I would always advise checking out the heart, since heart disease can present with just left arm pain. An
EKGAtrioventricular block, ekg tracing
Ecg
Exercise stress test and exercise stress test would be reasonable options to discuss with your physician.
If the heart is ok, then I would evaluate for any nerve impingement. Higher dose anti-inflammatories can be considered. If the pain continues despite treatment, a neurology referral for possible nerve electrodiagnostic testing can further elucidate the nerve damage.
Another consideration would be an orthopedic evaluation if the elbow joint is in question.
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.
Medical Weblog:
kevinmd_b