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I have recently had another MRI which showed broad based…

Customer Question
I have recently had...

I have recently had another MRI which showed broad based dorsal disc protrusion and mild bilateral uncovetebral hypertrophy, spinal canal is not narrowed. I have left sided pain and numbness upper trap, shoulder, down back of left arm. I have had this for 3 years now. PT, OT, chiropractic care, cervical ablations, and injections. I used to be very active and now I can't even to simply tasks

Doctor's Assistant: Have you had any recent injuries? What seems to make the pain better or worse?

4 years ago I had a slip and fall, had multiple cervical disc bulges. I cant sleep on my side, can't look down turning my head to left in conversation is painful. I haven't found much that makes it better. Last ablation was horrible which left me more symptomatic on left side, so I turned around 10 days later to have a epidural injection, and here I am again..same symptoms

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

Like what? I'm sorry. I'm frustrated I have done and tried everything everyone has told me to do. I have grandchildren I can't even pick up.

Submitted: 9 months ago.Category: Neurology
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Answered in 5 minutes by:
9/22/2017
Neurologist: Dr.Sawhney, Spine surgeon replied 9 months ago
Dr.Sawhney
Dr.Sawhney, Spine surgeon
Category: Neurology
Satisfied Customers: 7,678
Experience: MBBS, MS
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Welcome to justanswer.I amCustomerand your complete satisfaction is my goal.

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Neurologist: Dr.Sawhney, Spine surgeon replied 9 months ago

I am reviewing your question and would respond shortly.

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Neurologist: Dr.Sawhney, Spine surgeon replied 9 months ago

Thanks for your question.

Have you had a nerve conduction velocity done for upper limbs?

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Customer reply replied 9 months ago
I have had a EMG and it showed zero.
Customer reply replied 9 months ago
When I fell, my lower back had sciatic pain and physical therapy was a tremendous help. That is resolved. My neck is still quite an issue
Neurologist: Dr.Sawhney, Spine surgeon replied 9 months ago
Thanks for your reply.
As the MRI of cervical spine does not show any nerve compression and you have not benefited with cervical ablations and epidural it is possible that the nerve is getting irritated at some other place along its course.
One other possible reason for your symptoms is a condition known as thoracic outlet obstruction syndrome.
It may start after an accident or a fall.
You should see an Orthopaedic doctor who can examine you for this possibility and investigate accordingly. MRI of the thoracic outlet maybe needed.
Feel free to ask any follow up questions.
Do take a moment to honour my work and time by rating my answer hopefully 5 stars.
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Customer reply replied 9 months ago
I have had an orthopedic clinic check for TOS and they did not believe I have that
Customer reply replied 9 months ago
I have also had AC joint injection and that did nothing
Neurologist: Dr.Sawhney, Spine surgeon replied 9 months ago
Ok, in that case I would suggest that you seek help of a physiatrist who are MD in physical medicine and rehabilitation and can assess your spine for proper balance and advise proper physical rehabilitation. They are way better than regular physiotherapist and should be able to help you in overcoming your persistent pain.
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Customer reply replied 9 months ago
What can they help with? I have had treatment that they offer already. Chiro care, traction, pain specialists.
Customer reply replied 9 months ago
Physiatrists will do the followingEMG/Nerve Conduction Studies
Ultrasound guided procedures
Fluoroscopy guided procedures
Injections of spine
Injections of jointsThis is what I've done already
Customer reply replied 9 months ago
thanks for your time
Neurologist: Dr.Sawhney, Spine surgeon replied 9 months ago

Physiatrists will be able to individualize the treatment based on their analysis of your problem.

They have a much deeper knowledge of disease process especially the degenerative conditions of the spine and can offer treatments based on individual analysis.

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