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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Back And Upper Arm Radiating To The Neck?

I seem to be having a nerve issue and/or something? I have pain in my lower back and extrame oain in my right arm; pain that extends from my upper arm towards my neck all the way to the tips of my fingers. I get numbness, tingling, semi cramping pain and I can hold something as light as pencil and my hand hurts and feels as if it weighs 50 lbs. I m 27 and have no idea why I m in so much discomfort and/or have an idea for what I may have going on...Can you possibly help?!
Wed, 15 Mar 2023
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Anesthesiologist 's  Response
Hello,

You seem to be suffering from acute cervical spondylitis with nerve impingement leading to pain and numbness in upper arm. To those who come to me with similar complaints, i do suggest the following:
1) Pain relieving medication like NSAIDs Ibuprofen or Naproxen to be taken twice daily for 2 weeks.
2) To prevent gastric irritation, tab. Pantop 40 mg to be taken once daily for 2 weeks before food.
3) If NSAIDs are not indicated as in bleeding disorders and severe peptic ulcer disease, opioids like hydrocodone, oxycodone and Tramadol can be used twice daily for 2 weeks.
4) Soft cervical collar is indicated to be worn all the time except while sleeping.
5) After pain reduction, physical therapy to strengthen the neck muscles is indicated.

If your pain doesn't subside with above treatment even after 1 week, you may need to consult a spine surgeon or a neurosurgeon.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pallavi M., Anesthesiologist
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What Causes Pain In Back And Upper Arm Radiating To The Neck?

Hello, You seem to be suffering from acute cervical spondylitis with nerve impingement leading to pain and numbness in upper arm. To those who come to me with similar complaints, i do suggest the following: 1) Pain relieving medication like NSAIDs Ibuprofen or Naproxen to be taken twice daily for 2 weeks. 2) To prevent gastric irritation, tab. Pantop 40 mg to be taken once daily for 2 weeks before food. 3) If NSAIDs are not indicated as in bleeding disorders and severe peptic ulcer disease, opioids like hydrocodone, oxycodone and Tramadol can be used twice daily for 2 weeks. 4) Soft cervical collar is indicated to be worn all the time except while sleeping. 5) After pain reduction, physical therapy to strengthen the neck muscles is indicated. If your pain doesn t subside with above treatment even after 1 week, you may need to consult a spine surgeon or a neurosurgeon. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pallavi M., Anesthesiologist