Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
142 Doctors are Online

Pain in neck, hand, shoulder. Diagnosed as double crush syndrome. MRI shows annular bulging

I have had right neck to hand pain off and on for about 6 years. Originally it was just right hand numbness. I had carpal tunnel release at that time and then the pain went away. It flared up again within the last 2 years but with only pain, no numbness this time. I usually have pain in my neck through my shoulder and downward into my hand. I have been seeing a chiropractor since the flareup. He told me I had double crush syndrome, which makes sense. In the last month I have had new symptoms and he wanted me to get an MRI. The new symptoms were no grip or grip strength in my right hand. I also have a burning sensation in my neck. I just got the results of the MRI today: At C4-C5 and C5-C6 there is minimal annular bulging barely indenting the ventral thecal sac. AP diameter measures 1.1cm. It says there is no canal stenosis or neural foraminal narrowing.
Asked On : Fri, 12 Jul 2013
Answers:  1 Views:  30
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Treatment/Therapy
Medical Topics
Orthopaedic Surgeon, Joint Replacement 's  Response
Jul 2013
Hi, thanks for writing to HCM.

The symptoms in your description suggests that you have CERVICAL DISC DISEASE with RADICULOPATHY.

The initial management of the condition is as follows -

Rest: A collar will prevent unguarded movement; A soft cervical collar is advisable. It should not be used for more than a week or two as it may worsen the condition with prolonged usage.

Medicines: Analgesic are needed in the acute phase. Muscle relaxants are essential for relieving muscle spasms which generally follows acute 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. Moist heat can be useful

Epidural steroids: are useful for patients with severe radicular pains in the limbs

If the symptoms do not resolve with the above measures, consult an orthosurgeon and follow his advice.

Hope this information is helpful . Good day

Answered: Thu, 18 Jul 2013
I find this answer helpful

1 Doctor agrees with this answer

Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
 

 

Loading Online Doctors....
©2014 Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions