Brief Answer:
Nervigenic agents + multivitamin & multiminerals

Detailed Answer:
Hello dear,

Thanks for your query.

Regarding the symptoms as mentioned in your post, kindly let us know about the following:
1. Any history of recent illness or injury/trauma to the neck and back?
2. Sensation of pain/ muscle weakness can be due to poor neuro-muscular co-ordination secondary to systemic illness. Is there is significant past history of systemic disease like Diabetes, Hypertension, Thyroid disorder, etc. ?
3. Any recent history of Stress, improper nutrition & lack of sleep?
4. Habit of smoking or alcohol consumption?
5. History of prolonged intake of any medication?

If your answer to the above mentioned questions is "NO", then the symptoms can be attributed to:
1. Entrapment of nerve fibers at the Cervico-thoracic region: sensation of discomfort/ weakness radiating along the arm can be explained on the basis of it.
2. Inadequate hydration status & electrolyte imbalance of the body, or
3. Dietary deficiencies of certain nutrients like Iron, Calcium, Vitamin D, Vitamin B12, Folic acid, etc. which help in blood formation & nerve conduction.

Symptomatic relief can be obtained by intake of nervigenic agents (like Vitamin B6, Vitamin B12, Folic acid) as well as multivitamin & multimineral supplements including iron, calcium & Vitamin D needs to be added in your diet.
Physiotherapy & postural exercise will also be helpful.

If symptoms still persist, kindly consult a Neurologist & get a complete Neurological examination done.
Certain investigations like complete blood count, serum electrolyte estimation, fresh estimation of blood pressure & blood sugar levels, lipid profile, Doppler study of upper limbs & nerve conduction studies will be helpful to rule out any pathological cause for the symptoms.
X ray & MRI of Cervico-dorsal spine can also be carried out to detect any nerve entrapment.

Wishing you a Good Health.
Please let me know if I need to clarify further.
Take care.

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Brief Answer:
Neurological complication of Sjogren’s Syndrome

Detailed Answer:
Dear XXXXXXX

Thanks for your follow up query.

Though I have not received any direct answers to my questions, I have received another transmission (Query id. 126890) in which you have mentioned regarding complaints of dry eyes, dry mouth and dry private parts.

In view of the above, a clinical diagnosis of Sjogren’s Syndrome can be made.
However, confirmation of the diagnosis will need certain investigations to detect the auto-antibodies in blood.
The symptom of muscle weakness and shooting pain is attributed to Neurological complication of Sjogren’s Syndrome, i.e. Peripheral neuropathy.
This needs to be managed with Nervigenic agents, in addition to immuno-suppressive agents or cortico-steroids for treatment of the underlying cause, i.e. Sjogren’s Syndrome.

Kindly consult a Rheumatologist/ Immunologist for proper clinical examination & start treatment as advised.

Wishing you a Good Health.
Take care.

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