Question: I have had congestion for three months. No cough or runny nose. Just gagging mostly in the morning and bringing up phlegm. I have been on antibiotics three times and on steroids with no improvement. I have asthma which had been a little worse and take Seratide. For the past few days, I have noticed that if I put my had on an angle, water drips from my nose. I have not had a head injury. I also have chronic pain in my left arm and left side of neck which had lasted 2 yrs with no diagnosis. I have tinnitus and a blocked feeling in my left ear. Constant fatigue, dizziness.

Could you suggest any possible diagnosis for my issue with chronic pain? About 2 1/2 yrs ago, I had an injury on the inside of my elbow and arm. I was attacked and my leather handbag was pulled repeatedly against the inside of my elbow. I had initial pain which got worse then improved after a couple of months. I had an Xray at the time, and that showed no breaks. A year later, the pain suddenly came back. At this time I began reducing psychiatric medications, had a blood test which seemed to hit a nerve as it caused immediate pain and shooting pains for a couple of weeks. I also did a lot of heavy lifting around that time. The elbow pain became very bad, both on the outside and inside of elbow. I developed pain along the forearm, and have had numbness and swelling in my hand. I had physio as they thought it may be a nerve in my neck. I have gradually developed worsening neck pain on the back of the neck, halfway between the spine and side of neck, pain in line with the artery at the side, a sensation that the artery is throbbing, and pain in the shoulder blade. The arm pain is much worse after minor exercise. The neck pain is always bad. I have had MRI of elbow, CT scan of neck and ultrasound of neck and arm which have showed nothing. Doctors have no suggestions for me now as the tests were clear, but I still have constant pain. I have noticeably lost muscle bulk in the left arm in the past year, but this could be due to not using it. I have been referred to pain management. There is a long waiting list and I would prefer a diagnosis and treatment. Does this fit with any specific condition that would not have shown up on those scans? Which specialist would be capable of diagnosing this unknown condition?