TirunaMemberFebruary 24, 2012 at 12:23 amPost count: 2
Dear Dr. Corenman,
Im having pain from my neck to my fingers since 3 weeks, the pain is on and off from the 2nd week, after a check up at a general pratitioner, i was referred to a spine surgeon, i was told to do an MRI for cervical, in my report, it says there is loss of normal lordosis, attributed to muscle spasm, mild oesteo discal bars are noted at C4/5, C5/6 and C6/7 causing no significant neural compromise, the vertebrae and other interverbral disc are normal. the central canal dismension are adequate, no neuro foraminal stenosis, the cord is of normal caliber and signal intensity, and finally there is no tonsillar ectopia. i have on medical prescrition, yet nothing improved, my 2 first hand fingers still swells, and in the evening the the whole hand, swells, which also pain in between fingers, my hand is very weak(left arm)… the numbness is permanent, please sir i want a clarification on the report, and is there any possible surgery in the longterm?
Thanks in advance.
Tiruna.Donald Corenman, MD, DCModeratorFebruary 24, 2012 at 9:25 amPost count: 8459
Pain from the neck to the fingers could be from cervical radiculopathy or from thoracic outlet syndrome. The reading from the radiologist may be accurate but there can be times the information is inaccurate.
Swelling sensation of the hands can be from nerve origin or from vascular origin. Are your pulses equal in each hand and intact? Thoracic outlet syndrome occurs with shoulder position. Do your symptoms increase with overhead activity- especially with your head or chin down? If there are mainly symptoms in your hand, this could be carpel tunnel syndrome.
The radiology report- if accurate- would indicate that your neck is not the source of symptoms.
Dr. CorenmanTirunaMemberMarch 20, 2012 at 3:50 pmPost count: 2
yes, specially during long hours of study, where my head is nomally bent down, i have severe neck pain…, pulses are equal too?Donald Corenman, MD, DCModeratorMarch 20, 2012 at 11:07 pmPost count: 8459
Neck pain is more likely than not from the degenerative disc disease. Flexion of the neck loads the discs and increases pain. Equal and bounding pulses would help to rule out a vascular problem. The arm symptoms are possibly from thoracic outlet syndrome.
- You must be logged in to reply to this topic.