x
168 Physicians Online

Question:

Neck pain on right side traveling down to shoulder,arm and hand.

Dear Ask The Doctor:
The pain in my neck is traveling down the right sholder to my arm and fingers are filling num it fills like a toothache


Answer:

The numbness in your right hand as you described may be due to a cervical nerve compression but it would be important to rule out inflammation of the peripheral nerves at the level of the arm and hand. In the younger patients, cervical radiculopathy may be a result of a disc herniation or an acute injury causing impingement of an exiting nerve. In the older patient, cervical radiculopathy is often a result of spinal canal narrowing from bone (osteophyte) formation, decreased disc height and degenerative changes due to aging process. The treatment strategy usually includes: physical therapy program aimed to reduce pain and inflammation, and the use of anti-inflammatory drugs (as “motrin”, “advil”), also a re-education of habits and posture to improve quality of life. You should be independent in a stretching and strengthening program and continue with these exercises under the periodic supervision of a physical therapist initially and then completely on your own. Patients whose condition fails to improve with a comprehensive rehabilitation program and selective injections should be presented with a surgical evaluation. Often, patients should show progressive improvement over the first 6-8 weeks with conservative treatment. If there is no significant improvement in this time frame, consider a surgical evaluation.
 



Sign In to join in the conversation.

You’re in good hands, meet ATD’s founding physicians.

Dr. Suneel Sharman M.D.

  • Board Certified GP
  • CMO ATD Health Network Inc.
  • Adjunct Professor at U Of T

Dr. Kunaal Jindal M.D.

  • Board Certified Plastic Surgeon
  • Director ATD Health Network Inc.
  • Fellowship Training Atlanta, GA

Related Answers:

My daughter is 24 weeks pregnant and has been diagnosed with gd two weeks ago. She finally got a tool to check her b...

Dear Sir, I am a diabetic-2 patient, I am 37 years old, having weight 68 KG. I am getting the dose of (Glimepiri...

My PCP did an A1C test for the first time and my result was 6.2. Everything I have read says this is pre-diabetes, s...

If I had a blood test on the 1st of January 2015 and my blood sugar level was 5.6, if i then tested my blood sugar w...

How to avoid going to the ER every time I have an abscess? I am a type 2 diabetic who have reoccurring abscesses on ...

Hello, I am not a patient, but an entrepreneur based in Japan who is trying to help people with diabetes and relat...

Dear Doctor, This is for my friend. He is 30 yrs old and he is suffering from diabetes and is taking injections regu...

Hello Doctor, My glucose test results declared 368 for Glucose Fasting and 497 for Glucose(PP). Doctor here told me ...

Achy right shoulder and tip of right index and thumb numb. Blood pressure medication controls BP, insulin resistant,...

I ve been taking metformin and my uribe is dark yellow is the metformin doing that