Dr. Hitesh Kumar
Neurology
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Patient's Query
Hello doctor,
I have nerve pain in my left hand. I had fallen from a bike last one week. Since then I thought it was muscle pain. Today I consulted an MS ortho and he said there is no issue. He gave medicine for pain relief. I was feeling nerve pain in the left hand and the pain is getting severe at night. Currently, I am taking Lupiflex-8, Pantop, and Enzoloy H.
Hello,
Welcome to icliniq.com.
I would like to know some details about your symptoms.
In which part of the left hand, you have pain? At shoulder? Between shoulder and elbow? At elbow? Between elbow and wrist? At wrist? or In palm and fingers?
What kind of pain is it? stretching, or heaviness, or pins and needle sensation? Burning type or some other type?
Is pain persistent? or intermittent? Do you have any neck pain also? Is there any weakness in left hand grip? Have you noticed any factor which increases or decreases the pain like neck movement, arm movement, gripping something in hand, touch, or pressure at some point? Was there any swelling or redness at the site of pain?
Please revert with above mentioned information. If possible, also send pictures.
Patient's Query
Thank you doctor,
The symptom was between the elbow and wrist. Pain is like pins and needle sensation and some times heavy, usually comes during sleep. The pain intermittent and I do not feel any neck pain or any weakness in the left hand grip but it is paining while I close my fist. It increases while sleeping and wrist movement. In the initial stage, swelling was there at the site of pain.
Hello,
Welcome back to icliniq.com.
Local swelling at the site of pain and increase in pain while closing the fist may point toward muscular pain. But pins and needle sensation, that also only at forearm which increases during sleep, may point toward added nerve pain too.
I suggest you to undergo the following tests:
1. MRI (magnetic resonance imaging) cervical spine with left brachial plexus.
2. NCV (nerve conduction velocity) of both upper limbs.
For time being you can try tablet Tolperitas D BD, Gabapin 100 mg (Gabapentin) BD, Lupiritin (Flupirtine maleate) 100 mg BD for one week. Along with that get daily physiotherapy at the injured site.
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Neurology
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