Left Arm Pain and Numbness: Possible Causes and Solutions - Neurology

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Left arm pain and numbness?


Hello Doctor, recently I have been experiencing a tingling sensation in my left arm along with weakness in my left arm, which occurs several times a day but lasts only a few seconds.
Additionally, my left foot occasionally feels numb, and I have also experienced tingling in my left scalp once or twice, which also lasts only a few seconds.
There are no such symptoms on my right side.
I would like to ask if this could be related to issues with my cervical spine or vertebrae? Are there any methods for improvement? Thank you, Doctor!

Niming, 10~19 year old female. Ask Date: 2022/08/10

Dr. Jiang Junyi reply Neurology


Hello, Miss: Your symptoms suggest a peripheral nerve issue, but the location of the problem may vary.
You mentioned that your "left upper arm feels sore," which may indicate nerve compression in the cervical spine.
The "numbness in the left palm" could suggest compression of peripheral nerves, such as the median or ulnar nerve.
Symptoms of peripheral nerve compression include: 1.
Pain characterized by burning or tingling sensations.
2.
Symptoms that have a specific dermatomal distribution, which can be triggered by touch or pressure.
3.
Accompanied by muscle weakness or fatigue.

Examinations for peripheral nerve issues typically involve electrophysiological studies to assist in diagnosis.
Nerve conduction studies assess the conduction velocity and waveform of large fiber nerves.
Electromyography (EMG) evaluates muscle responses in the affected nerve distribution areas.

It is advisable to increase your intake of B vitamins and to remind yourself to stand up and stretch every half hour, including wrist stretches, to avoid exacerbating symptoms due to nerve compression and muscle tightness.
I recommend that you visit a neurology clinic for further evaluation and follow-up.

Thank you for your inquiry, and feel free to discuss any related questions! Wishing you good health and peace.

Dr.
Jiang Junyi, Taoyuan Hospital, cares for you.

Reply Date: 2022/08/10

More Info


The symptoms you are experiencing, including left arm pain, numbness, and weakness, as well as occasional numbness in your left foot and scalp, could be indicative of several underlying issues. Given your age and the nature of your symptoms, it is essential to consider both musculoskeletal and neurological factors.

Firstly, the left arm symptoms you describe—pain, numbness, and weakness—could be related to nerve compression or irritation. This is often seen in conditions such as cervical radiculopathy, where a nerve root in the neck is compressed, leading to pain and sensory changes in the arm. Poor posture, especially if you spend long hours sitting or leaning forward, can exacerbate these issues by placing additional strain on the cervical spine and surrounding structures.

Another possibility is thoracic outlet syndrome, where the nerves or blood vessels between your collarbone and first rib are compressed. This can lead to symptoms similar to what you are experiencing, particularly if you have a history of repetitive overhead activities or poor posture.

Additionally, your symptoms could also be related to muscle strain or overuse, particularly if you engage in activities that require repetitive arm movements or heavy lifting. Muscle tightness in the neck, shoulders, or upper back can lead to referred pain and numbness in the arms.

The occasional numbness in your left foot and scalp could suggest a more systemic issue, such as peripheral neuropathy, which can be caused by various factors including diabetes, vitamin deficiencies, or other metabolic conditions. However, given that these symptoms are intermittent and localized to one side, they may also be related to postural issues or nerve compression.

To address these symptoms, consider the following steps:
1. Posture Correction: Evaluate your sitting and sleeping positions. Ensure that your workstation is ergonomically set up to reduce strain on your neck and shoulders. Use a chair that supports your lower back and keep your computer screen at eye level.

2. Physical Therapy: A physical therapist can provide targeted exercises to strengthen the muscles around your neck and shoulders, improve flexibility, and relieve nerve compression. They can also teach you proper body mechanics to prevent further injury.

3. Stretching and Strengthening: Incorporate regular stretching and strengthening exercises into your routine. Focus on the neck, shoulders, and upper back to alleviate tension and improve posture. Gentle neck stretches and shoulder rolls can be beneficial.

4. Heat and Ice Therapy: Applying heat can help relax tight muscles, while ice can reduce inflammation if there is any swelling. Alternating between the two may provide relief.

5. Medical Evaluation: If symptoms persist or worsen, it is crucial to seek a medical evaluation. A healthcare professional may recommend imaging studies, such as an MRI or X-ray, to assess for any structural issues in the cervical spine or other areas.

6. Lifestyle Modifications: Ensure you are maintaining a healthy lifestyle, including regular exercise, a balanced diet, and adequate hydration. This can help improve overall nerve health and reduce the risk of developing further issues.

In conclusion, while your symptoms may be related to posture or muscle strain, it is essential to rule out any serious underlying conditions. A thorough evaluation by a healthcare professional is recommended to determine the exact cause of your symptoms and to develop an appropriate treatment plan.

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