Very Often Feels Pain In Arms,

Question

Unable to grasp anything in hands, tonight he felt pain and was unable to even open a door, unable to grasp anything in hands, but gradually pain decreases and gets normal in due course of time. It happened 3rd time in last two weeks, got checked from - - - - - - - ultrasound is OK blood reports are OK. Doctors prescribed some medicines during intake he developed severe skin irritation, which after leaving the medicines is getting normal.
Kindly guide is it a neuro issue?

Dr. Asad Abbas Shah · Answer

Try neuromet tab 500 MGM TDs for 3 months

Dr. Syed Sardar Ali · Answer

do MRI BRAIN

Dr. Jetender · Answer

Share labs and need MRI brain to rule out the pathology

Dr. Shahid Ikram · Answer

The patient needs complete assessment.
Persistent Neuromuscular symptoms and a reaction with medicines is not to be ignored.

Dr. Sadia Babu Assistant Professor Of Medicine · Answer

book an online video consultation for complete histiry and examination.or visit any neurophysivian in persons.
looks like rigidity and parkinsons

Dr. Sehrish Naz · Answer

plz get him checked,i will recommend MRI brain.but its important to book an appointment with dr who can physically check him for any weakness or other issues.

Dr. Muhammad Arslan Ali · Answer

Needs Nerve conduction studies and also MRI Brain , don&rsquo;t ignore or take these symptoms lightly.Thanks

Dr. Brig R Muhammad Asif · Answer

these tests to be done
CPK
NCS
BLOOD CP
HbA1c
needs neurologist consultation

Dr. Nadia Umbreen · Answer

It could be neurological issue but meanwhile consult some good physiotherapist too . Furthermore, continue multivitamins especially calcium, vitamin D .

Dr. Muhammad Khalid · Answer

Get MRI brain done and consult neurophysician.

Dr. Muhammed Asghar · Answer

take opinion from Neurophy.

Dr. Sehresh Baloch · Answer

patient needs complete assessment, kindly consult neurophyscian in person

Dr. Muhammad Irfan Alam · Answer

You need to get him checked by a neurologist/medical specialist for possibility of TIA/cervical spondylosis

Dr. Kiran Zahra · Answer

Tab Neurobion daily.
get checked by neurophyysian

Dr. Sami Ullah · Answer

Go for these tests
MRI
CPK
Hba1C
Blood cp
Send me these reports/book a physical appointment with neurophysician.
Thank you

Dr. Ali Yawar Alam · Answer

Appears TIA. Please take him to Cardiologist or Medical Specialist.

Dr. Sawera Hanif · Answer

Hi,

I am sorry to learn of your father's troubles.

Kindly book an appointment for proper evaluation and management.

Thank you.

Kind regards.

Dr. Muhammad Raheem · Answer

get a rheumatology consultation

Dr. Homayoun Sheikh · Answer

need to be visited by a specialist physician soon after taking history and doing physical examination and some tests then everything will be cleared up

Dr. Nasir Saeed · Answer

Consult Neurologist

Dr. Saffa Ilyas · Answer

patient needs full assessment
consult neurologist asap

Dr. Tehreem Tariq · Answer

patient need detailed evaluation and history.book an appointment for assessment and check up

Dr. Tasneem Shafiq · Answer

Patient needs to be examined

Dr. Ghania Najeeb · Answer

consult Neurologist and cardiologist both

Dr. Huda Mir · Answer

This needs a detailed history.
Share lab reports, previous medical history.

Dr. Syed Ahsan Shahzad · Answer

The patient needs detailed history, and account of presentation. kindly let me know if he can be there for an online consultation?

Dr. Asad Altaf · Answer

could b many things but keeping in mind the age it could b of neuronal or osseous in origion also could b spinal origion

Dr. Syeda Masooma Abedi · Answer

get a detailed neuro physical examination.

Dr. Muhammad Babar Ahmed · Answer

You need to get a detailed neurological examination rule out diabetes and get some work up for the Xray of the involved area

Dr Mariam Tariq · Answer

may be carpal tunnel syndrome, consult ortho or Rheumatologist.

Saba Khalid · Answer

does the patient has any comorbidities? Kindly get ESR and CRP levels checked too.

Dr. Shabana Mehmood Malik · Answer

yes he needs a detailed neurological examination

Dr. Laiba Nasir · Answer

can u please share reports n prescription plus does he have BP issue ?

Dr. Saher Falak · Answer

Get a thorough  neurological examination done. Also a detailed history of the patient and what lab work is normal.

Dr. Anam Naveed · Answer

Yes and don't take the medicine which is causing this irritation may be he is allergic to it and consult a neurologist

Dr. Ali Mikdad Hassan · Answer

needs to Get CT brain plain and neurological examination at nearby clinic.

Dr. Asma Saleem · Answer

kindly consult the neurologist..and avoid any medicines causing skin irritation.

Dr. Sahar Butt · Answer

yes its highly likely. tell me about his medical history. is he diabetic and hypertensive?

Dr. Iqra Farrukh · Answer

Get a ct scan brain done complete physical examination with sensory level . Get checked  blood sugar level . HbA1c . Which joints are involved any history of morning stiffness

Dr. Aamir Hanif · Answer

He needs neuromuscular assessment first before decide about any further testing

Dr. Muhammad Sohail Asghar · Answer

Check blood sugar fasting and blood pressure.
It is very common in long standing diabetes mellitus
Needs MRI cervical spine if all other tests are normal

Dr. Nazish Shafi · Answer

pain is the major issue or it's the weakness in hands?
my opinion is to get an ECG done.plus a detailed clinical examination while he is having the symptoms.

