<s>[INST] I am w/f 47 yo weight 175lbs, 0504 tall, I have type 2 diabetis, cardiomyopathy... for months every morning my left hand is significantly swollen, i have left arm pain, and last week or so just a general not feeling well. I have been to orthopedic, neg.. carpal tunnel, mostly neg electrical study, and mostly neg artery and vien circulation... any ideas? [/INST] Hello, Possible causes are like primary lymphedema in which possible causes are unknown or vasculitis or thoracic outlet syn Chat Doctor.  Keep your limb on elevated position. Frequent massages may give a relief. Check for any upper limb filariasis. Use tablet choral forte twice a day for five days. If no improvement, please consult with your physician he will examine and treat you accordingly. Take care. Hope I have answered your question. Let me know if I can assist you further.  </s>