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Arthritis  (Expert Forum)
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Any ideas what this could be ?
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD Boston - MA
This forum is for questions and support regarding arthritis issues such as: Arthritis, Autoimmune Disease, Bursitis, Fibromyalgia, Gout, Juvenile Rheumatoid Arthritis, Lupus, Myositis, Neuralgia, Osteoarthritis, Polymyalgia Rheumatica, Rheumatoid Arthritis, Sciatica, Tendinitis, Vasculitis.

Any ideas what this could be ?

by norush71, Sep 25, 2006 12:00AM
Hello,



       I have pain/loss of strength in my hands; my hands have been falling asleep no matter what I am doing, I shake them off and on but they still go asleep. Just recently my arms and legs have been aching with pain; my feet have been going cold no matter what. I also have headaches; I’ve been told they maybe cluster headaches. Within the past 6 months I have also been having small shocks within  the chest area, it feels like when this happens everything stops for an second, meaning I stop breathing, heart stops, I can’t move or anything. They told me it was just muscle spasms in the chest, and it’s nothing to worry about. I woke up a few weeks ago with some chest pain but only for a few minutes, I told this to the Doc I am seeing, He just looked at me like I was making it up.  I have been seeing a Doctor but this is a military Doc, which has no information for me of what this could be.  Can you help me? Point me in the right direction if possible, any ideas would be greatly appreciated.



Sincerely,



Nick

by Kevin Pho, MD, Sep 26, 2006 12:00AM
Difficult to say without examination.



The paresthesias that you are experiencing may be neurological in nature.  This may also cause the shocks you are feeling within the chest area.  A referral to a neurologist and possible electrodiagnostic testing can be considered.  



Any chest discomfort can also be interpreted as angina from the heart.  An echocardiogram or stress test can investigate this possibility.  



These options can be discussed with your personal physician, or in conjunction with a neurologist.



Followup with your personal physician is essential.



This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.



Kevin, M.D.

kevinmd_
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