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Wrist pain, arm numbness while sleeping, bent, resting. Could it be Carpal tunnel?

trying to figure out if i have carpal tunnel or not. pain in wrist , feels like it s going to break if it is bumped or pushed down or back. now, arms going to numb while sleeping or just talking on the phone...i have noticed they go numb when my arm is bent too. the latest is a shocking feeling if i rest my elbow on a table, etc.
Asked On : Fri, 3 Aug 2012
Answers:  1 Views:  119
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Diseases and Conditions
Orthopaedic Surgeon, Joint Replacement 's  Response
Jul 2013
Hi, thanks for writing to HCM.

All your symptoms are suggestive of Cervical disc disease with radiculopathy (pressure on nerve roots).

An MRI scan of the cervical spine diagnoses the condition.

The initial management of 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.

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
Answered: Wed, 16 Oct 2013
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