A Man With Hand Pain
A 48-year-old man had a 6-month history of pain in the right hand, occasionally radiating to the shoulder. He also had numbness with tingling in the first two digits and…
A Man Who Practices Karate and Has Forearm Pain
A 33-year-old man came in with left arm pain and numbness in the hand for 5 weeks. He practiced karate. His past medical history was negative. There was weakness without…
Therapy in Neuromuscular Diseases
Neuromuscular diseases are treated not only with drugs aiming to reverse the cause, such as the immunosuppressants in autoimmune neuropathies, myopathies, and myasthenia gravis (MG), but also with therapies that…
A Diabetic Man With Arm Swelling, Pain, and Numbness
A 65-year-old insulin-dependent diabetic developed end-stage renal disease. He had undergone hemodialysis therapy through a catheter in the left arm for the past 3 years. He presented with pain and…
Neuromuscular Anatomy and Function
Neuromuscular disorders are those that affect the anterior horn (motor neuron diseases, such as amyotrophic lateral sclerosis [ALS]), roots (radiculopathies), plexuses (plexopathies), or peripheral nerves (polyneuropathy, mononeuropathy). These also include…
A Woman With a Wrist Drop and a Mass in the Arm
A 56-year-old woman had a 4-month history of left shoulder and arm pain, and a 3-week history of numbness in the dorsum of the hand with some arm weakness. She…
A Young Woman With Multiple Sclerosis and Hand Numbness
A 30-year-old woman was diagnosed with multiple sclerosis 8 years earlier when she presented with tingling, paresthesias, and weakness in her arms and legs. MRI showed patchy demyelinating plaques of…
A Man With Bilateral Arm Weakness After Lumbar Surgery
A 42-year-old man was referred with a 3-week history of weakness in both arms after he underwent a complicated lumbar laminectomy for severe chronic, posttraumatic low back pain and a…
A Woman With Hand Weakness, Numbness, and Pain After Cardiac Catheterization
A 65-year-old diabetic woman underwent coronary arteriogram through left elbow catheterization. Shortly afterward, she developed severe pain in the left hand and numbness in the first three digits of the…
A Diabetic Man With Hand Numbness and Fainting Spells
A 66-year-old insulin-dependent diabetic man was seen because of mild hand tremors and numbness in the first three fingers of his right hand, which made it difficult for him to…
