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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 34647
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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Customer Question

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Submitted: 6 months ago.
Category: Medical
Expert:  Dr. Arun Phophalia replied 6 months ago.

Hello! My name is***** to JustAnswer. I'm reviewing your question now, and will post back with the reply momentarily.

Expert:  Dr. Arun Phophalia replied 6 months ago.

What is your question?

Customer: replied 6 months ago.
What could be the cause of my loss of grip strength and the pain in my hand? Should I get a DR. To check it out? My wife is telling me when I squeeze her fingerson the the difference is extremely noticeable. I just know there should not be pain when I make a fist.
Expert:  Dr. Arun Phophalia replied 6 months ago.

A pinched nerve in the neck can be responsible for the loss of grip strength. This can be diagnosed by MRI of neck and electromyography and nerve conduction velocity study.

A neuropathy may be the other reason for it. 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.

Following investigations are done;

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

2) MRI of the spine and brain

3) blood glucose 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).

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 6 months ago.

Best wishes,
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