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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Tingling Sensation In Arms And Head.

I fell in mid January, hit my head, etc. I was taken to hospital, where the docs did an mri, cat scan, etc. I had no cracks in the skull and no internal bleeding. They did find stinosis in my neck, which seems to have been aggravated, as I am now getting a tingling sensation down my arms (sometimes going down my chest) when I nod my head, take a bowl movement, go down stairs, etc. I never had these actions prior to the fall. It has been suggested that I probably will need surgery. If that is the case, what are the dangers/downsides? How much long and short term help can the surgery produce; will there be short or longer term lasting negative effects; what are the dangers of the surgery? Because of scheduling issues, assuming I get the surgery, it cannot happen prior to August. What precautions should I take in the meantime. I am an orchestra conductor, and have a busy summer ahead of me. I have been conducting since the accident, and am being careful with my movements. So far, there does not seem to be negative consequences. Thank you for your advice. jay
Sat, 7 Apr 2018
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Critical Care Specialist,  's  Response
Hello,

Stenosis is a medical term, which means Narrowing of the canal in the neck region, this is what guess your problem is (as you did not mentioned in the history whether it's stenosis of cervical canal or some other thing).

As you said above, By profession you are an ORCHESTRA CONDUCTOR so be careful about your movements of Neck.

Based on the symptoms you are giving in the history it looks to be a severe narrowing that is compression the nerves which are running out to limb, so because is the Tingling and Numbness sensation in the arm.

I suggest that you take care of your health as a first priority, if land up for any permanent damages to the nerve, then it will affect your hands nerve supply and also the sensation and motor activity.

Regarding the surgery, yes if the Stenosis (Narrowing) is severe then one need to get operated, there will be definitely risk associated with the surgery, Despite an Expert Neuro Surgeon there is possibility of damages to the surrounding blood vessels and nerves.

But there is no other option rather taking the risk. So, please plan for the surgery as early possible.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Mohammed Abdullah
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Suggest Treatment For Tingling Sensation In Arms And Head.

Hello, Stenosis is a medical term, which means Narrowing of the canal in the neck region, this is what guess your problem is (as you did not mentioned in the history whether it s stenosis of cervical canal or some other thing). As you said above, By profession you are an ORCHESTRA CONDUCTOR so be careful about your movements of Neck. Based on the symptoms you are giving in the history it looks to be a severe narrowing that is compression the nerves which are running out to limb, so because is the Tingling and Numbness sensation in the arm. I suggest that you take care of your health as a first priority, if land up for any permanent damages to the nerve, then it will affect your hands nerve supply and also the sensation and motor activity. Regarding the surgery, yes if the Stenosis (Narrowing) is severe then one need to get operated, there will be definitely risk associated with the surgery, Despite an Expert Neuro Surgeon there is possibility of damages to the surrounding blood vessels and nerves. But there is no other option rather taking the risk. So, please plan for the surgery as early possible. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammed Abdullah