SW1979ParticipantDecember 30, 2022 at 8:09 amPost count: 1
Over the last 10 months I have experienced a slow and increasing loss of fine motor skills, coordination and proper movement in my right arm (I cannot brush my teeth, write, chop veggies or whisk with the affected arm, though I can still perform gross movements and haven’t experienced any loss of strength). I am also having arm/hand muscle spasms that cause my arm and hand to be “tense” while at rest (clawing and bending at the elbow). I have no pain, tingling or numbness (unless I fall asleep on that arm). I have seen a neurologist and three orthopedic doctors (upper extremity and spine doctors) and have had x-rays, brain MRI, spine MRI, nerve conduction studies and EMG – all with negative results, everything unremarkable, everything functioning properly. I have also tried medical massage and physical therapy. I feel that this is a neurological problem arising from the cervical spine, even though the neurologist I saw said everything checks out. I was wondering if you had any thoughts as to next steps… rheumatologist? Neurologist second opinion? Chiropractor? Thanks for your time!Donald Corenman, MD, DCModeratorDecember 30, 2022 at 11:30 amPost count: 8583
I think with all the negative tests indicating no compressive lesions, your problem is neurological. You need a movement-disorder specialist, normally a neurologist with speciality training.
Dr. CorenmanPLEASE 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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