Nerve root irritation or radiculopathy occurs when the nerve root gets pinched or compressed while exiting a bone, intervertebral disk, and due to stenosis (narrowing). These can be due to degeneration or injury. Presenting symptoms of nerve root irritation are numbness, paresthesia, sharp pain, weakness, a sensation of pins and needles, etc. Based on the region supplied by the nerve, symptoms appear in hands, legs, hip, neck, etc. Pain medications, physiotherapy, and steroid injections help in relieving the symptoms. In extreme conditions, surgery may be implicated.
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Are my various neurological symptoms related to cervical myelopathy?
Query: Hello doctor, I have chronic right leg spasticity, migraines, muscle pain, ataxia, nausea, vertigo, and pins and needles in hands and feet. Please, could you review my scans to see what is the cause of my various neurological symptoms? Is it cervical myelopathy or MS? Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your scans (attachment removed to protect patient identity). There are cervical disc problems at many levels and mild cervical spondylosis. There is a neural foraminal compromise and nerve root compression in C4-C5, C5-C6 and C6-C7 cervical disc ... Read Full »
Is my back and neck pain due to some heavy lifting done by me four months back?
Query: Hi doctor, Before four months, I did a couple of heavy things, about a week later, when I put my head down or looked down, I noticed a twinge in my back, on the left side of my right shoulder blade. As weeks went on, it became awful and more painful. I also had spasms on the right side and under my ... Read Full »
Answer: Hi, Welcome to icliniq.com. From your description, it could be a problem with your neck or upper back. The neck pain can be due to a simple muscle sprain, or it could be a manifestation of a disc irritation on the nerves (more likely). In the upper back, there could be a trigger spot which beha... Read Full »
I do not have an improvement in my back pain. Is it a disc problem?
Query: Hello doctor, I am a 35 year old female. About a month ago, I injured my mid-lower back while doing weightlifting. There is one vertebra that feels bruised to the touch, and I have pain in that one spot when I do certain movements, like bending. I also have a lot of muscle tightness and aching thro... Read Full »
Answer: Hello,Welcome to icliniq.com.It is very unusual for a vertebra to be fractured simply by weightlifting unless you are lifting unusually heavy weights.Yes, you can have a disc problem in weightlifting, but it is unlikely to cause tenderness on the surface of the body. You are more likely to get nerv... Read Full »
I have radiating pain from the upper chest to the shoulders. Why?
Query: Hi doctor, I have been having pain around my esophagus, upper chest area as well as the bones under the eyes. The pain is radiating from upper chest to the shoulders. I am also having some memory problem. This has been slowly getting worse over a period of a couple of years. I can feel the pain on t... Read Full »
Answer: Hi, Welcome to icliniq.com. The pattern of pain you are describing is most probably due to any one of the following. Nerve irritation known as cervical radiculopathy that is due to compression or irritation of a nerve root of the neck. This might be associated with numbness. Disc herniation in the l... Read Full »
Does my CT scan show spinal stenosis?
Query: Hi doctor, I feel like there is an ice pick in my back at my T4 and T5 region. I had cervical disc replacement three months back for the C5 and C6 area. Do you see any canal stenosis in this CT scan? Is there a difference in the thickening of the ligamentum flavum and calcification of the ligamentu... Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for writing to us. I hope you are not in much discomfort. Images (attachment removed to protect patient identity) shared are of the CT (computed tomography) cervical and upper thoracic spine from C1 to T4 vertebral levels. Answers to your questions are following.... Read Full »
Can a tetanus shot to the hip cause knee pain?
Query: Hello doctor, I am a 22-year-old female who weighs about 95 kg. I had been given a tetanus shot in my hip one year back. After that, I felt sharp shooting pain around my knee whenever I stand extremely painful, and I needed the support of something, and later I was pretty much fine as this pain was... Read Full »
Answer: Hello, Welcome to icliniq.com. You are right; usually, vaccinations are given intramuscularly into the upper arm. However, the location you mention is also allowed and, of course, possible. It is also possible to irritate a nerve with an injection, at least in theory, but rarely happens. However, ... Read Full »
What is the treatment for severe lower back pain after lifting heavyweight?
Query: Hello doctor, I have lower back pain for more than two months. I lifted a heavy rice bag, and the pain is always there since then. No pain in legs, no numbness, and no symptoms other than lower back pain. I cannot bend forward, and I find difficulty in some positions that I used to do. The pain is ... Read Full »
Dr. Patel Tejashkumar Govindbhai
Answer: Hello, Welcome to icliniq.com. As per your history of weight lifting and finding of MRI (attachment removed to protect patient identity) sacralization of L5-S1 disc and nerve root compression at L3-L4 and retrolysthesis L3 + L4 means posterior displacement of one vertebra over another occurs. So t... Read Full »
What is the abutment of nerve root?
Query: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? Read Full »
Dr. J. Mariano Anto Bruno Mascarenhas
Answer: Hi, Welcome to icliniq.com. I have gone through your query with diligence and would like you to know that I am here to help you. Abutment of nerve root means that the disc is touching the nerve root. Treatment of disc bulge alone is mostly non-surgical means. If there is annular tear, then you will... Read Full »
What could be causing extreme lymph node pain in the neck?
Query: Hi doctor, What could be causing the extreme pains in my lymph nodes under my neck and tingling the in head? Should I see a doctor in person? I had a sinus infection a month ago when the neck pains suddenly appeared. I was given antibiotics. It got rid of my other sinus symptoms, but not the lymph ... Read Full »
Answer: Hello, Welcome to icliniq.com. The first possibility of meningitis is unlikely. It would cause fever, severe headache and patient will be very sick. I do not think this to be a lymph node pain because lymph nodes will hurt only when they enlarge in a short duration of maximum one or two wee... Read Full »
Can my back pain be due to the tethered spinal cord?
Query: Hello doctor, It is about nine months since I have had L4 hemilaminectomy, L5 foraminotomy and drilling of bone fracture at L4-L5 level. I had an MRI two months later due to severe pain. The MRI report presented inflammation and edema of the back muscles, inflammation of nerve roots, compressi... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity). The tethered cord is a result of fibrosis and inflammation. Your symptoms of back pain and weakened bowel and bladder movements could be explained with the tethered cord. ... Read Full »