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1 One of the most common causes of left arm (or right arm) pain and tingling comes from issues or injuries of the cervical (neck) spine or brachial plexus. 2  Older people often get this as their spines degenerate, discs loose their thickness and the vertebrae sag closer to each other.
1 Spleen irritation-Irritation or rapture of the spleen can also cause discomfort and pain under the left rib cage. 2  Pain in the left shoulder tips is added signs of a spleen rapture or damage. Costochondritis-This is a condition that results from an infection of cartilages that bond the ribs with the breastbone. 2  This can be the result of a forceful impact of the shoulder and rib cage area or caused by a viral infection. 3  Unbearable pain is experienced near the breastbone as the patient breaths heavily.