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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For C5-C6 Herniation

I have been diagnosed with C5-C6 herniation. DId therapy for 2 months. THen got a EMG/CNV test done. The diagnoses came back as Cubital Tunnel Syndrome (no pinch in the neck or any radiculopathy). Now doing therapy for CuTs. But for some reason I can carry heavy objects but the moment I pick them, a growing seeping flow which turns into pain develops in my left upper scapula and I have to drop the weight. Any ideas what s going on. THe neurologist says that the pain from my compression in ulna in the funny bone is referring it backwards. THe elbow surgeon says that the pain can t travel so much back. So now the elbow surgeon has sent me for a shoulder MRI thinking something related to the shoulder. I am confused with no resolution. Waiting on the result of the shoulder MRI from the orthopedic surgeon. The spine surgeon who twisted my neck in different directions and since there was no pain and after looking at the neck MRI said that the pain is not coming from the neck.
Mon, 16 Feb 2015
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Neurologist,  's  Response
I read your question carefully and I understand your concern and confusion.

I tend to agree with both doctors. That means that I would put the cubital tunnel syndrome as the most likely diagnosis and explain the shoulder pain by its referral.
However since there could be other less likely causes I believe the elbow surgeon is right in aiming to be thorough and do an MRI to exclude other possibilities.
So you should continue with therapy for cubital syndrome and try to see the coming MRI results only as a means of reassurance not as something to worry about.

I hope to have been of help.
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Suggest Treatment For C5-C6 Herniation

I read your question carefully and I understand your concern and confusion. I tend to agree with both doctors. That means that I would put the cubital tunnel syndrome as the most likely diagnosis and explain the shoulder pain by its referral. However since there could be other less likely causes I believe the elbow surgeon is right in aiming to be thorough and do an MRI to exclude other possibilities. So you should continue with therapy for cubital syndrome and try to see the coming MRI results only as a means of reassurance not as something to worry about. I hope to have been of help.