neck and shoulder pain

Hi,

I woke up Sunday morning with a "kink" in my right neck. The pain actually comes from the mid-scapular region along the right side of my vertebrae, but it feels muscular. It was hard to turn my head without the pain in the neck, back and shoulder. When I move my head to the left, it actually pulls my right shoulder forward.

On Monday, I had some acupuncture done, and again on Tuesday. It did temporarily relieve some of the pain and inflammation. I have been taking both acetaminophen and ibuprofen, with intermittent heat/cold on the area.
By Wednesday, I was tender, but not too bad. Today, Thursday, I have pain in the front of my right clavicle, pain down the underside of my right arm, pain at the base of my skull, and a "pulled" feeling at the front of my clavicle that pulls into my neck (feels like when swallowing and or talking). I have tingling in my thumb and first two fingers. I have booked a massage for tomorrow, am I on the right path? I'm tired of the pain! I'm having difficulty sleeping through the night too. Please help.

Muscular pain is usually increased by turning to the opposite side. If turning to the same side, especially if it hurts turning right and then looking up, then you should suspect a problem in the joint. Only a careful examination will determine which one.

This condition often is worse at night. It's of concern that it's now going down your arm, and the pattern is a little unusual. Underside of your arm and first three fingers points to a non-dermatomal condition. Perhaps a first rib subluxation.

Also that clavicle pain. I suspect this something that will need rather more than a good massage. Firstly a good chiropractic examination.

Dr B

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Oct 06, 2014
Middle Finger feels stiff and twisted after chiropractic visit
by: Anonymous

I visited with a chiropractor a few weeks ago with a chief complaint of mild lower back pain. During his examination, he said that my right rib cage was torqued. I did not cede to this treatment but before I knew it he suddenly pressed down on my scapula and I heard a crack. The pain was so bad I was screaming in agony. He also did a neck adjustment and he claims to have done a thoracic and lumbar adjustment but evidently, these were very mild. He denies applying any pressure to my right scapula but I know where the pain and the crack sound came from and I felt him over that area when I heard the crack. I left the office not in pain but the right shoulder and arm felt limp. The MRI showed a transverse crack of the right 3rd rib with edema. The radiologists stated the right 3rd rib was in a state of active healing. Needless to say the first 10 days I had severe acute pain around the shoulder blade and it was difficult to breath without pain due to the rib injury. In addition, the right middle finger suddenly became stiff and difficult to bend about 7 days later after the adjustment. I first noticed this upon waking. This middle finger also looks like its middle joint is twisted. The finger pain is always worse in the morning. In fact the whole right side of my body feels different after the chiro visit as if it is displaced from the midline. The finger issue is a big concern to me. I should add that my right rotator cuff had a tear years ago but I had no pain there before the chiro visit. I would be most appreciative for any professional comments on the etiology of the finger stiffness and what may have happened after this visit. I never heard of a rib adjustment and I certainly had no issues with my right rib.

Thank for your sad tale; in all honesty there's hardly a chiropractor in practice who hasn't broken a rib or two, and I certainly have.

Having said that, it's almost always in elderly, osteoporotic women; you don't state your age, or sex. Your chiropractor used more force than was warranted.

The good news is that the rib will heal; it usually hurts a lot for about two weeks and then gradually recedes without any residual pain or long term sequelae.

That finger. It does not sound like any direct nerve connection to your neck treatment; that wouldn't cause any stiffness or deformity.

Very rarely, I've only seen half a dozen cases in 35 years, a part of the body may react badly to a distant injury, usually in the brain, but it's possible after a fractured rib, I suppose. It's called causalgia; unlikely but possible.

The truth is that doctor-caused illness, iatrogenic disease, happens in the chiropractic clinic too; you'll recover from the rib, probably with no long term problems; I hope you don't have causalgia. It's a mysterious and poorly understood condition. Start massaging and exercising that finger daily.

More likely it's arthritis developing and unrelated to your broken rib; sudden onset is not uncommon.

Thank you for your frank and helpful letter; helpful to us as a profession, not to be too enthusiastic with our treatment. First, do no harm.

Oh, adjusting ribs is common in the chiropractic office; they are frequently the cause of midback and sternal pain.

It remains one of the slightly controversial things in chiropractic; should we adjust only the parts where the pain is. In your case the lower back, or should we adjust the whole spine. I vacillate between the two myself, usually starting at the part that patients consulted me for, and then as that progresses start looking for other problem areas. The spine is very inter-related.

You've been helpful to us; I hope this contributes to your understanding.

Please let us know in a couple of months what happens.

Dr B

Sep 04, 2014
Body pain
by: Anonymous

I am 62 years old; I have pain in my upper back, left shoulder, left side of my neck, under my chest, my waist and the back of my right leg.

I am very worried about these pains that are making me to be tired and falling to sleep when I am sitting in a couch or chair. Please tell me, what do you think happening to me?

Hello,
There are different things happening here, and they are probably not connected; occasionally they may be serious.

The fact that they've gone for some time means that you should take it more seriously now. That means a proper examination, and a diagnosis.

Don't leave it any longer; see either your doctor or a local chiropractor. Don't accept painkillers for a few cracks of your spine. What is the cause of these pains, and what is the diagnosis? Some xrays may be necessary.

Dr B

Aug 21, 2014
pain In my neck !!!
by: Steven

on Friday night I was out riding my street bike about 12:00 night I was doing about 120.mph when a truck swerved into my lane to pass the car in front of them I couldn't get out of the way and crashed into his side mirror with my right arm turning his mirror in to confettiI have no bruises or lesser a shins on that I just cannot move it and the muscle looks like it dead like in jello unfinishedafter the accident I woke up in the hospital got off and ran I'm not very comfortable in hospitals I have a deathly fear of themis there anyway I can tell that the muscle isn't dead that it is still connected to the bone it hurts like hell but I can not flex the muscle in any way to make it move on its own when I hold my arm up the bicep falls forward as if it was dead i know i should have going back to the hospital what can I do to make sure that my arm is still fully functional

Pretty please, Steven, start a new thread with your comment and write from your computer. Google downgrades sites that use not so smartphone lingo. Then I'll gladly anwer your question.

Dr B

Jul 23, 2014
Neck
by: Ash&her

I collided while playing softball tonight and landed on my head. My neck is now numb, is that normal?

Hello Ash,
No, of course, not, but now a couple days have passed; what's happening?

There's an important distinction to be made between feeling numb and actually being dumb. Ask "her" to get a pin and prick your neck; is there a difference right and left?

Are you getting headaches?

Sometimes serious things like subdural hematomas and dislocated or subluxated bones in the neck do occur; if you are still getting significant symptoms it's time to consult someone; sooner rather than later.

Let me know what transpires.

Dr B

May 23, 2014
Neck and shoulder
by: Derrick

My muscles tighten in the left side of my neck and shoulders and I get a tingling feeling in my neck shoulders and top half of my arm.

Hello Derrick,
The fact that the tingling is going into your arm is not a good sign.

Here's something to look out for: does raising your arm above your head increase or relieve the tingling in your arm?

The so called Shoulder Abduction Sign is a standard neurological indication of a pinched nerve root. Use the search function at C-H and type it in for more information.

My rule is that you can put up with some neck pain, many people do, but if it goes into your arm it's best to get a professional opinion.

Dr B

Jan 31, 2014
nerves pain
by: Anonymous

Hi

How does one know if the tingling, numbness and cold sensation that comes and goes on my left thigh and pins and needles feeling in my hands and feet, is caused by disc damage or diabetic?

Hello,
Disc damage usually causes pain in the neck or back. Plus if it's a pinched nerve, then the nerve stretch tests will be positive. The Slump test and Upper Limb Tension test for example. You can do them at home, use the search function at chiropractic Help to find them.

But your problem could be the femoral nerve, and that's more difficult to test yourself.

If your diabetes is not well controlled, that's where to start. Otherwise you risk losing a limb or going blind.

I hope this contributes.

Dr B

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Tingling in arms and hands and aching at night.

CTS

CTS

CTS
Adson's test for Thoracic Outlet syndrome
Interscalene triangle
cervical rib

Hi I am contacting you in regards to my husband. For many years he has fallen asleep watching television, his head always falls to the side and forward slightly. I don't know if this could have anything to do with his complaint.

Anyway he has been getting tingling in his arms and hands. His hands are swollen, cold and have at times no colour (pale almost white). He gets woken up at night with pain and finds he is only getting some relief from when standing. He has been to see the doctor and has had xrays and blood tests where there has been no result, everything seems ok apart from some wear and tear (he is 51).

I would be greatly appreciative if you could get back to me with possibly some avenue we could follow next.
Thankyou very much in anticipation.

Leonie

Hello Leonie,
First thing to consider is Reynaud's syndrome, where the fingers change colour red, blue, white. It's a problem of the autonomic nervous system that controls the blood supply to the hands. But Reynards usually happens in cold weather, mid summer with hands under the blankets doesn't quite fit. But if the hands literally go white, then must be considered.

The swollen hands, rheumatoid arthritis should be considered. If the joints are painful.

