Left shoulder ache. twinges of pain into left arm. left fingers cramp. happens on right side too. good ekg, xray, and heart enzymes. heart issue? 21yr

Unlikely heart: At age 21, with negative lab tests, this is unlikely to be from your heart. Pain that goes from your chest down your left arm and that makes your fingers cramp is most likely coming from muscle and fascia--myofascial pain. This can be aggravated by nutritional deficiencies caused by fast food and soda/gatorade, and also injury to your chest and shoulders. www.blatmanhealthandwellness.com

Left shoulder & arm: left shoulder & arm pain may be related to coronary artery disease,mvl,gerd,reflux esophagitis,costochondritis,medications like aspirin,bupropion,advair disks.Further tests like EKG,cadiac isoenzymes,X-ray chest,echocardiogram,pft,ct angiogram,ct chest with PE protocol,upper endoscopy,bursitis,X-ray shoulder joints,stress echocardiogram,consider thallium stress test.consider treatment with subling

Nerve compression: You may have compression of your cervical nerve roots. See a neurologist or an orthopedist for xrays and evakluation

Get an EMG/NCT: Paresthesia, pain or numbness in the hand and arm indicates nerve impingement. See a neurologist for an EMG/NCT. If proven to have nerve impingement in the neck then you will be referred to a neurosurgeon. If you have impingement of nerves at the elbow or hand, then you will be referred to a hand surgeon for surgical decompression and related procedures.