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Can pain in fingers upto the shoulders be symptom of Guyon Canal Syndrome? - Online Doctor Chats

Date : 25-Mar-2014
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1229 Questions
I have been working on computers since last 16 years. Presently I am having severe pain on my right hand from the little and ring finger upto the shoulders. I understand it could be the Guyon Canal Syndrome.

Kindly advise how I can recover from this concern.

Thanking you.

With regards
Doctor:Is this your current concern?
User:Yes it is.
Doctor:all right
Doctor:please give me a minute to read it
Doctor:I have read your query
Doctor:yes, it is possible to be Guyon Canal Syndrome
Doctor:for the acute severe pain now, you need analgesics
Doctor:A would suggest quick relief medicines like Hifenac MR right away
Doctor:Along with this, complete rest of the right hand is required
Doctor:I would suggest you to take the medicine, and take a day off from work and any other manual hand work
User:but i work on laptop
Doctor:Rest is important in treatment of the same
User:i try working with my left hand instead
Doctor:if that is feasible then fine
Doctor:I would suggest complete rest to right hand
User:I wanted to know if this is treatable and how the treatment will proceed?
Doctor:no more strain on the arm until you recover
Doctor:You can use some soothing oil on the right hand like Myovedic lotion
Doctor:this can help relieving the strain
Doctor:You can also use volini or moov
User:Should I massage the oil on the arm?
Doctor:are you following me?
Doctor:preferably ask some one to do it for you so that you feel the relief
User:yes doctor i am
Doctor:once the pain subsides we can go into further management
User:I had asked earlier. Is this treatable?
Doctor:yes it is
User:ok great.
Doctor:treatment options would be Massage therapy, acupuncture, physical therapy
Doctor:we also try local steroid injections for a while
User:Oh i am not so much into taking medicines.
Doctor:for chronic nerve entrapment, tension release surgery would be ultimate option
Doctor:physiotherapy and massage are the main line treatment
User:Ok so how do we diagnose which level it is?
Doctor:medicines are required in acute pain condition like what you are suffering now
Doctor:You need to consult an orthopedician for it
Doctor:To know the exact level of compression, a thorough clinical examination is required
User:so what do you suggest?
Doctor:for long term relief, you need to consult an orthopedician and learn the management accordingly
Doctor:Refrain from using your laptop as much as possible
User:So I understand that you suggest I take the analgesic now and massage my arm for now. Is that correct?
Doctor:and complete rest to your right hand
User:So what would be next steps?
Doctor:take symptomatic treatment now for 2 days
Doctor:and then consult a orthopedician for long term management
User:Will do.
User:Anything else you would like to suggest?
Doctor:nothing more
User:Ok great. Thanks a lot Doctor. Wish you a wonderful day ahead!
Doctor:same to you as well
Doctor:get well soon
User:Thank you.
Doctor:all right
Doctor:take care
Doctor:Bye for now
User:Bye. Thank you very much for your advise.
Doctor:my pleasure
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