Does it affect the pinkie? Then it's NOT carpal tunnel syndrome. But CTS certainly causes these sorts of symptoms in fingers 1-4.

Then I'd want to know what the result is from Adson's test. But, it's a very difficult test to administer. It takes quite a long time to do the test effectively and accurately. The question is: is the arterial supply to the arms being affected in the "interscalene triangle".

Lastly, a cervical rib can affect the arterial and nerve blood supply to the arm. This a patient currently under care here for symptoms simular to your husbands. But it's not common...

You make no mention of neck pain, but falling asleep in the sitting position is certainly not good for the neck, and may be the problem.

Then there are a variety of "medical conditions" that could cause it. Clots, tumours in the apex of the lung (Pancoast tumour) - smoker? - and I should think many others. An aneurism...

It's important to follow this up.

Most likely? Carpal tunnel if it doesn't affect the fifth finger. Entrapment of the median nerve in the wrist, forearm and neck.

Use the Search this site function at C-H for more info about these terms.

Hope this has contributed.

Dr B

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Jun 25, 2014
so much pain
by: Anonymous

Hi im 25 had a car accident 10months ago whip lash but have burning in my shohlders pain goung down my arms n crampung in my hands which are very weak and very red hve very big muscle lumps and very vissiable veins in my arms any suggestions

Hello,
Would you please start a new thread for your question. And please don't write in cellphone language; google will downgrade my site.

Dr B

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Tingling, burning left pinky and ring finger and chest pains.

by Melody
(Oklahoma)

C8 dermatome

C8 dermatome

Ok, this all started after I got whiplash from my trunk crashing down on my head. Now I have tingling and numbness in my left hand (pinky and ring finger) I also have ice pick headaches. Another symptom is very sporatic chest pain that can either be above my left breast or to the middle! Are these classic signs of TOS?

Hello Melody,
Well yes, but they are also classic symptoms of other conditions. TOS often affects more of the hand, and the ring finger and pinkie are typical of a C8 nerve root injury.

That chest pain could be a referral from your neck, or a separate condition like Tietze's syndrome, or even related to your heart.

Only a careful thorough chiropractic examination will determine what the exact diagnosis is. See a competent experienced local DC. Get some X-rays taken.

An axial injury like that is very traumatic, affecting the sensitive upper cervical area too, the probably cause of your headaches. Have your BP checked too.

Let us know in a month or two how you are getting on.
Dr B

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Mar 29, 2012
Still having pain
by: Melody

I had a heart scan yesterday and all is good there! But when I got home o used post hole diggers in the garden. My upper chest is bothering me today. It is inermitten pain. My bp runs 115/75.... I just stay confused!?!?!?

Hello again Melody,
When you've had a serious injury... slow down. Using a post hole digger wasn't smart.

It certainly doesn't sound like a heart condition, costochondritis aka Tietze syndrome, or a referral from you neck.

Get a good thorough examination and in the meantime take things a bit quitely. Boring I know but less boring that this developing into a nasty chronic condition. See you local chiro.

Dr B

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Strange sensation in finger, back pain

by Seb
(Italy)

Inter scalene triangle

Inter scalene triangle


I'm very busy with my hands, both as a seriously practising guitarist and a computer programmer.

Since the last couple of days I've begun to feel a strange sensation of discomfort when I press my left index finger on the guitar strings. It's not a pain, more like a slight stiffness in the first joint (the one nearer to the fingertip) and a strange sensation in all the fingers that I can't describe properly.

I have also insistent lower back pain since last year, when I made a jump performing onstage and landed badly straight on my foot (after that, beginning the next day I had to stay one week in bed immobilized and since then I always suffer lower back pain, expecially after carrying big weights).

But also my upper back feels always rigid, and the sensation has been worse the last days.
Also, my neck often is rigid and contracted and this also has been an issue for these last days.

As a last addition, it is a very stressful period, with little sleep and lots of anxiety.
I'd like some guidance to address all these problems.

Thank you so much and best regards.

Hello Seb,
Let's start with the lower back pain. Obviously you had an injury when you jumped. I would start with the lower back exercises you'll find in the Navigation bar at Chiropractic-Help.com Do them faithly EVERY morning before getting out of bed. If, in a month, the pain is not improving, then you'd better get to see a chiropractor. There are plenty in Italy.

That sensation in your fingers, could be local, simply an overuse syndrome. Before you start playing, go through an extensive warm up programme for your hands arms and shoulders - like you were preparing for a football match. Contact Al at Maestros of the guitar for some tips in that regard.

But it could be related to a problem in your neck, upper back or, since it affects all fingers, the first rib, next to the collar bone. Read more about "inter scalene triangle" at C-H.

Musicians have unique problems, often related to posture - the odd positions you find yourselves playing your instruments. Warm up, keep moving whilst playing and do other exercises for your arms. Make yourself a "arm exerciser" (use the Search this site function at C-H to find the link to this simple device that you make at home for about 5 euros. Get a good pulley.

I hope this contributes.

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Mar 10, 2012
This might help
by: Anonymous

If you are looking for a cheap fix Google specific stretches for the lower back and exercises. Otherwise I'd suggest going to a chiro as well as looking for someone who can do deep tissue massages. You can get them on your hands as well. Your body has a natural need do stretch and when we don't we get stiff.

My son has limited hand use they are weak so as a means to strengthen them I have him touch his fingers to his thumb several times a day. Finger exercises even though you use them constantly it wouldn't help to find something to strengthen them. Also resting them intermittently when you are on the computer it practicing guitar.

One simple stretch I use for my lower back is laying on the floor face up lifting one leg at a time and lower towards the opposite side then switch it helps tremendously. Hope this helps.

Anonymous

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Tingle In Bicep, Forearm, and Hand

by Tim Ellifriz
(Johnsburg, NY, USA)


In 2008 I had c4/c5 disc removed, and vertebra fused after trying PT etc.. MRI and xrays showed disc was ruptured and bone spurring on the vertebra. I had lost much of the strength and use of my right arm, nerve tests reported it at 85% loss I believe from comparing the nerve conductivity to the left side.

The surgery gave me immediate relief from the persistent pain in my shoulder and upper arm. I have done PT since and have regained much use but have yet been able regain full strength in my upper arm and shoulder. I have always had tense muscles there and in my right upper back and neck and sometimes in my forearm. Sometimes my lower bicep gets a sharp pain when in a position like when doing a curl or when you have your hands on your head washing your hair.

I get recurring tendinitis in the back of my right hand, I am an IT person, use computers everyday and I'm a guitarist so this may be unrelated.

I feel the PT usually aggravates the tense muscles and I stop doing it. Maybe I'm not pushing through it but I've been told if it hurts to stop. I would say I might have recovered 2/3 strength/usage of my arm.

Within the past week I have started getting tingling in the area of the bicep, forearm and hand that the top figure in the c5 dermatome image on this page shows. I did take a slip on the ice one week ago and my feet went right out from under me and I landed on my back and right shoulder. Could this have anything to do with it?

I did not use a chiropractor for this before and I'm wondering what might be going on and what steps should be taken for diagnosis and treatment?

Thank You.

Hello Tim,
The fact that the tingling is now in the hand (which fingers by the way?) points to a lower root than C5. After fusion of the C4-C5 joint, the joints above and below have to move more, and hence now the likelihood of a C5-C6 lesion.

The slip on the ice may well have been what provoked it.

Two little tests: Place your hand on your head when the tingling is bad. Does it increase or decrease the tingling?

Secondly, go to Search this site … and type in Upper Limb Tension Test. Do the test, and let me know the result. Keep this link.

Another possibility is that a fall on the shoulder or arm can disturb the first rib-collarbone-scalene muscle complex known as the Inter Scalene Triangle and cause tingling and weakness in the arm. Then raising your arm will often INCREASE the tingling.


Dr B

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Jan 21, 2013
Reply
by: Tim Ellifritz

Thank you for answering my question.

The tingle goes from bicep to the inside of my right forearm and into the area of the hand behind the thumb and index finger. I notice it in the thumb but not much in the index finger. When placing my hand on my head the tingling pretty much stops. I can't really do the other test you mentioned my self.

Is it safe to have adjustments after having the fusion that I've had?

Hello Tim,
You have a fairly classic C6 neuralgia. Plus the Shoulder Abduction Relief sign is positive.

Having had a fusion, frankly I would start with the medical world. See your surgeon again, perhaps another MRI.

But when they start talking about another op, consider an experienced and thorough chiro. There are increased risks having had a cervical fusion, but probably not nearly as great as another surgery.

Consider a home traction unit. The kind done lying down.

Dr B

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Tingling in left arm and leg, very stiff neck with pain on turning to either side

by Stephanie
(Las Vegas, Nevada)

Tingling in left arm and leg, very stiff neck with pain on turning to either side

Hello Dr,
On the 24th of March, 2013 I had a slip and fall on water inside of an establishment...I fell on my knees pretty hard and ended up on my back. The pain I felt in my knee was immediate, as to be expected considering I was trying to lessen any more damage to my lower back. However, it wasn't until a couple of days later I started to have pain in my lower back. Keep in mind that I had recently finished, more or less, rehabilitation for extreme lower back pain, you guessed it, "sciatica".

