Differential Diagnosis for Neck Pain Radiating Down Left Arm with Numbness
Single Most Likely Diagnosis
- Cervical Radiculopathy: This condition, often due to a herniated disc or foraminal stenosis, compresses or irritates a cervical nerve root, leading to pain, numbness, and sometimes weakness in the arm. The symptoms described are classic for this condition, making it the most likely diagnosis.
Other Likely Diagnoses
- Cervical Spondylosis: This is a common condition in older adults characterized by wear and tear on the discs and joints in the neck, which can cause pain and numbness radiating down the arm.
- Thoracic Outlet Syndrome: Compression of the nerves and/or blood vessels that pass into the arm through the thoracic outlet (the space between your collarbone and first rib) can cause pain, numbness, and tingling in the arm.
- Brachial Plexus Injury: Trauma or compression of the brachial plexus, a network of nerves that conducts signals from the spinal cord to the shoulder, arm, and hand, can lead to pain, numbness, and weakness in the arm.
Do Not Miss Diagnoses
- Cervical Spinal Cord Compression: Conditions such as spinal stenosis, tumors, or abscesses can compress the spinal cord, leading to severe and potentially irreversible neurological deficits if not promptly addressed.
- Acute Coronary Syndrome: Although less common, pain radiating down the left arm can be a symptom of a heart attack, especially in women, and is crucial not to miss due to its high mortality rate.
- Pulmonary Embolism: In rare cases, a pulmonary embolism can cause referred pain in the arm, and given its high mortality rate, it should always be considered.
Rare Diagnoses
- Pancoast Tumor: A type of lung cancer located at the top of the lung that can invade the brachial plexus, causing arm pain and numbness.
- Multiple Sclerosis: An autoimmune disease that affects the brain and spinal cord, potentially causing a wide range of neurological symptoms, including numbness and pain in the arms.
- Vascular Malformations or Aneurysms: Abnormal formations of blood vessels in the neck or arm can cause neurological symptoms due to compression or thromboembolic events.