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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Acute Pain In Ribs With High BP And Pulse Rate 107 Bpm

I have acute pain in my left side under my ribs which has now spread to my upper back and to my upper chest. I am 51, female, normal weight, don t smoke but in the last two years my blood pressure has become quite high. My readings this week are: 137/80, 232/100 and today 164/83 with a pulse of 107. Should I seek further medical help? I have only been given pain relief and an anti inflammatory....thank you.
Mon, 15 Feb 2016
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Orthopaedic Surgeon,  's  Response
Can I assume that the numb fingers are thumb, index and (thumb side) half of ring?
If so it is likely that she has "carpal tunnel syndrome".
It is not unconventional to treat this with a brace, especially if there are reasons to avoid surgery. An additional possible treatment is to inject the structures under the "deep transverse carpal ligament" (which is the constricting structure) with cortisone.
If all else fails dividing that structure surgically is a common treatment. This can be done as a "day case" under regional (not general) anaesthesia. Although the surgical wound should be kept dry until the stitches are out (or the wound healed if buried stitches are used), that can be done wearing a glove supplied by the hospital. The hand can usually be used the same day (or day after) the surgery.
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Suggest Remedy For Acute Pain In Ribs With High BP And Pulse Rate 107 Bpm

Can I assume that the numb fingers are thumb, index and (thumb side) half of ring? If so it is likely that she has carpal tunnel syndrome . It is not unconventional to treat this with a brace, especially if there are reasons to avoid surgery. An additional possible treatment is to inject the structures under the deep transverse carpal ligament (which is the constricting structure) with cortisone. If all else fails dividing that structure surgically is a common treatment. This can be done as a day case under regional (not general) anaesthesia. Although the surgical wound should be kept dry until the stitches are out (or the wound healed if buried stitches are used), that can be done wearing a glove supplied by the hospital. The hand can usually be used the same day (or day after) the surgery.