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Suggest Treatment For Nerve Root Compression In The Cervical Spine

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Posted on Wed, 6 Sep 2017
Question: Hello....My mother has a cervical nerve root impingement; I believe it is known as cervical radioculopathy or as her dr says...."a pinched nerve." She is in a lot of pain in her (L) arm, shoulder and neck.....she has had this pain since Nov., 2016 and it seems to be getting worse. She has very recently gotten over the severe pain of the shingles.....only time she has ever had shingles and she is (91). Her shingles were on the (R) side. The treatments she has rec'd so far have been the following: Epidural injections, a nerve block injection, she has taken Neurotin and it didn't help her shingles or pinched nerve. And, most recently, took Tegretol for her pinched nerve, but had the bad side effects of extreme sleepiness, listlessness and just could not function. Mother regardless of her age, has always been able to function VERY WELL, but since she recently had the nerve block injection, shingles, and the (2) meds (Neurotin and Tegretol), she has not had much energy at all.....she now doesn't get up and get ready for the day b/c she is SOOOO VERY TIRED. I JUST WONDER IF A CORTISONE INJECTION WOULD RELIEVE SOME OF HER PAIN FROM THE "PINCHED NERVE." MOTHER TAKES (2) HYPERTENSION MEDICATIONS: PROCARDIA XL AND TOPROL XL AND HER DR SAYS THAT DUE TO HER HYPERTENSION , THAT SHE SHOULD NOT TAKE NSAIDS. SHE ALSO HAS BAD OSTEOARTHRITIS IN HER KNEES AND MUCH ARTHRITIS IN HER LUMBAR SPINE. AGAIN, I WOULD REALLY APPRECIATE ANY ADVICE YOU CAN GIVE ME ON TREATMENT OF HER CERVICAL NERVE ROOT IMPINGEMENT. WITH MUCH APPRECIATION, XXXXXXX LOVELESS E-MAIL: YYYY@YYYY
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Answered by Dr. Dr. Erion Spaho (48 minutes later)
Brief Answer:
With precautions cortisone may be of help, Consider TENS.

Detailed Answer:
Hello and thanks for using HCM.

I have read your question and understand your concerns.

Decompressesive surgery seems not a reliable option due to your mother's age.

Cortisone injection could improve your mother's symptoms related to pinched nerve and arthritis, but cortisone injection may increase blood pressure and may damage the stomach of your mother.

With proper precautions about blood pressure control and use of omeprazole, I think short time use of cortisone injection or preparations that boost cortisone production ( Sinakten 1 mg for example ) may be suitable in your mother's case.

Transcutaneous electrical nerve stimulation ( TENS ) about pinched nerve symptoms also may be of benefit.

Discuss with your mother's Doctor about these issues.

Hope you found the answer helpful.

Take care.
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4502 Questions

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Suggest Treatment For Nerve Root Compression In The Cervical Spine

Brief Answer: With precautions cortisone may be of help, Consider TENS. Detailed Answer: Hello and thanks for using HCM. I have read your question and understand your concerns. Decompressesive surgery seems not a reliable option due to your mother's age. Cortisone injection could improve your mother's symptoms related to pinched nerve and arthritis, but cortisone injection may increase blood pressure and may damage the stomach of your mother. With proper precautions about blood pressure control and use of omeprazole, I think short time use of cortisone injection or preparations that boost cortisone production ( Sinakten 1 mg for example ) may be suitable in your mother's case. Transcutaneous electrical nerve stimulation ( TENS ) about pinched nerve symptoms also may be of benefit. Discuss with your mother's Doctor about these issues. Hope you found the answer helpful. Take care.