Brief Answer:
You may consult neurosurgeon

Detailed Answer:
Hello,
Thank you for your query.
I'm Dr. Shuba Hariprasad and will be answering your query today.

I've gone through your reports and understand your query.
Based on the above, I believe your symptoms are due to nerve compression in the cervical spine
area.
You also have lateral epicondyle bursitis on your right elbow. This, if large enough adds to the symptoms by exerting pressure.
Ideally you would have to meet your surgeon (who performed your neck surgery).

If that's not possible, you should see a neuro surgeon or and orthopedic surgeon who specializes in spinal surgery. The latter would be able to check the bursitis as well.

In the meantime, maintain good posture, avoid sitting for too long.
Keep you shoulders, neck and Arms in neutral position as much as possible (90 degree to each other, neck slightly bent forward)
Avoid computers and repetitive activities (writing, typing, chopping vegetables, driving for very long)

Keep your arm elevated above shoulder level when resting.

Avoid pressure on your elbow and wrist.
Avoid hot baths. Cool/lukewarm Is fine.

Hope this helps. Please see a doctor as soon as possible.

Please let me know if there is anything else I can help you with.
If not please close this discussion and rate my answer.
Regards,
Dr. Shuba Hariprasad

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Brief Answer:
Clinical examination and medical history for parkinsons. Surgery last optio

Detailed Answer:
Hello,
Thank you for the follow up.

What kind of arm symptoms do you have? Any other body symptoms?

I was able to see a total of 3 reports as attached earlier (the MRI of the arm, scan of the neck and nerve conduction study of your arm). Were there any more reports.

To answer your queries.

1)Parkinson's disease is diagnosed based on the medical history and clinically by a neurological examination, ideally by an experienced neurologist. It is a condition diagnosed clinically.
It is characterized by slowness of movement ( bradykinesia) along with tremors (at rest that go away on movement), postural instability (frequent falls/loss of balance), rigidity, sleep disorders, dementia.

Not all have to be present. There are other problems that can present like parkinsons.
I would carefully examine you on multiple occasions over a period of month (and years, if necessary) to confirm this diagnosis.
Response to medications used for parkinsons is another positive diagnostic factor.
An MRI brain can rule out vascular causes, tumors as the cause your symptoms.
A diffusion MRI or a Pet scan would be necessary to support the diagnosis of Parkinson if strong clinical indication is present.

2) in case of an osteophytes- these are an inflammatory response to injury. Surgery is indicated only If symptoms are severe or cannot be managed conservatively.
Steroid injection, anti inflammatory medications offer relief but temporarily.
Lifestyle changes, activities that aggravate the pain should be avoided. Physiotherapy may help control symptoms.
However I recommend that a neurosurgeon or orthopedic Doctor confirm the cause of your symptoms. This will depend on a clinical exam.

Hope I've answered your queries and been of help.
Please let me know if there is anything else I can help you with your.

Wish you good health and speedy recovery.
Regards,
Dr. Shuba Hariprasad

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