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Doctor insights on: Tegretol Trileptal Treatment Chronic Neck Hand Pain

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Dr. Mohamad Mikati
433 doctors shared insights

Carbamazepine (Definition)

This drug was once the breakthrough product to treat trigeminal neuralgia, and later various forms of epilepsy, and even psychiatric uses ...Read more


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Can an ultrasound on your neck cause nerve pain in hands? Never had this issue prior to physical therapy.

Can an ultrasound on your neck cause nerve pain in hands? Never had this issue prior to physical therapy.

Possibly: Any thing that causes an injury to your neck can cause arm and hand nerve symptoms, such as pain, numbness or weakness. This is because the nerves that run into your arms and down to your hands start in the neck. However, the neck problem that caused you to get ultrasound treatment of the neck is a much more likely culprit for the problems...and hand pain can have many other causes. See Doctor. ...Read more

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What kind of pills or treatment can somebody get for hand pain?

What kind of pills or treatment can somebody get for hand pain?

Try OTC first: If pain / injury is not too serious can always try otc agents like tylenol (acetaminophen) and/ or Ibuprofen or naproxen. If this not helpful can always have your doctor re evaluate and see if there is something more serious going on. ...Read more

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Which is more effective in treating hand pain from computer use, a cold or hot treatment?

Which is more effective in treating hand pain from computer use, a cold or hot treatment?

Cold is better: Ice the area for 30 minutes on and 30 minutes off when awake is better than heat which causes more swelling. ...Read more

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Severe hand pain when i grasp objs. My pt says I have a "kink" in my nerve caused by tight neck and shoulder muscles. Term or diagnosis for condition?

Severe hand pain when i grasp objs. My pt says I have a "kink" in my nerve caused by tight neck and shoulder muscles. Term or diagnosis for condition?

Radiculopathy: Your pt is referring to a condition called radiculopathy where a nerve root in the neck is irritated or compressed causing symptoms in the arm or hand.

This may not be what is actually going on. Normally radiculopathy does not cause pain upon grasping items. There can be a number of conditions that cause this symptom. I would recommend evaluation by a health care professional. ...Read more

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Sore pain in the side of my neck that goes down my arm coupled with arm pain and hand pain?

Sore pain in the side of my neck that goes down my arm coupled with arm pain and hand pain?

Get Evaluated.: Although neck pain is very common and generally self limiting, the radicular type pain which you are describing may be a symptom of a more serious condition such as a muscular or a spinal condition or referred from another body part/region. You should be evaluated by an appropriately trained provider and this is even more important given your young age. ...Read more

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Woke up with shoulder pain over a week ago, pain in neck, back and now it has moved to left arm with numbness in my left hand. Pain lying down. Ta.

Woke up with shoulder pain over a week ago, pain in neck, back and now it has moved to left arm with numbness in my left hand. Pain lying down. Ta.

Pain: Not being a spinal surgeon can't be sure but it sure sounds from your description that it stems from the cervical level of your spine. See a spine specialist. ...Read more

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Neck pain with arm and hand pain and tingling in left foot...What coul it be?

Neck pain with arm and hand pain and tingling in left foot...What coul it be?

Pinched nerve: This sounds a lot like a pinched nerve in the neck. The left foot tingling is unusual for a pinched nerve in the neck so it would suggest a different diagnosis or 2 separate unrelated diagnoses. ...Read more

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Having neck pain with shoulder pain and upper backache. left hand pain. on methotraxate 15mg and nasids. explain.

Possible nerve: The symptoms you describe are consistent with, Amon other things, degenerative disk disease and cervical radiculopathy. If you have arthritis or disk herniations in your neck, overtime the nerve roots can become irritated and or compressed, resulting in pain in the shoulder, arm and hand. Numbness and tingling may also occur. See your doctor for a complete history and physical examination. ...Read more

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Right hand pain starting near thumb, raidiates around the wrist, up the backside of my forearm and backside of my upperarm to my neck and shoulder.

