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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31315
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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I have a cold sensation in my wrists since yesterday

Customer Question

Hi i have a cold sensation in my wrists since yesterday sometimes in my fingers too...all started yesterday and with this i gound a small lump on my ankle with a little pain ...
JA: How long have you had the lump? Is it hard or soft?
Customer: Its soft it looks like a small swelling ..had it yesterday
JA: Anything else in your medical history you think the doctor should know?
Customer: Yes ...i have a fused hip of the leg that has the lumped ankle.last few days i had a lil pain my hip so took divido and its fine
Submitted: 2 day ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 2 day ago.

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

This is most likely due to the pinched nerves in the neck which are giving you cold sensation in wrists and fingers. This can be due to;

1) Herniated/degenerated disc in neck

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

Following investigations would be required, if this persists;

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 abnormal sensation 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.

The other possibilities of the diagnosis is neuropathy. This can be due vitamin B 12 deficiency, medications etc.

Small lump on the ankle can be bursa swelling or ganglion. This is usually self limiting. Cold compresses and rest would help with local analgesic cream.

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 2 day ago.

Following investigations may be done by your primary care physician or a neurologist;

1) Electromyography/nerve conduction studies (EMG/NCS)

2) MRI of the spine and brain

3) blood glucose, glucose tolerance test and glycosylated hemoglobin

4) serum B12 level with methylmalonic acid (with or without homocysteine),

5) serum protein electrophoresis

6) Anti-nuclear antibody

7) Lyme testing

8) Rheumatoid factor

9) Sjogren's syndrome testing (Anti-Ro, Anti-La Antibodies)

Following are the causes of neuropathy;

1) Diabetes

2) An underactive thyroid gland

3) Excessive use of alcohol

4) Thiamine deficiency

5) Vitamin B 12 deficiency (pernicious anemia)

6) Vitamin B 6 (pyridoxine) taken in excessive amounts

7) Drugs, medications, herbs

8) Autoimmune diseases

9) Heavy metals such as lead and mercury.

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 11 hours ago.

My goal is to provide you with the best service possible. If you feel I have done so, then an "Excellent Service" rating is greatly appreciated! If not, please click "Reply" to let me know how I can better assist you with any additional information or clarification.

Thank you very much for the opportunity to be of help!