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General Medical Questions
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Q: I've been working out with weights for a couple of weeks and now have a pain that radiates from my shoulder blade all the way down to my fingertips. It hurts constantly and sometimes feels numb. What could be causing this?
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The Trusted Source
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Robert H. Shmerling, M.D.

Robert H. Shmerling, M.D., is associate physician at Beth Israel Deaconess Medical Center and associate professor at Harvard Medical School. He has been a practicing rheumatologist for over 20 years at Beth Israel Deaconess Medical Center. He is an active teacher in the Internal Medicine Residency Program, serving as the Robinson Firm Chief. He is also a teacher in the Rheumatology Fellowship Program.

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April 19, 2010
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A:

Shooting pain down the arm with numbness suggests a nerve problem.

Possible causes include a pinched or compressed nerve in the neck or in branches of nerves that travel through the shoulder or arm. Arthritis in the neck or a bulging ("slipped") disc can also be the cause.

Another possibility is a muscle strain or tear. A muscle injury may cause swelling that irritates a nearby nerve, causing numbness. Shoulder injuries commonly cause pain that is felt in the upper arm rather than in the shoulder itself. This phenomenon is called referred pain.

Other causes of pain after exercise include tendonitis, a stress fracture, or a joint injury, but these are less likely to cause pain that radiates from the shoulder to the fingertips.

Your workouts could have triggered your symptoms, so it's probably a good idea to give the weights a rest. You may also want to consider working with a trainer or physical therapist to make sure your exercise program and technique are right for you.

If your symptoms continue, see your doctor for an evaluation, as there are many possible causes and treatments for your symptoms.

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