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Does it have Missing word In the following sentence?

If I were, would I have shooting pains up and down my left arm?

I consider up and down an adverbial, but in this sentence it's more like a preposition...

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No missing words. They are prepositions. "Up and down my left arm" = in the upper areas of the arm (closer to the shoulder) and the lower areas of the same (closer to the wrist).

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