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Neck pain,hand tremors - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   hi
Doctor :   Dr AAAAAAA here
Doctor :   how can I help you?
User :   hi there i have a question about my mri
User :   my newest mri report says: c2-c3: unremarkable c4-c5: posterior disc bulge. Mild left uncovertebral hypertrophy. No significant central or foraminal narrowing. c5-c6: Mild posterior disc bulge. Mild right neuroforaminal narrowing. central canal is patent. c6-c7: Small right foraminal disc herniation and eccentric right uncovertebral hypertrophy causing moderate right neuroforaminal narrowing. this effaces the ventral thesal sac. there is no significant central spinal stenosis
Doctor :   let me read what you have typed. when was this done?
User :   last month
Doctor :   this suggests that the cause for the neck pain can be the disc bulges along with the neural foramina narrowing
Doctor :   you would require further care to be done by a spinal surgeon
Doctor :   along with regular physiotherapy to help in reducing the pain symptoms, and strengthening muscles to help with the symptoms.
User :   my symptoms are weekness in left arm/left leg tingling in arm left arm
Doctor :   yes these could be due to the discs pressing on the nerve roots
Doctor :   once this gets reduced with physiotherapy, these should improve
Doctor :   take neyral stimulants like Tab Neurobian forte daily once
Doctor :   it helps in normal functioning of nerves
User :   i also have a left side arm tremor i think from the same problem but i also found this .....
User :   Hand tremors result from problems with the motor or movement coordinating centers of the brain, primarily the cerebellum and the basal ganglia. An isolated pinched nerve should not result in a hand tremor. However, this nerve compression may result in pain radiating from your neck to your arm and hand, numbness, pins & needles, weakness, shrinking or atrophic muscles, and reduced reflexes. However, there is the theoretical possiblilty that a dysfunction in the neck joints and muscles can cause a deficit in joint position sense or proprioception that could result in a deficit in the cerebellar function, causing a tremor that would occur with intended movement.
Doctor :   yes, if the tremors are only present when you try to do any task, then it is called as intentional tremors
Doctor :   if they are present constantly then it could be due to the compression on the motor part of nerve supply
Doctor :   have you followed what I have said?
User :   yea i been to several neurologists but none think its due to the neck the brain mri came back fine
Doctor :   neck MRI does shows disc bulges
Doctor :   you need to consider taking opinion on it from a spinal surgeon
User :   it only happens when i go to do things like typing on the computer, reaching for a cup or can drink cant hold anything in that hand cause of the tremor
Doctor :   yes, then these are intentional tremors
User :   that i know but im not under any stress or anything like that so you think its cause of the neck
Doctor :   yes, it could still be due to the neck issues unless otherwise proved wrong by examination and further tests (manuevers) done by a spinal surgeon
User :   one spine surgeon said its the brain and he never seen tremors caused by this
User :   ?
Doctor :   ok. you can opt to take a second opinion by another spinal surgeon on this
User :   i have one set up that he says tremors can be caused by that but everyone is saying its stress
Doctor :   ok.
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