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My Father Has Pain In Neck (mainly Cervical Spine Area)

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Posted on Sat, 11 May 2019
Question: My father has pain in neck (mainly Cervical spine area) since Holi when someone threw water with a lot of force on him.

He is also complaining of pressure in left hand and tingling sensation in the palm of left hand. The pressure reduces when he lifts his hand or keeps it behind his neck. We felt that this is related to Cervical Spondylosis but fear if it could be related to Blood Glucose (his elder brother is a diabetic and had developed Gangrene) or heart related.

He recently got Blood Glucose, Cholesterol, and ECG tests done. Please find the reports attached. Kindly suggest if he needs to take any action for his Blood glucose or Cholesterol levels.

He also has dizzy feeling since then when he walks more.

He consulted an orthopedic whose diagnosis based on X-Ray (attached) is Cervical Spondylosis. He is currently going through physiotherapy sessions daily (hot compress, traction, and ultrasonic therapy).

His BP reading is normal ~121/79. He takes Tab Concor AM 5mg once a day.
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Follow up: Dr. Dr. Prasad J (0 minute later)
My father has pain in neck (mainly Cervical spine area) since Holi when someone threw water with a lot of force on him.

He is also complaining of pressure in left hand and tingling sensation in the palm of left hand. The pressure reduces when he lifts his hand or keeps it behind his neck. We felt that this is related to Cervical Spondylosis but fear if it could be related to Blood Glucose (his elder brother is a diabetic and had developed Gangrene) or heart related.

He recently got Blood Glucose, Cholesterol, and ECG tests done. Please find the reports attached. Kindly suggest if he needs to take any action for his Blood glucose or Cholesterol levels.

He also has dizzy feeling since then when he walks more.

He consulted an orthopedic whose diagnosis based on X-Ray (attached) is Cervical Spondylosis. He is currently going through physiotherapy sessions daily (hot compress, traction, and ultrasonic therapy).

His BP reading is normal ~121/79. He takes Tab Concor AM 5mg once a day.
doctor
Answered by Dr. Dr. Prasad J (9 hours later)
Brief Answer:
altered sensation more likely related to cervical spondylosis...

Detailed Answer:
Hi,

I went through the reports and noted there is altered blood sugar and lipids. Has he known to have diabetes in the past? If yes, for how long and what treatment is he on.

Long standing diabetes and uncontrolled blood sugar both may lead to peripheral neuropathy which presents with tingling and numbness. In your father's case, however the symptoms are localised to one side and therefore the cause is more likely due to cervical spondylosis. Here peripheral nerves gets pinched at cervical spine leading to tingling and numbness. You should continue vitamin supplements and physiotherapy. If the problem persist I will recommend nerve conduction studies / EMG to assess the severity of the problem. Your neurologist / neurosurgeon will know about it.

Hope this answered your question. Let me know if you have any other specific questions.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Dr. Prasad J (0 minute later)
Brief Answer:
altered sensation more likely related to cervical spondylosis...

Detailed Answer:
Hi,

I went through the reports and noted there is altered blood sugar and lipids. Has he known to have diabetes in the past? If yes, for how long and what treatment is he on.

Long standing diabetes and uncontrolled blood sugar both may lead to peripheral neuropathy which presents with tingling and numbness. In your father's case, however the symptoms are localised to one side and therefore the cause is more likely due to cervical spondylosis. Here peripheral nerves gets pinched at cervical spine leading to tingling and numbness. You should continue vitamin supplements and physiotherapy. If the problem persist I will recommend nerve conduction studies / EMG to assess the severity of the problem. Your neurologist / neurosurgeon will know about it.

Hope this answered your question. Let me know if you have any other specific questions.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Prasad J (13 hours later)
Hello Doctor,

Thank you for reviewing the reports.
May i know what you mean by 'Has he known to have diabetes in the past?'
His fasting blood glucose levels have always been within the optimum range.