I have had an escalation of pain, in my lower back on the left side, awful neck pain accompanied with headache and an inability to sleep restfully. I have been doing the exercises as recommended by my Physical Therapist along with heat and ice. The relief is minimal at best.

Two nights ago I had what felt like pins and needles going down my left hand and arm when I got up I felt pain in my left leg.

Please, can you please tell me if my sciatica has been further damaged?
Thank You,
Stephanie

Hello Stephanie,
Your tale of woe is one of the reasons I'm very committed to a home exercise programme. There is less likelihood of a slip or fall, it takes a fraction of the time and cost. Yes, there are dangers, supervision of your exercise programme certainly has great benefits.

Do you have a home lower back exercises programme?

There's a very simple test for sciatica which you can do at home. All you need is a chair and a helper. Slump test for sciatica places progressive stretch on the sciatic nerve.

It certainly sounds like the jolt on your knees vibrated right up through your body. I take it the pain and stiffness in your neck started with the fall. Then it's not likely to be advanced arthritis, one of the causes of a very stiff neck.

Being in such pain can be a lonely place. Folk just don't understand. Perhaps these
neck arm pain letters might help put your pain in context.

The test for a pinched nerve in the neck is called the Upper Limb Tension Test ... you can do it at home too with your trusty helper.

Look, you're at a bit of a crossroads. If you are satisfied with the treatment given by your physical therapist, this is just an accident that can happen to anyone, under any treatment, then just go back to your PT.

If not, Find a good chiropractor is your next stop.


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tingling and pain in arm when raised

by Brian
(Ohio)

What could cause the tingling in my arm when I raise it? I am a diabetic.

The most probably cause is a Thoracic Outlet Syndrome, Brian. Raising the arm closes down the space between the first rib, the collarbone and two muscles. Both the artery to the arm and the nerves can be affected.

Type it into the Search engine at Chiropractic Help for details about the condition.

Diabetes, if you are not well controlled, aggravates all nerve and blood vessel conditions. If you behave, diabetes is an irritant and not much more. Misbehave and it can be very nasty.

Do you know about the Glycemic Index of carbohydrates? It makes the management of diabetes so much easier.

http://www.bernard-preston.com/carbohydrate-count-chart.html

In TOS, the first rib needs adjusting. Routine Chiropractic stuff. I hope this has contributed. The standard orthopaedic test is called Adson's test.

Dr B

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tingling in left hand and ring finger is numb


Tingling in arms and hands.

My ring finger went numb one day and all tingley tried to ingrore it

the next day my whole hand is numb and tingly mainly my ring finger i get like an electric shock through my finger and hand sometimes up my arm

if i use my hand it has been three days now and just dont understand it.... i dont know if this could have anything to do with it but i have had pain in my left shoulder daily for over a year and by after noon its pretty painfull not shure if that had something to do with whats going on..

Dear Bobbi,
Yes, that pain in your shoulder is very significant. I take it you have seen your doctor about the pain in your shoulder. What was his/her diagnosis and recommended treatment?

It's obviously impossible to make a diagnosis without an examination, but the fact that your whole hand was affected, and it's now mainly on the outer side of the hand, points to a problem in the "thoracic outlet".

The most common cause of this condition is a subluxation of the first rib, though there are other causes.

It is often the underlying cause of pain in the shoulder, and produces tingling in all the fingers, though more on the outer side of the hand.

Ask your doctor for the name of an experienced chiropractor in your area. An X-ray of your neck is essential and, if you are a smoker, of the lungs.

I hope this has contributed.

Dr B

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Tingling aching feeling from my left side of my neck, shoulder, hand, right down to my little, ring and middle fingers.

by Richard
(Singapore)

Hi,

I'm 36 years old.
I've tingling aching feeling from my left side of my neck, left shoulder, left hand, right down to my little, ring and middle fingers. specially middle finger.

The aching feeling will come, specially when I sit down and write. I'm left handed.
When I don't use my left hand, resting, I don't feel much of the ache.

It's more of a irritating aching, tingling sensation, than a pain.
I've to "crack" my neck(by turning left and right), use heat rub oilment/cream, or press on my left neck to feel temporary comfort.

I have this problem since childhood, as far as I can remember. About 12 years old.

I'm not sure what is the problem.
Please advise.

Thank you so much.

Regards,
Richard

Dear Richard,
The first and most difficult for you, is to stop cracking your own neck. It's going to be hard, but my experience is that people who crack their own necks always start getting pain down the arm. What you have almost certainly is a pinched nerve in the neck, though that can only be confirmed by examination.
What is not absolutely clear is that the tingling in your hand seems to cross two dermatomes - a careful thorough examination is called for.

I wonder if Dr Neil Stakes is still in Singapore? I can recommend him, but otherwise ask friends and your doctor too perhaps for the name of a good chiropractor.

My solution for habitual cracking of the neck is:
* An occasional but regular chiropractic adjustment, perhaps once a month.
* A regular short massage of the neck, a wife?
* Exercises for the neck, done when you feel the need to crack your neck.
If you go on cracking your neck you will almost certainly end up with a neurosurgeon. Get some X-rays.

PS. I've just googled Dr STakes, he is still in Singapore.

I hope this contributes. STOP CRACKIN YOUR OWN NECK. OR ELSE!

Dr B
Chiropractic-Help.com

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tingling in right thumb and index finger

by Mark Patel
(Corona, CA, USA)

tingling in right thumb and index finger

While lifting weights during my regular exercise, I felt pain in my right shoulder and Bicep, but no tingling. My Orthopedic Doctor ordered an MRI that I had done the same day.

The very next day, before I could see the Orthopedic Doctor for MRI results, I had Shingles in my right arm. The shingles took 4 weeks to clear and the pain in shoulder/bicep continued.

Also, in the third week of Shingles, I started having tingling in my right hand thumb and index finger. When I saw the Orthopedic Doctor again. He said the MRI report showed Impingement Syndrome (IS) and possibly Carpal Tunnel Syndrome (RTS). He sent me to a Neurologist and prescribed Physical Therapy for IS and CTS.

The Neurologist did not find either IS or RTS. I am going through Physical Therapy for strengthening the shoulder rotator cuff and eliminating tingling. As part of therapy to reduce tingling, I am going through a 20 minutes Neck Traction that involves a 60 seconds pull and 30 seconds relaxation cycle.

Although my tingling is almost gone, I am concerned about adverse effects of the Neck Traction.

I have 3 more sessions of physical therapy left. Could you please advise me whether I should continue with the Neck Traction.

[Hello Mark,
Most usually, when you have two conditions in the same arm, like IS and CTS, then the likelihood of a fixated first rib, or cervical facet syndrome is high. Unless these underlying causes are corrected, the arm stuff will continue. Do you have any associated neck pain?

There is no research confirming that neck traction, intermittent or continous, helps. That doesn't mean that it doesn't help, but the research is not there. My own experience is that continous traction PLUS release of those subluxations in the lower neck is beneficial, but on its own has minimal if any benefit. I know of no adverse affects of neck traction, done at the correct force. Something is obviously helping, so I'd stay with the programme.

You can make a home traction unit, if you are handy. http://www.chiropractic-help.com/Home-traction-unit.html

Does placing your hand on your head relieve or aggravate the tingling in your hand? http://www.chiropractic-help.com/Shoulder-Abduction-Relief.html


It is indeed confusing that the two specialists are not in agreement.

The shingles probably is an incidental event, but confirms that you or your neurological system are under stress.

The fact that the tingling is very specificaly in the C6 dermatome (thumb and forefinger) definitely points to your neck.


I hope this has contributed.

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occipital nerve pain in head and neck, left side

How often can occipital nerve pain in neck and head continue from a trauma and which treatments work best?

It depends on what trauma. A blow to the occiput? A whiplash injury? A rugby tackle...?

Has an X-ray of your neck been taken, including an APOM? through the open mouth.

Do movements of your neck hurt?

I need more information before I can answer your question.

Dr B

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Back injury: TINGLING IN ARMS AND HANDS

TINGLING IN ARMS AND HANDS

I suffered a back injury 4 years ago whilst manual handing a patient, moving the person up the bed backwards in a twist motion pulling each buttock. I developed acute pain between the shoulder blades during the maneuver which caused severe neck pain and stiffness. The pain remained acute for 8 months after which time I tried to resume normal activities, however when trying to vacuum and lawn mow and cross train I developed arm and hand tingling and hand stiffness which lasted 4 months.

I also found difficulty lifting arms higher than shoulder height, couldn't lift baby into highchair or bath, or tying my hair up, my arms would lose strength quickly. It felt like a stabbing sensation between shoulder blades. Pain was localized at between T4 - T5, however also experienced radiating neck and shoulder burning type pain.

4 years on the neck/shoulder burning persists, back seizes when bending/ top heavy for prolonged periods, however strength has returned to my arms. I hope to get my spine back to normal health but unsure of the cause?

Hello,
Gosh, you've put up with these pains for sooooo long! These are the sorts of conditions that chiropractors treat on a daily basis.

I suspect there are different things happening, but they could be one and the same.

