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Multiple issues
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1. Since from 3 months Nail and nail bed discoloration is there but now in 1 finger it's brownish black color changed ... I need suggestions...?
2. Persistent shoulder to hand pain, Pain increases with certain hand and shoulder movements and if the hand is in rest also and then spread through the entire arm.
Especially worsening at night and disturbing sleep.
2. Pain has been present for 1month and add
*No major relief with:*
Topical oils and ointments
Pain patches (used for 2-3 days)
Oral anti-inflammatory (taken SELF for 1 day)
Visited ortho and took the below medication for 2weeks now also pain persists initially was in left but now in both the hands
TAB-ETOVA-MR 10-1 x 5 days.
-TAB. PAN 40 mg 1-0-0 x 5 days
-TAB-PREGABALIN-M 75g 0-0-1x15days
Answers (10)
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For the nail discoloration, since it has been persistent and has turned brownish-black in one finger, it’s important to get it examined by a dermatologist to rule out fungal infection or, rarely, other causes.
Regarding the shoulder and arm pain, since it is persisting despite medications, worsening at night, and now affecting both arms, it may need further evaluation with imaging like X-ray/MRI or a neurologist or orthopedic review to check for nerve compression or cervical spine issues. Meanwhile, avoid overuse, apply warm compresses, and continue gentle stretching as advised by your doctor.
Health Tips
Please don’t self-medicate further without review.
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Both your nail changes and persistent arm pain need in-person evaluation. Nail discoloration lasting months can have several causes and should be checked by a dermatologist; the arm pain needs an orthopedic/neurology exam with possible imaging. It can’t be confirmed online. If you’d like, I can guide you step by step after an in-person consult.
Next Steps
Dark discoloration in a single nail and ongoing arm pain need proper in-person evaluation. Nail changes could be infection or trauma, but rarely something more serious, so it’s best to have it examined by a dermatologist. Your arm pain also needs a physical check an orthopedic/neurology exam and maybe an X-ray/MRI to rule out cervical spondylosis or nerve impigement if posture correction through physiotherapy doesn’t help.
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I understand your concern and the symptoms you’re going through. It’s always better not to start random medicines without proper guidance, because every case is different and needs personalized advice.
If you’re still feeling unwell, you can reach out to me directly for a proper consultation. I’ll guide you step by step and clear all your doubts.
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