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Compressed nerve problem - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3390 Questions
User :   Hi
User :   Hi, Is this Dr ?
User :   Hi
User :   I am Dr
User :   How can I help you ?
User :   Ok, the reason I asked for him was that he was aware of my case...
User :   Ok
User :   Could you brief me , And may be I can advise you or do you want me to transfer the chat to him ?
User :   Actually, please don't mind but if he is available,then I'll be grateful if you can transfer the chat o him
User :   It will be easier for him too...
User :   Please close the window and click on a chat window again and he will pick the chat this time
User :   Is it fine ?
User :   Sure, thanks !
Doctor :   Hi
Doctor :   How can I help you ?
Doctor :   I am Dr here.
Doctor :   Proceed with your query.
User :   Ok, would u remember my case? I had spoken with you on 14th Jan...
User :   r u there?
Doctor :   I have the details of your previous chat.
Doctor :   Please proceed.
User :   Ok. I have now consulted a Neuro and have undergone MRI tests for Cervical Neck and Brain
User :   Doc has advised that they are normal and has advised rest for a couple of months and the symptoms mught go away
Doctor :   Ok
User :   if thy don't, then i can go for EMG, Nerve conduction test
User :   This was approx. 1 week ago
User :   Now, I have some questions: User :   1. Should I exercise or not? The Physio and the Homeo I am consulting say that I should exercise to strengthen my nerves...but the Neuro says that to exercise, when I do flexion movement of my neck, since I get vibrations, I should not exercise. I am confused which advise I should follow...
Doctor :   Since the MRI of the neck is normal, I do not feel neck physiotherapy and exercise will affect the symptoms more.
User :   R u there doctor?
Doctor :   However, I would suggest you to follow the instructions of the doctor
Doctor :   Wait for some time till you feel the symptoms are reduced.
User :   ok
User :   when i do not exercise, the pain in my neck is less, but towards the evening it starts increasing...what does this indicate/
Doctor :   If your symptoms are persisting, then go ahead with the EMG which would probably be the last neurological investigation needed.
User :   ok, thatz the other qestion, what exactly will the doctor be able to establish by EMG and Nerve conduction test?
Doctor :   MRI scan are done to look for structural abnormalities if any,
User :   ok
Doctor :   EMG and nerve conductions are done to look for any functional abnormalities of the nerves.
Doctor :   Functional abnormality of nerve with no structural abnormality is oral treated with medications.
User :   ok
Doctor :   Based on your description, it is unlikely that your symptom is associated with an organic medical problem,
User :   ok
Doctor :   hence my presumption is that both EMG and nerve conduction will be normal too.
Doctor :   With proper rest and relaxation techniques, you should be feeling better.
User :   but trust me sir, i m not a hyper sort of a person, who will have very "real" sort of symptoms just because of anxiety or worry
User :   although I respect ur opinion
Doctor :   Let me explain that to you.
User :   ok
Doctor :   Quite often functional symptoms with no organic cause can develop following a trauma.
Doctor :   Most of these symptoms are catergorised as post traumatic stress disorders.
User :   ok
Doctor :   They can persist for a long time with no organic problems.
User :   even 2 months after the trauma?
Doctor :   Few may suffer for years too.
Doctor :   My expertise on neuropsychiatry is limited.
User :   some of my friends have spondylosis and exact same their case, there has been no trauma...
Doctor :   As a general physician, without physically examining you, it is a hard task diagnosing the condition.
User :   I understand.
Doctor :   But as the MRI scans are normal and neurological examination done by neurologist is normal,
Doctor :   the chance that you suffer from a serious neurological condition is rare.
Doctor :   Follow with the treatment suggested by the neurologist,
Doctor :   include good rest and relaxation techniques.
User :   I am quite confused now and worried since time is passing and I read on the internet that if compressed nerves remain compressed for a long time, then they are damaged forever...
Doctor :   EMG and Nerve conduction test will further confirm this line of treatment.
User :   and in my case, I don't even know so far if it is a case of pinched nerves or weakeness of nerves or neither as u r suggesting...
Doctor :   A nerve compression causing irreversible damage usually leads to muscle weakness or loss of sensation.
Doctor :   Since you do not report both the conditions, you do not have signs of irreversible nerve injury.
Doctor :   I agree with the internet information that a pinched nerve can become irreversible when left without treatment, but,
User :   i did have loss of sensation in my left hand...which has reduced considerably now...but has not altogether gone away...
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries
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