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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Woken Up Every Night With Numb Painful Right Arm, History Of Heart Attacks, Took Radiation For Prostrate Cancer. Any Help ?

I am woken up every night with a numb painful right arm , I have to get up for about an hour several times a night because of it. In the past I have had 3 heart attacks and now have a stint in my heart, I have also just finished radiation treatment for prostate cancer . Any help would be appreciated, I am 70 years of age
Tue, 31 Dec 2013
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hello,
Thanks for your query.
According to your symptoms it looks like there is compression of nerve in cervical [neck area] spine. This leads to numbness in your hand.
Temporarily, please follow the below mentioned measures to get some symptomatic relief -

- avoid any movements that produces pain
- do not use bulky pillow underneath your head while sleeping as this position will produce more compression of the nerves
- Use a Soft collar which allow the muscles of the neck to rest and limit neck motion. This can help decrease pinching of nerve roots with movement. Soft collars should only be worn for short periods of time, because long-term wear can decrease the strength of neck muscles.
- Analgesic (diclofenac & lornoxicam) and muscle relaxant (thiocolchicoside) combination medicines will provide symptomatic relief from pain & muscle spasm. Neurotropic vitamins like METHYLCOBALAMINE (activated Vit B12) or PREGABALIN will help in alleviating the neuropathic pain.

I do hope that you have found something helpful and I will be glad to answer any further query.
Take care
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Woken Up Every Night With Numb Painful Right Arm, History Of Heart Attacks, Took Radiation For Prostrate Cancer. Any Help ?

Hello, Thanks for your query. According to your symptoms it looks like there is compression of nerve in cervical [neck area] spine. This leads to numbness in your hand. Temporarily, please follow the below mentioned measures to get some symptomatic relief - - avoid any movements that produces pain - do not use bulky pillow underneath your head while sleeping as this position will produce more compression of the nerves - Use a Soft collar which allow the muscles of the neck to rest and limit neck motion. This can help decrease pinching of nerve roots with movement. Soft collars should only be worn for short periods of time, because long-term wear can decrease the strength of neck muscles. - Analgesic (diclofenac & lornoxicam) and muscle relaxant (thiocolchicoside) combination medicines will provide symptomatic relief from pain & muscle spasm. Neurotropic vitamins like METHYLCOBALAMINE (activated Vit B12) or PREGABALIN will help in alleviating the neuropathic pain. I do hope that you have found something helpful and I will be glad to answer any further query. Take care