Arm Pain and Numbness: When to Seek Neurology Help - Neurology

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When it comes to arm pain and numbness, especially in a person in their 60s, there are several potential causes that should be considered. Your mother's symptoms of pain and numbness in the inner elbow area could be indicative of various conditions, including nerve compression, circulatory issues, or even musculoskeletal problems. Given that she has already undergone an ultrasound with no significant findings, it may be time to explore further diagnostic avenues.

One common cause of such symptoms is cubital tunnel syndrome, which occurs when the ulnar nerve, which runs along the inner side of the elbow, becomes compressed. This can lead to symptoms such as tingling, numbness, and pain in the arm and hand, particularly affecting the ring and little fingers. Another possibility is carpal tunnel syndrome, which affects the median nerve at the wrist but can sometimes cause symptoms that radiate up the arm.

Additionally, cervical radiculopathy could be a factor. This condition occurs when a nerve in the neck is compressed or irritated, leading to pain, numbness, or weakness that can radiate down the arm. Given your mother's age, degenerative changes in the cervical spine could be contributing to her symptoms.

It is also important to consider vascular issues. Conditions such as thoracic outlet syndrome can compress blood vessels and nerves in the area, leading to pain and numbness.
Since your mother has already had an ultrasound, which typically assesses soft tissue structures, it may be beneficial for her to see a neurologist. A neurologist can perform a thorough examination and may recommend additional tests, such as nerve conduction studies or electromyography (EMG), to evaluate the function of the nerves and muscles in the arm. These tests can help determine if there is any nerve damage or dysfunction contributing to her symptoms.

In addition to seeing a neurologist, it might also be worthwhile to consult with an orthopedic specialist who focuses on the upper extremities. They can assess for any musculoskeletal issues that may be contributing to her pain and numbness.

In the meantime, managing her symptoms with conservative measures such as physical therapy, ergonomic adjustments, and possibly anti-inflammatory medications may provide some relief. If nerve compression is confirmed, treatment options may include splinting, corticosteroid injections, or, in some cases, surgical intervention to relieve the pressure on the affected nerve.

In summary, your mother's symptoms warrant further investigation, and seeing a neurologist would be a prudent next step. They can help identify the underlying cause of her pain and numbness and guide her toward appropriate treatment options. If necessary, they may also refer her to other specialists to ensure a comprehensive approach to her care.