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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Getting Strange Tingling Feeling In Upper Back. Taking Armytriptyline. What Should Be Done?

hi I have been getting a realy strange tingling feeling in upper back for several months now which seems to be getting worse . I also been having a numb right foot or sometimes just toes . a few weeks ago I lost sensation of my ring finger and little finger and it looked a bit like claw hand which lasted for two weeks and was also on right side . I have been put on armytriptyline 50mg but can still feel this pain in upper back its feels like there is something in my back moving around trying to bust out . its realy frustrating me
Wed, 26 Dec 2012
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Psychiatrist,  's  Response
Hi,

Welcome to HealthcareMagic Public Forum

Amitryptiline is an antianxiety and antidepressant, which is also very helpful in somatic complaints like tingling-numbness and neuropathic pain. If there is only partial benefit, you may need dose increment.

Other possible causes for your symptoms and poor treatment response:
•     Anxiety and depressive disorder: need to be rule out by detailed interview by psychiatrist
•     Vitamin deficiency: Get serum B12 level. Start multi vitamins as they are easily available.
•     Diabetes related neuropathy: Get blood sugar level done.
•     Side effect of substance use (stop if present)
•     Thyroid related problem: get thyroid hormonal assay done
•     Neurological problem: get MRI brain

So, evaluation and management of above possible causes will help you greatly.

I hope this information has been both informative and helpful for you.
Wish you Good Health.

Regards,
Dr. Ashish Mittal
www.99doctor.com
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Getting Strange Tingling Feeling In Upper Back. Taking Armytriptyline. What Should Be Done?

Hi, Welcome to HealthcareMagic Public Forum Amitryptiline is an antianxiety and antidepressant, which is also very helpful in somatic complaints like tingling-numbness and neuropathic pain. If there is only partial benefit, you may need dose increment. Other possible causes for your symptoms and poor treatment response: • Anxiety and depressive disorder: need to be rule out by detailed interview by psychiatrist • Vitamin deficiency: Get serum B12 level. Start multi vitamins as they are easily available. • Diabetes related neuropathy: Get blood sugar level done. • Side effect of substance use (stop if present) • Thyroid related problem: get thyroid hormonal assay done • Neurological problem: get MRI brain So, evaluation and management of above possible causes will help you greatly. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com