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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pain In The Arm While Having Diabetes

I’m a type 2 diabetic and I’m on Junuvia and Metformin. My glucose level runs around 170, last A1c was down from 9 to 7.8 due to I Have been taking Januvia for the last 18 months. I also take Simvastatin, Benazpril, Amplodopine, Chantix, and Xanax which I’ve taken for over 3 years. I now take Finesteride and Alfozosin as I had a distended bladder and enlarged prostate. Presently I had a sudden onset of shoulder pain generally in 1 or 2 directions with some minor restricted movement. I was told it was bursitis. It has caused some tension and minor discomfort in the neck and surrounding area. I refused a corizone shot and now 2 months later my right hand has suddenly become swollen that you can’t see the outline of my knuckles on the back of my hand. My wrist and hand are in pain. I also have pain in arm, not the elbow, but between the wrist and elbow and elbow and shoulder. Ice helps to cause the hand to get better faster usually 2 days. Also my left hand which was diagnosed years ago with carpal tunnel had flared up to become numb and tingles. All this happened around the same time period. Could this be side effect of medicine? Could this be sugar related?
Mon, 9 Dec 2019
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General Surgeon 's  Response
Hello,

The pain in arms with diabetes is suggestive of nerve compression and neuralgia most likely with underlying carpel tunnel syndrome. Other issues as B 12 deficiency or others may also be part of differential diagnosis in this regard. You need basic lab tests with nerve conduction study with or without MRI of the wrist for final diagnosis and cure.Till that time, vigilant control of diabetes if very vital.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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Suggest Treatment For Pain In The Arm While Having Diabetes

Hello, The pain in arms with diabetes is suggestive of nerve compression and neuralgia most likely with underlying carpel tunnel syndrome. Other issues as B 12 deficiency or others may also be part of differential diagnosis in this regard. You need basic lab tests with nerve conduction study with or without MRI of the wrist for final diagnosis and cure.Till that time, vigilant control of diabetes if very vital. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon