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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for neck pain

I am 38 years old female, working in a private concern... I have neck pain (not severe) due to spondilyties. I have consulted an ortho and doing excercise. For the past few months, I am not able to write. I am finding it very difficult to write even a single line, due to pain in the fingers. My fingers are hard sometimes. Which doctor should I consult for this... Neuro or Ortho? please advise
Wed, 3 Dec 2014
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Neurologist 's  Response
Hello. I read your question carefully and I understand your concern.

The fact that you've started to feel pain radiating to your fingers and weakness suggests that there is involvement of the cervical nerve roots and/or the cervical spinal cord. The medical treatment prescribed by neuro or ortho I think would be similar with antiinflamatory drugs, muscle relaxants, collar, exercise.
However since there is the possibility of involvement of the above structures I think a neurological evaluation is necessary at this point determine whether an MRI is indicated, because depending on the degree of involvement at times a surgical procedure might be required.
Hope to have been of help. Feel free to ask further questions.
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Suggest treatment for neck pain

Hello. I read your question carefully and I understand your concern. The fact that you ve started to feel pain radiating to your fingers and weakness suggests that there is involvement of the cervical nerve roots and/or the cervical spinal cord. The medical treatment prescribed by neuro or ortho I think would be similar with antiinflamatory drugs, muscle relaxants, collar, exercise. However since there is the possibility of involvement of the above structures I think a neurological evaluation is necessary at this point determine whether an MRI is indicated, because depending on the degree of involvement at times a surgical procedure might be required. Hope to have been of help. Feel free to ask further questions.