That pain you have in the midback is probably a straight forward "sprung rib". Do you ever get pain on taking in a deep breath?

The muscles from the area run up to the lower neck, and seem to have affected the first rib. That's why your arms go weak when you lift them up.

But honestly, I'm speculating. What's needed is a careful, thorough Chiropractic examination to first make a diagnosis, and then fix the problem.

Start tomorrow looking for a good chiropractor. Talk to friends and family, and even your doctor. I can give you a reasonable assurance this is treatable. After all this time, you may have to accept that the pain won't go away entirely, but I take it you would be happy with an 80% improvement, right?

Make sure you get some rehab exercises from your chiropractor. Take him/ her a copy of this letter.

Good luck, let me know how you get on.

Dr B.



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Ankle joint popping out and possibly requiring surgery

My daughter went to see a doctor and he said she needs surgery. She has a joint that is loose and popping out. There are times she can't walk for a while because of what happens to her foot, then she is okay as it must pop back into joint.

Can this be corrected without surgery at all, or is it a loose ligament that needs attention?

Have you ever heard of anything like this and non surgical solutions?

thank you.

Hello,
You don't mention what previous treatment she has had if any. It sounds like a previous sprain, perhaps a serious one that stretched and even tore the ligaments.
Before going for surgery I always recommend you give conservative treatment a good go. It can't help, and if it doesn't help you can always go for the surgery. But after surgery, you can't undo what may be done.
But not that many chiropractors treat feet. You'll have to do your homework. Look for someone with a FICS qualification. Sports chiropractic. Your local or state Chiropractic Association should be able to guide you.
Sorry, but I practise on the other side of the planet! Would love to have had the chance to examine her.
Think strengthening exercises.

Dr b

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Sudden recent onset of nerve hypersensitivity...

I'm a 38-year old female (and I've been suffering with PSAS/PGAD for 15 years) and I got badly sunburned a few days ago. I've been using several products to desensitize the pain and itching, and at least a day ago, I've noticed extremely irritating tingling/hypersensitivity (but not pain) in "patches" of my skin. It's so irritating that it won't let me sleep. My Tramadol is having no effect. It seems to be only on the right side of my body. I'm noticing intermittent tingling on the right side of my tongue, my right labium majorus, my inner right thigh, and behind my right ear. I don't know how to calm the nerves or what I may have done to cause this. I will appreciate any advice! Thank you.

G

Hello G,
Frankly I'd never heard of PSAS and had to do a Google search.

Obviously the sunburn is quite independent of your PSAS but may be one of the triggering facts. Avoid serious sunburn, only 2-3 events will cause skin cancer.

A thought: I wonder if this condition causing such awkward embarrassment could be related to an upper lumbar subluxation. The Femoral nerve has several branches, one of which is the Ilio-inguinal nerve that supplies the labia, and very typically radiates down the inner thigh.

This condition produces a variety of symptoms, depending on which nerve is affected, there are several. For example, a subluxation of the high lumbars can cause Meralgia Paresthetica, mediated via the Superficial Femoral Cutaneous nerve.

I know nothing about PSAS but a careful examination of the upper lumbar spine, to my mind, is in order. Could that be the cause of your distressing symptoms. Just a thought.

The symptoms in your tongue and upper neck are probably quite unrelated, but not necessarily so.

Perhaps start the Maignes syndrome exercises, find them via Search this site at C-H. Maignes is another variation of the upper lumbar spine conditions.

Good luck, let us know how you get on.

Dr B

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tingling

by Greg
(Hawthorne Nv)

I have tingling in both arms, hands, thumbs and first 2 fingers of both hands ,continuing accross my upper chest and neck under the jaw, all at the same time. I gett it a few times a month. What do you think might be the cause??

Hello Greg,
The tingling in the thumb and two fingers suggests that you may have either a carpal tunnel syndrome or thoracic outlet syndrome developing.

However, the fact that it's on the face and chests suggests that it is more complex.

More tests are necessary, I wouldn't put it off any longer. See a neurologist. A calcium deficiency caused by Hypoparathyroidism can produce some of these symptoms.

Let us know what comes of the tests.

Dr B

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aching and tingling

by terri
(spartanburg sc)

hi,

At first my thumbs were tingling the last couple days. It's now moved to my hands and arms and my feet and legs and it's driving me crazy.

It was just at night but now it's all day long.

What could cause it? and what can I do to help it?

Hello Terri,
Frankly I'm not sure. It will take a thorough and careful examination, possibly some blood tests and even an MRI to make the diagnosis.

The fact that it's affecting both your arms and legs suggests that it is "central" in nature, meaning it's not likely to be a pinched nerve in the neck or back.

It could also be "metabolic", a condition such as diabetes or a B12 deficiency and, very occasionally, a condition high in the neck. And I suspect a host of other things.

A consultation with your medical doctor and perhaps a neurologist is called for. Let me know the result...

Dr B.

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Tingling in right hand pinky and ring finger cervical dystonia and torticollis

by Rob
(Sydney, Australia)

Tingling in right hand pinky and ring finger cervical dystonia and torticollis

Hello,

I am a 35 year old Caucasian male, smoker since age 15 with a heart murmur noticed 3 years ago by a GP.

A cardiologist did an ECG and ultrasound and said it was very mild and shouldn't need to be checked for around 10 years, cholesterol was checked 3 months ago and was on the lower side of the desired range, so I don't think I need to be investigating hardening arteries yet.

18 months ago I woke with a stiff neck which lasted several days. This repeated every few weeks for about 3 months. Then the pain and stiffness remained and my posture started suffering - my head started leaning forward and to the right, I was hunching my shoulders forward subcounciosly and my left shoulder was very difficult to straighten.

I saw a physiotherapist 5 times over 3 months who performed manual massage and prescribed some basic muscle stretching exercises for my neck.

After 3 months of physio I stopped as I was getting worse, and saw a chiropractor. He gave no diagnosis and started treating me using "Network Spinal Analysis" for 6 months which did not improve my posture or constant pain and muscle aches across the left shoulder and neck, and right side of spine from collar bone to kidney.

I then moved states and found another chiropractor who had trained in neurology. He immediately diagnosed cervical dystonia / torticollis and has been treating me for 8 months, twice a week for 2 months and once a week for the past 6 months.
I have had little improvement in posture but my pain no longer requires so many pain killers every day and his chiropractic moves are much easier as treatment progresses.

I have now had 2 botox treatments (125 units then 12 weeks later I had 180 units) but my neck is still very off center to the right and forward.

During the 18 months of physio and chiro treatment I have mentioned regular tingling in my left jaw and right pinky & ring finger to 2 GP's, both physios and 3 chiropractors but nobody has seemed interested / concerned about it. Because it is getting worse despite (because of?) my treatment, it concerns me.

CT CAT scans of my spine and neck and soft tissue revealed no growths but a twist at C5. My chiropractor wants an MRI scan but I cannot lie in one position long enough to have the scan.

Lots of searching has led me to possibilities ranging from anxiety, pinched nerves right through to Multiple Sclerosis. I am confused and wondering if you have any suggestions for treatments or tests (all blood tests have returned normal to low range in things like calcium, iron, kidney and liver function, no ANA or immunity issues, no signs of rheumatism indicators etc.

The tingling worsens when washing or rubbing my hands, and improves after a few minutes or by waving my hands around. The jaw tingling usually appears around 30 seconds before the fingers and can happen without the fingers tingling afterwards. Rubbing the jaw sometimes stops it, but it usually clears by itself within a minute. It does not feel as intense as "pins and needles" and feels slightly numb, particularly in the final section of the fingers.

I don't have regular headaches or other health issues apart from occasional mild head colds in winter.

Pain is treated with 2 ibuprofen tablets 4-6 times a day and 1000mg paracetamol 3-4 times daily and hot packs 5-8 times daily, with weekly massage at the chiropractor appointments.
I do not take pain relief between Friday afternoon and Monday mornings, to try clearing it from my body.

When I am not taking ibuprofen I apply diflam gel with 3% Benzydamine to the neck but it does not seem to assist with movement or pain.

If you could provide any suggestions I would be most grateful.

Thanking you in advance,
Rob

Hello Rob,
Obviously a complex condition. You haven't seen a neurologist?

The dystonia, torticollis and inability to straighten your shoulder points to a possible "extra-pyramidal" problem. To do with cells within the brain that modulate movement.

Parkinson's disease is one example, but you are young for Parkinsons. It can be initiated by certain powerful drugs and trauma to the head. Either?

Chiropractic will certainly help with the symptoms, as you are experiencing. Frankly I don't have much faith in the "networking" so no surprise it didn't help.

However, the underlying cause probably lies within the brain, and what you are experiencing in the neck and shoulders could be best described as symptoms rather than the underlying cause.

My best suggestion there is to get onto omega-3 fatty acids. I would eat fatty fish, take fish oil capsules and freshly ground flax seed.

The tingling in your hand could be part of the condition or indeed from the treatment. Hard to be sure.

These carpal tunnel exercises might help, but I can't promise as it includes the pinkie. Not the median nerve.

