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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Joints Pain Along With Tingling Sensation In The Fingers?

pain mostly at night right arm from the shoulder joint down to the middle of the right arm which is very painful.... the only remedy that helps is getting out of bed and making some tea. I can go back to sleep but within a few hours the pain returns.....also the right arm is so much weaker.....I might mention that I had a MRI and they found the some spinal stenosis..... in addition I have problems with pain and tingling in my fingers with and both my feet are numb on the bottom affecting my right foot more with swelling around ankle and lower part of foot. FYI: I had total knee replacement about 7 months ago in addition I also had vein surgery. so I don t even know who to see or how to go about getting help.....thanks for taking my question....
Tue, 13 Dec 2016
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General & Family Physician 's  Response
Hello Dear. You need to consult an orthopedic surgeon. Your condition is mainly due to spinal stenosis. I will tell you in brief what exactly is your condition and the remedial measures.

Spinal stenosis is a condition, mostly in adults 50 and older, in which your spinal canal starts to narrow. This can cause pain and other problems.

Your spine is made up of a series of connected bones (or “vertebrae”) and shock-absorbing discs. It protects your spinal cord, a key part of the central nervous system that connects the brain to the body. The cord rests in the canal formed by your vertebrae.

For most people, the stenosis results from changes because of arthritis. The spinal canal may narrow. The open spaces between the vertebrae may start to get smaller. The tightness can pinch the spinal cord or the nerves around it, causing pain, tingling, or numbness in your legs, arms, or torso.

There’s no cure, but there are a variety of nonsurgical treatments and exercises to keep the pain at bay. Most people with spinal stenosis live normal lives.

Symptoms:

Spinal stenosis usually affects your neck or lower back. Not everyone has symptoms, but if you do, they tend to be the same: stiffness, numbness, and back pain.

More specific symptoms include:

1. Sciatica. These shooting pains down your leg start as an ache in the lower back or buttocks.
2. Foot drop. Painful leg weakness may cause you to “slap” your foot on the ground.
3. A hard time standing or walking. When you’re upright, it tends to compress the vertebrae, causing pain.
4. Loss of bladder or bowel control. In extreme cases, it weakens the nerves to the bladder or bowel.

Diagnosis and Tests:

When you visit your doctor, she’s likely to ask you questions about your medical history. After that, he might order at least one of the following tests to figure out whether you have the condition:

1. X-rays. These can show how the shape of your vertebrae has changed.
Magnetic resonance imaging (MRI). By using radio waves, an MRI creates a 3-D image of your spine. It can show tumors, growths, and even damage to discs and ligaments.

2. Computerized tomography (CT scan). A CT scan uses X-rays to create a 3-D image. With the help of a dye injected into your body, it can show damage to soft tissue as well as issues with your bones.

Treatment:

Your doctor may start off with nonsurgical treatments. These might include:

1. Medication: Common pain remedies such as aspirin, acetaminophen (Tylenol), ibuprofen (Advil, Motrin), and naproxen can offer short-term relief. All are available in low doses without a prescription. Other medications, including muscle relaxants and anti-seizure medications, treat aspects of spinal stenosis, such as muscle spasms and damaged nerves.

2. Corticosteroid injections: Your doctor will inject a steroid such as prednisone into your back or neck. Steroids make inflammation go down. However, because of side effects, they are used sparingly.

3. Anesthetics: Used with precision, an injection of a “nerve block” can stop pain for a time.

4. Exercise: You can improve your flexibility, strength, and balance with regular activity. Your doctor may recommend a physical therapist to help you.

5. Assistive devices: You might get braces, a corset, or a walker to help you move about.

Surgery

Some people have severe cases. They struggle to walk or have issues with their bladder and bowel. Doctors may recommend surgery for these people. Procedures such as laminectomy and laminoplasty create space between the bones so inflammation can go down.

Surgery carries its own risks. You should have a talk with your doctor about how much it can help, recovery time, and more before taking that step.

Many patients also try nontraditional therapies, including chiropractic and acupuncture. Again, be sure your doctor knows if you’re trying a nontraditional approach.

Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you.
All the best
With warm regards
Dr Sanjay Kini
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What Causes Joints Pain Along With Tingling Sensation In The Fingers?

Hello Dear. You need to consult an orthopedic surgeon. Your condition is mainly due to spinal stenosis. I will tell you in brief what exactly is your condition and the remedial measures. Spinal stenosis is a condition, mostly in adults 50 and older, in which your spinal canal starts to narrow. This can cause pain and other problems. Your spine is made up of a series of connected bones (or “vertebrae”) and shock-absorbing discs. It protects your spinal cord, a key part of the central nervous system that connects the brain to the body. The cord rests in the canal formed by your vertebrae. For most people, the stenosis results from changes because of arthritis. The spinal canal may narrow. The open spaces between the vertebrae may start to get smaller. The tightness can pinch the spinal cord or the nerves around it, causing pain, tingling, or numbness in your legs, arms, or torso. There’s no cure, but there are a variety of nonsurgical treatments and exercises to keep the pain at bay. Most people with spinal stenosis live normal lives. Symptoms: Spinal stenosis usually affects your neck or lower back. Not everyone has symptoms, but if you do, they tend to be the same: stiffness, numbness, and back pain. More specific symptoms include: 1. Sciatica. These shooting pains down your leg start as an ache in the lower back or buttocks. 2. Foot drop. Painful leg weakness may cause you to “slap” your foot on the ground. 3. A hard time standing or walking. When you’re upright, it tends to compress the vertebrae, causing pain. 4. Loss of bladder or bowel control. In extreme cases, it weakens the nerves to the bladder or bowel. Diagnosis and Tests: When you visit your doctor, she’s likely to ask you questions about your medical history. After that, he might order at least one of the following tests to figure out whether you have the condition: 1. X-rays. These can show how the shape of your vertebrae has changed. Magnetic resonance imaging (MRI). By using radio waves, an MRI creates a 3-D image of your spine. It can show tumors, growths, and even damage to discs and ligaments. 2. Computerized tomography (CT scan). A CT scan uses X-rays to create a 3-D image. With the help of a dye injected into your body, it can show damage to soft tissue as well as issues with your bones. Treatment: Your doctor may start off with nonsurgical treatments. These might include: 1. Medication: Common pain remedies such as aspirin, acetaminophen (Tylenol), ibuprofen (Advil, Motrin), and naproxen can offer short-term relief. All are available in low doses without a prescription. Other medications, including muscle relaxants and anti-seizure medications, treat aspects of spinal stenosis, such as muscle spasms and damaged nerves. 2. Corticosteroid injections: Your doctor will inject a steroid such as prednisone into your back or neck. Steroids make inflammation go down. However, because of side effects, they are used sparingly. 3. Anesthetics: Used with precision, an injection of a “nerve block” can stop pain for a time. 4. Exercise: You can improve your flexibility, strength, and balance with regular activity. Your doctor may recommend a physical therapist to help you. 5. Assistive devices: You might get braces, a corset, or a walker to help you move about. Surgery Some people have severe cases. They struggle to walk or have issues with their bladder and bowel. Doctors may recommend surgery for these people. Procedures such as laminectomy and laminoplasty create space between the bones so inflammation can go down. Surgery carries its own risks. You should have a talk with your doctor about how much it can help, recovery time, and more before taking that step. Many patients also try nontraditional therapies, including chiropractic and acupuncture. Again, be sure your doctor knows if you’re trying a nontraditional approach. Hope i have answered your question. Feel free to contact me if you have any more questions. I ll be glad to help you. All the best With warm regards Dr Sanjay Kini