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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

Have bilateral radical nerve crush in both arms & also have cervical radiculopathy. Have had fusion C4-5, & fusion C5-6 with plate & screws going to C-7. Dr said it s probable that I ll get the use of hands back as double crush. Having EMG done soon. Also have have herniation C-3 & C-7. Dr wants me to have pt for neck, but my neck hurts just turning it.
Mon, 30 Apr 2018
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Addiction Medicine Specialist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Several features of pain can be helpful in clarifying what is going on and the next steps for diagnosis and treatment.

Type of pain: Burning mostly means a nerve is having problems. This can be either a sick nerve or a nerve that has had an injury. Electrical, shooting would be others implying nerve source for pain.

Location of pain: There is a lot to this. First, if something goes in the pathway of a nerve, then that is the nerve involved. Nerves are long and the pain is in a belt-like long pathway. Smaller areas are smaller nerves. This also tends to say what might be going on. Obviously if there was an injury to the area and then there was pain outward from it "hit a nerve" would be a possibility. Sick nerves are multiple areas and tend to be the TIPS of the nerve not the whole nerve.

What hurts: Moving a particular way that triggers the pain tells what is hurting. Specifically it can distinguish outward structures like skin, muscles, tendons, joints from deep structures like organs and nerves.

There is the pain. There is the context of it. If it is getting less that is perceived as good regardless of the pain. If the patient is making a lot of pain, then after the patient, the pain is less.

Pain exists, at multiple levels of abstraction. There is how it is held. Producing the pain by oneself (patient) changes this and generally helps. Having a control of the pain helps.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Matt Wachsman
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