Rob, I'd see a neurologist for an opinion. Frankly, I feel I have little to contribute. Sorry.

Go from Tingling in right hand pinky and ring finger cervical dystonia and torticollis
to other Chiropractic Conditions often treated…


dr B

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Tingling in thumb, numbness in elbow

by tina
(norfolj)


Hi i fell off my bike onto my arm & bumped my head against tree! After 3 weeks still have pins & needles in my thumb & numbness in my elbow on & off! Is this nerve trauma?

Yes, Tina, this does sound like an injury to a nerve. Only a careful examination will determine whether it's in the arm, or you neck, and sometimes in the interscalene triangle.

Dr B

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Whiplash

by jo-ann hall
(aspen, co)

Do you know any chiropractor or other medical professional who deals with these problems in the Aspen/Glenwood Springs area.

Years ago, I suffered in a severe auto accident from whiplash, brain injury and everything that went with it. Over the years, I have noticed the tingling of the arms/wrists, back pain, neck pain (now have arthritis and degeneration from neck down to lower back), horrific burning in the foot creating walking problems, head pressure, nightmares, the usual pschological problems etc etc.

Though I spent years with MD's, chiropractors and therapists, I was
not knowledgeable nor able to make good decisions about care. And things have changed since the accident in 1975.

Recently, I was rear-ended again, but not nearly as bad...though I see some of the symptoms returning. Am being treated by a therapist
with exercise and neck traction.

Having read recently about what other symptoms can be created by whiplash, I almost feel the lack of proper treatment in the past has left me with some of the current problems - sciatic, foot pain, neck and lower back pain all over again, along with the emotional problems.

But it takes a professional who really specializes in this type of therapy to understand.

Thanks for your help - wish you weren't so far away.



Dear Jo,
I'm afraid that whiplash can be a devastating event in a person's life. And as you say, there are many psychological knock-on effects. Pain does that.

There is no easy solution. Certainly chiropractic has no magic bullets. I've treated many serious whiplash cases over the years and often I too have felt disheartened. Whiplash leaves a permanent mark on most people.

So, what do we do? Have a pity-party? Absolutely not, like all other serious disease we have to face these things courageously. Read for example the stirring quote by Norman Cousins in our latest newsletter that will go out later today or tomorrow. (Signed up yet? At the bottom of any C-H page, it's free).

My best solution is:
* An occasional, but regular chiropractic adjustment. Not too often... perhaps 6-8 weeks.
* A regular massage.
* Neck and back exercises done faithfully.
* A healthy diet. Whiplash causes chronic arthritis, and it's far worse if you are on a Black-and-White diet.
* Drive slower, more carefully, with a seat-belt. Each whiplash adds its effect.
* A home traction unit.

I'm afraid I can't help with a local chiro. Ask friends and family, even your doctor.

I hope this contributes.

Dr B

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Numbness, weakness, tingling in left arm from upper arm through finger tips

by Joann
(Tacoma, WA)

Hi,

I awoke 3 mornings ago with numbness in the left side of my face and weakness, numbness and tingling in my left arm.

I have had an MRI and did not have a stroke or brain tumor.

My arm feels like it has fallen asleep and is trying to wake up with pins and needles. By mid morning my arm feels heavy and weak and the tingling and numbness worsens. I can use my hand and arm but it's very difficult.

My face feels like I've been to the dentist and the novocaine hasn't worn off. Any thoughts?

Hello Joann

I need more information. In particular,

* Do you have any jaw joint pain or clicking, popping sounds. The joint is just in front of the ear, in fact if you put your index fingers in the ear canal, facing forwards, and open and close your mouth, you'll feel the joint.

* Headache?

* Any neck pain. In particular does turning to the left and looking up provoke any neck pain or tingling in your arm.

* Stretching your arm out to the side, palm forwards, and then extend the wrist. Is it VERY tight, sore, tingly in your forearm. Compare with the other side.

* Does raising your arm, placing it on your head, hanging the washing etc increase or decrease the tingling, or make no difference?

Less likely, but I would keep in mind this could also be a heart condition. Smoker? High blood pressure? Cholesterol? I'm sure your doctor has considered this angle.

Come back with some answers and we can take this further. Meantime I would lead a quiet life presently, don't carry anything heavy in your left arm. Obviously! It stretches out the brachial plexus of nerves that supply the arm.

Dr B

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Tingling in left arm and hand,sometimes in left foot and right hand

Hi there,convinced I had MND,because a close work colleague said his started like that,I'd like your opinion on what it might be please.

Its in my left arm in the main,really bad at night and often wakes me arm,I often have a burning sensation in my forearm and very often feels like somethins crawling inside my arm,not an eletric shock, more like something moving up and down inside it.

It bothers me during the day but it is worse at night.
Sometimes if I put my arm at my side or behind my back it goes away completely.

PS No physical cause that I know off, albeit at the same time I had a severe cough like pneumonia,really tired and struggled to walk up stairs,but the antibiotics kicked in,far better now and back to normal!

PS 6'2 18 STONE Age 44

I play Golf two-three times a week

Any ideas?

Thanks for your time

Hello Paul,
Never jump to conclusions! A host of neurological conditions present in similar ways.

MND is relatively uncommon, but a condition called Thoracic Outlet Syndrome, or a Cervical facet syndrome are far more likely causes. Both cause pain accentuated at night and relieved by moving your arm.

Do you have any neck pain? Turn your head to the left, and look up. Anything unusual? Pain?

Stretch your right arm out to the side, palm forwards, and now extend the wrist, remembering the tight feeling in the forearm. Repeat with naughty arm. Any difference?

In short, a thorough chiropractic examination is in order, before your imagination runs rife.

We work with an important sequence: Take history, examination, special tests (like XR), and then make a diagnosis and proceed with treatment. When you move making the diagnosis out of sequence, you get into trouble. I hope this has contributed.

Dr B

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Episodic transient weakness?

by Mary Anne
(Singapore)

Hi,

This is my 2nd time on here. I'm 29 now.
My last post was about left arm and leg tingling and weakness upon waking. It caused me to fall when I tried to stand up. But spontaneously resolved itself in under 10mins. Happened two mornings in a row in January 2011. I reported it to a GP Who said its nothing, maybe stress. I told her I'm not under a lot of stress, but she said sometimes we don't know it. So that was that.
So I put it all behind me and took it as some kind of 'fluke'. And I didn't have recurrences for a year over. But this morning it happened again. (14 months later)
This time there was no tingling at all. I woke up, had no clue anything was wrong. Swung my legs out of the bed, proceeded to stand and just fell down to the ground. I was really startled because I did not know anything was wrong, there was no tingling, numbness or dizziness or anything. And this time it was my right leg that failed. I had never had a problem with my right side. It's always been only the left. But my arms were spared this time. So I grabbed the bed for support, and stood up with my left leg. I held on to furniture on my left and right to support myself, and tried to walk. I could still move my right leg, but when I tried to put weight on it to walk it just crumbles and I fall again. It also completely resolved in 10mins. So now I'm not sure what to think. When it first happened a year ago, I thought it was a TIA, or I slept wrong. Now it's shifted to the right leg, isn't that unusual? and it was different this time without any tingling and numbness. Could this be a pinched nerve in the neck? Since its present only after waking in the morning, maybe my neck area is being compressed on the pillow? I dont have a stiff neck or neck pains though. I have been having just a very mild deep dull headache, in the middle of my head somewhere, that comes and goes throughout the day, i barely notice them except when i first lie down, or bend over too much, like to look for something under a couch, which makes the pain a little bit worse, but again, its so very mild and at its worst its moderate, so it doesn't bother me at all. Please give me some ideas you may have on what could cause these symptoms and what kind of doctor I should see. I don't think I wanna see a GP again.


Thanks.

Mary Anne

Hello Mary Anne,
Frankly, I'm not sure either.

My first thought is: when you wake up, and sit up, stop for a few seconds whilst sittingand before standing until the blood prssure in your brain has become used to the upright position.

Does that help?

Perhaps it's time to insist on a neurological consult.

On the face of things, I'm not convinced you have a chiropractic problem.

Dr B

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Mar 29, 2012
cardio?
by: Anonymous

I was recently in a car accident I was seeing a chiro for my stretching and some adjustments as well. I wasn't ever Dx with but found thoracic outlet syndrome which was quite similar to what was going on with me. About a week and half I started getting cold and numb and tingly on my left arm I would have moments of feeling completely paralyzed. Beside the point the circulation was being cut off in my arm thus making it feel dead. I could lift only a little and could not grasp for anything. I was in the ER 4Xand my chiro and God saved my life. The last time I was in ER all my symptoms were that of a mini stroke. Which I think all related to my circulation being cut off. You need to seek the best of care to find the cause and immediately these things are serious and should never be put off. Best of luck

Please move this to your own question, Anonymous. I think unrelated. I'll remove in a day or so.

