Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

147 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for chronic tendonitis

Answered by
Dr.
Dr. Mahaveer Patil

Orthopaedic Surgeon

Practicing since :2002

Answered : 1209 Questions

default
Posted on Mon, 13 Mar 2017 in Brain and Spine
Question: a few symptoms that may be related, wake up several times a night with my shoulders hunched up to my ears, have to consciously lay on one of my hands to keep shoulders from hunching again, and diagnosed years ago with carpal tunnel and chronic tendonitis (sp)--same arm, and carpal tunnel other non dominant hand, once in a while but becoming almost daily I have tremors in hand, grasp and strength ok,coordination ok, fine motor ok, but both hands do this, right far more and seems to get worse depending on the position of my arm and where my elbow is, and in certain sitting positions, my feet will bounce is not flat on the floor (resting on front balls and toes, if you will), used to get relief using inversion board and ibuprofen, now nothing eases the pain that's running along the outside of my right hand including down the pinky finger. Good health, 5'2" 108lbs, blood pressure and pulse within normal limits, no dizziness or clumsiness but the tremor when it occurs will happen whether hand is emply, resting or holding something...
doctor
Answered by Dr. Mahaveer Patil 3 hours later
Brief Answer:
consult a neurologist

Detailed Answer:
Hi,

Thank you for posting the question.
I have gone through your medical history in detail.

The present symptoms do not seem to be related to tendinosis or carpal tunnel syndrome.

The tremors and the associated pain seem to be due to some underlying neurological cause. Microinfarcts or thrombosis of the brain vasculature are the most probable possibilities.

You need to get a MRI of brain (with or without contrast) done to come to a diagnosis.

You should consult a neurologist as early as possible.

I hope the answer was useful.

Feel free to ask me any follow up queries that you may have.

Thank you.
Kind regards.

Above answer was peer-reviewed by : Dr. Kampana
doctor
default
Follow up: Dr. Mahaveer Patil 26 minutes later
Is it significant that wearing a brace on my wrist stops the tremors? The tremors are not constant, but do seem to have some positional component, such as how high the surface is if I rest my hand on it...the more surface under the hand and arm, no tremors, playing the piano cause the greatest pain and writing or typing causes greatest tremors...I'd say incidence is 2-3 X day, but only if either of my hands/arms are in a certain position. The tongue is the only thing that doesn't seem to tie in and that does concern me and am in the process of getting scheduled with a neurologist. I guess my question is does this sound more orthopedic? I'll need to get the ball rolling to get an appointment before spring...Regards
doctor
Answered by Dr. Mahaveer Patil 12 minutes later
Brief Answer:
Not an orthopedic cause

Detailed Answer:
This is not a problem related to orthopedics for sure.

The positional variation in the tremor intensity seems to be related to the blood / nerve supply of the concerned muscles.

You should definitely consult a neurologist first.

Let me know his opinion so that we can decide further line of treatment.

Thanks
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,  
Drug/Medication
Lab Tests

Recent questions on  MRI

doctor1 MD

I have two lesions that showed up on an mri about 8 months ago. I was exhausted, dizzy, blurry vision and suffered migraines. The symptoms passed about 5 months ago and have all returned. I have been in such pain I have spent the weekend in bed. I am afraid this may be ms. Any thoughts?

doctor1 MD

I am a 26 year old male and I have been getting pain in my neck and shoulder area from my skull to my shoulder blade and all around the top of my shoulder on my right side for about 2 and a half years now. Some days the pain is really bad and I can hardly move my head without severe pain, other days the pain is mild and it is uncomfortable to move my head. I have some kind of pain everyday from mild to severe and it hurts more when I move my head, for example, it hurts more when I move my right ear towards my right shoulder or if I turn my head to look in a certain direction. I can t see any pattern as to when the pain is more severe, it isn t worse after a particular activity or time of day. For example, yesterday the pain was mild and uncomfortable, today it was mild in the morning and has become moderate thoughout the day, these 2 days are my days off and I have not done anything strenuous. Sometimes if I massage my neck and shoulder area I can feel something move and make a dull clonking noise, this helps dull the pain slightly for a short period of time before going back to how it was before. I have had an X-Ray and an MRI scan. The doctor claimed that they could only see general wear and tear with very minor disk protrusion. My first physiotherapist gave my some neck stretches to do and I have been doing them for about 1 year or more. The second more recent physiotherapist has told me there is nothing wrong with me and that the pain is something my brain had made up. Although they also said that my trapeze muscle is tight and harder on my right side. They have given me some stretches to do and have told me to stop imagining that I am in pain and to think positively . There are only two things that i remember happening to my head and neck area in the past. I once slipped a disk in my neck, but this was about 12 years ago, the second is about 2 and a half to 3 years ago a well build man fell onto my head and shoulder area from a height and jolted my shoulder and crushed my neck. Can someone please help me? What could it be? What should I tell my doctor? The pain is very real.

doctor1 MD

sudden on set of numbness, no pain on both sides; seems to have settled from bottom of feet through chest, then some parts of arm; fingertips. Blood work shows slightly elevated white blood count; no b12 deficiency, iron slightly low, but not very low. MRI norma.

doctor1 MD

4 weekends ago i had Suède l y pain in m y calf muscles. I was on heels but i always wear heels . I did Blood tests everything is normal the Esr is 23 I also did a Doppler x Ray of the lcalfs all normal. I did an MRI scan that shows myosotis. The Myositis antibodies are all négative. I have been taking prednisolone 20mg thon tapered it to 10 then 5 this week.I was fine but Since yesterday I feel aching and tightness in the leg. I have finished the cluster today I am nervous the pain might come back.

doctor1 MD

For past 12+ hours, I’ve had left side pain from left pectoral up through left shoulder and down my left arm to my hand. Sharpest pain is in shoulder, elbow and dorsal side of forearm. Some twitching in wrist and hand.

doctor1 MD

I had a discectomy and I woke up in excruciating pain. A week later a laminectomy to stop the pain. Epidural injection,Morhine, Dilaudid , nothing helps. Something does not seem right. My Dr. has released me and says it will take a year to get...

doctor1 MD

I have been diagnosed with spondylothesis of the L5 and S1 region. I have had an mri and x-rays for my back. I had an epidural injection(2) in Nov in my back which seemed to help the pain going down my legs for a couple of weeks. Unfortunately I...