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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Mild Tingling In Hand That Increases At Night, Pain Under The Arm. Advise?

HI, I have a mild tingling in my right hand (I am right handed) for 3 days now. It comes and goes, but seems to be worse at night. I do spend a good deal of time on a computer, but also feel pain under my arm that also comes and goes. I'm travelling, so not near my doctor. Can I wait to have this seen, or should I try to find a doctor where I am now?
Fri, 21 Jun 2013
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Orthopaedic Surgeon,  's  Response
Hello,

Thanks for writing to us.

I am Dr. Vaibhav Gandhi, I am Orthopaedic surgeon and spine specialist.

I have studied your case. It appears to be an occupation[excessive computer use] related problem. Other most likely reason could be cervical disc.
The cause of frequent problem -this kind of pain is due to compression of spinal nerve because of spinal disc bulge[ disc-is a soft cushion between two vertebrae]. Nerve compression lead to radiating pain [along chest or arm and hand ], which aggravated on long time sitting in same particular position.


Here are my other useful suggestions for neck strengthening :
Avoid lifting weights , Avoid excessive stress on neck muscles
Sit with a support on your neck and back.
Take break every half hour while at office. Try to do some stretches and joint movements .

If the above do not help, you may need to see a Physiotherapist
Check your vit B12 level and vit D3 level through blood test.
If such patient come to my clinic I will investigate in the form of - X ray chest and spine and if needed, MRI spine and management accordingly.

Hope I answered your questions.

Take care
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Mild Tingling In Hand That Increases At Night, Pain Under The Arm. Advise?

Hello, Thanks for writing to us. I am Dr. Vaibhav Gandhi, I am Orthopaedic surgeon and spine specialist. I have studied your case. It appears to be an occupation[excessive computer use] related problem. Other most likely reason could be cervical disc. The cause of frequent problem -this kind of pain is due to compression of spinal nerve because of spinal disc bulge[ disc-is a soft cushion between two vertebrae]. Nerve compression lead to radiating pain [along chest or arm and hand ], which aggravated on long time sitting in same particular position. Here are my other useful suggestions for neck strengthening : Avoid lifting weights , Avoid excessive stress on neck muscles Sit with a support on your neck and back. Take break every half hour while at office. Try to do some stretches and joint movements . If the above do not help, you may need to see a Physiotherapist Check your vit B12 level and vit D3 level through blood test. If such patient come to my clinic I will investigate in the form of - X ray chest and spine and if needed, MRI spine and management accordingly. Hope I answered your questions. Take care