Arm Pain: When to Seek Medical Attention - Family Medicine

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Arm pain or tingling sensation?


About two months ago, I received a pain relief injection in my arm.
After the injection, my arm started to feel painful when pressed, and this week I began to experience a tingling sensation.
There are no bruises or swelling.
Which specialty should I consult for this issue?

Zhi, 30~39 year old female. Ask Date: 2022/01/30

Dr. Cai Dongqi reply Family Medicine


Hello, are you referring to neurology or rehabilitation medicine?

Reply Date: 2022/01/30

More Info


When experiencing arm pain, especially after receiving an injection, it is crucial to understand the potential causes and when to seek medical attention. Based on your description, it seems that you are experiencing pain and tingling sensations in your arm following a pain relief injection. While the absence of bruising or swelling might suggest that the injury is not severe, the symptoms you are experiencing warrant further investigation.


Understanding Arm Pain
Arm pain can arise from various sources, including musculoskeletal issues, nerve compression, or complications from injections. In your case, the pain following an injection could be due to several factors:
1. Injection Site Reaction: Sometimes, injections can cause localized irritation or inflammation at the site, leading to pain or discomfort. This is usually temporary and resolves on its own.

2. Nerve Irritation or Injury: If the injection was administered near a nerve, it could lead to irritation or injury, resulting in symptoms like tingling, numbness, or shooting pain. This is particularly relevant if the pain is radiating or if you feel a "pins and needles" sensation.

3. Muscle Strain: If you have been using your arm more than usual or in an unusual manner since the injection, you might have strained a muscle, leading to pain.

4. Infection: Although less common, there is a risk of infection at the injection site, which could lead to pain, swelling, and redness. If you notice any signs of infection, such as fever or increased warmth at the site, seek medical attention immediately.


When to Seek Medical Attention
Given your symptoms, it is advisable to consult a healthcare professional if:
- The pain persists or worsens over the next few days.

- You begin to experience additional symptoms, such as swelling, redness, or warmth at the injection site.

- You notice any changes in sensation, such as increased numbness or weakness in the arm.

- The pain interferes with your daily activities or sleep.


Which Specialist to See
In terms of which specialist to consult, you have a few options:
1. Primary Care Physician: They can perform an initial evaluation and determine if further testing or referral to a specialist is necessary.

2. Orthopedic Specialist: If the pain is suspected to be related to musculoskeletal issues, an orthopedic doctor can assess for any injuries or conditions affecting the bones, joints, or muscles.

3. Neurologist: If there are significant neurological symptoms (like persistent tingling or weakness), a neurologist can evaluate for nerve-related issues.

4. Pain Management Specialist: If the pain is chronic or severe, a pain management specialist can provide targeted treatments and therapies.


Conclusion
In summary, while your symptoms may not seem severe at this moment, it is essential to monitor them closely. If the pain persists or worsens, or if you develop additional symptoms, seeking medical attention is crucial. A healthcare professional can provide a thorough evaluation, determine the underlying cause of your pain, and recommend appropriate treatment options. Remember, early intervention can often lead to better outcomes, so don’t hesitate to reach out for help if needed.

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