Re: Aching and burning on top of hands
Well, although I am certainly not a doctor (though I sometimes play one in my own head) - the type of pain you are describing sounds more like a neuropathic type pain than a pure somatic (nociceptive) pain (it could also be discogenic). You should probably see a neurologist first (before seeing a pain specialist), as from the very limited description you have given the symptoms could indicate way too many things to hazard a guess. From RSD/CRPS, to some sort of diabetic neuralgia, a neuropathy of some sort, a pinched or irritated nerve (pure guess, but possibly the radial nerve??, esp. if you have some pain or cramping, or have suffered an injury of some kind to the lateral aspect of your elbow I had a brief problem with that as well that was solved with a single cortisone/lidocaine injection by a skilled hand surgeon.). The nerve could also be irritated or compressed as it exits the spine (esp if you have cervical disc damage), as it passes through the thoracic outlet (thus "thoracic outlet syndrome") or anywhere from there on down to the affected area. If this is an ongoing problem, your doctor may well send you for EMG testing, MRI, x-rays, bone scans, etc.
Best of Luck
Bilateral Cubital Tunnel & Carpal Tunnel