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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Weakness In Hands, Pain In Neck, Radiating To Fingers. Is This Spondylsis. Remedy?

Good noon. I am 30 years old Male...I have some weakness in hands...there is no problem in movements of fingers or hands.....sometime feel pain in neck when sitting a long timee in compute and that pain may radiate ti fingers as well.....I hv no pain in back and head.....could you suggest me for ant test whether it is a spondolysis or spondilytis.....and remedy too... thanks...
Tue, 27 Aug 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

All your symptoms in the description are suggestive of Cervical disc disease with radiculopathy.

The initial conservative line of management 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
I find this answer helpful
General & Family Physician Dr. Siddiq Ullah Shah's  Response
hi dear ....
it may be postural in which case muscle relaxant(nuberol forte) and posural correction is all that needed...
or it may be cervical spondylses... Cervical spondylosis is a general and nonspecific term that refers to the degenerative changes that develop in cervical vertebrae ,due to multiple causes...
A number of management options, including pharmaceutical, physical therapy, and psychological therapies, are available once a diagnosis has been made.
I find this answer helpful

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
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Weakness In Hands, Pain In Neck, Radiating To Fingers. Is This Spondylsis. Remedy?

Hi, thanks for writing to HCM. All your symptoms in the description are suggestive of Cervical disc disease with radiculopathy. The initial conservative line of management 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