Left upper arm muscle strain, weakness?
I have been experiencing stiffness and weakness in my left upper arm for several months.
It feels like the muscle is stuck, and I have difficulty stretching it.
I am unable to sleep well due to this issue.
I can raise my arm to shoulder level without stiffness, but when I try to move my arm backward, it can only go to a 90-degree angle relative to my body.
I kindly request your assistance.
Niming, 50~59 year old female. Ask Date: 2022/06/22
Dr. Wang Zhaomin reply Rehabilitation
This is a consultation platform and cannot provide a diagnosis.
Musculoskeletal or neurological lesions in the shoulder and neck region may lead to symptoms.
It is recommended to visit an orthopedic, neurology, or rehabilitation specialist for an actual examination by a physician, which is necessary for further diagnosis and to arrange appropriate treatment.
Reply Date: 2022/06/22
More Info
Understanding left upper arm stiffness and weakness can be quite complex, especially when symptoms persist for several months. Based on your description, it seems you are experiencing a combination of stiffness, weakness, and possibly some discomfort or pain in your left upper arm. This could be attributed to several potential causes, including muscular issues, nerve compression, joint problems, or even postural habits.
Possible Causes
1. Muscle Strain or Injury: If you've engaged in physical activities that involve repetitive motions or heavy lifting, you may have strained the muscles in your upper arm. This can lead to stiffness and weakness, particularly if the muscles are not given adequate time to recover.
2. Nerve Compression: Conditions such as thoracic outlet syndrome or cervical radiculopathy can lead to nerve compression, resulting in weakness and stiffness in the arm. If the nerves that supply the arm are compressed, it can lead to symptoms like tingling, numbness, or weakness.
3. Rotator Cuff Issues: The rotator cuff is a group of muscles and tendons that stabilize the shoulder. If there is an injury or inflammation in this area, it can lead to pain and restricted movement in the upper arm.
4. Postural Problems: Poor posture, especially if you spend long hours sitting or sleeping in a position that puts pressure on your shoulder or arm, can lead to stiffness and discomfort. This is particularly relevant if you tend to sleep on your side or have a habit of leaning on your arm while sitting.
5. Frozen Shoulder (Adhesive Capsulitis): This condition is characterized by stiffness and pain in the shoulder joint, which can limit the range of motion in the arm. It often develops gradually and can be associated with prolonged immobility or injury.
6. Tendinitis or Bursitis: Inflammation of the tendons (tendinitis) or the bursa (bursitis) around the shoulder joint can lead to pain and stiffness. This is often exacerbated by repetitive overhead activities.
Solutions and Recommendations
1. Rest and Modify Activities: If you suspect that your symptoms are related to overuse or strain, it is crucial to rest the affected arm and avoid activities that exacerbate the pain. Modify your daily activities to reduce strain on the arm.
2. Physical Therapy: Engaging in physical therapy can be highly beneficial. A physical therapist can provide you with specific exercises to improve strength, flexibility, and range of motion in your arm. They can also teach you proper body mechanics to prevent further injury.
3. Stretching and Strengthening Exercises: Gentle stretching exercises can help alleviate stiffness. Focus on stretches that target the shoulder and upper arm. Strengthening exercises can also help improve muscle support around the shoulder joint.
4. Posture Correction: Pay attention to your posture, especially when sitting or sleeping. Use ergonomic furniture and consider using a supportive pillow that keeps your neck and spine aligned while you sleep.
5. Heat and Ice Therapy: Applying heat can help relax and loosen tissues and stimulate blood flow to the area. Ice can reduce inflammation and numb sharp pain. Alternating between heat and ice may provide relief.
6. Consult a Specialist: If your symptoms persist despite conservative measures, it may be wise to consult a healthcare professional, such as an orthopedic specialist or a neurologist. They can perform a thorough evaluation, including imaging studies if necessary, to determine the underlying cause of your symptoms.
7. Medication: Over-the-counter anti-inflammatory medications can help manage pain and reduce inflammation. However, consult with a healthcare provider before starting any medication.
In conclusion, left upper arm stiffness and weakness can arise from various causes, and addressing the issue requires a comprehensive approach. By understanding the potential underlying factors and implementing appropriate strategies, you can work towards alleviating your symptoms and improving your arm function. If symptoms persist or worsen, seeking professional medical advice is essential for proper diagnosis and treatment.
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