My right hand between palm and elbow has started paining since last 4 days. Pain is mainly in the inner muscles/veins. Apart from paining on itself, it pains on pressing with a humble pressure though there's no hurt on it neither a sprain. At nights, pain becomes worse and now it has covered daytime too. It soothes when the middle finger is stretched and hand is given a hot compress. Today the pain seems spreading along the right leg. I have not taken any medication for it but I am taking pills for thyroid and polycystic ovaries. Please suggest.

Ms. Kamalika BhattacharyaPhysiotherapist19yrs exp

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Pain in the arm can result from a number of factors. Abnormalities or injury of the skin, nerves, bones, joints, blood vessels, and soft tissues of the arm can all result in pain. Arm pain may be the result of referred pain from another part of the body. Please go to a physiotherapist to assess and treat the underlying condition. If pain is caused by an activity, modify or stop the activity. Rest the arm and resume activity gradually. Monitor the response to the activity. Pain experienced in the right arm is usually not serious, but when it is coupled with other symptoms like pain in the leg or tightness of the chest, it may be more serious. Try some home remedies: ice will reduce pain and swelling. Apply ice or cold packs immediately to prevent or minimize swelling. Apply the ice or cold pack for 10 to 20 minutes, 3 or more times a day. Elevate the painful area on pillows while applying ice and anytime you are sitting or lying down. Try to keep the area at or above the level of your heart to help minimize swelling. Apply heat and begin gentle exercise with the aid of moist heat to help restore and maintain flexibility. Some experts recommend alternating between heat and cold treatments. Gently massage or rub the area to relieve pain and encourage blood flow. Do not massage the area if it causes pain. Do not smoke or use other tobacco products. Smoking slows healing because it decreases blood supply and delays tissue repair. Best wishes. 

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