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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Cause For Pain In The Arm,shoulder And Chest After Inserting A Picc Line?

i have a picc line in for about a week and in that time i have had pain in my arm, shoulder and chest that has slowly gotten worse, i cant raise my arm up very high without pain either... it is also hot and my best friend thinks my arm also looks a little swollen. Is this normal? should i be concerned?
Tue, 19 Feb 2019
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Physical Therapist or Physiotherapist 's  Response
Hello,

As I was reading your history it misses a lot of things like why it was inserted? since when it is inserted? Are you diabetic or do you have any high blood pressure? any chest infection etc?

To come into a history conclusion I feel one should be able to differentiate between edema and wasting of muscles. As the upper limb is not moving much there might be wasting of muscles. Also, swelling can be caused due to poor venous return and using a stocking for it should be of choice initially and some simple exercise for upper limb should avoid swelling to persist longer.

Also, will recommend you get it checked by a physician as edema in upper limb over the left side mostly which isn't mentioned in the history needs to taken with attention without wasting time as heart may get involved.

Please feel free to mention detailed history so we can lookout for a conclusion in precision.

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

Regards,
Jay Indravadan Patel, Physical Therapist or Physiotherapist
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What Is The Cause For Pain In The Arm,shoulder And Chest After Inserting A Picc Line?

Hello, As I was reading your history it misses a lot of things like why it was inserted? since when it is inserted? Are you diabetic or do you have any high blood pressure? any chest infection etc? To come into a history conclusion I feel one should be able to differentiate between edema and wasting of muscles. As the upper limb is not moving much there might be wasting of muscles. Also, swelling can be caused due to poor venous return and using a stocking for it should be of choice initially and some simple exercise for upper limb should avoid swelling to persist longer. Also, will recommend you get it checked by a physician as edema in upper limb over the left side mostly which isn t mentioned in the history needs to taken with attention without wasting time as heart may get involved. Please feel free to mention detailed history so we can lookout for a conclusion in precision. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist