Hello.
Let me get right to the point RE: my symptoms

61 F no existing medical condition
slim, no history of alcohol or smoking
current medication: melatonin to sleep

~5 yrs ago, the inner elbow of my left arm began to ache tingle. No history of accident, and I'm a housewife.
Over the years, the tingling/ ache/ tiredness/heaviness/weakness spread to upper and lower arm (to all of my fingers) and to my right arm as well.

normal reflexes, and no decrease in strength, but they always feel tired, and tires further very easily. Feels worse when sleeping

Tried:
1) rmt, physio, chiro, accupuncture- All of them I've tried different professionals for at least 6 weeks each. They either made things worse or nothing happened.

2) imagings (MRI, xray, CT of brain, cervical spine, and angiogram to check blood flow) - all came back normal

3) 3 nerve tests - all normal

4) tried whole bunch of meds (lyrica, gaba, variosu nsaids, steroid) - all used for 6wks plus with no improvements

5) tried exercises by various healthcare professionals (for at least 6 wks each) - only got worse

6) general bloodwork (B12, diabetes) - all normal

7) saw two neurologist, 3 physiatrists, 1 vascular surgeon, and a whole slew of general MD.

At first, they thought it might be golfer's elbow or tennis elbow, so tried braces for months- no use.
For a while, they thought it might be TOS, so tried botox injection into scalene/pec - tried it twice, but no use.

At this point, things are progressing and I have no answers. I don't know what I'm supposed to do... I feel alone and desperate, and I'm beginning to lose hope that I'll ever lead a normal life. I used to be active, but now, I can't even wash my hair well.

I live in Vancouver BC, and I know I'm gasping at straws here, but anyone have similar symptoms as mine and had success? Or seen a doctor who could help in anyway?

Well, OP, could the melatonin be your problem? Sounds like you've tried so much and as for the meds, I would not take them and never have...All supplements and Inosine and Sphingolin do a good job, they did for me.

How much Melatonin do you take, I keep my dose at 1/2mg and it's in my Sleep Combo which I have posted in the Sleep Forum
here.

I ended up with neuropathy from a hip replacement and the tingle burn is pretty much gone, but the damage
from the surgery lives with me. I've taken Grape Seed Extract for decades and could be too it helps with the
neuropathy issues...it's a powerful antioxidant. Let us know how you are doing...

I don't think it's thr melatonin since I began taking it after my symptoms started... the tingling began 5 years ago, and I began taking melatonin about 2 years ago...

Hey Gomicho,

Sorry to hear of your symptoms and the difficulties you've had obtaining a diagnosis and treatment. It's interesting that you only experience symptoms in your arms and not your legs.

Have you had a lumbar puncture? Has anyone considered immunoglobulins as a possible treatment?

Best wishes,

Atty.

Welcome gomicho.

Not yet. I really need to find a doctor who is willing to explore all possibilities, but so far, no one showed any interest in helping me. In fact, all the tests and imaging were done by my insistence after I did research. I've seen neurosis, physiatrists, and general docs, but all they keep saying is they don't see anything wrong with me... that's why I was hoping to find someone here who is maybe from Vancouver and had any luck with a doctor...

gomicho, welcome!

I'm stumped too. I was going to say that anything you might be taking, like the melatonin you mentioned, might be causing your problem but you've discussed why you don't think that it is.

This may seem ridiculously obvious at this point but have you thought about what you typically do during a day? Is there an activity where you use your arms or upper back?

I had similar symptoms when I used to knit, for instance. I wasn't knitting intensively either--just a little each day.

Sorry I can't come up with any better answers for you.

Hey Gomicho,

Something you may wish to explore is a mitochondrial disorder of some kind. The Chronic Fatigue Syndrome blog/website Health Rising is an excellent resource with respect to this.

Something else you may consider is Mestinon a drug for Myasthenia Gravis. Using it off label may be appropriate for you, certainly worth exploring.

mestinon for pn?

A Mestinon Miracle: Vagus Nerve Stimulating Drug Helps Long Time ME/CFS Patient Exercise - Health Rising

Do you have any weakness in your legs at all or is it purely your arms? And is it only some muscles? And do they ache, hurt, get tired simultaneously?

Best wishes,

Atty

You might explore our TOS forum and the sticky threads above it..
TOS can be a tricky one to get a clear dx.
Drs like clear cut tests or maging for proof, but some TOS can be soft tissue based.

Did any PT or DC try -
Top rib mobilisation
Manual trigger point release
Ultra sound
Low level laser
IFc stim

How is your upper body alignment?
Head forward, shoulders hunched or rolled forward?
Are shoulders, hips., Knees level across?
I hope pt and dc checked those. But just checking for sure . If not.. Seek better ones .

Many in the past had trouble being treated and diagnosed with TOS until they had increasing pain and symptoms that required rx meds or surgery..
I would call it pre TOS, a point where it can be turned around with expert treatment and self education , floow thru with self awareness.
It took me yrs but could have been less if not for work comp delays.

Even a long ago whiplash or shoulder, neck minor injury can cause issues as we age..

Nope, no obvious activity I can think of...