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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Left Arm Pain Along With Numbness And Tingling?

Hello, I suffer from left arm pain which I was told might be caused by a pinched nerve or herniated disc C4, C5, C6. Pain started in May with numbness and tingling down my arm. Took an X-ray , don t see much. Planning to do an MRI. I believe this would be the best way to diagnose? Can this be caused by cycling as I was cycling 60 to 80 km a week? Certain positions are soothing contrary to others where I get a shooting pain down the arm, sort of like an electric shock. Moving my head fully forward relieves me of pain. Basically, the worst pain is when I move my head back and sort of tuck in my chin. Any recommendations? Thank you. Lucio
Mon, 7 Dec 2015
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Neurologist,  's  Response
Pain, Numbness and tingling in arm with electric shock like radiating pain strongly favor diagnosis of involvement of nerve roots. MRI Cervical spine with Nerve conduction studies (NCV) and Electromyography (EMG) will be best way to diagnose and localizing your problem.
Such problem doesn't seem to be caused by cycling.
I Recommend to use "soft cervical collar" and Tab Pregabalin 75 mg BD / Tab Gabapentin 100 mg TDS. Get MRI Cervical spine , NCV & EMG both upper limbs and get reviewed with reports.
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What Causes Left Arm Pain Along With Numbness And Tingling?

Pain, Numbness and tingling in arm with electric shock like radiating pain strongly favor diagnosis of involvement of nerve roots. MRI Cervical spine with Nerve conduction studies (NCV) and Electromyography (EMG) will be best way to diagnose and localizing your problem. Such problem doesn t seem to be caused by cycling. I Recommend to use soft cervical collar and Tab Pregabalin 75 mg BD / Tab Gabapentin 100 mg TDS. Get MRI Cervical spine , NCV & EMG both upper limbs and get reviewed with reports.