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What are the causes of intermittent pain in the left arm?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have been experiencing intermittent, random pain in my left forearm and sometimes in my bicep for about a year and a half. A few years ago, I fell and tried to catch myself on the counter. Since then, I have noticed some discomfort in my shoulder when lifting my arm directly above my head. My doctor suspects carpal tunnel syndrome. She checked my heart, assessed my radial pulse, and ran several blood tests. The results showed my bad cholesterol was slightly elevated (five points high), and my triglycerides were also slightly above normal. The pain is not constant but comes in brief episodes, typically a burning or slight stabbing sensation lasting three to six seconds. It disappears for hours or even days before returning. Given that left arm pain can sometimes indicate heart-related issues, a stroke, or a blood clot, I am concerned about what steps I should take next. What would you recommend? Should I seek further testing, or does this seem consistent with a non-cardiac issue?

Kindly advise.

Answered by Dr. Muhammed Hassan

Education:

MBBS

Professional Bio:

Dr. Muhammad Hassan Shafqat is a dedicated neurologist with a focused interest in the diagnosis and management of complex neurological disorders. With extensive clinical experience in evaluating seizures, stroke, neuromuscular diseases, headache disorders, movement disorders, and spine-related conditions, he is committed to delivering evidence-based, patient-centered care. Dr. Shafqat emphasizes thorough clinical assessment, precise diagnosis, and individualized treatment planning to ensure optimal neurological outcomes and improved quality of life for his patients.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concern.

Your intermittent left arm pain is most likely musculoskeletal or nerve-related, especially considering your past shoulder injury. Possible causes include carpal tunnel syndrome, cervical radiculopathy (pinched nerve), or rotator cuff issues. Since your doctor has ruled out heart-related concerns, the focus should be on managing nerve or muscle strain.

A specialist evaluation with a neurologist or orthopedic doctor may help, and tests such as electromyography or magnetic resonance imaging (EMG or MRI) could provide more insight if necessary. In the meantime, consider using wrist splints, stretching exercises, and physical therapy to alleviate symptoms.

Monitor for any worsening signs, such as chest pain or dizziness, which would require urgent medical attention. If the pain persists or intensifies, follow up with your doctor for further evaluation and treatment.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.

Medically reviewed by iCliniq medical review team
Published At May 31, 2025
Reviewed At June 12, 2025

Education:

MBBS

Professional Bio:

Dr. Muhammad Hassan Shafqat is a dedicated neurologist with a focused interest in the diagnosis and management of complex neurological disorders. With extensive clinical experience in evaluating seizures, stroke, neuromuscular diseases, headache disorders, movement disorders, and spine-related conditions, he is committed to delivering evidence-based, patient-centered care. Dr. Shafqat emphasizes thorough clinical assessment, precise diagnosis, and individualized treatment planning to ensure optimal neurological outcomes and improved quality of life for his patients.

This doctor is not available for online consultations on the platform anymore.

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Education:

MBBS

Professional Bio:

Dr. Muhammad Hassan Shafqat is a dedicated neurologist with a focused interest in the diagnosis and management of complex neurological disorders. With extensive clinical experience in evaluating seizures, stroke, neuromuscular diseases, headache disorders, movement disorders, and spine-related conditions, he is committed to delivering evidence-based, patient-centered care. Dr. Shafqat emphasizes thorough clinical assessment, precise diagnosis, and individualized treatment planning to ensure optimal neurological outcomes and improved quality of life for his patients.

This doctor is not available for online consultations on the platform anymore.

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