Hello,
The following are few probable causes of your symptoms of thumb twitch and pain along the arm and shoulder:
1) Carpal tunnel syndrome
2) Acute Compartment Syndrome
3) Cervical Disc Disease
4) Cervical Myofascial Pain
5) Cervical Spondylosis
6) Diabetic Neuropathy
7) Ischemic Monomelic Neuropathy
8) Lyme Disease
9)
Mononeuritis Multiplex
10) Multiple Sclerosis
11) Neoplastic Brachial Plexopathy
12) Overuse Injury
Treatment depends upon the cause of the symptoms. To those who come to my clinic with similar symptoms, i recommend the following:
1) Pain relief by NSAIDs like ibuprofen, Naproxen and
Aceclofenac.
2) Avoid NSAIDs if you have the following:
Heart failure,
peptic ulcer disease
3) You can use opioids like
Hydrocodone, Oxycodone and Tramadol
4) You can also take
pregabalin 75 mg for 10-14 days
5) To avoid gastric irritation, tab. Pantop 40 mg to be taken before food
6) Stationary biking, cycling, or any other exercise that puts strain on the wrists probably should be avoided
7) The use of modalities (in particular therapeutic
ultrasound) may provide short-term relief
If the pain doesn't subside even with the above treatment, you may consult an orthopedic surgeon for detailed clinical examination and few tests if necessary that would help to find specific diagnosis and appropriate treatment.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Pallavi M., Anesthesiologist