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Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
Hi I'm Dr. Phil
Can i ask your first name?
Nice to meet you
Can you describe the symptoms more?
When I run after a while my arms feel heavy like the blood supply is not getting to them
so you are a runner?
No I play a lot of sport and run to warm up I also power walk marathons
okay. Any neck injuries or neck pain?
My neck crunches sometimes after I have been at the computer for a long time
okay do you arms ever feel tingly or numb or painful?
more numb than anything else
I think you have problems in your neck that are pinching on nerves
The arm symptoms are from pinched nerves in the neck
If you exercise that much, it's not your heart
what would you suggest and could a lack of B12 have anything to do with it
I would suggest an MRI of the neck
Yes, B12, folate and thyroid problems should also be checked
this can be done in blood work
I have an under active thyroid
okay make sure it is controlled with meds
I am also a vegetarian
It seems the position of the arms while running does it right?
like a bent arm position? You have no problems otherwise ?
Yes and now I am typing and my arns are bent I notice it now
That is very helpful
Is it mainly the ring and pinky fingers and the side of the hand?
No not the hands just the arms
I think it could be coming from the elbow
The ulnar nerve runs through a groove in the elbow and can get pinched with bent arms
What in both arms?
it's called cubital tunnel syndrome
try one of these
This device will keep your arm straight at night and should help.
If it does, we have a diagnosis
B12 is a good idea too but I suspect cubital tunnel
okay and if not
you need an MRI of the neck
and an EMG
an EMG is a nerve test that tells which nerve is affected
And do you mean carpel tunnel
No I mean cubital tunnel
There are many tunnels :)
the cubital tunnel is at the elbow
that is where I believe your nerve is being pinched
Ah I see thank you I will try the link you suggest
you're welcome :)
any more questions?
No not right now
okay. Did I do excellent work for you Marie?
I don't know until I check it out
Would you be so kind as to provide a positive rating for me?
It is the only way we are paid for our time with you
If it doesn't work you can always come back to this chat and continue with me
thank you :)