Small aches and pains in the left arm are often a normal part of aging. However, sudden or unusual left arm pain could be a sign of a more serious medical problem. It might be a symptom of an injury that needs treating or, in the worst case, the effect of a heart attack.
Being aware of the potential causes and characteristics of left arm pain can help a person recognize what the body is reacting to and determine when it is necessary to seek medical attention.
In this article, we explain the possible causes of left arm pain. For each of these causes, we describe the other symptoms that can help a person identify the underlying issue.
A heart attack occurs when a portion of the heart muscle sustains damage or completely stops functioning due to a lack of oxygen.
Most heart attacks happen as a result of narrowing in the coronary arteries. The arteries become narrow due to a buildup of plaque. If a piece of plaque breaks loose from the artery wall, it can cut off the flow of oxygen-rich blood to the heart, which may cause a heart attack.
Left arm pain is one of the most common symptoms of a heart attack. The nerves that branch from the heart and those coming from the arm send signals to the same brain cells. As a result, the brain cannot isolate the source of the pain.
This phenomenon, called referred pain, explains why a person experiencing a heart attack might feel arm pain without having chest pain.
The American Heart Association advise calling 911 if sudden left arm pain gets worse over a few minutes or occurs alongside any of the following symptoms:
- discomfort at the center of the chest that lasts longer than a few minutes or goes away and then returns
- pain, numbness, or unusual discomfort in the back, neck, jaw, or lower abdomen
- breathlessness with or without chest pain
- nausea or vomiting
- sudden cold sweats or flushing
Chest discomfort is the most common symptom of heart attacks in men and women. It takes the form of pressure, tightness, fullness, burning, or gradually building pain.
However, women are also more likely than men to experience other symptoms when having a heart attack, such as shortness of breath and nausea. They may incorrectly attribute these symptoms to a virus, indigestion, or stress.
If a person experiences any sudden combination of nausea, vomiting, shortness of breath, or pain in the lower abdomen, back, or jaw, they should seek medical attention immediately.
People experiencing angina feel discomfort or pain as a result of the heart getting less oxygen than it needs. Along with left arm pain, symptoms might occur in the shoulders, neck, back, or jaw. Angina may also feel like indigestion.
Angina is not a heart attack. However, it is a sign of a heart problem. Clogged or narrowed coronary arteries are often the cause of angina.
There are two main types of this condition:
Stable angina is a predictable and manageable type of angina. It occurs consistently for at least 2 months and only during times of physical effort or emotional stress.
These circumstances put extra strain on the heart, meaning that it needs more oxygen than the narrowed arteries allow. Rest can help a person treat stable angina. If necessary, a doctor may prescribe an artery-relaxing medication called nitroglycerin.
This type of angina is more unpredictable and dangerous. It can occur even when a person is resting, meaning that the heart consistently does not get enough oxygen.
Unstable angina indicates that a person is at risk of a heart attack. A medical professional should evaluate people with unstable angina in an emergency room.
Left arm pain is probably not a result of heart problems if it has the following characteristics:
- The pain has a "stabbing" quality and lasts only a few seconds at a time.
- Movement or touch causes pain.
- The pain only occurs across a small area of the arm.
- The discomfort persists without other symptoms for hours or days.
Instead, the discomfort could be a symptom of injury to the bone or tissue in the arm, shoulder, or elbow.
However, even with a good understanding of these possible skeletomuscular conditions, it can be difficult to tell whether left arm pain is occurring due to injury or a heart attack. Certain risk factors for both, such as age and physical activities, also overlap.
For these reasons, it is important not to try to self-diagnose an injury or rule out a heart problem without medical assistance.
Common skeletomuscular conditions that might cause arm pain include the following:
Left arm pain may be a symptom of shoulder bursitis, which usually results from overusing this joint. If the bursa sustains direct trauma or becomes infected, this may also contribute to left arm pain.
Tendonitis is the inflammation of the connective tissue between muscle and bone. Tendonitis often develops due to repetitive joint use. For this reason, tennis players, swimmers, and musicians often get tendonitis.
Tendonitis in the shoulder or elbow could be the source of left arm pain.
Rotator cuff tear
The rotator cuff is a group of muscles and tendons that hold the shoulder in its socket and help a person rotate the arm and lift objects.
A tear in the soft tissue of the rotator cuff can be very painful. It typically results from shoulder overuse or direct trauma. Aging also causes degeneration of the shoulder tissue, which can increase the risk of a tear.
When one of the cushioning disks between the vertebrae of the spine ruptures, it juts out between the spinal bones and pushes against the surrounding nerves.
If the disk pushes against nerves that serve the arm, a person may feel arm pain, numbness, or weakness. These symptoms might resemble those of a heart attack, but the cause is different.
A common cause of disk herniation is heavy or repetitive lifting.
Arm pain may also be a symptom of an undetected broken bone.
Although arm and shoulder injuries may not be life-threatening, it is still important to seek medical evaluation from a doctor. Early treatment can help tissues or bones heal and prevent further damage.
The most important factor of early treatment for left arm pain, however, is ruling out a heart attack.
If emergency doctors decide that arm pain is the symptom of a heart attack or an arterial blockage, they will act immediately. First, they will most likely perform an electrocardiogram, blood work, a chest X-ray, and possibly a CT tomography angiography scan.
A doctor may also use an imaging procedure called cardiac catheterization. This test allows doctors to assess the extent of blockages by injecting a dye into the arteries.
Based on the results of this test, doctors may choose noninvasive treatment. For example, they may prescribe a drug that breaks up blood clots.
More severe blockages may call for surgery. There are many different heart procedures, and the factors that go into choosing the most appropriate one are complex. Some potential options for restoring blood flow to the heart include:
- Stent implantation: The surgeon inserts a wire-mesh tube into a narrowed artery to widen the vessel and promote blood flow. This tube is called a stent.
- Angioplasty: The surgeon inflates a small balloon inside a blocked artery, reopening it to allow blood flow. They may also attach a stent to the balloon to lock it into place.
- Bypass surgery: The surgeon uses a healthy section of the blood vessel to divert blood flow around the blockage.
If a person experiences a heart attack or angina, they should make lifestyle changes to avoid a recurrence. These might include:
- quitting smoking
- reaching a healthy body weight
- starting an exercise regimen
- eating a healthful diet that includes plenty of vegetables, fruits, whole grains, and lean meats, as well as low fat dairy products
For people with type 2 diabetes
These medications should lower blood glucose and reduce the risk of atherosclerosis and cardiovascular disease.
A doctor may prescribe either a sodium glucose cotransporter 2 (SGLT-2) inhibitor, such as canagliflozin (Invokana), or a glucagon-like peptide-1 receptor (GLP-1) agonist, such as dulaglutide (Trulicity).
While left arm pain is not always a sign of a heart attack or angina, these are the most dangerous causes of this symptom. It is essential to seek immediate medical attention if breathlessness, nausea, chest pain, and dizziness accompany arm pain.
These measures include lifestyle changes, medication, and, if necessary, surgery.
Making these changes can feel overwhelming at first, but they can help prevent further heart damage and attacks.
Can heart attacks cause right arm pain?
Yes, symptoms of heart attack can include pain in the right arm, left arm, or both arms.Gerhard Whitworth, RN Answers represent the opinions of our medical experts. All content is strictly informational and should not be considered medical advice.