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Bilateral arm and shoulder pain
I have noticed that whenever I am exposed to cold weather, I develop pain on the right side of my nose. At the same time, both of my ears start popping.
In addition, after waking up in the morning, I experience pain and stiffness in both shoulders, upper arms, and palms. The symptoms improve as I start moving during the day
My ANCA test is normal, but these symptoms continue to occur. I would like to know the possible cause and whether further evaluation is needed
Pain also feels in bilateral hip and juction of neck behind
Answers (7)
Cold air causes congestion of nasal pathway and in turn retained secretions and sinusitis.
This is inturn blocks the Eustachian tube opening
Next Steps
avoid prolonged exposure to cold air
steam inhalation TDS
to drink luke warm water at night
tab relent 0-0-1 x 5 days
otrivin nasal drops 2-2-2 x 3 days
sos to see ENT surgeon for clinical examination
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Your morning stiffness in bilateral shoulders, upper arms, hips, and palms that improves with movement is classic for Polymyalgia Rheumatica (PMR). Cold-triggered nasal pain with ear popping may indicate vasomotor rhinitis or Raynaud's phenomenon. Normal ANCA doesn't rule out PMR â ESR and CRP are the key markers.
Next Steps
Get ESR, CRP, RF, and Anti-CCP blood tests. Consult a Rheumatologist. Consult me on Practo for further guidance.
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You might have rhinitis (may be allergic) issues .Because of that your Nose gets blocked due to which ear also gets blocked or gets filled with fluid leading to ear fullness and ear pain.
Regarding second issue , it may be due to bad posture of sleeping or use of big pillow that is causing neck pain and shoulder pain
Next Steps
1)nasal drop oxymetazoline :/: 2 times a day 2)steam inhalation
3)tab montelukast + levocetrizine 1tab @ night
if symtoms does not improve then you must get an ENT consultation
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