
Regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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