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  • Tiruna
    Member
    Post 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.

    Kind regards,
    Tiruna.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8378

    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. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
    Tiruna
    Member
    Post 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, DC
    Moderator
    Post count: 8378

    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.

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
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