Severe should pain, no trigger.... (RN's please?)? - Yahoo! Answers
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wx4nc wx4nc
Member since:
December 31, 2007
Total points:
567 (Level 2)

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Severe should pain, no trigger.... (RN's please?)?

My SAMPLE history...

S - Severe pain just above my right tricep, spreading deep into my rotator cuff. 7 out of 10

A - None

M - 500mg APAP, 500mg Asprin (QD)

P - Minor case of Type 2 Diabetes, well under control as we speak.

L - Not relevant

E - Sitting down, watching TV. Noticed a cramp in my arm. It has gotten worse (18 hours later) and nothing has began to touch the pain. It feels like a really damn tight cramp, rather deep in the tissue, and it hurts a lottttt (easily 7/10).


I'm trying to figure out what caused this. I'm too young for arthritis and all that jazz, and I haven't done any heavy lifting for over a month. I'd say that most of my work is done on the computer and I probably spend too much time on it, so my best guess is it's just stress from my arms staying at the same level for long periods of time (typing).

Any RN's, MD's etc out there that can help point me in the right direction?

Thanks guys.
  • 7 months ago

Additional Details

Aggie - Yeah, it's the same for me too. I can't diagnose anyone/anything either (as an EMT), but I can say that "I think you might have _______ but to be honest, I don't know. I think you need to _____.". I get what you're saying.

I'm just trying to get an idea of what's going on. I've never had a patient with a chief complaint of this, so I have no idea what the problem is. To be honest, I'm putting off a doctor visit until I KNOW I need to go.

7 months ago

sheli by sheli
Member since:
December 09, 2008
Total points:
1677 (Level 3)

Best Answer - Chosen by Voters

1rst - you are never to young for arthritis, i have Psoriatic arthritis and it started when i was 12 years old, diagnosed at 28. osteoarthritis usually affects persons over 40, but there are over 100 types of arthritis and infectious and autoimmune types can affect any age group

2nd - because of the intense years long diagnosis process i know a lot about different options this could be even though i am not in the medical field i might be able to help you

3rd - this sounds like a rotator cuff / tendinitis type problem which can be caused by an acute injury or repetitive movements of the arm. my initial (incorrect) diagnosis was tendinitis / bursitis so i can advise you on how to help that.

4rth - no matter what the problem is building up anti-inflammatory medication in your system can reduce the swelling to help healing process, then you can begin "passive range of motion exercises (somone else moves you through a slightly uncomfortable range of motion while you remain as relaxed and "passive" as possible

5th - physical therapy will help you prevent permanent loss of motion (look up exercises online if you cant afford it, or go for one session and do the excercises at home)

6th - if you do not move your arm at all it can freeze in position and cause INTENSE pain

7th - if you could describe which activities aggravate it i could probably help you more

8th - you NEED to see a doctor before this gets any worse, family doctor, physical therapy, orthopedist, then if no diagnosis is formed see a rhuematologist

9th - no matter what get a 2nd opinion because it was the 4rth doctor i saw who who sent me to the right specialists and after years of pain i discovered i had PA and MS

Source(s):

try this website for help finding possible causes of your symptoms www.wrongdiagnosis.com
  • 7 months ago
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