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I am suffering from numbness and pain in my hand that spreads to my arms. What is the treatment?

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I am suffering from numbness and pain in my hand that spreads to my arms. What is the treatment?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Nithila. A

Published At September 4, 2019
Reviewed AtAugust 10, 2023

Patient's Query

Hello doctor,

I have numbness on my right hand and pain shooting down both the arms. I did a nerve test last week, and all is fine. Now my doctor wants me to get a spine X-ray. But I had one two years ago, and the chiropractor told me I have zero degeneration in the spine. I will say moving my head from right to left down to shoulders does feels like I am stretching something. I elbowed a thick wood door with my right elbow, and I had pain in arm and hand for a long time. And have had shoulder (orthoscopic and removed a bone, so they tell me) but all in the right side so I can understand but not both arms. And the weird part is it goes into my chest. Sort of like heartburn is the best way to explain. All blood work came back perfect. Do have high blood pressure but under control with a mess. Any thoughts or help would be appreciated.

Hello,

Welcome to icliniq.com.

I can tell you that such a radiating pain usually is an indication of a nerve impingement either in the spine region or somewhere along the course of the nerve. If there is only a radiating kind of pain, nerve tests sometimes may not reveal much although I would be interested in seeing the report of your nerve conduction test. Also, X-ray could show some degenerative changes in the form of osteophytes, disc spaces, etc., but if you want to see, MRI of the cervical spine will be a better investigation as it will enable us to view the spinal cord and any associated compression if present. As far as your other query about elbow and shoulder is concerned, I would like to know and understand your current problems, the latest investigation is done and ongoing treatment, so that I can appreciate and opine accordingly. Also, any radiation of pain to the chest region should be seen by a general physician so that cardiac and gastrointestinal causes can be ruled out. To start with, I can advise for your left upper limb symptoms for which you can start with tablet Gabapentin or tablet Pregabalin along with Methylcobalamin for nerve-related signs. Intensive physical therapy in the form of TENS (transcutaneous electric nerve stimulation) also helps to get relief from neuropathic symptoms. Do let me know if there is no relief, and also get in touch with me should you require any further information or SOS.

The Probable causes

Cervical spine degeneration

Investigations to be done

MRI Cervical spine

Differential diagnosis

Entrapment Neuropathy

Treatment plan

Medications, Physical therapy

Regarding follow up

Follow up after two to three weeks or with investigation reports

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Akshay Kumar Saxena
Dr. Akshay Kumar Saxena

Orthopedician and Traumatology

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