Dr B

Mar 27, 2012
Bad position or alignment problem?
by: Mary Anne

Hi all,

Thank you for your responses, Dr B, thank you for your insight.
I was hoping it could be a chiropractic problem. Like anonymous mentioned, bad sleeping position. May I ask, what it is about my symptoms that leads you to suspect that it is not a chiropractic issue? I doubt it's because of low BP, there's no dizziness and the fall is because my leg just won't work. It's not a general weakness that I feel. During an "episode" it just feels like my limbs are dead, or like there's a wire disconnected, i don't know how to put it. I always wake up in the supine position, on my back. I sleep on one pillow to support my head. I don't have pains on waking. Oh, one thing I just realized I cannot do, is to bring my chin to my chest. I feel like my whole spine is pulled too tight when I do that and there's a little "Zing" or Zap feeling?

If it is a pinched nerve or positional problem, what is the best position to sleep in and is there any stretches or exercise I can do to improve the dexterity of my neck? Maybe it might help?

Thank you.

Hello Mary Anne,
I've been a chiropractor for 32 years, and your symptoms just don't fit with the conditions I see on a daily basis. That's why I don't think this is a chiropractic problem.

But only a careful and thorough neurological exam will detect where the problem is. Checking the reflexes, the dermatomes, is there any weakness that remains after what you have desribed.

Those dull headaches could be significant.

Next time it happens, try and detect where the weakness is. Is it your knee that buckles? Or your ankle...

Then there are various orthopaedic tests...

My best advice: insist on seeing a neurologist.

Dr B

Mar 27, 2012
Not sure about neurological
by: Anonymous

I'm thinking circulatory. And if your circulation is being constricted it could actually be stiming some TIA activity. That's not saying you are. I think you need to seek your primary care for some tests. There are numerous things this could be from. On the neurological side an MRI can be preformed to see if you show any signs of brain damage. Thus ruling out TIAs otherwise. I would focus on some stretching maybe try a different position to lay. Up your water intake and definitely try some exercises.

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Tingling in hands and lower arms

by Sue
(Melbourne)

I have recently been diagnosed with MS around 10 months ago. Over the past two weeks I have experienced tingling in my hands and lower arms. Could this be a progression of MS?

Hello Sue,
Yes, it certainly could, but first let's be sure it not from your neck. Do you have any neck pain? Does turning your head and looking up provoke the tingling, or give you pain in the neck?

Which fingers give you tingling?

Do you get relief, or does putting your hand on you head make it worse. Or no effect?

Sue, you could have carpal tunnel syndrome, a thoracic outlet syndrome, or a neck condition causing the tingling. Only a careful examination, including Adson's test and an Upper Limb Tension test can make a differential diagnosis.

New research suggests that MS is an inflammatory condition (http://www.medical-email.com/newsletter.php?id=3026&spec=35). You need to seriously alter your diet to reduce any inflammation in the body. Like making sure that the ratio of Omega-3 to Omega-6, in your body is near to 1-3. That means increasing the monosaturates in your diet, and decreasing the polys, and eating plenty of fatty fish, linseed oil and walnuts.

Each nerve is coated with fat. In MS this myelin sheath is affected. You need to make sure that you are eating only the healthy fats.

I'm afraid it means becoming a health nut. Increasing the olive oil and avocado in your diet, absolutely no cooking with polys like sunflower oil, and I'd avoid margarine.

Why? because you need to read labels, and make sure you are eating no hydrogenated fats, aka trans isomers. NONE, ZERO.

Moderate amount of butter and olive oil for frying (and perhaps palm oil, if you can get it).

Go to our Healthy Living page, and start eating stuff like hummus (best make it at home), fruit and veg, and absolutly avoid all processed food. That means no nik-naks, chips, full of hydrogenated fats. Read the labels.

But most important, those fats. Nuts and particularly walnuts too.

As you know there's no proven cure for MS, but that's what I'd do.

Do lots of reading, scour the internet, don't believe everything you read, but don't disbelieve it either.

Work on the basics of healthy living. Take moderate exercise daily, take three week holidays, try to reduce your stress levels, learn to say NO, talk to God and cut out all the crap in your diet. All of it!

And get the fats sorted out. Read our fish oil, olive oil pages, there's lots on it at C-H. Use the Search this site function.

Blessings, I hope this contributes.

Dr B


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Left arm & hand tingles/hurts/cramps up when riding my horses

by T. Ida Maria Christiansen
(France)

Hi, stumbled across this site and wondering whether you may have an idea as to the following:

I am an active equestrian, who rides everyday for a few hours. I have horse that I train quite intensely with - mainly dressage, jumping and some cross-country.

I find that when I ride dressage, which requires substantial stamina and strength, alongwith precision and flexibility, particularly in the upper body (tummy muscles, arms and shoulders), my left side/wrist/arm/hands begin to hurt quite a lot. It is as if my arm and hands cramp up and I don't have the strength or precision to execute movements which I am easily able to do in my right.

Riding on the right is substantially easier for me than the left - the left is always a challenge and therefore, I try and train more on my left. Sometimes the pain/strained feeling goes away after a good 40mins, sometimes not.

I must admit it is very frustrating to have the agility in my right but not in my left and makes it quite complicated to be "fluent" in the exercizes I ask myself and my horse to perform in dressage.

Any advice as to this "condition" would be greatly appreciated. Just fyi, I am a fit and athletic person, I have a substantially strong upper as well as lower body strength and excercise everyday.

Thanks in advance, best regards,
taina

Hello Taina,
Lower cervical spine, or first rib subluxations, often affect the arm, making it vulnerable to injury. This could be a radiating pain from the neck (do you have any neck / trapezius pain), or something local in the shoulder or lower arm and hand.

Have you been carefully examined? Do you have a full range of motion of your neck and shoulder, with any radiation down the arm.

I would advoid pills, get someone to examine you thoroughly.

I've treated many riders over the years, and am of the opinion that every serious rider will have had numerous falls which will have affected the cervical spine and pelvis particularly, but any joint in the body generally.

The Thoracic Outlet syndrome can affect the artery and nerves to the arm, causing tingling and pain in the arm.

There are plenty of good chiropractors in France. Time to see one, first for an opinion, and then a decision whether you buy into their diagnosis and advice.

Kind regards,

Dr B

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tingling and pain in the left index finger and thumb during exercise

C6 dermatome- index finger AND thumb

C6 dermatome- index finger AND thumb

C6 dermatome- index finger AND thumb
Tos

I am a 37-year-old female diagnosed with fibromyalgia. I began exercising few days ago and realized intense pain and tingling in my left index finger and thumb. However, the pain subsides after the exercise. Secondly, I have had severe pain in my right shoulder for over three months.

The pain in my right arm causes tingling and numbness in my fingers and arm and sometimes in my legs and toes. It is difficult to open and close fingers in the morning. I experience stiffness most often and it has been difficult. Is it something that a chiropractor can help with? I am in constant pain.

Dear VK,
Thank you for your contribution. Obviously what follows is speculative, but putting tingling in the C6 dermatome and painful shoulder together, I come up one of the following, or a mixture:

A lower cervical nerve root impingement. Look up Upper Limb Tension Test at C-H using the Search this site function. This fits with the tingling in your thumb and index finger.

And the shoulder is supplied by the lower cervical spine, and that irritation of the nerve has weakened your shoulder. Is the range of motion reduced? It could be the beginning of a Frozen Shoulder, or a Rotator cuff syndrome.

The first rib is often involved in these neck/arm/hand syndromes. Thoracic Outlet syndrome.

Consider starting with the Frozen shoulder exercises at C-H. Gently.

But frankly the right order of events is: careful, thorough examination (this is much more than fibromyalgia) > special tests (Neck and perhaps shoulder X-ray to confirm and rule out other diseases) > correct diagnosis > appropriate treatment.

I would start a hunt for a local chiropractor. I treat this sort of problem on a daily basis. Talk to friends and family and even your doctor for a competent DC. Perhaps take this with you.

Good luck, let us know in a month or two how you are getting on.

I hope this contributes.

Dr B

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tingling in arm

C5-T1 dermatomes

C5-T1 dermatomes

I have tingling sensation in my skin of my right arm and down my middle finger any ideas on what could be causing this?

Hello,
Yes, absolutely. The middle finger is supplied by the C7 dermatome. Do you have pain in the lower neck, and does turning your head to the right, and then simultaneously looking up cause neck pain or tingling in your arm?

Dr B

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Unsual symptoms need help

by Laura
(St. Paul)

Dermatomes of the arm

Dermatomes of the arm

Hi,

My sister is experiencing severe pain to her left shoulder that radiates down the arm and the collar bone muscle areas worsening over past 3-4 weeks. Not cardiac.

Shoulder shrugs make the pain particularly bad (pain to collar bone muscle severe during shrug) and sitting too long. She is having numbess and tingling to her left pinky and 3rd finger. She has hot spots that come and go up and down her left arm.

Her left upper back above the scapula (trapezius?) is sometimes swollen. She gets dizzy on and off, and yesterday she said her left side of face became numb for a short time. She is only 39 y/o and otherwise good health. she had erlichiosis(sp?) once and had a car accident about 20 years ago.

She recently had an Xray of shoulder--normal; EMG --normal; and MRI of neck only --normal. The PT said her left shoulder joint was a little bit loose. Any suggestion or ideas about what could be wrong here? Or any tests that might be useful? Any help would be really greatly appreciate. My sister is suffering and it is not like her to complain (ever). I feel terrible for her. Thanks.



