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Dead Arm Syndrome - Understanding the Mechanics

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This article discusses dead arm syndrome, its symptoms, causes, and treatments. Read below to know more.

Medically reviewed by

Dr. Kaushal Bhavsar

Published At November 30, 2023
Reviewed AtNovember 30, 2023

Introduction

Dead arm syndrome is a condition that can affect anyone, but it is most common in people who use their arms for an extended period or due to overhead motions during sports. It is caused by a lack of blood flow to the arm and overextension of the shoulders, which can lead to pain, numbness, tingling, and shoulder instability. The condition can be very uncomfortable and can make it difficult to do everyday tasks. Many things can cause dead arm syndromes, such as poor posture, repetitive motions, and long periods spent in the same position. The condition can also be a side effect of certain medications or medical conditions. If someone is experiencing any symptoms of the dead arm syndrome, it is important to see a doctor immediately. Many treatment modalities can help to relieve the symptoms.

What Is Dead Arm Syndrome?

Dead arm syndrome is a medical condition that causes the arm and shoulder to feel numb and heavy. This condition is also known as recurrent transient subluxations of the shoulder. It is most commonly seen in a sports person (baseball and tennis player) because of repetitive overhead motion of the shoulder and arms. It can also be seen in normal people. The symptoms of dead arm syndrome include numbness, tingling, and a heavy sensation in the arms and shoulders. The arm may also feel cold and clammy. Shoulder instability is most commonly seen.

Dead arm syndrome is usually caused by over-extension of the shoulder during sports or compression of the nerves that run down the arm. This can be developed because of conditions, such as sleeping with the arm tucked under the head, carrying a heavy bag, or sitting with the arms crossed for long periods. In most cases, the dead arm syndrome is usually reversible once the underlying cause is identified and treated.

The main symptom is a feeling of heaviness and numbness in the arm or hand, which can not go away for longer after surgery. In some cases, the arm or hand may become completely paralyzed. Some additional symptoms of dead arm syndrome are listed below -

  • A feeling of heaviness in the arm.

  • Pain while doing overhead throws or lifting heavy objects.

  • Inability to perform in sports (baseball and tennis).

  • Stiffness in the arm and shoulder joint.

  • Limited range of motion.

  • Inability to apply force.

  • Weakness in the affected arm and shoulder.

What Causes the Dead Arm Syndrome?

Dead arm syndrome causes the arm to feel numb and heavy. The following reasons most often cause it.

  • The main reason for dead arm syndrome is overuse.

  • The dead arm syndrome is caused by compression of the median nerve, which runs down the arm and into the hand. This can be caused by repetitive activities such as typing or holding the arm in a fixed position for a long time.

  • Causes of dead arm syndrome include carpal tunnel syndrome, forensic outlet syndrome, and polyneuropathy.

  • Rotator cuff injury.

  • Forceful overhead throw during sports result in dead arm syndrome.

What Are the Risk Factors for Dead Arm Syndrome?

There are several risk factors for developing dead arm syndrome. Some of them are listed below -

  • Age: The risk of developing dead arm syndrome increases as a person ages.

  • Participation in Contact Sport: Athletes are more likely to develop dead arm syndrome than the general population. The player involved in sports like baseball, tennis, volleyball, and cricket is at higher risk.

  • Heavy Use of the Arm: Not doing enough activity with one arm can increase the risk of dead arm syndrome.

  • New and young athletes are commonly affected by dead arm syndrome.

  • Laborers who do work like lifting heavy objects with their hands are at higher risk of dead arm syndrome.

What Are the Treatments Available For Dead Arm Syndrome?

Different kinds of treatments are available for dead arm syndrome, which can help relieve the pain and improve mobility.

  • Rest - If someone has any symptoms of dead arm syndrome, then it is important to stop all activities and rest properly.

  • Ice - The application of ice to the affected area for 15 to 20 minutes three or four times a day helps in the reduction of pain and inflammation.

  • Medicines - Take Ibuprofen or Acetaminophen to help reduce inflammation and pain.

  • Physical Therapy - If the pain persists, one may need to see a doctor. They may recommend physical therapy, which can help to improve mobility and strength in the arm and shoulders.

  • Surgery - Surgery is also an option in cases where the damage is severe. After surgery, rehabilitation is important. A sling might be necessary to wear after surgical treatment. Surgical treatment required a longer period of healing. Before returning to sports or normal routine work, the doctor's permission is important.

How Does Rehabilitation Help Dead-Arm Syndrome Treatment?

Dead arm syndrome results in the arm's loss of movement and sensation. Many factors, including injury, stroke, and nerve damage, can cause dead arm syndrome. If someone is suffering from dead arm syndrome, they may require Rehabilitation to regain movement and sensation in their arm. Rehabilitation will likely involve a combination of physical therapy, occupational therapy, and speech therapy. Most cases of dead arm syndrome or other injuries (such as sprain and strain) can be fully treated with rehabilitation. Rehabilitation is a non-invasive therapy and has a wide range of treatments.

How to Prevent Dead Arm Syndrome?

"Prevention is always better than cure"; the following are some tips to prevent dead arm syndromes.

  • The best prevention method for dead arm syndrome is to take a break often when using the arm for extended periods.

  • When not using the arm, flex and extend the fingers and hand to keep the blood flowing.

  • Always use the right technique to perform the sports.

  • Strength training and regular stretching of muscles are helpful in the prevention of dead arm syndrome.

  • Avoid staying in one position for longer; keep switching positions at proper intervals.

  • Take proper rest after sports and physical training for muscle recovery.

  • Stop overdoing repetitive movement.

Conclusion

Dead arm syndrome affects the shoulder joints, causing pain, numbness, and tingling. It is caused by repetitive motions or activities that strain the muscles and nerves in the arms. Some preventive measures can prevent and treat dead arm syndrome (such as stretching, strength training, and interval training). If someone is experiencing any symptoms, see a doctor immediately for treatment. With the right treatment and prevention methods, one can get life back to normal and avoid long-term damage to the arm.

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Dr. Kaushal Bhavsar
Dr. Kaushal Bhavsar

Pulmonology (Asthma Doctors)

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