However, once more in the past his after food glucose levels were elevated but the value was just out of range.

This time fasting glucose is in range but after food is quite high.

Kindly suggest if it indicates diabetes or is it nothing to worry since his fasting glucose level is well within range.
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Follow up: Dr. Dr. Prasad J (0 minute later)
Hello Doctor,

Thank you for reviewing the reports.
May i know what you mean by 'Has he known to have diabetes in the past?'
His fasting blood glucose levels have always been within the optimum range.

However, once more in the past his after food glucose levels were elevated but the value was just out of range.

This time fasting glucose is in range but after food is quite high.

Kindly suggest if it indicates diabetes or is it nothing to worry since his fasting glucose level is well within range.
doctor
Answered by Dr. Dr. Prasad J (11 hours later)
Brief Answer:
Is he diagnosed as diabetes in the past?

Detailed Answer:
Hi,

I wanted to know if he is diagnosed as diabetes in the past.

High post prandial (after food) with normal fasting blood sugar indicates glucose intolerance. Glucose intolerance is a prediabetic state and can turn into diabetes when not controlled. So yes it should be taken seriously and treated appropriately.

Hope this answered your question. Let me know if you need clarifications.

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Dr. Prasad J (0 minute later)
Brief Answer:
Is he diagnosed as diabetes in the past?

Detailed Answer:
Hi,

I wanted to know if he is diagnosed as diabetes in the past.

High post prandial (after food) with normal fasting blood sugar indicates glucose intolerance. Glucose intolerance is a prediabetic state and can turn into diabetes when not controlled. So yes it should be taken seriously and treated appropriately.

Hope this answered your question. Let me know if you need clarifications.

Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Prasad J (13 hours later)
No, he was never diagnosed as diabetic in the past. But there is family history for diabetes if that is relevant.
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Follow up: Dr. Dr. Prasad J (0 minute later)
No, he was never diagnosed as diabetic in the past. But there is family history for diabetes if that is relevant.
doctor
Answered by Dr. Dr. Prasad J (2 days later)
Brief Answer:
Not related to diabetes...

Detailed Answer:
Apologies for the late reply.

In that case the tingling and altered sensation is unlikely to be related to blood sugar / diabetes. It is more likely due to cervical spondylosis. Continue treatment suggested. If the problem persist despite the treatment, consider consulting a neurophysician.

Hope I have answered all your question. Let me know if I have missed any.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Dr. Prasad J (0 minute later)
Brief Answer:
Not related to diabetes...

Detailed Answer:
Apologies for the late reply.

In that case the tingling and altered sensation is unlikely to be related to blood sugar / diabetes. It is more likely due to cervical spondylosis. Continue treatment suggested. If the problem persist despite the treatment, consider consulting a neurophysician.

Hope I have answered all your question. Let me know if I have missed any.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Dr. Prasad J

General & Family Physician

Practicing since :2005

Answered : 3701 Questions

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My Father Has Pain In Neck (mainly Cervical Spine Area)

My father has pain in neck (mainly Cervical spine area) since Holi when someone threw water with a lot of force on him. He is also complaining of pressure in left hand and tingling sensation in the palm of left hand. The pressure reduces when he lifts his hand or keeps it behind his neck. We felt that this is related to Cervical Spondylosis but fear if it could be related to Blood Glucose (his elder brother is a diabetic and had developed Gangrene) or heart related. He recently got Blood Glucose, Cholesterol, and ECG tests done. Please find the reports attached. Kindly suggest if he needs to take any action for his Blood glucose or Cholesterol levels. He also has dizzy feeling since then when he walks more. He consulted an orthopedic whose diagnosis based on X-Ray (attached) is Cervical Spondylosis. He is currently going through physiotherapy sessions daily (hot compress, traction, and ultrasonic therapy). His BP reading is normal ~121/79. He takes Tab Concor AM 5mg once a day.