Left Shoulder and Arm Pain with Heart-Related Symptoms - Neurology

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Pain and discomfort in the left shoulder and arm, along with a sharp pain in the area near the heart?


Last week, I had a mild cold and took medication, which helped, but I started experiencing a dry cough and an itchy throat a few days ago.
I'm not sure if it's because the cold hasn't fully resolved.
Additionally, I've been feeling sharp and stabbing pains on the left side of my chest, near the heart, occurring several times a day—about 5 to 6 times.
Whenever I feel the sharp pain, my left shoulder and left arm become sore, and my fingers feel tingly.
I often feel nauseous as well.
I would like to ask the doctor what might be wrong with me.
I'm feeling quite anxious about it, so I have scheduled an appointment with a cardiologist this Friday evening.
Given the frequent sharp pains, I wanted to inquire here first.

Xiao Jing, 10~19 year old female. Ask Date: 2020/10/13

Dr. Cai Zongzhang reply Neurology


Based on the described symptoms, in addition to cardiology, cervical nerve lesions may also present with the aforementioned symptoms.
It is recommended to undergo an examination by a neurologist.

Reply Date: 2020/10/13

More Info


Your symptoms of left-sided chest pain, shoulder pain, and arm discomfort, especially when accompanied by feelings of nausea, can understandably cause concern about potential heart-related issues. However, it is essential to consider various factors before jumping to conclusions about the heart.

Firstly, while chest pain can indeed be a symptom of heart problems, it is not the only possible cause. Given your recent history of a cold and the presence of a dry cough, it is plausible that your symptoms could be related to a respiratory issue or even muscular strain, especially if you have been coughing frequently. Coughing can lead to muscle soreness in the chest and shoulder area, which might explain the discomfort you are experiencing.

The left arm and shoulder pain you describe can also be associated with several non-cardiac conditions. For instance, musculoskeletal issues, such as muscle strain or tension, can cause pain that radiates to the shoulder and arm. This is particularly likely if you have been engaging in activities that require repetitive arm movements or if you have been in a position that puts strain on your shoulder and neck.

Moreover, anxiety can manifest physically, leading to symptoms such as chest pain, tingling in the arms, and feelings of nausea. If you have been feeling anxious or stressed, this could also contribute to your symptoms. Stress and anxiety can lead to hyperventilation, which may cause sensations of tightness in the chest and discomfort in the arms.

Given your symptoms, it is wise that you have scheduled an appointment with a cardiologist. They will likely perform a thorough evaluation, including a physical examination, an electrocardiogram (ECG), and possibly other tests such as a chest X-ray or echocardiogram, to rule out any cardiac issues. It is crucial to communicate all your symptoms clearly to your healthcare provider, including the frequency and intensity of the pain, any associated symptoms like nausea, and your recent illness.

While waiting for your appointment, consider monitoring your symptoms. If you experience any of the following, seek immediate medical attention:
- Severe chest pain or pressure
- Shortness of breath
- Pain radiating to the jaw, back, or right arm
- Sudden dizziness or fainting
In the meantime, try to manage any anxiety you may be feeling through relaxation techniques, such as deep breathing exercises or gentle stretching. Staying hydrated and avoiding caffeine or stimulants can also help reduce anxiety levels.

In conclusion, while your symptoms warrant a thorough evaluation to rule out heart-related issues, they may also be attributed to non-cardiac causes such as musculoskeletal pain, anxiety, or residual effects from your recent illness. Your upcoming appointment with a cardiologist will provide you with clarity and peace of mind.

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