[alicet89406]

#4582

There is normal alignment of the cervical spine. There is mild disc space narrowing at c5-c6.
Impression: Posterior and right lateral disc-osteophyte complex at c5-c6 resulting in moderate right neuroforminal stenosis and mild central canal stenosis.

I have had a slap tear type 1, had a arthroscopy done with capsular shrinkage, May 2010.

In August of 2009, i injured myself. I have had a burning sensation in my right armpit that has never been fixed along with numbness pins and needle sensations in my right hand and fingers, i have sometimes muscle twitching in my upper arm along with severe pain when touched over my 1st rib and underarm area, and pain in back of my neck down to shoulder blades. I don’t have my doctor anymore so any advice would be so much appreciated. I was on Lyrica 75mg to 150 mg twice a day, Ambien 10mg for sleep, and Hydrocodone 5-325mg. I am starting to feel the numbness and pin and needles in my hand again, along with droping things occasionally, the underarm burning is annoying, the pain in my shoulder and neck are back all the way down to my shoulder blades, it burns also,i have insomnia very bad it hurts to lay down anytime or sit for to long more than 2 hours in one place, and i cant stand or walk for long without it hurting now, i would say a walk in the grocery store does me in. i am also very weak in that arm a 24 pack of soda is to much to pick up but i can lift a gallon of milk with some pain. i was wondering if you might know what might be causing this and what symptoms should i be looking for that will warrant me to have to go to a doctor to be looked at i dont have no health insurance or a job because it was decided i could’nt do my job anymore, by their doctor he said i had a 16% disability for my shoulder and weight lifting limitations of 25 pounds constantly to 50 pounds occassionally, and 10 pounds overhead.
Thank You

[Donald Corenman, MD, DC]

#4584

By the looks of the report and your symptoms, you could have a radiculopathy of the C6 nerve. (See section on web site; radiculopathy- pinched nerve). Compression of this nerve would cause pain and numbness down your arm into your thumb and index finger. The pain also could radiate into the back of your shoulder blade on each side. The pain in your armpit is unusual but still could be caused from this.

You could be developing a chronic pain syndrome. This occurs when the pain is long-standing and unrelenting. Depression can occur along with an increase of the “volume” of the pain.

Without insurance, you will probably need to seek spine care at a university clinic. Many universities run hospitals for patients without insurance (called indigent clinics) that are staffed by Attending physicians and Resident physicians.

If the physical examination correlates with your complaints and findings on imaging (MRI and X-rays), you might be a candidate for a selective nerve root block (SNRB-see website) to prove the nerve compression.

Hope you can find care.

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.

[alicet89406]

#4585

Thank you do you think this will ever go away on its own?

[Donald Corenman, MD, DC]

#4586

I don’t know- everything I have discussed is speculation. You need a diagnosis and treatment.

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.

[alicet89406]

#4587

I have to say you are very good because that is what my doctor said radiculapathy they sent me for ESI to my neck but i was to scared to do it. so i live with the pain my doctor had me on Lyrica it helped. Do you think since it was a work comp case but the case is closed is it still considered a work comp injury to doctors?

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