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Arm Pain

Is this your symptom?

  • Pain in the arm (shoulder to fingers)
  • Includes minor muscle strains from hard work or sports (overuse)
  • If pain was caused by an injury, see Arm Injury care guide

Causes of Arm Pain

  • Muscle Overuse(strained muscles). Arm pains are often from hard muscle work or sports. Examples are too much throwing or swimming. They are most common in the shoulder. This type of pain can last from hours up to 7 days.
  • Muscle Cramps. Brief pains that last 1 to 15 minutes are often due to muscle cramps. These occur in the hand after too much writing or typing.
  • Trapped Nerves. The nerves in the neck or arm can become trapped or squeezed where they pass through narrow spaces in the arm. This causes pain, numbness or tingling.
    • Nerves trapped in the neck can cause severe pain and loss of movement in the shoulder and arm.
    • Carpal tunnel syndrome is from pressure on a nerve at the wrist. It causes tingling, pain and/or weakness in the fingers and hand.
  • Viral Illness. Mild muscle aches and joint pain in the arms also occur with many viral illnesses.
  • Shingles. The zoster virus can cause arm pain in which the skin may be very sensitive or painful before a rash (shingles rash) appears.
  • Joint Inflammation. Examples are rheumatoid arthritis, osteoarthritis and gout. Some, like gout, may affect just one joint. Others affect multiple joints at the same time. Osteoarthritis is due to wear and tear on the joints. It can cause pain, stiffness and loss of movement. Rheumatoid arthritis usually affects the same joint(s) on both sides of the body. Early treatment may help prevent long-term damage to the joints involved.
  • Septic Arthritis (serious). This is a bacterial infection of a joint space. Main symptoms are fever and severe pain with movement of the joint. It may not be possible to move the joint at all. This needs care right away.
  • Tendinitis. is inflammation of tendons where they attach to the bone, caused by overuse. This causes tenderness in the area and pain when the limb is used. Often needs a long period of rest from the activity that caused it. A steroid shot may be needed to reduce the pain.
  • Impingement Syndrome may happen when the tendons of the shoulder muscles get pinched in between the bones in the shoulder. This causes pain and swelling. It may limit movement when lifting the arms up above the head.
  • Bursitis. Many joints are covered by fluid-filled sacs called bursae. They help the joint move smoothly. These bursae can get inflamed or infected, causing pain and swelling. The area may look red and feel warm to touch. See your doctor right away if you have these symptoms.
  • Referred pain. Pain is sometimes felt in an area when there is not actually a problem. This is called referred pain. For example, gall bladder, heart and some abdominal problems may cause pain to be felt in the shoulder. An exam is needed right away for shoulder pain that starts suddenly without a clear reason.

Pain Scale

  • Mild: you feel some pain, but it does not keep you from any normal activities. Work, chores and sleep are not changed.
  • Moderate: the pain keeps you from doing some normal activities. It may wake you up from sleep.
  • Severe: the pain is very bad. It keeps you from doing all normal activities.

When to Call for Arm Pain

When to Call for Arm Pain

Call 911 Now

  • Not moving or too weak to stand
  • You have any of these symptoms:
    • chest pain or discomfort
    • feel weak, dizzy, or faint
    • pain in the jaw, neck or back
    • trouble breathing
    • nausea or vomiting
  • You think you have a life-threatening emergency

Call Doctor or Seek Care Now

  • Sudden onset of swelling (without injury) of one or both arms
  • Muscles are weak (loss of strength)
  • Loss of feeling in the arm, hand or fingers lasts more than 1 hour
  • Severe pain when arm is touched or moved
  • Fever is present
  • Bright red area on skin (with or without fever) with lines tracking out from the area
  • You feel weak or very sick
  • You think you need to be seen, and the problem is urgent

Contact Doctor Within 24 Hours

  • Can't move the shoulder, elbow or wrist normally
  • There is rash or area of blisters on the arm
  • Swollen or painful joint(s)
  • Can't use arm or hand normally
  • Pain gets worse over several days
  • You have a cast that :
    • is too tight or too loose
    • feels uncomfortable
    • has gotten wet
  • You think you need to be seen, but the problem is not urgent

