Persistent Arm Pain After Injection: When to Seek Help - Internal Medicine

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I received an anti-inflammatory injection in my right arm a long time ago, but I still feel pain, soreness, and slight weakness in my arm.
There are no visible abnormalities.
Could you please help me understand the possible reasons for this? Do I need further examination? If so, which specialty should I consult? Thank you.

Wen, 20~29 year old female. Ask Date: 2024/01/12

Dr. Lin Wufu reply Internal Medicine


Hello, to determine how much time has passed, if it is within a week, it is advisable to just monitor the situation, as it usually improves gradually.
If it exceeds a week, you can first consult a family medicine physician or the clinic where the injection was administered for an evaluation by a doctor (usually, they will also recommend monitoring initially).

Reply Date: 2024/01/12

More Info


Persistent arm pain after an injection can be concerning, especially when it lingers for an extended period. In your case, where you received an anti-inflammatory injection in your right arm and are experiencing ongoing pain, weakness, and discomfort, it is essential to consider several factors that might contribute to your symptoms.

Firstly, it is not uncommon for patients to experience some degree of pain or discomfort following an injection. This can be due to several reasons, including:
1. Injection Site Reaction: The injection itself can cause localized inflammation, which may lead to pain and discomfort. This is often temporary and should resolve within a few days to a week.

2. Nerve Irritation or Injury: If the injection inadvertently affected a nearby nerve, it could lead to persistent pain, weakness, or abnormal sensations in the arm. This type of injury can take time to heal, and symptoms may improve gradually.

3. Muscle Strain or Overuse: If you have been using your arm more than usual after the injection, it could lead to muscle strain, resulting in pain and weakness.
4. Infection: Although rare, infections can occur at the injection site, leading to persistent pain, swelling, and redness. If you notice any signs of infection, such as fever or increased redness, you should seek medical attention immediately.

5. Underlying Conditions: If you have pre-existing conditions, such as arthritis or other musculoskeletal disorders, these may be exacerbated by the injection or the activity following it.

Given that your symptoms have persisted for a considerable time, it is advisable to seek further evaluation. Here are some steps you can take:
- Consult a Specialist: Since your symptoms involve pain and weakness in the arm, it would be appropriate to consult an orthopedic specialist or a rehabilitation physician. They can assess your condition and determine if further imaging studies, such as an MRI or ultrasound, are necessary to evaluate for any underlying issues.

- Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can provide exercises to strengthen the muscles around the shoulder and arm, improve range of motion, and reduce pain.

- Pain Management: If the pain is significant, discussing pain management options with your healthcare provider is essential. This may include medications, injections, or alternative therapies.

- Follow-Up: Keep a close watch on your symptoms. If you notice any changes, such as increased pain, swelling, or new symptoms, report these to your healthcare provider promptly.

In summary, while some discomfort after an injection can be normal, persistent pain and weakness warrant further investigation. Consulting with an orthopedic or rehabilitation specialist will help you understand the underlying cause of your symptoms and guide you toward appropriate treatment options. It’s crucial to address these concerns early to prevent any potential complications and to facilitate a quicker recovery.

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