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Left Arm Pain From Anxiety: Why It Happens and How to Get Relief

Dorianne Green
Written by:
Dorianne Green
Medical Writer
Dr. Henry Bradford
Medical Reviewer:
Dr. Henry Bradford
MD

Highlights

  • People with anxiety can experience left arm pain when stressed or during an anxiety attack.
  • It is difficult to tell whether left arm pain is anxiety-induced or if it’s a heart attack symptom without tests, so avoid self-diagnosis.
  • Always seek medical attention for pain in the left arm accompanied by other physical symptoms, because serious conditions, like heart attacks, are life-threatening.

Having pain in your left arm can be a terrifying experience. Often, the first thing that comes to mind is a heart attack, and this is exactly why a medical opinion is vital. However, there might be another trigger, and anxiety is one.

Let’s explore left arm pain in detail, discuss its causes, and what to do about it.

Already ruled out medical causes? See a healthcare provider to find out if anxiety is playing a role.

Can Anxiety Cause Left Arm Pain?

Anxiety can cause arm pain, and not only the left arm, but also the right. Firstly, it may be related to muscle tension or hyperventilation during panic attacks. Also, people with anxiety tend to have higher pain sensitivity.

Even so, never self-diagnose the cause of left arm pain because you might overlook something life-threatening. Rather, seek medical advice.

What Does Left Arm Pain From Anxiety Feel Like?

Left arm pain from anxiety might be described in different ways, like a sharp stab, tightness, ache, or discomfort. Other people might say:

  • “My left arm feels weird.”
  • “I have a burning sensation in my left arm.”
  • “My left arm is tingling, has pins and needles, and feels numb.”
  • “My left arm feels stiff or weak.”

Other common physical symptoms of anxiety that might also be happening[1] are:

"Severe anxiety or panic attacks can closely mimic serious medical emergencies, including heart attacks. Symptoms such as chest pain, tightness, pressure, or radiating discomfort in the left arm warrant immediate evaluation in the nearest emergency department. These symptoms should only be attributed to anxiety after a thorough medical assessment has ruled out cardiac and other acute conditions."
Dr. Henry Bradford, MD
Medical provider at MEDvidi

Next, we’ll look at other causes of left arm pain. However, remember that anxiety can also cause right arm pain, and can affect the entire arm, or just one area, for example, the hand or shoulder.

Other Possible Causes of Left Arm Pain

There are many reasons, other than anxiety, associated with arm pain. Some of the causes we’ll briefly discuss include problems with muscles, bones, nerves, tendons, and, of course, the heart. This is why it is essential to consult a medical doctor if you experience left arm pain.

Injuries

Any form of soft tissue damage or injury to the neck or arm, such as whiplash, sprains, strains, bruising, muscle tears, or fractures, can cause pain.

Tendon Conditions

Overused, inflamed tendons (tendonitis) can cause left shoulder and elbow pain.

Spine Conditions

Wear-and-tear arthritis and a herniated disk are two conditions that may cause a pinched nerve, resulting in left-sided arm pain.

Nerve Conditions

Shingles is a viral infection caused by a reactivation of chickenpox along a nerve. It can cause severe pain anywhere in the body, including the left arm. It is usually associated with a blistering rash in the same area where the pain is felt.

Conditions like diabetes, vitamin B12 deficiency, and carpal tunnel syndrome can also lead to pain in the arms and hands.

Heart Disease

Any heart condition that may decrease blood flow to your heart muscle can cause pain in your left arm. Importantly, this is a referred pain, which means you feel pain in one part of your body but the problem is elsewhere. The most well-known example of this is a heart attack. 

Next, let’s look at how arm pain from anxiety might differ from a referred heart-related pain.

Anxiety Left Arm Pain vs. Heart Attack: How to Tell the Difference

 

Panic Attack

Heart Attack

Is it an emergency?

Not typically life-threatening, but needs evaluation

Medical emergency needing immediate intervention

Are there triggers?

Stress, anxiety, or specific situations

Usually, no immediate trigger.

