eredyMemberSeptember 30, 2012 at 9:25 pmPost count: 7
im having pain my neck it goes to my arms down to my hands the major pain is on my right side. stabbing pain in my hands a dull ake my arm .also have pain in my right shoulder. the majority of the pain seems to be on my right side but hurting on both sides right being worse i would say 70% on right with my left just major pain down my arm to my hands at 50% pain . this pain is a 7 out of a ten on a scale and consistent pain on my right side
.ive had 3 mris the report i got from one neurosurgeon said i have a herniated disc between the c6 and c7 vertebra that has ruptured. i have went to pain management gotten 3 nerve blocks and a radio wave done didn’t even touch the pain . i went to pt it helped a little but now ive lost 20% movement in my neck when moved to the right and and a little less percentage to my left making me have a stiff neck.also went to chiropractor before that .im on pain and anti inflammatory meds ,i have a mri but u cant post urls is there a way to send some pics to you what im asking is one doctor said it was just in my head but found this report he had done with out telling me . is this enough to get this took care of .this pain is terrible only thing was worse was passing kidney stones .im knew to posting in this type forum trying to go within guide lines . thank you for any helpDonald Corenman, MD, DCModeratorSeptember 30, 2012 at 11:20 pmPost count: 8465
Your pain into the arms, left greater than right that is a dull ache with sharp pain components is consistent with radiculopathy (nerve root compression). This pain can be associated with a disc herniation at C6-7. Since you have had the pain for some time (three MRIs normally mean at least six months), you could be a candidate for a selective nerve root block (SNRB- see website).
The nerve block would be good for two purposes. One is that temporary relief for 2-3 hours would confirm that the herniation is the cause of your pain (see pain diary on the website). The second is that the steroid included in the injection can reduce pain and inflammation, sometimes for a long period of time.
Dr. CorenmaneredyMemberOctober 1, 2012 at 5:27 amPost count: 7
is this why its been so hard to get help here these things i describe.eredyMemberOctober 1, 2012 at 5:56 amPost count: 7
had a nerve block all three with little help . my last one was in Feb 2012 was a radio wave .these blocks didn’t help . the first block did work for about 2-3 hrs and gradually wore off after that . have had over 8 cortisone shots from 7 2011 to 7 2012, have had injections pin point injection aka shot just under the skin, closest to the disc with out danger of hitting the spine .the first worked about 4 to 6 then wore off the others never worked.your video on how to read a m.r.i.really helps.the disc looks like its moved foreword compressing the spinal cord.could this rupture be on the nerve root rubbing it causing this pain down my arm and making my hands and arms hurt ? i have been told i shouldn’t hurt in my hands like this but read in other places this can happen.Donald Corenman, MD, DCModeratorOctober 2, 2012 at 11:09 pmPost count: 8465
Nerve blocks have two components- diagnostic and therapeutic. Most individuals pay too much attention to the therapeutic results (feeling better days to weeks after the blocks). This is important for long term relief but does nothing for supporting the diagnosis.
The first three hours after the injection are crucial for the diagnosis. This period is when the numbing agent is effective. This agent wears off after three hours and the symptoms typically reappear.
Keeping a pain diary (see website) will lead to diagnosis. If, in your case, the C7 nerve is blocked (injected) and you gain great temporary relief, the diagnosis is confirmed. If the long term relief is not appreciated by you, at least you have a diagnosis and surgical treatment can be helpful.
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