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1. Neck And Deltoid Pain And Lower Back Pain Started
Question: 1. Neck and deltoid pain and lower back pain started in November
2. Hand tremors began in December. Shaky fingers while extended them
3. Neuropathy in toes, arms and back
4. Every blood test available (CBC, sed, autoimmune, thyroid, etc.) came back normal sed rate for inflammation was elevated to 20mm
5. Neurological function by pcp normal ( reflexes and strength)
6. EMG testing nerves - normal
7. CT scan of brain - normal
8. Starting physical therapy and steroid soon to see if this helps.
9. Will see neurologist next week (request MRI)
Questions:
A. What could this be?
B. Could it be multiple sclerosis?
C. What additional tests should be done?
2. Hand tremors began in December. Shaky fingers while extended them
3. Neuropathy in toes, arms and back
4. Every blood test available (CBC, sed, autoimmune, thyroid, etc.) came back normal sed rate for inflammation was elevated to 20mm
5. Neurological function by pcp normal ( reflexes and strength)
6. EMG testing nerves - normal
7. CT scan of brain - normal
8. Starting physical therapy and steroid soon to see if this helps.
9. Will see neurologist next week (request MRI)
Questions:
A. What could this be?
B. Could it be multiple sclerosis?
C. What additional tests should be done?
Update : just took eye exam with Scan of eyeballs for optical nerve inflammation. None found.
Brief Answer:
Most likely compression of the spinal cord and nerves at the neck.
Detailed Answer:
Hello and welcome to the "Ask a Doctor" service.
I have read your query.
One common condition that may justify these symptoms is the spinal cord and nerve compression.
The compression may be caused by herniated disc for example, but other causes may be considered as well.
Since you experience neck pain, this is a possible explanation, the MS seems unlikely with these symptoms.
The MRI should give the necessary information for the diagnosis, besides this, an evaluation by the Neurologist is necessary for a correct evaluation.
Hope you found the answer helpful.
Let me know if I can assist you further.
Most likely compression of the spinal cord and nerves at the neck.
Detailed Answer:
Hello and welcome to the "Ask a Doctor" service.
I have read your query.
One common condition that may justify these symptoms is the spinal cord and nerve compression.
The compression may be caused by herniated disc for example, but other causes may be considered as well.
Since you experience neck pain, this is a possible explanation, the MS seems unlikely with these symptoms.
The MRI should give the necessary information for the diagnosis, besides this, an evaluation by the Neurologist is necessary for a correct evaluation.
Hope you found the answer helpful.
Let me know if I can assist you further.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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