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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31594
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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I have degenerate c4-c7 disks I have pain in my arms left

Customer Question

I have degenerate c4-c7 disks I have pain in my arms left more than right is this all coming from my neck I also get very sore wrists fingers and hips and legs
Submitted: 1 year ago.
Category: Health
Customer: replied 1 year ago.
my skin gets sore to touch I get numbness and tingeling in my hands and fingers also
Expert:  Dr. Arun Phophalia replied 1 year ago.

Hello,

I am Dr. Arun and will be helping you today.

I am sorry that your question was unanswered for long.

All of your symptoms are likely due to pinching of nerves in neck. This can be further confirmed by following investigations, if not done (with the MRI which must have been done);

a) Nerve conduction velocity study.

b) Electromyography.

Physical therapy is the mainstay of the treatment. If this has failed or symptoms are progressive; you may need surgery.

Your doctor may consider blood tests to rule out autoimmune arthritis which can be a concomitant issue. An autoimmune panel is ordered for it.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

Expert:  Dr. Arun Phophalia replied 1 year ago.

Pinched nerves are caused by following;

1) Herniated/degenerated disc in neck

2) Cervical spondylosis; bone spurs in the neck vertebrae pressing on the nerves.

Following investigations are confirmatory;

1) X-ray of the neck spine

2) MRI of the neck

3) Nerve conduction velocity (NCV) study

4) Electromyography (EMG)

Following measures would be helpful;

1) Neck care in the activities of daily living.

a) No working on computer for more than half an hour in a single stretch. Same for TV.

b) Monitors and televisions exactly in front (180 degrees).

c) Contour pillow: Should fill the hollow when lying on back or straight. Available over the counter.

2) Cervical Collar or Brace

3) Cervical traction

4) Anti-inflammatory analgesics like Ibuprofen

5) Some physicians do give oral steroids in severe radiculopathy cases, in whom pain / numbness / tingling is quite significant.

6) Physical therapy: gradually increasing exercises from passive stretching to active against resistance regime.

7) Electrotherapy in the form of TENS, interferential and laser and ultrasound.

8) Hot fomentation

9) Local analgesic patch / ointment / spray

You can consult following specialists;

a) Orthopedist

b) Neurologist

c) MD in Physical medicine and rehabilitation.

It is privilege assisting you.

Please let me know if you have further queries or unanswered questions.

Please consider a positive rating if this interaction has been satisfactory, as this is the only way we experts are credited and compensated for the time and work. You are not charged again for giving a rating.

Thank you.

Wishing you all the very best in life.

Expert:  Dr. Arun Phophalia replied 1 year ago.

Thank you for the opportunity to answer completely your Question. Please make sure to rate me because that is how I am credited for my work.

Now, I will provide an Additional Service offer so that you have this option available on your question list to get a hold of me directly in the future.

This additional service offer can be used for

- if you would like to schedule a new, private email session or to ask me directly a new question. It's up to you.

Thank you.