Hello,
Due to compression of this
nerve root there can be pain radiating to your arm.
You may require spine x ray.
Diabetes and smoking leads to constriction of blood vessels leading to infection and weakness.
So it is advisable to do colour Doppler limb to see vascular status.
For
diabetic neuropathy you may need long term treatment in form of medication
physiotherapy with TENS and anodyne therapy.
For these symptoms
analgesic and neurotropic medication can be started.
I will advise to check your vit B12 and vit D3 level.
There is possibility of transient ischemic episode or stroke leading to purple fingers.
You may need clinical examination to confirm neurological weakness, BP and other vital parameters. MRI brain will rule out stroke in case of suspicion.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.
Wishing you good health.
Take care