Hello Laura,
Ask your sister to do the following:
1. Raise her arm in front of her, to the side, and behind her back as in doing a brastrap.
2. Does placing her hand on her head relieve or aggravate the symptoms?
3. Stretch her right arm out to the side, palm forwards, extend the wrist and then laterally flex her head to the LEFT. Remember the tightness/ pain in the lower arm. That's normal. Now repeat with the naughty arm. Any difference?
4. Turn her head to the left, and then look up. What happens?
5. Run her fingers along the collar bone to both ends, the SC joint and the AC joint. What does she feel?
6. Does using the left arm hurt in the shoulder?
7. Does her arm tire very quickly when raised above shoulder level - as in hanging washing?
8. Ask her to touch the jaw joints, just in front of the ear, locate by opening and closing. Tender?
9. Headaches?
10. When lying on her back, does turning her head to the side make her dizzy?

You may need some help, computer wise, but I need to see the lateral cervical spine on the MRI. Are they digital or plain film? If you copy it and make a jpg on the desktop, you can load it directly onto this page.

Let me know.

Dr B

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Sensitive skin to temperature extremes

by Brent
(England , Liverpool )

Inter scalene triangle

Inter scalene triangle

Hi I am 42 and live a healthy life style i have been worrying myself with anxiety and been prescribed anti depressants due to what I percieve to be a nerve related injury . I did some eratic excercises 4 weeks ago wide arm press ups and sit ups in batches of twenty , two days later I felt an ache in my right shoulder and noticed I was susceptible to extreme temperature all over my body from head to my feet ( skin ) my hands go numb when I sleep which is really getting me down . I have had extensive blood tests 3 weeks ago all normal . I have visited a physio she thinks it's my neck but unable to carry on treatment as I can't afford weekly sessions . Please help

Hello Brent,
You seem to be suffering from what we call the "weekend warrior syndrome". A sudden increase in your activity.

It could be just a shoulder syndrome (try the exercises at http://www.chiropractic-help.com/frozen-shoulder.html ) or, because of the numbness, I would suspect a thoracic outlet problem.

However, only a careful (chiropractic) examination will determine whether Chiropractic can help you.

Dr B

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major pain in thumb

Thumb pain

I always think chiropractor before doctor. I've had tennis eblbow adjusted out. Anyway, my right thumb hurts terribly..can't use and even hurts when not in use. Primarily in the fatty part on palm.

I did have deep cut in that area a few weeks ago, but when pain 1st started, it was in both thumbs..now mostly right. In the past, I've also had aching in wrists and ankles adjusted out.

Possible to adjust major pain in thumb? Almost like a charlie-horse.

I've had this "cramp" in the past and has not lasted, but this is the worst and for over a week now. I can't write or hold glass or turn key in car. Please help..trying not to use it (day off)
Hard to describe better, as I'm really not using it today. Very sharp pain.

Thank You,
Allison

Hello Allison,
Marvellous that you think chiropractor before doctor, but this time I'd like you to think doctor first. We have to be sure that that deep cut didn't introduce infection, or seriously damage a nerve, or the muscle itself.

Thus, see your medical doctor tomorrow.

Are you unable to hold a glass, or turn a key because of weakness? Or is it because of pain? An important difference.

Next we need to think "arthritis". The thumb joint is number one on the arthritis list. Literally. Thus upping your fatty fish (or taking omega-3 salmon oil pills) and flax seed, and butternut soup may be on the cards. Look also at our "chicken bones" page for relief from arthritis.

Once your doctor has ruled out infection or a cut nerve, then I suggest you contact the chiropractor who has helped you in the past. Hope this has contributed.

Dr B.

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cervical disc extrusion causing nausea

by jason
(beaverton, oregon)

cervical disc extrusion causing nausea



three weeks after accident.. Have MRI showing a relatively large disc extrusion at c6-c7..
Last monday my very good chiropractor was manipulating my neck. after (3) hard twists of the neck,... nothing popped I think that's why he kept twisting..

main problem I think is that, my body, and neck were so tense it felt as if he was trying to twist past the stiffness of my neck..

literally moments after driving away, felt sick, nausea.. almost turned right back around to chiropractor.. instead gave the treatment a chance, and over the next two day, symptoms worsened.. back of skull on fire, feels like heads going to pop off.. base of skull in back is in great pain.. feel sick, and nausea,.. just weak..

concerned that my neck has been hurt worse.. also feel that my trusted chiropractor may be the only guy who can fix.. when I explained this to him.. he said I might have salmonella, or did I forget to have coffee..?

anyways, have appointment today with chiropractor..

any advice??

jason

Hello Jason,
First off, I'd strongly advise against any further manipulation for a period. It's fairly high risk now.

Adverse effects from every form of treatment, including manipulation, occur periodically. Serious adverse effects in the chiropractic clinic are rare, but you have the symptoms that just suggest beware for a period. How long?

I'm not sure. You obviously trust your chiropractor, you know each other well, discuss what happened frankly. But no manipulation for a bit, and then very gently, carefully, and if turning your head to one side causes dizziness or nausea, definitely no manipulation in that direction.

The Hallpike Dix test is for vertigo and nausea. Basically, lying down, you extend your neck and turn first right, hold for 30-60 seconds, then keeping the neck extended the other way.

If you get dizzy, and have what is known as nystagmus, the eyes spin, then manipulation is strongly contraindicated and the treatment of choice is the Epley manoeuvres. Vertigo dizziness ..

The real concern, Jason is what is known as the vertebro-basilar artery complex. You have some warning signs that right now manipulation should probably not be done for the present, and very gently in the future.

The difficulty is that for the neck injury, manipulation is the treatment of choice.

You know your chiro, you trust him. Print this out and discuss it freely with him.

I hope this contributes. Let us know how you get on in a few weeks.



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pain & weakness, restricted movement in right arm and in right hip, losing feeling in hands and feet

i have a condition called essential tremor, i had bi lateral carpol tunnel syndrome in both hands and had them operated on in 2010, since the op, i have severe shoulder pain and weakness and pain in my arm AND elbow,

i have now also started having problems with my right leg, it started of by my leg feeling like im dragging it, to the onset of pain, got so bad that i couldnt raise my leg off the floor, my hip was severly inflamed and restrited movement, same happens to my right arm, and also loose feeling in fingers and toes from anything from a few hours to weeks, any suggestions to what could be going on, (neck mri clear, shoulder x ray clear, lower back mri clear..(

Hello Pam,
It sounds like you may have a post-surgical condition called Causalgia or Reflex Sympathetic dystrophy. I take you had no shoulder pain before the surgery.

The lower back / hip condition is probably unrelated, a separate condition. For your hip problem, have you seen a chiropractor? Time I think. Start our lower back exercises at C-H, done EVERY morning before getting out of bed.

For your arm pains, I would suggest asking a neurolgist about the possibility of RSD. It's a horrid condition, poorly understood, and I know of no proven treatment. I have treated a few cases, early in their course, but after two years, I can't promise that chiropractic can help. Perhaps start our Frozen Shoulder exercises. Gentle stretching out of the shoulder and arm (painful) may help.

I hope this contributes.

Dr B

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Tingling in hands and arms

by Suresh
(South San Francisco)

Hello,
I have been having discomfort in my neck for more than 6 months now. I have also been having tingling sensation in my fingers mostly in the middle, ring and little fingers.
It is more localized to the tip of my fingers but sometimes the pain radiates in my wrist and arm. The tingling was mostly when i was on the keyboard initially but now looks like my is active constantly.

Can you please suggest some exercises and a chiropractor in the bay area most preferably in or near South San Francisco.

Hello Suresh,
Firstly, you do NOT have carpal tunnel syndrome = that goes to the other side of the hand.

The nerve to your arm is being tethered, probably in your neck, or by the first rib as it passes out of what is known as the "thoracic outlet". These are conditions that chiropractors treat on a daily basis.

I'd start by phoning your state chiropractic association, and asking if they can recommend someone in your area.

Get some X-rays of your neck taken.

I hope this has contributed.

Dr B

Thanks
S

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Numb hands, swollen forearms from intensive physical training

by Tamara
(Toronto, Canada)

Carpal tunnel syndrome.

Carpal tunnel syndrome.

Hello Dr. B,

I have recently started experiencing numbness in all the fingers in my hands and occasional swelling of my forearms. It is particularly bad after an intensive weekend of physical activity. To be more specific, I started a Yoga teacher training last April and for 8 months we would meet once or twice a month for weekend long intensives where we would be doing at least 8-12 hours of physical practice (on top of our individual daily practices). During these intensives, we would often workshop a lot of inversions (handstands, shoulder stands, forearm balances) and backbends (wheel pose, dropping back onto our hands from standing, etc). I didn't notice it until after one particular weekend although I have had similar numbness ten years ago when I was in University and doing a lot of writing. They suspected Carpal Tunnel and I wore a wrist splint and it went away.

