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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Tingling Sensation In The Arms And Chest Pain While On Tramadol?

I ve been prescribed tramadol 50 mg to Piggyback norcos for severe back issues but since using them my ankles and feet swelled about 4 times their normal size. I have experienced heavyness and tingling in both arms and periodic chest pain mid sternum is this normal?
Wed, 10 Apr 2019
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General & Family Physician,  's  Response
Hello,

Yes, there may be tingling sensation and swelling due to Tramadol. I suggest you stop Tramadol.

Firstly, do some tests:

1. Electromyography of the back muscles.
2. Complete Blood Count
3. Test for sodium level, potassium level, calcium level.
4. Test for Rheumatoid Factor and anti-citrullinated protein antibodies.
5. Test for Uric acid.
6. Nerve conduction studies
7. Spinal magnetic resonance imaging (MRI).

Along with these, you can start this treatment:

Ibuprofen 400 mg orally every 6 hours as needed, Gabapentin 300 mg orally once a day for 1 month.

Take Gabapentin every day and Ibuprofen if needed above gabapentin.

You can also take muscle relaxants Do these guidelines:

1. Take vegetables more.
2. Drink adequate water.
3. Apply a cold and hot compress
4. Massage can be done
5. Take rest adequately

Do not worry. You are under treatment.

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

Take care

Regards,
Dr Dipan Samanta, General & Family Physician
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What Causes Tingling Sensation In The Arms And Chest Pain While On Tramadol?

Hello, Yes, there may be tingling sensation and swelling due to Tramadol. I suggest you stop Tramadol. Firstly, do some tests: 1. Electromyography of the back muscles. 2. Complete Blood Count 3. Test for sodium level, potassium level, calcium level. 4. Test for Rheumatoid Factor and anti-citrullinated protein antibodies. 5. Test for Uric acid. 6. Nerve conduction studies 7. Spinal magnetic resonance imaging (MRI). Along with these, you can start this treatment: Ibuprofen 400 mg orally every 6 hours as needed, Gabapentin 300 mg orally once a day for 1 month. Take Gabapentin every day and Ibuprofen if needed above gabapentin. You can also take muscle relaxants Do these guidelines: 1. Take vegetables more. 2. Drink adequate water. 3. Apply a cold and hot compress 4. Massage can be done 5. Take rest adequately Do not worry. You are under treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dipan Samanta, General & Family Physician