Thank you for your reply. I regularly have pain in both arms and into my thumb and index fingers. I was told that this was due to a small disc protrusion that I have at C3 - C4. I stated in my previous post that I do get numbness in my hands. This is usually felt in my finger tips and below the finger nails. While I currently do not have chest pain, I have had it in the past. It was so bad, in fact, that I had to go to the Emergency Room several times because I thought I was having a heart attack. I guess, since I know it isn't serious, I don't get worked up about it anymore.
I have a question about the lymphedema that you mentioned. Would it be limited to arms, or could it spread? The reason I ask this, is that I have had swelling in my arms, chest, and abdomen for several months, but it only occurs at night. When I press the skin, it does not make a mark, but I notice that the tissue feels strange and spongy. When I wake up in the morning, it is completely gone. As I go about my day, I notice that it starts to increase more and more. I didn't mention this, because I didn't know how it could be related to something in my neck.
Also, I was able to get in to see a sports medicine physician, who is referring me to a physical medicine physician at The Mayo Clinic. He also wants me to go to a different Physical Therapist and get OMT. Hopefully they can figure this out and I can get some relief.
Thanks again for your opinion.
Welcome to the MedHelp forum!
I can tell you about this Scalene Myofascial Pain Syndrome to some extent. However in your case it is unlikely that you have this. Let me explain this. When scalene muscle is the cause of pain, the pain is referred chest, inner lining of scapula, shoulder, posterior and lateral sides of the arm right up to the thumb and index finger. When this muscle shortens, this can press on brachial plexus and the subclavian artery and can compress or irritate these structures and cause symptoms such as abnormal sensation, cold extremity, claudication, and lymphedema in the involved extremity. In your case though you have involvement of arm, most of your symptoms are related to head and neck region. Hence in your case it could be due to pinched cervical spinal nerve or due to TMJ or a combination of both. Hence a MRI of cervical spine should be done along with a dental checkup to look for causes of TMJ.
Hope this helps. Please let me know if there is any thing else and do keep me posted. Take care!