Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
Shooting Pain In Hands. Taking Oxynorm, Zapain For Fibromyalgia. Any Ideas?
Hi I am having sharp shooting pains in my hands especially the right hand, index finger and index finger knuckle it is severe pain and is travelling up my arm in what seems like a straight line it has been going on for about 4 hours now and is at times so painful taking my breath away I am currently on oxy norm and zapain for fibromyalgia but these have not eased the pain at all. This pain I have not had before so am not associating it with fibro but like everything else it is probably linked. Would really appreciate your views. Many thanks
Fri, 4 Oct 2013
Hi and welcome to HCM
Shooting pain in hands cold occur due to nerve compression or arthritic changes or inflammatory pathology. Direct clinical examination and some tests are required to reach the diagnosis. I suggest you to consult your orthopaedician for appropriate management.
I do hope that you have found something helpful and informative and I will be glad to answer any further query.
Take care.
Shooting pain in hands cold occur due to nerve compression or arthritic changes or inflammatory pathology. Direct clinical examination and some tests are required to reach the diagnosis. I suggest you to consult your orthopaedician for appropriate management.
I do hope that you have found something helpful and informative and I will be glad to answer any further query.
Take care.
I find this answer helpful
Hi, thanks for writing to HCM.
All your symptoms are typically suggestive of a pinched nerve in the cervical spine, most possibly due to a protruded intervertebral disc causing the compression.
The initial management of this condition is always conservative by the following means -
- Soft Collar: Soft collar allow the muscles of the neck to rest and limit neck motion. This can help decrease pinching of nerve roots with movement. Soft collars should only be worn for short periods of time, because long-term wear can decrease the strength of neck muscles.
- Cervical traction: may enlarge the disc space, permitting the prolapse to subside. Intermittent cervical traction for not more than 30 minutes at a time.
- Medicines: Analgesic are needed in the acute phase. Muscle relaxants are essential for relieving muscle spasms once the acute pain subsides. Neurotropic vitamins like METHYLCOBALAMINE (activated Vit B12) or PREGABALIN will help in alleviating the neuropathic pain.
- Physiotherapy: Once the acute phase of pain has subsided, Isometric strengthening exercises of the paravertebral muscles are started. Improving neck strength and flexibility with simple exercises may lessen discomfort and pain. Moist heat can be useful
If your symptoms are not resolving with the above measures, an MRI scan of the cervical spine is necessary to assess the extent of the problem.
Hope this information is helpful. Good day
All your symptoms are typically suggestive of a pinched nerve in the cervical spine, most possibly due to a protruded intervertebral disc causing the compression.
The initial management of this condition is always conservative by the following means -
- Soft Collar: Soft collar allow the muscles of the neck to rest and limit neck motion. This can help decrease pinching of nerve roots with movement. Soft collars should only be worn for short periods of time, because long-term wear can decrease the strength of neck muscles.
- Cervical traction: may enlarge the disc space, permitting the prolapse to subside. Intermittent cervical traction for not more than 30 minutes at a time.
- Medicines: Analgesic are needed in the acute phase. Muscle relaxants are essential for relieving muscle spasms once the acute pain subsides. Neurotropic vitamins like METHYLCOBALAMINE (activated Vit B12) or PREGABALIN will help in alleviating the neuropathic pain.
- Physiotherapy: Once the acute phase of pain has subsided, Isometric strengthening exercises of the paravertebral muscles are started. Improving neck strength and flexibility with simple exercises may lessen discomfort and pain. Moist heat can be useful
If your symptoms are not resolving with the above measures, an MRI scan of the cervical spine is necessary to assess the extent of the problem.
Hope this information is helpful. Good day
I find this answer helpful
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Physiotherapy
Loading Online Doctors....