Florida Pain Medicine is a rotation site and teaching facility for USF Health ACGME Pain Medicine Fellowship and Physical Medicine and Rehabilitation Residency.
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Arm Pain



Arm pain, particularly radiating pain into the shoulder or down the arm, often originates from a problem in your neck (cervical spine). Other causes of arm pain vary from joint injuries, compressed or stretched nerve tissue, or even heart attack (radiating left arm pain). Arm pain may begin slowly and progress over time or may have a very sudden onset.


Brachial Plexus Injury
Broken Arm
Carpal Tunnel Syndrome
Cervical Osteoarthritis
Heart Attack
Herniated Disc
Rheumatoid Arthritis
Rotator Cuff Injury
Sprain/Strain Injury
Thoracic Outlet Syndrome (TOS)
Tennis Elbow or Golfer’s Elbow
Ulnar Nerve Entrapment


As the cause of arm pain is greatly varied, the following list of symptoms represents a sampling of different symptoms that may be generated by any of several causes.

Feeling like electric shock or burning sensation shooting down the arm
Numbness in the arm or hand
Weakness or inability to use arm, shoulder, writs or grip muscles
Complete inability to raise or move arm
Obvious swelling or redness around an affected joint
Pain upon wrist rotation or movement
All over achiness in arm
Swelling of hand


The following treatment options may be utilized in the treatment of various types of arm pain:

  • Pharmacological Intervention NSAID’s, analgesics, nerve pain medications and narcotic pain medications are all options in the treatment of Arm Pain.
  • Epidural Steroid Injection (ESI) Primarily for arm pain due to disc problems, bone spurs, stenosis, nerve root irritation or degenerative disc disease.
  • Periarticular Joint Injection An injection of a corticosteroid anti-inflammatory around or into a painful joint, such as the shoulder, elbow or wrist can quickly reduce pain and inflammation.
    Trigger Point Injection An injection of an anti-inflammatory medication into tight and irritated muscle tissue can relax and release painful knots in the rotator cuff muscles, and elbow flexor or elbow extensor muscles.
  • Spinal Cord Stimulator – Neuromodulation. For progressive cases of CRPS/RSD, where the arm or hands may be affected by severe pain, inflammation, skin texture and color changes, a Spinal Cord Stimulator may be the last, but best resort to immediately improve symptoms. Neuromodulation technology represents a very new and progressive technology for the treatment of this type of arm pain.