Hi, thanks for writing to HCM.
Based on the description of symptoms, I am of the opinion that you suffer from CERVICAL DISC DISEASE
, wherein a protruding cervical disc might be pressing over the nerve root
causing numbness in the fingers and pain in the shoulders and neck region.
An MRI scan of the cervical spine
is needed to know the severity of the problem.
The general treatment guidelines for this condition includes -
Soft Collar: Soft collar allow the muscles of the neck to rest and limit neck motion. This can help decrease pinching of nerve roots with movement. Soft collars should only be worn for short periods
of time, because long-term wear can decrease the strength of neck muscles.
Medicines: Analgesic are needed in the acute phase. Muscle relaxants are essential for relieving muscle spasms once the acute pain subsides. Neurotropic vitamins like METHYLCOBALAMINE (activated Vit B12) or PREGABALIN
will help in alleviating the neuropathic pain
Cervical traction: may enlarge the disc space, permitting the prolapse to subside. Intermittent cervical traction for not more than 30 minutes at a time.
Physiotherapy: Once the acute phase of pain has subsided, Isometric strengthening exercises of the paravertebral muscles are started. Improving neck strength and flexibility with simple exercises may lessen discomfort and pain. Moist heat can be useful
Epidural steroids: are useful for patients with severe radicular pains in the limbs. Cortisone is a powerful anti-inflammatory preparation and so its injections in the "epidural space" can decrease swelling as well as pain.
If the symptoms do not resolve with the above measures, consult an orthosurgeon and follow his advice.
Hope this information is helpful. Good day