Hi, thanks for writing to HCM.
Shooting pain down the entire upper limb is most often associated with cervical disc disease
wherein a protruded disc might be causing pressure over the nerve root
resulting in symptoms.
An MRI scan of the cervical spine
helps in establishing the diagnosis.
The treatment guidelines for this condition is as follows -
* Soft Collar: Soft collar allow the muscles of the neck to rest and limit neck motion. This can help decrease pinching of nerve roots with movement. Soft collars should only be worn for short periods
of time, because long-term wear can decrease the strength of neck muscles.
* Medicines: Analgesic
are needed in the acute phase. Muscle relaxants are essential for relieving muscle spasms once the acute pain subsides. Neurotropic vitamins like METHYLCOBALAMINE (activated Vit B12) or PREGABALIN
will help in alleviating the neuropathic pain
* Cervical traction: may enlarge the disc space, permitting the prolapse to subside. Intermittent cervical traction for not more than 30 minutes at a time. Weight upto 8kg can be added.
* Physiotherapy: Once the acute phase of pain has subsided, Isometric strengthening exercises of the paravertebral muscles are started. Improving neck strength and flexibility with simple exercises may lessen discomfort and pain. Moist heat can be useful
* Epidural steroids: are useful for patients with severe radicular pains in the limbs. Cortisone is a powerful anti-inflammatory preparation and so its injections in the "epidural space" can decrease swelling as well as pain.
Hope this information is helpful. Good day