Doctor insights on:
Cervical Spine Causing Right Arm Pain
Can esophagus spasms cause sharp left chest pain that takes breath away? Also cause jaw pain and right arm pain? Sinus pain? Heart is clear from thurough testing and same with brain and spine. THanks
Chronic r arm/shoulder pain x6yrs. 2 wrist surgeries & radial nerve release gave zero relief. Current CT angio neck report said modest cervical spondylosis. Could this be the cause of my arm pain?
Absolutely: Cervical spondylosis is a much more common cause of radiculopathy and nerve pain than thoracic outlet syndrome, a cervical rib, a brachial plexopathy or shoulder impingement syndrome, particularly with confirmed cervical spondylosis. Have a spine specialist consult. The history is extremely important and the patterns. Emg/ncv' s are sometimes helpful, but not always. ...Read more
Positional severe headache, nausea & vomit x2 wks, stiff neck. Rt arm pain/weak. Brain MRI WNL. LP fluid WNL. Diagnosed Pseudotumor Cerebri. Cervical MRI shows spinal muscle inflammation only; CRP 11.5. No known injury. What could cause inflammation?
Inflammation: The pseudotumor cerebri certainly can cause the headaches. Have you been evaluated for polymyalgia rheumatica or temporal arteritis which can cause elevation of crp? A rheumatologist is best qualified to evaluate and treat you for the inflammatory process if present. For pseudotumor a neurologist, neurosurgeon and ophalmologist may be involved in treatment and follow-up care. ...Read more
What are signs of symptoms of cervical cord compression Cuz I'm really scared. Sever neck pain shooting arm pain and weakness getting worse?
Many ways: Problems like these can only be correctly handled by your doctor in person. He/she needs to listen to you, perform an examination and possibly run labs or other tests. That's the only way he/she can find out what's going on and what to do about it. Stretching and physical therapy will most likely be prescribed. ...Read more
If conervative tx are tried for a year and symptoms got worse, is op the only option? Diangosis cervical hnp 188.8.131.52 neck pain arm pain numbness. I'm only 30 yrs old
Depends: If you have significant compression on the nerve roots based on the MRI scan and your symptoms are limited to the same involved nerve roots, then surgery will help you and is a good idea. If how ever your symptoms can not be explained, based on the nerve roots involved on x-rays then, surgery may not be helpful. I hope that helps good luck. ...Read more
Sudden, severe sharp pain, spasms in my entire right arm. Pain began in neck, then traveled down shoulder, down to wrist. Arm pulsates with pain. Help?
Sounds like: Nerve irritation or injury that could be coming from your neck seem a very likely explanation for these symptoms. Assessing if neck position change the symptoms might help. A good neurological history and competent examination should sort this out. The pulsating might also suggest a vascular contribution though that can be a pain associated with nerve compression as well. ...Read more
Neck arm pain so severe I can't do anything in morning but gets better in afternoon. Mri shows cervical hnp 4-5-6-7.Can hnp exhibit varying sx.?
Yes: Herniated nucleus pulposis can vary in symptoms from no symptoms in some people to pain and paralysis in others. On arising increased pain can be due to postural changes at night or to the fact that on recumbancy body fluids shift from our lower body to our upper putting pressure on sensitive areas. On arising the fluids reshift. ...Read more
Neck arm pain and numbness from cervical hnp but no motor weakness. Should I go for acdf in 30 yr. Pt? Mri shows rt. C5-6 root compress. Sx for a year
Nerve impingement: Of the neck is a very common problem, affecting about 10-12% percent of the adult population in the us. Nerve impingement can be caused by being sandwiched between two spinal bones, pressed by a bulging disc or encroached upon by bony overgrowth. It can cause severe vision impairment and muscle spasms. Rec.: see an interventional pain management specialist for further investigation. ...Read more
Should I have surgery on my neck or injection? I have a herniated disc at my c5-6 cervical that is compressing a nerve that is givin me right arm pain and numbness. Should I choose to have surgery instead of the injection to asure that I want have issues w
Surgery and injections are not interchangeable options- they work in completely different ways. The decision is made typically on what symptoms you have, what your examination shows, and what your MRI demonstrates.
Injections are typically done under x-ray guidance (fluoroscopy) to direct a needle, under local anesthesia, into either the spinal canal (for an epidural injection) or into the small canal through which an individual nerve leaves the spine (a selective nerve root block, into the foramen). Typically, both a numbing medicine (local anesthetic) and a steroid are injected together. A diagnostic block may only use the local anesthetic without the steroid. The local anesthesia gives you temporary relief of the nerve pain, and the steroid may give you longer relief.
To be clear, injections do not make the disc herniation resolve or heal any faster. However, as the majority of disc herniations will heal without surgery, injections often help control the pain while the body is trying to heal itself. I always prescribe physical therapy with injections.
In my experience, injections do nothing for numbness, or for weakness- only for pain relief.
The advantage of an injection is that it can be done without general anesthesia, in the office, and with quick recovery. The disadvantage is that it does not remove the herniated disc, or take the pressure off of the nerve, so the injection relief may be short-lived.
Surgery is much more invasive, but does involve direct decompression of the pinched nerve, with complete removal of the herniated disc. This treats both pain, weakness, and numbness. However, surgery is also much more involved, with an overnight stay in the hospital, general anesthesia, and recovery over several weeks. It is a more permanent treatment, however.