Radial Radiculopathy: 31 yo fem has pain radiating from neck, shoulder, arm & to thumb has radial nerve impingement, which might be at level of cervical spine or brachial plexus. Neurology consult, nerve conduction studies, & MRI are indicated. Thoracic outlet syndrome might be more probable in 30's female absent cervical injury history. Look for ipsilateral lower shoulder with deconditioned Superior trapezius muscle. ...Read more

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Can emg determine if carpal tunnel cause of hand pain? Mri shows cervical stenosis. Emg only done on arm, confirmed carp tunl, not done on neck?

Can emg determine if carpal tunnel cause of hand pain? Mri shows cervical stenosis. Emg only done on arm, confirmed carp tunl, not done on neck?

Yes: The nerve study can determine if there is a compression at the neck or further down such as the wrist in carpal tunnel syndrome. This is only one portion of the diagnostic workup and should include a full exam by a hand surgeon. If there are 2 issues then release of the carpal tunnel is generally regarded as the first line treatment as recently evident in an article published this month. ...Read more

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Shoulder pain-popping, with arm/hand pain numbness. Done pt, tens, and cervical epidurals. Mri of neck ok emg showed abnormalities but symptoms worse?

EMG should show : If you had a normal cervical spine MRI it is no surprise that epidurals were ineffective. The EMG you said is abnormal - it should suggest the nerves affected and allow your pain management physician to develop a diagnosis and treatment options. If your doctor can not seem to help, consider obtaining another medical opinion. ...Read more

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Havin ongoing chest pain, neck dwn to left hand pain, left foot and lightheaded....seen 2 cardio....done ecg, ecko,blood wrk all normal wat could wrg?

Multiple things: you might need an MRI brain. Multiple Sclerosis I've seen present this way, tho rare, but I gotta think this in a young female till I have other answers. Could be a complex of other issues, including spinal nerve involvement. Forget the cardiologists on this one....sounds like they've done their jobs and ruled out cardiac. See someone that looks at the 'big picture' (a primary). We're worthy. ...Read more

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Having chest and neck to left hand pain went to ER did CT scan, chest xray, ECG did see cardio everythng comes bk normal stll worried what could it be?

Having chest and neck to left hand pain went to ER did CT scan, chest xray, ECG did see cardio everythng comes bk normal stll worried what could it be?

Musculoskeletal pain: Suzie, At your age, I would think that you have a problem with the nerves and muscles in your neck and chest. The nerves for the left upper extremity come out of the neck. There may be spasm in the muscles of your neck and chest that are causing the pain down to your hand. Go to your primary care doctor or an urgent care clinic the be evaluated and treated. ...Read more

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Pain in neck. Mycolic jerks balance problems muscle rigity and strength more sweating in armpit tremor in hand. Pain in neck is bad. Had images done. ?

Neck pain: These symptoms you describe are worrisome for spinal cord compression. You need to be evaluated by an orthopedic spine surgeon, complete with cervical spine x-rays and MRI. ...Read more

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Stiffness right arm, neck, finger of right hand, pain in right knee, tremors and twitching right abdomen,and back of head pain is it Parkinson's?

Stiffness right arm, neck, finger of right hand, pain in right knee, tremors and twitching right abdomen,and back of head pain is it Parkinson's?

Parkinson's is way: down on the list of possibilities. The only way to find out is to visit your doctor. Osteoarthritis and low magnesium are other more benign possibilities. Peace and good health. ...Read more

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I am experiencing neck pain, arm pain, arm weakness, hip pain, leg pain, muscle weakness (side: one side) , wrist pain, hand pain, elbow pain and popping or snapping sound from shoulder joint. The following also describe me: Hand weakness, Loss of streng

I am experiencing  neck pain, arm pain, arm weakness, hip pain, leg pain, muscle weakness (side: one side) , wrist pain, hand pain, elbow pain and popping or snapping sound from shoulder joint. The following also describe me: Hand weakness, Loss of streng

Medical evaluation: You have many complaints that can suggest many problems and beyond the scope of this space. Muscle weakness can come from inflammatory muscle disease and lab testing and a full neurologic exam. Arthritic conditions such as rheumatoid can cause joint pain but also muscle pain. Problems in the spine such as disc narrowing can cause some of these issues. Again you need a full workup by a provider ...Read more

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Any treatments besides NSAIDS & PT/MT for hand pain?

