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23 years
23 yrs,frequent left arm numbing starting from the shoulder till the index and ring finger often come with severe pain in chest and arm.from few months it's becoming more frequently
Apr 26, 2014
2nd opinion

Dr. Rania Mousa General Medicine
From the symptoms you give it seems that you have ulnar nerve compression
The ulnar nerve passes through many tunnels and outlets which could cause the nerve to be compressed or "pinched". Entrapments are classified according to the location of the compressed Some causes or origins noted could be IN your case:
-Problems originating at the neck (thoracic outlet syndrome, disease of the cervical spine
-Problems originating in the chest (tight pectoralis minor muscles)
-Brachial plexus abnormalities
symptoms depends where the nerve is compressed your case gives the symptoms exactly described by you
Effective treatment generally requires resolving the underlying cause.
Initial conservative therapy includes identifying positions and activities that aggravate symptoms and stopping them.For example, if the person experiences symptoms when holding a telephone up to the head, then the use of a telephone headset will provide immediate symptomatic relief and reduce the likelihood of further damage and inflammation to the nerve.
Physical therapy, occupational therapy, and chiropractic often provide relief. Surgery may be required for some causes, such as ulnar tunnel syndrome, cubital tunnel syndrome thoracic outlet syndrome
Nonsteroidal anti-inflammatory medications also are useful adjuncts to relieve nerve irritation. Oral vitamin B-6 supplements may be helpful for mild symptoms. This treatment should be carried out for 6-12 weeks, depending on patient response. Surgical intervention is indicated if increasing paresthesias occur despite adequate conservative treatment and at the first sign of motor changes
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