<s>[INST] I have been having severe pain in my hands and arms first i was diagnosed with carpotonal then tenolitisis had the carpotonal surgery on the right hand but is still in pain. hsve had 2cortisone shots in the same hand my dr. is puzzle has have blood tests done as well.4 different drs from hand surgery to orthopedic. [/INST] Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have severe pain in the hands and arms. Well there can be many reasons for symptoms you mention in query like cervical spondylosis, cervical radiculopathy, nerve compression, or symptoms or angina. I would suggest you to consult orthopedic surgeon for proper examination. Sometimes the symptoms can occur due to post surgery complication or side effects of certain Chat Doctor. Doctor may order CT scan or MRI along with nerve conduction test. Doctor may prescribe nerve supplement muscle relaxant along with anti-inflammatory and physical therapy along with particular stretching exercises. You can also keep your arm and hand in hot water tub with Epsom salt for 15 minutest daily. Doctor may also refer you to cardiologist in case of cardiac problem. For now eat healthy and take ibuprofen or acetaminophen for pain. If you are experiencing dizziness, shortness of breath or weakness along with numbness and tingling in legs then you should go to emergency. Hope your concern has been resolved. Get Well Soon. Best Wishes, </s>