Any treatments besides NSAIDS & PT/MT for hand pain?

Yes there are: depending the cause of the pain. See a hand specialist who examine your hand order some tests if necessary and treat you accordingly. The pain could have neurologic or rheumatologic cause . OA is unlikely because of your age. ...Read more

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Does Trileptal have the same concerns of anemia and bone marrow suppression as tegretol?

Does Trileptal have the same concerns of anemia and bone marrow suppression as tegretol?

Less likely but: Similar drug chemically, and claimed to have fewer adverse reactions, but still could affect bone marrow, just less often. Still can result in liver toxicity, low serum sodium, elevated cholesterol, and drowsiness/dizziness issues. Remember "oxcarbazine" is a rather old drug, is generic, and likely not as well tolerated as newer anti-epileptic products. ...Read more

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I got a bite on my hand 5 days ago. Today my neck is stiff, my hand is still swollen, my hand hurts and yellow pus is coming out of my hand?

I got a bite on my hand 5 days ago. Today my neck is stiff, my hand is still swollen, my hand hurts and yellow pus is coming out of my hand?

Treatment needed now: A hand bite can become a severe infection. If there are any signs of infection, antibiotic treatment is needed. For a bad infection or a rapidly progressing one, hospitalization for I.V. Antibiotics and/or surgery may be needed. ...Read more

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Partner broke HS c6. He can use his hands bt with great pain. Bad agonising pains radiating from his neck and shoulders. Whts the best treatment?

Partner broke HS c6. He can use his hands bt with great pain. Bad agonising pains radiating from his neck  and shoulders. Whts the best treatment?

Neck pain: The neck pain can be caused by muscle strain, spinal stenosis, ruptured disc, nerve impingement ... The treatment depends on the cause of the pain. It might include medication, physical therapy, strengthening exercise, interventional therapy, surgery... I recommend you seeking help from a pain management physician. You might benefit from a comprehensive evaluation and treatment. ...Read more

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Small pea sized lump in right hand side of neck, cause and treatment?

Small pea sized lump in right hand side of neck, cause and treatment?

Let me explain: This lump could be simple reaction to infection around the area, or could be sign of more serious disease the thing is to check out with your doctor. ...Read more

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Have neck and back problems. For months now been having problems with tingling and pain in hands, arms, fingers and now in back. What is up?

Have neck and back problems. For months now been having problems with tingling and pain in hands, arms, fingers and now in back. What is up?

Possible neck issues: Several things could be happening, but the most likely explanation would be problems in the c-spine -- either arthritis or disc herniation. See your doctor and ask about those things. ...Read more

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Pinched nerve in my shoulder,neck and armpit.The pain goes all the way to my hand and fourth finger.What can cause it and what is the treatment ?

Herniated disk?: Could be a ruptured disk in neck, especially since you've had the same symptoms before, which is typical. Did u get ant treatment(Tx) then? Place to start is w/ fam doc for pain meds & referral for MRI. steroids & PT would be initial Tx, unless weakness is present, in which case more urgent. Surgery may be necessary, but most resolve without. If persists or recurs, surgery more likely. . ...Read more

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Applied permethrin cream from neck to soles of feet. However after about 1.5 hours my hands started sweating badly. Did this mess up the treatment?

Applied permethrin cream from neck to soles of feet. However after about 1.5 hours my hands started sweating badly. Did this mess up the treatment?

Let me explain: Usually you should apply it on dry skin ,but if you hand start sweating nothing you could do, I would suggest to give the medicine chance and see if was effective, if is not the worst thing could happened is to do it over again. Good Luck. ...Read more

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Cervical spondylosis n herniated discs c4-c5, c5-c6. Neck, shoulder pain. Tingling sensation on hand. Going for chiropractic treatment. Any danger?

Cervical spondylosis n herniated discs c4-c5, c5-c6. Neck, shoulder pain. Tingling sensation on hand. Going for chiropractic treatment. Any danger?

Depends: Please alert the chiropractor to your herniated discs. Gentle chiropractic may not cause additional damage. In presence of neural signs or symptoms (tingling), robust neck manipulation is not advised (can cause nerve damage). Who advised chiropractic over seeing a spine specialist for this? ...Read more