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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Elaborate On Hiatus Lumps On Neck

Hi, I had a car accident 9 months ago and have had pain in my neck, shoulder and back since. I saw a orthopedic surgeon today who said I have a hiatus lump on the back of my neck among other injuries. I have absolutely no idea what a hiatus lump is so would be grateful for any information. I am 36, 5ft 1 and weigh 7 st 11 lbs. I have a condition called Erythromelalgia which affects my legs and feet. Thanks
Mon, 15 Jun 2015
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General Surgeon,  's  Response
HI,Dear.Very Good NOON from India.Thanks for your query.I understand your concerns.I studied your query in depth.Need more information to comment on.
-I would advise you not to worry still.In my opinion -the hiatus lump on back of neck -post car accident-is the cause for your-Erythromelalgia- and is causing cervical- sympathetic chain-symptoms leading to Erythromelalgia in legs and feet.
-Hiatus lump on back of neck -is mostly - lump at the Thorasic Outlet Hiatus, and that causes the sympathetic- ganglion- lump which got irritated by the car injury to head /neck and shoulder and has lead to the Erytrhomelalgia in feet.
-Treatment would be-
a-Test for the Fabrys disease-to rule out its association with Erythromelalgia , by skin biopsy for the-Gl3 vascular load,USG study for Liver fatty deposits
-b-Tb-gabapentine/ parabelin -for treating the neuropathic effects
-c-Tb-Vit-b-12 suplmenting doses.
-d-Tb-serropetidase-for long with
-e- Tb Steroids -if no diabetes- to reduce the traumatic inflammatory damage from the hiatus lump -which is-causing sympathetic chain compression symptoms due to the TOS(Thorasic Outlet Syndrome)-compression syndrome post-car accident head/shoulder/ neck injury.
-Ortho surgeon with NeuroSurgeon and Radio-logist-team- with FDG PET scan MRI/CAT scan studies would pinpoint treatment and prognosis in your case.
-Hope this relieves your worry-some query. Wellcome for anymore queries in time to come.Have a Good Day.
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Elaborate On Hiatus Lumps On Neck

HI,Dear.Very Good NOON from India.Thanks for your query.I understand your concerns.I studied your query in depth.Need more information to comment on. -I would advise you not to worry still.In my opinion -the hiatus lump on back of neck -post car accident-is the cause for your-Erythromelalgia- and is causing cervical- sympathetic chain-symptoms leading to Erythromelalgia in legs and feet. -Hiatus lump on back of neck -is mostly - lump at the Thorasic Outlet Hiatus, and that causes the sympathetic- ganglion- lump which got irritated by the car injury to head /neck and shoulder and has lead to the Erytrhomelalgia in feet. -Treatment would be- a-Test for the Fabrys disease-to rule out its association with Erythromelalgia , by skin biopsy for the-Gl3 vascular load,USG study for Liver fatty deposits -b-Tb-gabapentine/ parabelin -for treating the neuropathic effects -c-Tb-Vit-b-12 suplmenting doses. -d-Tb-serropetidase-for long with -e- Tb Steroids -if no diabetes- to reduce the traumatic inflammatory damage from the hiatus lump -which is-causing sympathetic chain compression symptoms due to the TOS(Thorasic Outlet Syndrome)-compression syndrome post-car accident head/shoulder/ neck injury. -Ortho surgeon with NeuroSurgeon and Radio-logist-team- with FDG PET scan MRI/CAT scan studies would pinpoint treatment and prognosis in your case. -Hope this relieves your worry-some query. Wellcome for anymore queries in time to come.Have a Good Day.