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I Have Had Neck, Shoulder, Arm And Hand Pain For
Question: I have had neck, shoulder, arm and hand pain for 9 weeks. I have had blood work - all normal. Also had an EMG and NCS that were in normal range. I have tried 5 days of Prednisone with Tylenol 3 (got from the ER). Recently was prescribed Ibuprofen 800 mg every 8 hours. Neither regime helped. Have also tried massage. That is a temporary relief. Is there a chance that this is coming from something in my neck or spine that is out of alignment? What else needs to be checked? I have not had imaging done at all..
Brief Answer:
Cervical spine imaging evaluation is necessary.
Detailed Answer:
Hello and welcome to "Ask a Doctor " service.
I have read your query and here is my advice.
I think too that conditions such as cervical spondylosis, herniated disc disease, spondylolysthesis, etc. (conditions that may cause symptoms is probably that do so by pinching or compressing the nerves) should be considered and evaluated further.
Besides the tests already done, in my opinion, imaging studies of your spine ( c-rays and MRI ) are necessary in order to achieve a correct diagnosis.
NSAID drugs, painkillers, physical therapy, spinal injections and surgery are potential treatment modalities, but, a correct diagnosis is necessary first.
Discuss with your Doctor for these issues.
Hope you found the answer helpful.
Let me know if I can assist you further.
Cervical spine imaging evaluation is necessary.
Detailed Answer:
Hello and welcome to "Ask a Doctor " service.
I have read your query and here is my advice.
I think too that conditions such as cervical spondylosis, herniated disc disease, spondylolysthesis, etc. (conditions that may cause symptoms is probably that do so by pinching or compressing the nerves) should be considered and evaluated further.
Besides the tests already done, in my opinion, imaging studies of your spine ( c-rays and MRI ) are necessary in order to achieve a correct diagnosis.
NSAID drugs, painkillers, physical therapy, spinal injections and surgery are potential treatment modalities, but, a correct diagnosis is necessary first.
Discuss with your Doctor for these issues.
Hope you found the answer helpful.
Let me know if I can assist you further.
Above answer was peer-reviewed by :
Dr. Raju A.T
Is there any way that the facelift surgery, which also made corrections to the neck could have caused pain in my neck, shoulders, arms and hands?
Brief Answer:
It is very unlikely.
Detailed Answer:
Welcome back.
It is very unlikely for the facelift surgery to cause problems in the shoulder, arm and hands.
Facelift surgery may cause only transient discomfort in the neck in most of the cases.
So, a cervical spine problem remains a possibility to evaluate further.
Hope this helps.
Greetings.
It is very unlikely.
Detailed Answer:
Welcome back.
It is very unlikely for the facelift surgery to cause problems in the shoulder, arm and hands.
Facelift surgery may cause only transient discomfort in the neck in most of the cases.
So, a cervical spine problem remains a possibility to evaluate further.
Hope this helps.
Greetings.
Above answer was peer-reviewed by :
Dr. Prasad
What is used t do cervical spine imaging? CT or MRI? I have multiple cysts and a couple of lymphomas on my arms. What is best to image my arms to see these?
Brief Answer:
MRI is the best imaging tool.
Detailed Answer:
Hello again.
MRI is the best imaging tool because it gives detailed information and it has no negative effects on the patient.
Take care.
MRI is the best imaging tool.
Detailed Answer:
Hello again.
MRI is the best imaging tool because it gives detailed information and it has no negative effects on the patient.
Take care.
Above answer was peer-reviewed by :
Dr. Prasad
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