It can occur at rest or during activity

Pain

Arm pain during a panic attack or a heart attack feels like:

  • Tingling
  • Burning
  • Numbness
  • Tightness
  • Dull ache
  • Sharp pain
  • Pressure
  • Heaviness
  • Tightness
  • Squeezing
  • Aching pain
  • It can also refer to the jaw, neck, back, or stomach

 

The physical symptoms of a panic attack and heart attack can overlap significantly, and only medical evaluation can reliably distinguish between them.

Are there timing differences?

Starts suddenly, often peaks within minutes

Develops gradually over minutes to hours

Usually settles within 20-30 minutes

Persists and may worsen over time

What about other ways to tell them apart? Unfortunately, anxiety and heart attacks[2] both have common associated physical symptoms:

  • Chest pain or discomfort
  • Shortness of breath
  • A fast or pounding heartbeat
  • Nausea
  • Sweating
  • Light-headedness or dizziness

The bottom line is that the safest option is to immediately go to the emergency room or call 911 and let a medical doctor make the decision.

Why Anxiety Causes Arm Pain

Muscle Tension

Anxiety makes people fearful, which triggers the fight-or-flight response. The brain prepares your body to escape danger, making your muscles tense and ready to react: leg muscles to run, and arm and shoulder muscles to hit or block. Over time, this can lead to muscle pain, stiffness, and cramps.

Heightened Pain Sensitivity

An ache or pain that might not bother everyone can be overwhelming[3] for a patient with anxiety. There are a few reasons[4] for this:

  • The same neurotransmitters serotonin and norepinephrine are involved in regulating mood and pain.
  • Areas of the brain that are affected by anxiety also process pain signals.
  • Anxiety causes people to be on high alert for anything out of the ordinary because of the stress response. They become hyperaware of not only things around them, but also sensations in their bodies.

Panic Attacks

Panic attacks can cause sudden pain and tension in the arms. One reason for that is hyperventilation — a rapid and deep breathing that happens during a panic or anxiety attack. Because the lungs are working faster, they remove the carbon dioxide from the bloodstream[5] too quickly, causing strange sensations and pain in the arms, hands, legs, and feet.

Concerned about anxiety-related symptoms? See a healthcare provider online for diagnosis and treatment.

How to Get Rid of Left Arm Pain From Anxiety

Once you have consulted with a healthcare professional and they’ve determined that anxiety is the most likely cause of your symptoms, they’ll guide you on what to do next. Also, there are a few more things you can try.

Immediate Relief

The at-home remedies and stress management techniques all aim to alleviate muscle tension and decrease stress levels by calming the fight-or-flight response.

  • Deep breathing exercises: Try the 4-4-4-4 method: breathe in for 4 seconds, pause for 4 seconds, breathe out for 4 seconds, and pause again for 4 seconds; repeat this cycle 4 times.
  • Progressive muscle relaxation: Start relaxation from the bottom of your body and move up one muscle group at a time, from your toes to your calves to your thighs, consciously relaxing each as you go, ending with your face.
  • Mindfulness meditation to refocus attention: Gently focus on your breathing or sensations in another part of your body, rather than the pain.
  • Distraction methods: Name all the red objects in the room, or count backward from 1000.
  • Gentle stretching: Reduce muscle tension with gentle neck, shoulder, and arm movements and stretches.
  • Warm compressors for muscle pain relief: Apply a heating pad to the arm or have a warm bath to improve blood circulation and bring oxygen to the muscles to relieve pain.
"When cardiac and other medical causes have been ruled out, anxiety-related physical symptoms can often be effectively managed through a combination of biofeedback, psychotherapy, and medication management."
Dr. Henry Bradford, MD
Medical provider at MEDvidi

Long-term Relief

Long-term solutions[6] that can help improve mood, overall well-being, and mental health include the following:

  • Regular exercise: 20 minutes of yoga or another physical activity three times weekly, at 60% to 90% of maximal heart rate, helps relieve anxiety.
  • Balanced diet: Ask your doctor about including anxiety-reducing elements[7] , such as omega-3, B vitamins, probiotics, magnesium, and zinc, in your diet; also, avoid caffeine, which spikes anxiety.
  • Good sleep hygiene: Quality sleep[8] is essential for reducing anxiety, because a rested brain copes better. So, get into a consistent sleep routine and sleep in a quiet, dark, and cool environment.
  • Professional help: Talk therapy (such as cognitive-behavioral therapy) and/or anti-anxiety medications can be recommended to support the effects of your self-help strategy.

