august121984MemberAugust 22, 2012 at 6:14 amPost count: 7
Hi Dr. Corenman, I’ve been having pain in my left hand, pinkie and ring finger mostly since november 2011 and the hand orthopedic i went to said i had begining signs of ulnar nerve entrapment (when I saw him, mylast 2 fingers had curled as a result of a longwriting session) and in july i began having neck pain that I believe may be related. I had an mri done by an neck orthopedic and he said I have advanced disc degeneration at c5-c7 for someone of my age, I’m 28. I went to a neurosurgeon and he says nothing is wrong with my neck. In an effort to save money and stop going to appt after appt, could I possibly set up something so you could take a look at my mri and give me your opinion? according to the neuro, because the pain is not radiating down my arm and only appears in my hand, he believes the two are unrelatedDonald Corenman, MD, DCModeratorAugust 22, 2012 at 9:53 amPost count: 8468
Ulnar located finger pain (outside of the hand) can be related to the ulnar nerve at the elbow, the ulnar nerve at the wrist (tunnel of Guyon) or the brachial plexus (thoracic outlet syndrome).
You might have disc degeneration in the neck without nerve root compression. This might be why the neurosurgeon stated “nothing is wrong”.
I would be happy to review your films but you might want to consider a consultation with a neurologist who performs EMGs. This test can identify many sources of nerve compression so you can direct your care to the most obvious physician.
Dr. Corenmanaugust121984MemberAugust 22, 2012 at 9:58 pmPost count: 7
I saw a neurologist in March, he did an emg and it came back negative, what would you recommend be my next move? I appreciate your timely response, you’re truly awesome!
also, how do i go about getting in touch to discuss having u look at my mri results?
-KristenDonald Corenman, MD, DCModeratorAugust 23, 2012 at 7:52 amPost count: 8468
The negative EMG generally rules out entrapment neuropathy but does not rule out thoracic outlet syndrome or nerve compression in the neck if there is no motor weakness.
You can see a physician who can look to those two diagnoses. That generally would be a PM&R physician or a spine surgeon.
Again, you can send your films if you so desire.
Dr. Corenmanaugust121984MemberAugust 23, 2012 at 8:01 amPost count: 7
great, how do i go about getting these to you? i have them both on my computer and on a cd
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