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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Shoulder, Numbness In Thumb And Heart Palpitations?

I have pain in my left shoulder, occasional numbness in left thumb, index, and middle finger. I have intermittent pain in left rib/chest region and occasional heart palpitations. When lying down, I hear a whooshing sound in left ear. Is this Thoracic Outlet Syndrome?
Fri, 16 Jan 2015
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Internal Medicine Specialist,  's  Response
HI

Greetings from Dr.Divakara.P
Thanks for posting your query.

Thoracic outlet syndrome can cause these symptoms but it is a rare disease when compared to other possible causes of your problem.

Your problem seems to be due to a condition called Cervical Radiculopathy. It is a condition in which there is compression of a nerve near the back of your neck. This nerve gives sensation to back of head, neck , arm , shoulder , hand , palm , chest and back . Due to compression of the nerve you are getting pinprick like sensation over this region.

The treatment depends on the severity of the problem . Treatment includes medicines , Physiotherapy, Cervical collar applications and in serious cases Operation.

I advise you to get MRI Cervical Spine to know the severity of your problem. Kindly revert back with the scan report.

Till then do slow rotational exercise of neck and .avoid prolonged flexion of neck .

Hope this information is useful to you.
Any clarification feel free to ask.
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  User's Response
HI
Well come to HCM
This may not be due to any disease but this could be due to some poor posture, try to maintain the good posture and everything would be fine, some time this may be due to stress and anxiety and depression, try to keep this low, nothing to worry about this, everything would be fine soon, hope this information helps, take care and have a nice day.
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What Causes Pain In Shoulder, Numbness In Thumb And Heart Palpitations?

HI Greetings from Dr.Divakara.P Thanks for posting your query. Thoracic outlet syndrome can cause these symptoms but it is a rare disease when compared to other possible causes of your problem. Your problem seems to be due to a condition called Cervical Radiculopathy. It is a condition in which there is compression of a nerve near the back of your neck. This nerve gives sensation to back of head, neck , arm , shoulder , hand , palm , chest and back . Due to compression of the nerve you are getting pinprick like sensation over this region. The treatment depends on the severity of the problem . Treatment includes medicines , Physiotherapy, Cervical collar applications and in serious cases Operation. I advise you to get MRI Cervical Spine to know the severity of your problem. Kindly revert back with the scan report. Till then do slow rotational exercise of neck and .avoid prolonged flexion of neck . Hope this information is useful to you. Any clarification feel free to ask.