When to See a Doctor

Do not try to self-diagnose left arm pain; this can’t be repeated often enough.

You must see a doctor immediately if you are experiencing pain in your left arm and any of the following symptoms:

  • Chest pain or discomfort 
  • Shortness of breath 
  • A fast or pounding heartbeat 
  • Nausea 
  • Sweating 
  • Light-headedness or dizziness 

If, based on a medical assessment, anxiety appears to be the cause of your left arm pain, you should seek medical care again in any of the following cases:

  • Self-help or healthy lifestyle changes are not working to decrease your anxiety.
  • You have severe pain or significant discomfort that interferes with your daily life.

Also, it’s important to consult a mental health professional. You can get online anxiety treatment at MEDvidi, where a healthcare provider can confirm the diagnosis and recommend a personalized treatment plan. Book your appointment today to get help in 24 hours..

Frequently Asked Questions

Yes, anxiety can cause nerve pain in the arms. Reasons this happens are nerve compression by tense neck muscles, hyperventilation during a panic attack, and an increase in stress hormones that leads to higher nerve sensitivity.

There are many reasons why a woman might have a tingling sensation in the left arm, including anxiety, nerve or muscle problems, or something more serious; don’t self-diagnose, instead consult a doctor.

Anxiety-related arm pain can last from a few minutes (if triggered by panic or fear) to many months (in generalised anxiety disorder).

Yes, anxiety-related arm pain might come and go, or become intense and then ease, as stress levels fluctuate.

You shouldn’t self-diagnose whether your arm pain is anxiety-related; instead, see a doctor to exclude serious medical causes.

Yes, anxiety can make your arm tingle. It can happen because of increased tension in neck muscles, hyperventilation during a panic attack, or increased nerve sensitivity caused by stress hormones.

Sources

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8 sources
  1. Chand SP, Marwaha R. Anxiety. [Updated 2023 Apr 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.
    Source link
  2. Ojha N, Dhamoon AS. Myocardial Infarction. [Updated 2023 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.
    Source link
  3. Burston JJ, Valdes AM, Woodhams SG, Mapp PI, Stocks J, Watson DJG, Gowler PRW, Xu L, Sagar DR, Fernandes G, Frowd N, Marshall L, Zhang W, Doherty M, Walsh DA, Chapman V. The impact of anxiety on chronic musculoskeletal pain and the role of astrocyte activation. Pain. 2019 Mar;160(3):658-669. doi: 10.1097/j.pain.0000000000001445. PMID: 30779717; PMCID: PMC6407811.
    Source link
  4. Harvard Health Publishing. Pain, anxiety, and depression. Harvard Health. Published September 16, 2021.
    Source link
  5. Meuret AE, Ritz T. Hyperventilation in panic disorder and asthma: empirical evidence and clinical strategies. Int J Psychophysiol. 2010 Oct;78(1):68-79. doi: 10.1016/j.ijpsycho.2010.05.006. Epub 2010 May 25. PMID: 20685222; PMCID: PMC2937087.
    Source link
  6. Locke AB, Kirst N, Shultz CG. Diagnosis and Management of Generalized Anxiety Disorder and Panic Disorder in Adults. American Family Physician. 2015;91(9):617-624.
    Source link
  7. Naidoo U. Nutritional strategies to ease anxiety - harvard health blog. Harvard Health Blog. Published April 13, 2016.
    Source link
  8. CDC. About Sleep. Sleep. Published April 2, 2024.
    Source link
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Dorianne Green
Written by:
Dorianne Green
Medical Writer
Dr. Henry Bradford
Medical Reviewer:
Dr. Henry Bradford
MD
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