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Numbness in left arm - pain and no strength in the hand

Can knotted shoulders (really tight) cause poor circulation? My left arm has been numb and tingly for about 2 -3 days now the back of my left hand hurts and does not have any true grasping strength. Additionally, I have been experiencing bouts of light headedness.

My age is 49 if you need to know.

Any advice or direction would be greatly appreciated. I do not have medical coverage and need to know the right questions to ask seeing as I am going to be paying a lot of money for the doctors visit.

Thank you!
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