I send lots of patients for injections and operate on many others. The patient who responds best to injections is one whose primary complaint is pain (little numbness and no weakness), who has a smaller disc herniation, with recent symptoms, and who has no signs/symptoms of spinal cord compression.
Patients with larger herniations are less likely to improve with conservative treatments, and typically do better with surgery. Patients with signs/symptoms of spinal cord compression, or those with progressive weakness of the arm/hand, or with severe pain, often do better with surgery. Patients with long-standing symptoms (more than 6 months) likely have a disc herniation that is not healing, and are less likely to have long-term relief with injections. ...Read more
I am a 36 year old trainee doctor. I suffer from neck pain, right arm pain with pins and needles and vertigo. All my tests are normal. What should I do?
Left forearm burning and left hand aching, right arm pain, shoulder pain and into right side of my neck. I am 54 years old.
Question??: I am not sure what information you are looking for. Do you need advice on possible causes, who to see for evaluation, or have you been evaluated and need more details? Please restate your question. Sorry I could not be of more help ...Read more
Cardiologist, pulmonologist, pain mgmnt, primary care. Which one should I see. Have high bp, chest pain, short of breath, neck pain and right arm pain?
Cardiologist: Please call a qualified cardiologist.Get a more detailed answer ›
I feel tingles, some weakness & pain in right arm;pain in neck &some headaches;weight loss & plugged ear. Could it be brain tumor? I've TMJ and anxiety
Pain in arm or neck: Not likely to get pain in the arm or neck from a brain tumor without having signs of brain stem dysfunction. There are other conditions that need to be considered. Chiari malformation can produce tingling in neck and shoulders with headaches. You might have a couple of unrelated problems producing a confusing clinical picture. (separate neck and ear problem). A good examination might be in order. ...Read more
How would. U treat uncovertbral hypertrophy at c 5-6 seen in rt oblique c spine X-ray? I have painful post neck n rt arm pain along C6 root.
See Spine Specialist: Sounds like you might have cervical spine (neck) issue. If it is bothering you and doesn't resolve soon, please see a spine specialist or physiatrist to determine the evaluation needed for your treatment. ...Read more
Can invasive spine surgery with lots of neck and arm pain and stress on body bring on symptoms of MS or lupus? Can is allow a disease to manifest?
VERY DIFFERENT: Both ms and lupus are immune mediated inflammatory disorders, and your neck issues most likely due to degenerative or traumatic etiologies. None of these are related to each other, and in fact, your symptoms may indeed be due to post-operative complications such as scarring. An expert neurologist can readily sort out and categorize your issues, and may be worthwhile to have a consultation. ...Read more
Have 2 herniated disks and 2 bulging disks /cervial after mva in 06 that are now having issues limited mobility neck, arm pain age 57 choices?
Neck Pain: Cervical pain or other symptoms can be treated with physical therapy but more aggressive treatment is may include medication, epidural spinal injections, and in some cases, surgery. If surgery is required, the vast majority of herniated discs can be treated with minimally invasive surgery. Consultation with neurosurgery or spine specialist is indicated if symptoms of weakness are involving arms. ...Read more
Back pain and muscle problem in right arm and leg be caused due to posture during mastubation and can pinched nerve cause leg and arm pain at sametime?
Disc herniation: Can happen in both the neck and back area causing arm and leg weakness and pain. It is uncommon for for these to occur simultaneously. Sometimes neck disc abnormalities can cause arm and leg symptoms. If your symptoms return to normal quickly after the incident, then you can simply watch for any progression. If you have lingering nerve deficit even for a short time then you should get checked. ...Read more
Can cervical disc buldge in c4-c6 with narrowing cause upper back pain cramp radiating to chest and left arm? Pain in back is like charlie horse.
I am having neck, back, leg, and arm pain every night for 1-2 months restless sleep what causes this?
Mri done, 4 bulging disc in my neck. Could this be the cause of my shoulder, upper back pain, and arm pain? Could the disc be touching a nerve?
Can anything in my back or neck cause SX that mimic heart disease? My left chest, jaw and arm pain has been cardiac investigated and heart is fine
41yo healthy male, with new l. Arm pain and nerve sensations, and odd l. Lower rib and mid. Back pain. Ekg and chest and neck x-rays clear. Causes?
Most likely: Musculoskeletal but further evaluation is warranted.Get a more detailed answer ›
Could moderate to severe stenosis in cervical and thoracic spine cause pain, weakness in the upper arm, dizziness and tinnitus when stretChing my neck?
Some advice: Although your symptoms could be prompted by cervical stenosis or even nerve pinching at the foraminal outlet, the dizziness, and tinnitus, makes me wonder about co-morbidities, and would think of inner ear issues, but also vascular problems, such as subclavian steal syndrome. Find a neurologist who is open to investigating this more thoroughly. ...Read more
Yes!: Not common but, serious side effects. You need to stop the pills and consult with your physician. ...Read more
Can C5-C5 thecal sac indention cause right arm pain, weakness & the hand to be frozen cold? Can it cause constant dizziness & balance issues headaches
Insufficent data: Please repost: Are you referring to an MRI? If so, please state. Do you mean "indentation"? If so, indentation by what? Indentation of the thecal sac by itself is only an incidental finding. What is indenting it is what's important. Also, you posted "C5-C5." Do you mean C4-C5 or C5-C6? Please also state how the doctor who ordered the test answered your question; or, if you haven't asked, why not. ...Read more