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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sharp Pain In The Arms And Shoulders?

the sharp pain I feel shows up in different part of my arm and shoulder. It is like an electric shock. It is not there all the time. It comes and goes. MRI showed I have Impingement. it also showed rotater cuff tear. this was about a year ago. Surgery was suggested. I did not have the surgery. Shoulder pain is mostly gone. I can move my arm in all different direction now. I was not able to do it last year. My concern now is my fingers. I noticed lately I don t have much feeling in my fingers(same side where the problem is) the first thing in the morning. Is this related to impingement? I am hoping I don t have to go through surgery. Is the issue with my finger related?Thank you.
Fri, 20 Oct 2017
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Internal Medicine Specialist 's  Response
Lhermitte's phenomenon or the Lhermitte phenomenon sometimes called the barber chair phenomenon, is an electrical sensation that runs down the back and into the limbs. The sensation can feel like it goes up or down the spine. It is generally considered uncomfortable.

In many patients, it is elicited by bending the head forward. It can also be evoked when a practitioner pounds on the posterior cervical spine while the neck is flexed; this is caused by involvement of the posterior columns.

It is sometimes called Lhermitte's sign, though this is technically incorrect as a sign is something that can be observed on examination whereas a symptom is the subjective experience.

Lhermitte's phenomenon is subjective and therefore a symptom.
It is most commonly seen in
1.cervical spodylosis
2.multiple sclerosis
3.subacute combined degeneration of spinal cord

Dear patient better to consult your neurosurgeon
He will guide you in better way. My opinion is better to relive the compression of your spinal cord.
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What Causes Sharp Pain In The Arms And Shoulders?

Lhermitte s phenomenon or the Lhermitte phenomenon sometimes called the barber chair phenomenon, is an electrical sensation that runs down the back and into the limbs. The sensation can feel like it goes up or down the spine. It is generally considered uncomfortable. In many patients, it is elicited by bending the head forward. It can also be evoked when a practitioner pounds on the posterior cervical spine while the neck is flexed; this is caused by involvement of the posterior columns. It is sometimes called Lhermitte s sign, though this is technically incorrect as a sign is something that can be observed on examination whereas a symptom is the subjective experience. Lhermitte s phenomenon is subjective and therefore a symptom. It is most commonly seen in 1.cervical spodylosis 2.multiple sclerosis 3.subacute combined degeneration of spinal cord Dear patient better to consult your neurosurgeon He will guide you in better way. My opinion is better to relive the compression of your spinal cord.