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Pain from the neck to limb due to nerve compression - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   Hi
User :   Hello Doctor the link got dropped...
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   The messages given on the internet are for information alone.
User :   ok
Doctor :   Since you do not have absolute loss of sensation, no motor weakness of the muscle,
Doctor :   and normal MRI scans, it' s unlikely that your symptom is associated with a nerve compression.
Doctor :   Moreover nerve compression present as radiating pain - pain radiating from the neck down the limb.
Doctor :   Again, similar symptoms can be worsened by stress factors too.
User :   ok
Doctor :   So I agree with your neurologist, that nerve conduction and EMG test can be performed if your symptoms are persisting /getting aggravated.
User :   is a vibration like a pain?
Doctor :   Suggest you to use multivitamin supplements, proper sleep and relaxation techniques.
User :   an internal vibration, which can't be flet outside if someone held my hand?
Doctor :   No vibration is not similar to pain?
User :   then is it weakness of nerves?
Doctor :   As i had mentioned to you in our first chat,
Doctor :   symptoms of tingling sensation, numbness of the left thumb and index finger are probably related to neck spondylosis/nerve compressions.
User :   ok
Doctor :   The other symptoms that you report, vibration on one half of the body are probably somatic symptoms secondary to stressors, probably post traumatic stress.
User :   ok
Doctor :   If a nerve weakness or nerve compressions are involved, you can have worsening of the left thumb and index finger - worsening of sensation, develop weakness of muscles,
User :   ok
Doctor :   where in treatment in the form of vitamin supplements, antiinflammatory medications and if necessary steroids may have to be used.
User :   ok
Doctor :   Again, the possibility that you will need all these are low provided you indulge in good rest, regular diet and relaxation techniques.
User :   ok
Doctor :   As your neurologist suggested, wait for few days, practice lifestyle modification which include regular sleep and relaxation techniques such as yoga (avoid neck exercises) and meditation
User :   ok
Doctor :   If symptoms persist - go ahead and get the tests done.
User :   fine
Doctor :   Further course of treatment will be decided based on the Nerve conduction and EMG test reports.
User :   ok
Doctor :   Further treatment would be mostly medical treatment and not surgical.
User :   ok
Doctor :   Doctors may treat you with antiinflammatory medications, vitamin supplements, steroids and antianxiety pills.
Doctor :   if they do not work again, you may need neuropsychiatric assessment and treatment.
User :   fine doctor, i follow this...
Doctor :   Since all these are step wise procedure
Doctor :   My suggestion to you currently is not to worry about the future.
Doctor :   You seem to be doing fine, as you do not have pain, absolute loss of sensation or the weakness.
Doctor :   Good diet, regular sleep and relaxation techniques are the most essential now.
User :   Ok, I realize that as of the assessments so far, the thrid step is a rather long shot with extremely low probability, if at all any...
Doctor :   Internet informations can be scary,
Doctor :   so do not fall prey to them.
User :   Fine, I will follow your plan and will wait and watch for a couple of weeks to start with, and not surf anymore on the net on this subject...
Doctor :   This can lead to aggravation of the symptoms.
User :   ok
Doctor :   That will make things improve faster.
Doctor :   Hope it is clear now.
Doctor :   Do you have any other query?
User :   Yes, as always, much appreciate your help.
User :   Thank you for your time and advise and good bye!
Doctor :   It's my pleasure in helping you.
Doctor :   Thanks for consulting me.
Doctor :   Have a nice day!!
Doctor :   Bye for now.
User :   Thank you and same to you!
Doctor :   I shall send you any new information that I get to your email id as and when necessary.
Doctor :   Thanks again.
User :   ok
Doctor :   Bye for now.
User :   Bye
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