Right Arm Pain: Possible Causes and Solutions - Internal Medicine

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Right lower arm pain and joint pain?


On May 9th, I ate a lemon tart containing almond flour, and immediately felt pain in my lower right arm.
This pain has now persisted as joint pain in my right arm, making it difficult to open a water bottle cap and my motorcycle key lock.
I have a problem with high cholesterol and I'm unsure if it's related.
I have been taking Methylcobalamin (B12) on my own, thinking it might be nerve pain, but there hasn't been much improvement.
Could this possibly be allergic arthritis, or are there any related conditions due to high cholesterol? Doctor A drew blood and my uric acid level was 6.1, which is slightly elevated, but it doesn't seem to be gout.
Thank you.

Lingmeng, 30~39 year old female. Ask Date: 2024/05/29

Dr. Gao Jiankai reply Internal Medicine


Hello, thank you for your inquiry.
If the pain has persisted since May 9, it is advisable to have a physician evaluate the situation.
We need to properly assess the condition of the joint pain.
Vitamin B12 does not have analgesic effects, and high cholesterol is less likely to cause acute joint pain.
The likelihood of uric acid being the cause is also low, as over 90% of gout cases begin in the lower extremities.
I hope this information is helpful.
Best regards from the Allergy, Immunology, and Rheumatology Department of Changhua Hospital, Ministry of Health and Welfare.

Reply Date: 2024/05/29

More Info


Understanding right arm pain can be complex, especially when considering various potential causes and underlying health conditions. Based on your description, it seems that you are experiencing pain and weakness in your right arm, particularly in the lower arm and joints. This could be attributed to several factors, including nerve issues, muscle strain, or even systemic conditions.


Possible Causes of Right Arm Pain
1. Nerve Compression or Injury: Given that you mentioned weakness when trying to turn objects like a water bottle cap or a motorcycle key, it could indicate a problem with the nerves in your arm. Conditions such as carpal tunnel syndrome or ulnar nerve entrapment can lead to pain and weakness in the arm and hand. These conditions often arise from repetitive motions or prolonged pressure on the nerves.

2. Muscle Strain or Tendonitis: If you have recently engaged in activities that require repetitive arm movements, such as lifting or twisting, you may have strained a muscle or developed tendonitis. This is particularly common in individuals who perform repetitive tasks, which can lead to inflammation and pain.

3. Joint Issues: You mentioned the possibility of allergic arthritis. While allergic reactions typically do not cause joint pain, conditions like rheumatoid arthritis or osteoarthritis can lead to joint pain and stiffness. High cholesterol itself is not directly linked to joint pain, but it can contribute to cardiovascular issues that may indirectly affect overall health.

4. Systemic Conditions: Your elevated uric acid level (6.1) suggests that you may be at risk for gout, although it is not definitively a diagnosis of gout. Gout typically presents with sudden, severe pain in the joints, often starting in the big toe, but it can affect other joints as well. However, the absence of classic gout symptoms makes it less likely in your case.

5. Allergic Reactions: You mentioned consuming a lemon tart containing almond powder. If you have a known allergy to nuts, this could potentially lead to an allergic reaction, which might include joint pain. However, allergic reactions typically present with other symptoms such as swelling, hives, or respiratory issues.


Recommendations for Management
1. Consult a Healthcare Provider: Since your symptoms have persisted, it is crucial to consult a healthcare provider for a thorough evaluation. They may recommend imaging studies, such as X-rays or MRIs, to assess for any structural issues in the arm or joints.

2. Physical Therapy: Engaging in physical therapy can help strengthen the muscles around the affected joints and improve range of motion. A physical therapist can provide exercises tailored to your specific condition.

3. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate pain and reduce inflammation. However, you should consult your doctor before starting any new medication, especially considering your existing health conditions.

4. Lifestyle Modifications: If your work involves repetitive arm movements, consider ergonomic adjustments to your workspace. Taking regular breaks and practicing stretching exercises can also help prevent further strain.

5. Diet and Health Monitoring: Since you have high cholesterol, it is essential to monitor your diet and maintain a healthy lifestyle. A diet low in saturated fats and rich in fruits, vegetables, and whole grains can help manage cholesterol levels and improve overall health.

In conclusion, while there are several potential causes for your right arm pain, a comprehensive evaluation by a healthcare professional is necessary to determine the exact cause and appropriate treatment. Addressing any underlying health issues, such as high cholesterol, and making lifestyle adjustments can significantly improve your symptoms and overall well-being.

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