Skin Pain and Infection: Possible Causes and Concerns - Family Medicine

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Skin experiencing tingling and infection issues?


Today while walking, I felt a sudden sharp pain in my left elbow as sweat dripped down.
When I got home, I checked and there didn't seem to be any wounds or broken skin.
However, when I lightly touched it with my fingers, I experienced a tingling sensation.
Could this be related to the fact that I often rest that area on the desk while using the computer? Or could there be other issues that might cause this? I have a history of C5 cervical spine injury and also have heart disease.

Nìmíng, 20~29 year old female. Ask Date: 2017/08/07

Dr. Chen Taicheng reply Family Medicine


- Skin tingling is more likely related to pressure; however, due to the injury at the C5 cervical vertebra, it may also cause discomfort in the elbow, although this is less common.
If the issue is related to the neck, symptoms of numbness and tingling in the hand would persist.
If discomfort continues, follow-up with a neurologist or a rehabilitation specialist is recommended.

- The infection issue you initially raised is unlikely to occur.
You may refer to the recent Q&A at https://goo.gl/zis1ri.
Wishing you good health, Dr.
Chen Tai-Cheng, Family Medicine, Taoyuan Hospital.

Reply Date: 2017/08/07

More Info


Skin pain, especially when it occurs suddenly and without visible injury, can be perplexing and concerning. Your description of experiencing a sharp, stabbing pain in your left elbow after sweating, combined with your history of neck injury (specifically at the C5 vertebra) and heart issues, suggests that there could be several underlying factors contributing to your symptoms.


Possible Causes of Skin Pain
1. Nerve Irritation or Compression: Given your history of a C5 neck injury, it is possible that you are experiencing nerve irritation or compression. The C5 nerve root can affect sensations in the arm and may lead to symptoms such as tingling, numbness, or pain in the areas it innervates. If you are resting your arm on a hard surface, like a desk, for extended periods, this could exacerbate any existing nerve issues, leading to heightened sensitivity or pain.

2. Peripheral Neuropathy: Conditions such as diabetes, vitamin deficiencies (especially B vitamins), or other systemic illnesses can lead to peripheral neuropathy, which manifests as abnormal sensations, including pain, in the extremities. If you have any underlying health issues, it might be worth investigating these possibilities.

3. Referred Pain: Sometimes, pain can be referred from other areas of the body. For instance, issues related to the heart can sometimes manifest as pain in the left arm or shoulder. Given your history of heart disease, it is crucial to consider this as a potential cause, especially if the pain is accompanied by other symptoms such as shortness of breath, chest pain, or dizziness.

4. Skin Conditions: While you mentioned there are no visible injuries, certain skin conditions can cause pain without obvious external signs. Conditions like shingles (herpes zoster) can cause pain in a dermatomal distribution before any rash appears. Other dermatological issues, such as contact dermatitis or eczema, could also lead to discomfort.

5. Musculoskeletal Issues: Prolonged computer use and poor posture can lead to muscle strain or tension in the neck and shoulder area, which can radiate pain down the arm. This could be exacerbated by repetitive movements or awkward positioning while typing.


Recommendations
1. Posture and Ergonomics: Evaluate your workstation setup. Ensure that your chair and desk are at appropriate heights to minimize strain on your neck and arms. Consider using ergonomic tools, such as a wrist rest or an adjustable chair, to support proper posture.

2. Stretching and Movement: Incorporate regular breaks into your computer work routine. Stand up, stretch, and move around every 30 minutes to promote circulation and reduce muscle tension.

3. Consult a Specialist: Given your symptoms and medical history, it would be prudent to consult a healthcare professional. A neurologist could assess for nerve-related issues, while a physical therapist could provide exercises to strengthen and stabilize your neck and shoulder muscles.

4. Monitor Symptoms: Keep track of when the pain occurs, its intensity, and any accompanying symptoms. This information can be valuable for your healthcare provider in determining the cause.

5. Consider Imaging: If the pain persists or worsens, imaging studies such as an MRI of the cervical spine may be necessary to evaluate for any structural issues that could be contributing to your symptoms.

In conclusion, while your symptoms may be related to your previous neck injury and current posture, it is essential to consider all potential causes, including nerve issues and systemic conditions. Seeking professional medical advice will help clarify the situation and guide you toward appropriate management strategies.

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