[ishtiaq37]

#5359

Hello

Respect Dear Doctor

MY NAME IS MIRZA ********, MALE, 44 YEARS OLD AND LIVING IN ISLAMABAD (PAKISTAN). I WAS FEELING PAIN IN MY NECK AND BOTH JOINTS OF MY ELBOW JOINTS AND I CANNOT PUSH POWER / PICK UP WEIGHT. I WENT TO DOCTOR HE ADVISED ME FOR X-RAY SPINE.

X-RAY REPORT IS AS FOLLOW:

“C SPINE (AP/LAT) VIEWS:-

“DISC SPACE BETWEEN C6/7 IS REDUCED.
OSTEPHYTES ARE SEEN AT MARGINS OF THESE VERTEBRAE.
– DEGENERATIVE CHANGES WITH SPONDYLOSIS CERVICAL SPINE”.

PLEASE LOOK INTO THE REPORT AND ADVICE TREATMENT.

I SHALL BE THANKFUL TO YOU FOR AN EARLY REPLY.

REGARDS

MIRZA ******* ***

[Donald Corenman, MD, DC]

#5360

You note pain in the cervical spine and pain radiating down to the elbows. You note lack of strength (“cannot push power”) which I assume is weakness of the triceps muscles (lack of push-off). Loss of strength in “picking up weight” is typically from the biceps (a different cervical nerve root) but may be from weakness of wrist flexors which is a C7 nerve root function.

The meticulous physical examination which can be well done in any country can shed light on the diagnosis and point the way for appropriate treatment.

The C6-7 notes significant degenerative changes and osteophytes at that level. That could be consistent with a C7 nerve root compression which would cause pain and weakness as you describe (see section under cervical radiculopathy on website). I do not know what resources you have in your country but I would consider an MRI as the next step, then a cervical epidural steroid injection.

Dr. Corenman

[Author]

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