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Symptoms Of Bilateral Tingling In Finger Tips Also Shows Positive For Scalenus Anticus Syndrome And Coracoid Pressure Syndrome Are These Nutritional Deficiency ?
Question: My patient (54 y/o female) has begun symptoms of bilateral tingling in her fingertips C-7 cord level. I have checked her orthopedically for compression syndromes at her wrists ((+) tinels, (+)phalens, (+) finkelstajns. She also shows positive for scalenus anticus syndrome and coracoid pressure syndrome. I'm thinking nutritional deficiency..... as the general integrity of her musculoskeletal symptom seems problematic. Cervical compression is bilterally negative as is cervical radiography and MR imaging.
I meant musculoskeletal SYSTEM. She is also 100 lbs. over fat. Non diabetic. Other comorbidities include GERD and irritable bladder with urinary frequency.
Brief Answer:
Detailed discussion below.
Detailed Answer:
Hi,
Complain consists of tingling at her finger tips.The possible causes have been mostly evaluated by you... let us think of them one by one &select most possible cause ..to get it investigated as per need .
-cervical spinal or disc problem causing pinching of nerve is almost excluded by investigations... still one more look at the results is worth.
-nerve pressure at brachial plexus can be due to scalaneous muscle spasm OR cervical rib have been tested (imaging investigation &nerve conduction test can be reviewed if necessary)
-Coracoid pressure main symptom is shoulder problem... not seen in the patient.
- Carpel tunnel syndrome is another possibility...which was considered&investigated.
* If all these possibilities are excluded-what remains is-
- Nutritional deficiency of vitamin B12,serrum calcium,vitamin D or general deficiency.These can be sorted out by blood testing/detection of digestive deficiency if any.
-Diabetes needs to be excluded... for the problem of frequent urination she has. Uncontrolled /un noticed high glucose levels oin blood can cause periferal nuropathy.
-Alcohol abuse is another possible cause of periferal neuropathy.
*Thus 'reevaluation/repeat investigations already done or considering other causes not been thought of would pin point the cause followed by specific management.
I hope that helps you. Any more information you want.. Please do ask.
Thank you.
Detailed discussion below.
Detailed Answer:
Hi,
Complain consists of tingling at her finger tips.The possible causes have been mostly evaluated by you... let us think of them one by one &select most possible cause ..to get it investigated as per need .
-cervical spinal or disc problem causing pinching of nerve is almost excluded by investigations... still one more look at the results is worth.
-nerve pressure at brachial plexus can be due to scalaneous muscle spasm OR cervical rib have been tested (imaging investigation &nerve conduction test can be reviewed if necessary)
-Coracoid pressure main symptom is shoulder problem... not seen in the patient.
- Carpel tunnel syndrome is another possibility...which was considered&investigated.
* If all these possibilities are excluded-what remains is-
- Nutritional deficiency of vitamin B12,serrum calcium,vitamin D or general deficiency.These can be sorted out by blood testing/detection of digestive deficiency if any.
-Diabetes needs to be excluded... for the problem of frequent urination she has. Uncontrolled /un noticed high glucose levels oin blood can cause periferal nuropathy.
-Alcohol abuse is another possible cause of periferal neuropathy.
*Thus 'reevaluation/repeat investigations already done or considering other causes not been thought of would pin point the cause followed by specific management.
I hope that helps you. Any more information you want.. Please do ask.
Thank you.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Remy Koshy
Answered by
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