camobarbieMemberJune 22, 2011 at 10:45 amPost count: 5
I have had neck pain for over 3 months now. It is the lower part of the neck into the shoulder area primarily in the left shoulder, but the pain is also in the right shoulder as well. The symptoms can vary from day to day. Recently, the left arm at the shoulder felt like it had been put into a tourniquet and the arm was losing circulation. I wake up several times during the middle of the night with my arms going numb all the way down to the finger tips. The pain I have runs all the way into the fingers throughout the day. My wrists hurt, my forearms hurt most of the time and sometimes even my biceps. Finger wise, the pain runs down mostly between the ring finger and the pinky finger and then through the thumb area. I notice the pain quite a bit when I go to stir something, I have to adjust the grip to alleviate the pain running through the thumb area.
I have been to one neurologist, he stated that it was overuse and that was it, never received any medicine to alleviate the pain or any treatment. I went to the chiropractor and he thinks it is because of disk degeneration and because my neck is no longer curved like it should be. I went to a spine doctor, he stated that I have intermittent Hoffman’s sign and he sent me for a MRI and then wrote a prescription for Voltaren and physical therapy for Spondylosis. I then went back to a different neurologist and he stated that I was on the borderline for carpal tunnel but because of the night numbness and then he stated that I had mild nerve damage in the left arm. I have been tested for Lyme, Vitamin B deficiency, Rheumatoid arthritis and everything has come back negative. The MRI came back with dessication between C5 & C6 and that is it. However I found something I think was a little abnormal that was not noted on the MRI report and wanted to see what you thought.Donald Corenman, MD, DCModeratorJune 23, 2011 at 12:16 amPost count: 8507
You complain of neck, shoulder and arm pain into the hand bilaterally- left greater than right. You also complain of numbness at night that awakens you in your upper extremities. You also mention an EMG/NCV test by a neurologist and an MRI but do not reveal the results.
Your symptoms could be anything from thoracic outlet syndrome to malabsorption syndrome to peripheral neuropathy to radiculopathy to rotator cuff inflammation to Parsonage Turner syndrome. Your information does not differentiate between any of these diagnoses.
You mention something abnormal on the MRI that was overlooked but do reveal what that finding is. Much more information needs to be supplied.
Dr. CorenmancamobarbieMemberJune 23, 2011 at 8:08 amPost count: 5
The MRI results just came back as dessication between C5-C6. Please review the link and I have circled what I think is a little abnormal, I am not a dr., I thought it was abnormal because the nerve roots did not appear the same throughout.Donald Corenman, MD, DCModeratorJune 23, 2011 at 11:39 amPost count: 8507
Two images are never enough to diagnose a problem. The images are at the C7-T1 level and there may be no pathology, cervical ribs or ??? I’m sorry but I can’t help you with such limited data.
Dr. CorenmancamobarbieMemberJune 23, 2011 at 12:57 pmPost count: 5
Due to the pain being in the base of my neck and then running down my shoulder and it hurt from turning my head side to side, the only MRI that was ever prescribed was the one for the cervical spine. So are you recommending that I go and get another MRI done because the x-rays I had done of my spine did not show anything abnormal.Donald Corenman, MD, DCModeratorJune 23, 2011 at 2:11 pmPost count: 8507
I cannot recommend anything as the information is incomplete. You need a consult from a good spine surgeon who can put all the pieces together including history, physical examination, review of all images, tests, consults and anything else.
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