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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Sharp Feeling In Right Side Of Neck Till Right Shoulder Blade, Numbness In Arms And Hand. Underlying Cause ?

I was laying in bed this morning when all of a sudden I heard and felt this crunch, immediately after I began to feel this terribly sharp feeling in the right side of my neck to the bottom of my right shoulder blade and throughout my right arm and hand when I turn my head to the right. When I return my head to looking forward the pain subsides and when I turn my head to the right and hold it for a moment the pain is slightly reduced but my arm and hand start to feel numb. What could I have done to cause this and how can I make myself feel better?
Wed, 27 Nov 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

Based on the description of symptoms, I suspect that you have suffered a cervical disc prolapse causing compression over the corresponding nerve root resulting in pain going down the upper limb along with numbness.

An MRI scan of the cervical spine is needed to establish the exact severity of the disc prolapse.

The general management guidelines of this condition is as follows -

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
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Sharp Feeling In Right Side Of Neck Till Right Shoulder Blade, Numbness In Arms And Hand. Underlying Cause ?

Hi, thanks for writing to HCM. Based on the description of symptoms, I suspect that you have suffered a cervical disc prolapse causing compression over the corresponding nerve root resulting in pain going down the upper limb along with numbness. An MRI scan of the cervical spine is needed to establish the exact severity of the disc prolapse. The general management guidelines of this condition is as follows - 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