Brief Answer:
Head/Neck trauma

Detailed Answer:
Thank you for your return question. I did reread your previous question in order to recall the symptoms you refer to in your neck and extremities. You had not really mentioned this trauma that had occurred and so this is why I did not consider it as a possible contributing factor. I am copying and pasting your symptoms from the last question for quick referral:


For the past three months now having lots of radiant muscle pain in my arms and legs mostly the arms it comes and goes. Just in these pass months the skin on my arms has gotten very lose with deep wrinkles. I get sharp tingling nerve pain in my back same two spots on and off, and twitching of small muscles everywhere but mostly in my legs. On and off pain and pressure around my heart area. The top of my arms and hands go from tingling numbness to a burning right under the top layer of the skin this pain gets so bad it wakes me up at night, I've seen 3 different doctors over the months and have done a lot of test with blood work-for HIV, Hep C&B blood cell count etc.. A heart stress test: nothing showed up to help figure this out. One Dr. said it sounds like peripheral neuropathy. To me I feel like I picked up a virus about 8 months ago I broke out in to a sweat like never before and after I got thru that is when little things started like light small needle poke in my back and tightening of the throat with soreness that would come and go. Nose bleeds out of nowhere, and then progressed to where I’m now with a unbearable illness.

Since you are stating that your symptoms are only over the past several months and this neck injury is years ago then, I think it is less likely the 2 are related to one another. It really depends on if you have a resolution of of pain and discomfort at the time the injury occurred. If to your recollection, following your injury to the head/neck your symptoms resolved after a period of time and you did not fracture anything nor required medical attention or treatment then, the likelihood that current symptoms are directly related to that injury are small. If on the other hand you have never had complete resolution of symptoms from that injury and these symptoms appear to be a continuation or intensification of what he had years ago then, PERHAPS.

However, I would imagine that had there been the possibility of a nexus between what were going on now and what happened to you in the past that one of the 3 doctors would've been astute or detailed enough to ask about any trauma in the past or you may have even volunteered that information as you're doing now.

The way to determine if in fact there is a nexus would be to follow through with the workup I had mentioned to you which also includes what would be considered standard imaging and electrical studies that would be done in events of trauma. Therefore, an MRI of the cervical spine and an EMG/NCV may in fact, disclose evidence of an old injury if all the lab work turns out to be normal. I would also get Plain Films of the neck that can be correlated to the MRI as most MRI centers appreciate having plain films in case of musculoskeletal trauma.

If I've provided useful and helpful information to your questions could you do me a favor by CLOSING THE QUERY being sure to include some fine words of feedback along with a 5 STAR rating? I'm sorry that on our last encounter you did not find the shared information meritorious of the highest rating but am hopeful that this round of questions may result in a more ample response that fully answers your concerns.

Again, many thanks for remembering me on this round of questions and please let me know if you were able to get any of the tests done I recommended and their results. You can upload things to the system in PDF format so that I may review data.

Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others.

This query has utilized a total of 30 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.

---