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Pain from neck to shoulder ,hand - 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 : 2008
Answered : 3622 Questions
Doctor :   Hi
Doctor :   Doctor :   Please post your query
User :   hi I am experienceing a lot of pain starting from the nerver near my neck to shoulder ,hand ,and now the pain has increased to the right side of my lower back and rt leg ,please help
User :   I have to sit and wrk at the computer for long hrs
Doctor :   May i know your age and gender?
Doctor :   How long you have this?
User :   Female26
Doctor :   What job you do?
User :   last 5 months first it used tobe only my wrist then last 2 months shoulders at times and now last 4 days my lower back and todya my leg
Doctor :   What is your occupation?
User :   its operations which requires long hrs continously on the desk
User :   Service Banking
Doctor :   Do you work with computers?
User :   yes
Doctor :   Are You married?
Doctor :   ok]
User :   yes
Doctor :   since how long you are working?
Doctor :   ok
Doctor :   so probably it is related to your long hours with computer
User :   Wrkign in this role since 6 months but otherwise from last 4 yrs
User :   yes it is bcos of that
User :   but what do I do
Doctor :   so what you can do is to improve your working conditions
User :   since the pain is unbearbale now as it is affecting my day to day wrk
User :   and has increased
Doctor :   like the chair you sit should
Doctor :   support your back
Doctor :   you should take regular breaks from computer
Doctor :   afyter 15 every 15 min
Doctor :   after every 15 min
Doctor :   and keep your monitor height at the level of your eye
Doctor :   to prevent neck pain
Doctor :   and dont bend yor wrist when you type
User :   that I have started ,but h do I rectify this situation that I am in also shud my leg be resting dwn or elevated
Doctor :   keep your wrist straight
User :   ok
Doctor :   it should be resting on a flat surface
Doctor :   have you take xray neck?
User :   I think its a nerve which is paining stating from my neck to my leg
Doctor :   do you have numbness in your hands?
User :   no xray taken
Doctor :   so what you need to do is to take an xray to see
Doctor :   whether there is any nerve compression
Doctor :   in your neck
Doctor :   capal tunnel syndrome and repetititve strain develop due to long hours on the computer.

Doctor :   Extend and stretch both wrists and fingers acutely as if they are in a hand-stand position.
Doctor :   that will help you to relieve pain
Doctor :   the keyboard should be at a height that allows your wrist to rest comfortably without having to bend at an angle.
Doctor :   Desk or table workspace should be about 27 to 29 inches above the floor for most people. It also helps to keep your elbows close to your sides as you type to reduce the strain on your forearm.
Doctor :   Keeping good posture and wrist position can lower your risk of getting CTS.
Doctor :   Avoid repetitive movements without changing up your routine
User :   not numbness excactly but my ring finder the joint pains if I press it
Doctor :   ok
Doctor :   it comes to to wear and tear of the nerves
Doctor :   in the hand
Doctor :   mostly the median nerve
Doctor :   Poor posture, lack of proper equipment and incorrect ergonomic information are all contributing factors to an improper computer setup.
User :   what shud I do to reduce the exisiting pain that I am experiencing rt nw ain my leg n back and shoulder as I keep applying muscle relaxants to reduce the pain
Doctor :   you need to improve your posture and try first
User :   shud my back be touching the cxhair pr shud it be upright straight
Doctor :   if no relief you need an xray to
Doctor :   rule out bone deformity
Doctor :   and you might need some physiotherapy or muscle strengthening exercises
User :   is gyming advisabale as I have stopped it cos i thought it would worsen it
Doctor :   you might need to get examined by an orthopaedician
Doctor :   gymminmg should be done now
Doctor :   as it will lead to more strain on your muscles
Doctor :   that already is inflamed
User :   so not to be done
Doctor :   so you need to first strengthen them and after taht you can
User :   ok
User :   : shud my back be touching the cxhair pr shud it be upright straight
Doctor :   your lower back should be properly supported in the chair
Doctor :   Back pain is a symptom. Common causes of back pain involve disease or injury to the muscles, bones, and/or nerves of the spine.
Doctor :   Place the lumbar support slightly below the waist line.
Doctor :   Adjust the height of the chair so your feet can rest completely on the floor.
Doctor :   Allow 1-3 inches between the edge of the seat and the back of your knees.
Doctor :   Use arm rests.
Doctor :   Use a high back chair that supports your shoulder blades if at all possible
Doctor :   Position your hips so that they are slightly higher than your knees while your feet are flat on the floor.
Doctor :   DonĂ¢??t keep your feet flat on the floor. Move them around often. Use a foot rest if you have one, but only part of the time. Do NOT cross your ankles.
Doctor :   Lean back slightly. Leaning the trunk back to somewhere between 100-130 degrees from parallel to the floor will open up the hips and ease pressure on the pelvis.
Doctor :   Hold your head slightly up so that it is roughly perpendicular to the floor.
Doctor :   Let your upper arms hang naturally from your shoulders.
Doctor :   Keep your wrists straight.
Doctor :   Take frequent breaks. 10 minutes for every hour of work and 30 second micro-breaks every 10 minutes is a good schedule.
Doctor :   Change your position frequently. Move your feet, lift your arms, adjust your hips, and just make sure to subtly alter your posture continuously throughout the work day.
Doctor :   These are the simple things that you can try first at your work plac
Doctor :   place
Doctor :   The most commonly prescribed medications for the treatment of back pain are nonsteroidal anti-inflammatory drugs (NSAIDs)
Doctor :   Injections of corticosteroids (commonly called steroids) are sometimes used to treat low back pain caused by nerve impingement.
Doctor :   Spinal manipulation may sometimes be useful for acute back pain that persists beyond 2 - 3 weeks.
Doctor :   A common cause of neck pain is muscle strain or tension. Usually, everyday activities are to blame. Such activities include bending over a desk for hours, having poor posture while watching TV or reading, placing your computer monitor too high or too low, sleeping in an uncomfortable position, or twisting and turning the neck in a jarring manner while exercising.
Doctor :   Apply heat or ice to the painful area. One good method is to use ice for the first 48 - 72 hours, then use heat after that. Heat may be applied with hot showers, hot compresses, or a heating pad. Be careful not to fall asleep with a heating pad on.
Doctor :   Did you understand what i said?
Doctor :   So you can try these if you have not tried
Doctor :   And if you still have pain then you need to get examined by an orthopaedician
Doctor :   to look for any other local causes
User :   I am putting a crepbandage on my hand whenever it pains is it advisable
User :   I am putting a crepbandage whenever it pains whileusing a computer is it advisable
Doctor :   ok
Doctor :   But you need to follow the exercises first
Doctor :   is there anything else ic an help you with now?
Doctor :   THANKS FOR CONSULTING.........
Doctor :   BYE FOR NOW........
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