Contact Doctor During Office Hours

  • Loss of feeling or tingling in the arm or hand
  • Arm pain lasts more than 7 days
  • Arm pain happens often
  • Arm pain keeps you from working or other activities
  • You have other questions or concerns

Self Care at Home

  • Caused by overusing the arm
  • Mild arm pain

Call 911 Now

  • Not moving or too weak to stand
  • You have any of these symptoms:
    • chest pain or discomfort
    • feel weak, dizzy, or faint
    • pain in the jaw, neck or back
    • trouble breathing
    • nausea or vomiting
  • You think you have a life-threatening emergency

Call Doctor or Seek Care Now

  • Sudden onset of swelling (without injury) of one or both arms
  • Muscles are weak (loss of strength)
  • Loss of feeling in the arm, hand or fingers lasts more than 1 hour
  • Severe pain when arm is touched or moved
  • Fever is present
  • Bright red area on skin (with or without fever) with lines tracking out from the area
  • You feel weak or very sick
  • You think you need to be seen, and the problem is urgent

Contact Doctor Within 24 Hours

  • Can't move the shoulder, elbow or wrist normally
  • There is rash or area of blisters on the arm
  • Swollen or painful joint(s)
  • Can't use arm or hand normally
  • Pain gets worse over several days
  • You have a cast that :
    • is too tight or too loose
    • feels uncomfortable
    • has gotten wet
  • You think you need to be seen, but the problem is not urgent

Contact Doctor During Office Hours

  • Loss of feeling or tingling in the arm or hand
  • Arm pain lasts more than 7 days
  • Arm pain happens often
  • Arm pain keeps you from working or other activities
  • You have other questions or concerns

Self Care at Home

  • Caused by overusing the arm
  • Mild arm pain

Care Advice

  1. What You Should Know About Mild Arm Pain:
    • Strained muscles, tendons and ligaments are common after using them too much during sports.
    • Examples are throwing a ball over and over again or pulling weeds from a garden.
    • Weekend warriors who are out of shape get the most muscle pains.
    • Here is some care advice that should help.
  2. Pain Medicine:
    • To help with the pain, take an acetaminophen product (such as Tylenol).
    • Another choice is an ibuprofen product (such as Advil). Ibuprofen works well for this type of pain.
    • Use as needed, but do not take more than the maximum recommended dosage as stated on the package.
    • If you are not sure what to take, ask a pharmacist.
  3. Cold Pack for Pain:
    • For pain or swelling, use a cold pack. You can also use ice wrapped in a wet cloth.
    • Put it on the sore muscles for 20 minutes.
    • Repeat 4 times on the first day, then as needed.
    • Caution: avoid frostbite by wrapping the ice pack. Do not put ice directly onto the skin.
  4. Use Heat After 48 Hours:
    • If pain lasts more than 2 days, put heat on the sore muscle.
    • Use a heat pack, heating pad or warm wet washcloth.
    • Do this for 10 minutes, then as needed.
    • Reason: increase blood flow and improve healing.
    • Caution: avoid burns by wrapping the heat pack. Do not put it directly onto the skin.
  5. Rest the Arm:
    • Rest the painful area as much as possible for 48 hours. Keep the fingers and other joints moving gently if you can.
    • Keep the arm and hand raised on a pillow beside you or held across your chest to help limit swelling.
  6. What to Expect:
    • A strained muscle hurts for 2 or 3 days.
    • The pain often peaks on day 2.
    • After severe overuse, the pain may last a week or more.
  7. Call Your Doctor If:
    • Fever or swollen joint occurs
    • Pain caused by work or sports lasts more than 7 days
    • Pain gets worse
    • You develop a blistered rash on the arm
    • You think you need to be seen

And remember, contact your doctor if you develop any of the 'Call Your Doctor' symptoms.

Disclaimer: this health information is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it.

Copyright 2023 Schmitt Decision Logic LLC.

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