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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31641
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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Can I read you my 2009 MRI following a fall from 20 feet

Customer Question

Can I read you my 2009 MRI following a fall from 20 feet onto the pavement? I was in an auto accident 2 months ago and the pain is now daily..........and numbness and twitching is begining in my hands
Submitted: 11 months ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 11 months ago.

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

You can attach the MRI here.

Expert:  Dr. Arun Phophalia replied 11 months ago.

You may do it as following;
1. Click the paperclip icon
2. Click the Browse icon
3. Click the Browse button
4. Select your file and click Open
5. Click OK
6. Click Insert
7. Click Save Changes on this page

Expert:  Dr. Arun Phophalia replied 11 months ago.

The numbness and twitching in hands can be due to pinched nerves in the neck. This can be due to;

1) Herniated/degenerated disc in neck

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

Both of these can aggravate and augment by the fall.

Following investigations would be required for the confirmation;

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 symptoms are 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.

You may require surgery if the;

1) Symptoms are severe.

2) MRI show significant changes.

3) Non surgical treat mentioned above (conservative treatment) is not helping.

4) Symptoms are progressive.

You can consult following specialists;

a) Orthopedist

b) Neurologist

c) MD in Physical medicine and rehabilitation

Expert:  Dr. Arun Phophalia replied 11 months ago.

Please let me know if you have any follow up questions.

Thank you.

Expert:  Dr. Arun Phophalia replied 11 months ago.

Merry Christmas and a very Happy New Year 2016.