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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Pain And Swelling On Palm And Fingers

Dear Dr. I had an MRI done to find I have narrowing space at C6/7 leveland nerve impingement with right arm weakness arm pain sweling of palm and fingers at night very stiff and painful middle finger and thumb,numbness,right side jaw pain ,muscle spasm of throat when I yawn,angina like pain (angiogram done no problem with the heart). Neurosurgeon says I need surgery.Medical Aid neurosurgeon says I don t need surgery n declined to py for the op. I m confused and don know what to do. I m now 67yrs old. I ve already had fusion of C4/5 C5/6. Please advise symptoms are getting worse. Now affecting my lower back left thigh hip n buttocks. Desperate
Mon, 8 Jun 2020
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General Surgeon,  's  Response
Hello,

As per my clinical experience, as the amplitude of symptoms indicate upper limb issue with swelling fingers and palm along with effects over lower back, thigh, hip and buttocks, definitely the single site surgery is not curative.

In my clinic, after thorough clinical examination, I do recommend a conservative therapy approach with:
- Assisted physiotherapy
- Ultrasound therapy with wax bath
- Local application of heating pad
- Use of analgesic gel or spray containing diclofenac, capsaicin
- Control of blood sugar and body weight
- Good quality analgesic with anti inflammatory actions

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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Suggest Remedy For Pain And Swelling On Palm And Fingers

Hello, As per my clinical experience, as the amplitude of symptoms indicate upper limb issue with swelling fingers and palm along with effects over lower back, thigh, hip and buttocks, definitely the single site surgery is not curative. In my clinic, after thorough clinical examination, I do recommend a conservative therapy approach with: - Assisted physiotherapy - Ultrasound therapy with wax bath - Local application of heating pad - Use of analgesic gel or spray containing diclofenac, capsaicin - Control of blood sugar and body weight - Good quality analgesic with anti inflammatory actions Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon