A member asked:

What does it mean when only one of my knee reflexes is hyper? i had an exam for myelopathy from a ruptured disk at c5 and my right knee was hyper but i am having pain on my left shoulder/back and numbness of left arm?

A doctor has provided 1 answer

Not fully feasible to take your description and apply clinically, BUT, problems with the left arm suggest mechanical compression of nerve roots on left. The ruptured disc may be impacting spinal cord function focally which could be reflected in asymmetrical reflexes. Discuss films and clinical situation with a neurosurgeon, and consider an EMG study for left arm. Therapeutic decisions needed.

Answered 8/20/2021

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