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Neck pain,lower back ankle /foot pain - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   hi
Doctor :   Dr AAAAAAA here
Doctor :   how can I help you?
Doctor :   please proceed with your health query
User :   i tried to copy it from word doc onto here but it would not pate it ?
Doctor :   it should do it. try copying part by part if your query is long
User :   hold on
Doctor :   sure. please proceed
User :   I am a young man, just turned 31 years old. About a year and a half ago, I started to develop a slight tremor in my left forearm/hand. Over time, the tremor has gotten more exaggerated. Just recently I have noticed that my left lower leg/foot has felt heavy and stiff and I cannot move or rotate my foot as well as my right one. I have jogged a couple of times recently and although, while running I was okay, afterwards, this caused lower back ankle/foot pain. When I stand or walk for an extended period of time, I have pain in my lower back and ankle/foot. Sometimes when turning my head quickly, I get a pinching type pain in my neck on both sides of my neck.
Doctor :   let me read what you have typed
User :   When I sleep, the tremor goes away. When I wake up with the sensation of pins-and-needles in my arm from sleeping on it, although it is numb, as it normally would be, I have complete use of my hand and fingers, normal dexterity, without the tremor, until normal feeling comes back, usually up to about 5 minutes. The more relaxed I am, it seems, the less the tremor, the tremor is still there. But the stiffness or lack of dexterity of my fingers stays the same. Also, a drink or two of alcohol suppresses the tremor.
User :   ok ill keep pasting
User :   I was told, when I had the scoliosis surgery that possibly, down the road, I could experience problems from my neck. Currently, as stated earlier, I get some neck pain and stiffness and lower back pain. Earlier, in the summer, after doing some strenuous yard work, I had acute lower back pain that lasted for several weeks. I took Skelaxin, a muscle relaxer, which helped. This is the first time I have ever had that extensive pain in my back.
User :   my newest mri report says: c2-c3: unremarkable c4-c5: posterior disc bulge. Mild left uncovertebral hypertrophy. No significant central or foraminal narrowing. c5-c6: Mild posterior disc bulge. Mild right neuroforaminal narrowing. central canal is patent. c6-c7: Small right foraminal disc herniation and eccentric right uncovertebral hypertrophy causing moderate right neuroforaminal narrowing. this effaces the ventral thesal sac. there is no significant central spinal stenosis
Doctor :   As I can see from your chat history details, you have discussed this problem with my colleague before. and a mail was sent to you with the answers. have you received the mail?
User :   yea but i think that stress makes the tremors worse but i think the initial tremor is from my neck
Doctor :   Neck pathologies often cause sensory disturbances, pain and muscular weakness.
Doctor :   Tremors due to neck pathologies can arise secondary to the muscular weakness.
Doctor :   since you don't seem to have weakness,
Doctor :   tremors due to neck pathologies is not explainable.
Doctor :   More over the emg studies were normal.
User :   i do have weakness in my left arm/left leg
Doctor :   This is also against neck pathologies.
Doctor :   Have you followed what I have explained?
User :   i cant use my arm at all its not a resting tremor it only happens when i go to move it and yes i followed
User :   my brain mri came back normal
Doctor :   such tremors are described medically as intentional tremors.
Doctor :   such tremors are likely to be due to cerebellar problems, but since you haven't mentioned about imbalance while walking, double visions or speech disturbances,
Doctor :   and since the MRI are normal, I cannot suggest that you have an intracranial pathology.
Doctor :   Hence the mail was sent to you after assessing and ruling out all the probabilities.
Doctor :   The case was discussed by all the doctors, here including the specialist, and all the doctors concur the same.
Doctor :   Hence, I would suggest you to include anxiety control measures in your treatment.
Doctor :   The physiotherapy and the exercise are to help the neck problems.
Doctor :   Follow up with neurologist/neurosurgeon regularly, who will monitor your progress
Doctor :   and if any other symptoms as described now /mail,
Doctor :   develops then you may need a repeat MRI brain.
Doctor :   Have you followed what I have suggested?
Doctor :   Do you have any other query?
Doctor :   Are you there?
Doctor :   I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.
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