Dr. Syed Hassan Tanvir Ramzi · Answer

Yes it most likely a neurology or rheumatological issue
but to be certain about the cause we need
to do a proper history and neuro
examination to clue in to what condition it
might be given by your description it
sounds most likely as carpel tunnel, frozen shoulder but to
be certain about any thing we need to do a detailed history 1) can the patient lift his hand over his head ? 2) any past medical history ?3) any cardiac history?
is he diabetic? And any other test reports

Ramsha · Answer

Is it just one hand? Any specific site if pain or is it generalised? Recent history of fall or trauma? Any associated pain in neck or arm? Patient needs neurology and rheumatology consultation in my opinion. Don&rsquo;t take medicine that is causing allergic reaction!

Dr. Faiza Irfan · Answer

want to know detail history

Dr. Saira Mahmood · Answer

it seems to be a neurology issue but proper history and examination needs to be done kindly get him checked by a neurologist

Dr. Rehan Yaqoob · Answer

consult neurophysician seems a carpal tunnel syndrome

Dr. Amber Batool · Answer

he needs complete evaluation, physical examination and lab tests. is he having any comorbidity, like diabetes, hypertension,arthritis etc? this might be nerve compression due to particular posture of hand at wrist joint or somewhere in arm, TIA etc. Please give detail about skin irritaion, it might be due to allergy to certain substance in medicine

Dr. Gohar Rasheed · Answer

plz get it checked by neurophysician

Dr. Wahab Dilawar Khan · Answer

The given information is not enough for narrowing it down to a definitive diagnosis. Please book an appointment online.

Dr. Jawaria Iftikhar · Answer

detailed  history and examination is required . Get an appointment of neurophysician to evaluate further .

Dr. Faiqa Zaki · Answer

Detailed history and examination is required.Is he diabetic?

Dr. Uzma Ambreen · Answer

visit to neurologist

Dr. Akmal Shahzad · Answer

contact me with all your reports. Insha Allah your issue will be resolved.

Dr. Muhammad Abid · Answer

Seems like carpal tunnel syndrome&hellip;consult online for management

Dr. Syed Bilal Hamdani · Answer

Needs proper physical examination and opinion from neurophysician

Dr. Mubashir Ahmed Malik · Answer

Kindly Use
1. Sunny D Cap. 1 daily
2. Tab. Methy Cobal 1+1

Dr. Sadaf Tariq · Answer

detailed history , proper physical examination n all investigations besides consultation with neurophysician is recommended..
kindly mention which medication he was taking ???

Dr. Muhammad Sarfraz Gul · Answer

proper history and examination is required. take a neurologist opinion

Assoc. Prof. Dr. Omer Ehsan · Answer

Need neurologist review

Dr. Fraz Hassan · Answer

Aslam u alikm.
this problem is actually related with field of Orthopedics.Mainly these are the symptoms of Rheumatoid Arthritis which is autoimmune disease.

Dr. Hamza Munir · Answer

Needs to be evaluated for cardiac/neuro issue. Could be TIA

Dr. Hafiz Awais Ali · Answer

yes it's probably CVA issue

Dr. Hafiz Aqib · Answer

yes

Dr. Imran Javed · Answer

A

Dr. Ahmed Aftab Gold Medalist · Answer

Thanks for the question.
so is their any neurological sign like numbness ,tingling associated with it.if it's where it's located.
is their any history of recurrent headaches?
is their any history of neck pain or trauma to neck or had u done x ray of cervical spine Thanks!

Dr. Aimen Iqbal · Answer

it can be a nerve compression at wrist  ,get it checked by a neurosurgeon or an orthopaedic

Dr. Ammara Iqbal · Answer

might b cervical spondylosis, better go for xray c spine, and consult orthopedic

Dr. Adil Memon · Answer

It could be Muscle weakness or nerve problem, check for Blood Pressure, Diabetes & Vitamin deficiency, have a Head CT once to rule out any pathology related to brain.

Dr. Ali Umar · Answer

yes Neuro issue . definately

Dr. Nazia Rizwan · Answer

share urs history of Dm,Htn& smoking.
Need CTscan brain,&better to take online consultation

Dr. Sarab Jeet Singh · Answer

Nerve conduction studies?
proper work up is required

Hafiz Muhammad Yasir Rehman · Answer

1st of all u should correct ur posture .
use no pillow or very thin pillow. sleep straight.
get x ray cervical spine done .

Dr. Rana Ahsan Javed · Answer

the symptoms you have mentioned can be a consequence of underlying neurological condition. Book appointment for detailed assessment of your signs and symptoms and for proper prescription.
Regards.
https://www.marham.pk/online-consultation/internal-medicine/islamabad/dr-rana-ahsan-javed-042-32591427,

Dr. Syed Sardar Ali · Answer

MRI CERVICAL SPINE

Dr. Ratan Kumar Sangtani · Answer

I highly appreciate your concern and understand your worries for your father.
actually, your father needs further assessment regarding hand pain and weakness
it could be a Rheumtological issue or a neurological issue
so we need proper history and evaluation. After that, someone can reach the diagnosis

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