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Suggest Treatment For Severe Pain In The Left Arm

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Posted on Fri, 7 Apr 2017
Question: i have C2 to c7 fused with instrumentation in my cervical spine. I fell and hit the front top part of my forehead and head and felt the base of my neck jam. I now cannot fully extend my left arm , have muscle spasm and pain in the left back of my neck. I woke up in severe pain in my left arm two days ago that did get relief with muscle relaxers and alleve.
I did this 3 weeks ago. I did see a doctor and get a CAT scan with no report of seeing injury.
my symptoms appear to be more related to the nerve at C6/C7 vs C7/T1. with this level fused how can that be?
doctor
Answered by Dr. Ahmed Aly Hassan (2 hours later)
Brief Answer :
Nerve conduction studies are recommended , pregabalin and vitamin supplements are helpful and try to maintain your physiotherapy to prevent muscle weakness and joint stiffness .

Detailed Answer:
Hi i am Dr Ahmed Aly
thanks for using HealthcareMagic site ,
I had gone through your question and understand your concerns ..

From your given history you mentioned instrumentation of your cervical vertebra , you also had free CAT scan with no bone injuries i hope you feel better soon .
In my opinion you may have a king of brachial plexus injury which is a network of nerves that sends signals from your spine to your shoulder, arm and hand. this is why you could not fully extend your elbow as normal .
In severe brachial plexus injuries can leave your arm paralyzed, with a loss of function and sensation. Surgical procedures such as nerve grafts, nerve transfers or muscle transfers can help restore function.
For now i recommend you do nerve conduction tests , EEG ( electro encephalo graph ) and visit you neurologist for proper evaluation and management .
Till then you may ask you physician for adding pregabalin tabs 400 mg twice after meals to your alleve and muscle relaxants . B12 vitamin supplementation is helpful with such neuropathic pain .
hot massages with topical gels and physical therapy to keep your joints and muscles working properly, maintain the range of motion, and prevent stiff joints .

Please click and consider a 5 star rating with some positive feedback if the information was helpful. Wish you good health,
Any further clarifications feel free to ask.
Above answer was peer-reviewed by : Dr. Kampana
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Answered by
Dr.
Dr. Ahmed Aly Hassan

Orthopaedic Surgeon

Practicing since :2002

Answered : 441 Questions

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Suggest Treatment For Severe Pain In The Left Arm

Brief Answer : Nerve conduction studies are recommended , pregabalin and vitamin supplements are helpful and try to maintain your physiotherapy to prevent muscle weakness and joint stiffness . Detailed Answer: Hi i am Dr Ahmed Aly thanks for using HealthcareMagic site , I had gone through your question and understand your concerns .. From your given history you mentioned instrumentation of your cervical vertebra , you also had free CAT scan with no bone injuries i hope you feel better soon . In my opinion you may have a king of brachial plexus injury which is a network of nerves that sends signals from your spine to your shoulder, arm and hand. this is why you could not fully extend your elbow as normal . In severe brachial plexus injuries can leave your arm paralyzed, with a loss of function and sensation. Surgical procedures such as nerve grafts, nerve transfers or muscle transfers can help restore function. For now i recommend you do nerve conduction tests , EEG ( electro encephalo graph ) and visit you neurologist for proper evaluation and management . Till then you may ask you physician for adding pregabalin tabs 400 mg twice after meals to your alleve and muscle relaxants . B12 vitamin supplementation is helpful with such neuropathic pain . hot massages with topical gels and physical therapy to keep your joints and muscles working properly, maintain the range of motion, and prevent stiff joints . Please click and consider a 5 star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask.