Which specialty should I see?
Hello Doctor, yesterday I suddenly noticed that the area of skin on the left side of my arm, where it connects to my body, feels strange to the touch.
It hurts when I press on it, but it feels like there is something thick in between.
The sensation is quite dull.
The same area on the right side does not have this issue.
All other functions are normal, and I haven't taken any medication; I jog for half an hour every day.
I have been somewhat anxious over the past six months, and I'm worried it might be a psychological issue, but I'm even more concerned that there might be a physical problem.
Jane, 20~29 year old female. Ask Date: 2021/03/05
Dr. Liao Yaopan reply Family Medicine
Hello, it is recommended to consult a dermatologist for an evaluation.
Online consultations are not equivalent to in-person visits and cannot provide a diagnosis or treatment recommendations.
Changhua Hospital cares about you.
Reply Date: 2021/03/05
More Info
When experiencing unusual skin sensations, particularly in the arm, it is essential to consult the right specialist to accurately diagnose and treat the condition. Based on your description of the skin feeling "strange," with pain upon touching and a sensation of thickness or dullness, it would be advisable to see a dermatologist first. Dermatologists specialize in skin conditions and can assess whether your symptoms are related to a dermatological issue, such as a skin disorder, nerve damage, or another underlying condition.
However, given that you also mentioned feelings of anxiety and concerns about potential neurological issues, it may also be beneficial to consult a neurologist. Neurologists specialize in disorders of the nervous system, including peripheral nerves, which could be relevant if your symptoms are related to nerve damage or dysfunction. They can perform tests such as nerve conduction studies or electromyography (EMG) to evaluate the function of your nerves and determine if there is any underlying neuropathy.
In your case, the sensation of dullness and pain could indicate a few possibilities. One common condition that could cause such symptoms is peripheral neuropathy, which can result from various factors, including diabetes, vitamin deficiencies, or even anxiety and stress. Anxiety can sometimes manifest physically, leading to heightened sensitivity or altered sensations in the skin.
Another possibility is that you may be experiencing a condition known as "allodynia," where normally non-painful stimuli (like light touch) cause pain. This can occur due to nerve irritation or damage, and it may require a neurologist's expertise to diagnose and treat appropriately.
In terms of treatment, it is crucial to avoid self-diagnosing or self-treating without professional guidance. If the symptoms are related to anxiety, addressing the underlying anxiety through therapy or counseling may help alleviate the physical symptoms. If it is a dermatological issue, treatments may include topical medications, lifestyle changes, or specific therapies depending on the diagnosis.
Additionally, maintaining a healthy lifestyle, including regular exercise (as you mentioned you jog), a balanced diet, and managing stress levels, can contribute positively to both your physical and mental health. If you notice any changes in your symptoms, such as increased pain, swelling, or changes in skin color, it is essential to seek medical attention promptly.
In summary, I recommend starting with a dermatologist to evaluate your skin condition. If necessary, they may refer you to a neurologist for further assessment. Addressing both the physical and psychological aspects of your health will be crucial in managing your symptoms effectively. Remember, early intervention often leads to better outcomes, so don’t hesitate to seek help.
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