I have consulted my GP as well as a Naturopathic Doctor of sports medicine who is himself a seasoned Yogi. My GP is sending me to a specialist (I'm in Canada so this takes a couple of months) to be scanned by a neurophysiologist and the ND told me that it was common, gave me some physio shoulder/wrist/supraspinatus exercises to strengthen the supporting muscles (?) and both told me to stay off my arms (which I have been doing and it went away - until I did two practices of front-loading poses and it was back immediately).

My questions for you are:

do you think this is the result of something in my cervical spine, my muscles squeezing nerves - brachial plexus/ulnar or is it just carpal...and do you suggest that I consult a chiropractor or an osteopath?

Thank you kindly.

Hello Tamara,
It sounds like a typical case of the "Weekend warrior" - suddenly a huge increase in activity compared to what your body is used to.

Think how your bod would react if you jogged 3 miles daily, and then twice a year you tried running a marathon. It's not healthy to suddenly up your activity like this.

Specifically, I'm not sure. If it's affecting the pinkie, then it's definitely not a Carpal tunnel syndrome which affects only the median nerve.

For tingling in the hands I always check out the carpal tunnel, the pronator teres muscle, the first rib, the scalenes and the cervical spine obviously. The problem could be anywhere there, and of course other less common conditions.

Trying to reach the Yoga Olympics this year? Your body is trying to tell you something. Listening?

Dr b

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My hands have been tingling for more than a month...

by Christine Morgan
(Richmond, CA USA)

Cervical Spine MRI

Cervical Spine MRI

...with more than 20 years of neck pain after a car accident where the top of my head collided with the windshield hard enough to leave a few hairs in the crack that it made. This is my MRI picture and my Rheumatologist has referred me to a neurosurgeon for a consultation. I've also been in weekly chiropractic care for the better part of a year. I do have short periods of numbness as well as tingling in my right arm. The tingling in my right hand, primarily ring and pinky, have become persistent while the tingling in the same fingers on the left is intermittent. I also have a deep aching pain periodically in my right shoulder and my triceps feel weak.

I guess my real question is, will surgery be my only recourse at this point in my arthritis disease? This doesn't seem like something that will repair on its own and I agree that shots and injections are not only an increased risk factor for more problems, but at best, a band-aid...

Thank you for any input!!

Christine

Hello Christine,
I'm afraid whiplash always leaves its mark, and it certainly has on you.

You've had a lot of treatment, perhaps (controversial) too much depending on what the treatment has been, and if there hasn't been much progress I can understand you are looking for answers.

My best suggestions are:

Get a home traction unit - one of the lying down ones - and use it daily.

Instead of a manipulation every week, consider a massage every other week by a masseuse or even your spouse.

Ask for exercises. Start gently.

Start making a chicken bones bouillon every week (type into Search this site at C-H) - support for the cartilage in your neck.

See what the surgeon has to say. If there is real weakness in that triceps, you have to consider alternatives.

I hope that contributes,

Dr B

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Nov 10, 2011
Thank you
by: Christine Morgan

Thank you Dr. B, for your feedback, it is greatly appreciated. I will absolutely try your suggestions!! A couple of things that I failed to mention - I also have Fibromyalgia, a syndrome that no doubt worsens my senses in this condition, so massage is difficult and the area is tender, but I will try traction - if even to receive some temporary relief. I will also try the chicken bone stock - great idea!!

I am a Reiki Practitioner, and appreciate any non surgical approaches that are available.

Bright blessings,

Christine

Pleasure, Christine.

B

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Tingling in my left hand/thumb after lifting weights

by Sean Lehmann
(Portage)

Last year I started lifting weights at the gym, like free weights, but my left hand started to tingle and I got the pins and needles feeling, it got so bad and my anxiety of Carpa; tunnel syndrome was on the rise.

I saw a Chiropractor and he said it wasn't a nerve damage problem. I had to stop working out tho.

Today I went for my first work-out again, and I did my arms, lifted free weights and such, but I can feel that tingling in my left thumb again! What is this!? can it be fixed!?

Hello Sean,

First off, try to isolate EXACTLY which fingers it effects. If it's the thumb and forefinger, then we think of a nerve root impingement (but you make no mention of neck pain). Does turning your head to that side, and then extending your head do anything in the neck or arm? Does placing your hand on your head relieve, or aggravate the tingling?

If it affects the thumb, forefinger, middle finger, and sometimes part of the ring finger, then yes, Carpal tunnel syndrome. It's what we call a double crush syndrome, usually in the wrist and forearm, and perhaps the neck or first rib.

If it's all the fingers, then we think of a Thoracic Outlet syndrome, a first rib entrapment.

All of these are conditions that I treat on a daily basis, mostly successfully.

Use the Search this site facillity on the navigation bar at Chiropractic-help to understand more about these terms.

At the end of the day, if you only have trouble when doing weights, then perhaps it makes sense to find another sport. Or are you trying to make the Olympic team?!!!

I hope this has contributed.

Dr B



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TINGLING IN ARMS AND HANDS particularly tingling in left arm to thumb after venapuncture.


Someone drew blood from my left arm a couple days ago, and since then I've been getting a tingling sensation when I stretch out that arm. The tingling radiates down to my left thumb. While they were drawing my blood (not when they first stuck the needle in me), I felt an odd, though not uncomfortable or painful, cooling sensation in the area where they drew the blood. When they stuck the needle into me, however, is when I first felt the tingling down to my thumb. Nothing was particularly painful, though. Do you know what could've happened? I guess I'm just curious for curiosity's sake.

It's important you report to the clinic what has happened. The Median nerve may have been injured - see our Carpal Tunnel page for an illustration.

It will probably heal without treatment, but it is advisable to mention to them, and probably have an initial neurological examination: reflexes, skin sensation and looking for weakness in the fingers. Simple stuff that any doctor can do.

Dr B

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numb tingleing fingers and sore at top of arm on the right side.

Inter scalene triangle

Inter scalene triangle

Inter scalene triangle
Adson's test for Thoracic Outlet syndrome
cervical rib
Cervical rib in the inter scalene triangle.

It started with a numb index finger then the one on the right of that on my right hand, then two days later the top of my arm on the right side had pain, i think where th ejoint is. then after two weeks I have had pins and needles in all fingers and thumb coming up from the ends through my wrist. Arm not painfull all the time. Be grateful of any idea of wha this may be. Thankyou

Hello Michele,
The fact that it affects all your fingers points to a Thoracic Outlet Syndrome. The test is called Adson's test but it's a difficult test to perform and get good results. It takes a clinician who uses the test on a regular basis to distinguish between normal and abnormal.

Both the subclavian artery and the five nerve bundles of the brachial plexus pass through this gap on the way to the arm. Adson's tests the artery pulse when moving your head in a certain position with breathing. (type Adsons into the Search this site function at C-H and follow the link to the YouTube video)

But since it started in the index finger, the lower neck needs to be examined too.

These conditions affect the nerve supply to the arm, and it sounds like you are getting an associated shoulder condition that needs to be addressed. This is how frozen shoulders start, and that YOU WANT TO AVOID!

I recommend you look for an experienced and thorough chiropractor. Often adjusting the first rib is the key... a cervical rib should be considered too.

I hope this contributes. Perhaps print this out and take to your chiro.

Dr B

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Phase 1 of spinal decay

by Shirley
(Singapore)


Recently I had a bad whiplash while I'm doing a swimming sports(2mths ago). I went for "tui na", several kind of massage but my neck and right shoulder does not get any better.

so I decided to see a chiropractic doctor and finally I was diagnose with cervical spine(neck) 100% loss of normal curvature w pathological reverse curve at c3-4, causing degenerative chNges, cord tension n nerve interference lumbo-pelvic region(low bck) leg length inequality causing muscle imbalance with mild degenerative disc disease at L5-S1 all causing increase in degenerative chg and altered nerve function. So far I hv completed 5 adjustment.

Bcos of all this issue, I took up yoga class to strengthen my core which the dtr had agreed too. But after my 4th adjustment, I started to hv numbness on my both left and right hand(fm 4th and last finger). And now I felt weak and kind of aching on my left lowe foot. My chiropractic dtr told me tat this is the effect of my neck issue.

I'm kind of worried it look to me like a mild stroke. All the symptom only appear after I had my adjustment. Is this suppose to b the side effect? And when I complete my 24 adjustment, it w get better( going twice a week)

Hello Shirley,
Some discomfort, even pain are the side effects of all forms of treatment for your condition, but yes of course you are right to be concerned about the numbness in your C8 dermatome. It points definitely to your lower neck, not a mild stroke. Ask your chiropractor to check the reflexes- with a stroke, the reflex would be INCREASED which I very much doubt. Likewise the reflex in your leg where you feel the weakness.

A complete reversal of the curve does indeed point to a serious whiplash. If there are already degenerative changes in your neck, then it would point primarily to an old injury to your neck, aggravated by the new whiplash.

A condition like yours needs to be managed carefully. Some discomfort is not surprising, but you need to talk to your doctor frankly about these signs of increasing nerve tension. That happens sometimes in any practice, mine too, but obviously is not normal, and in my practice I would stop and re-evaluate my treatment protocol.

24 is a lot of treatment...

Standing on the weak leg alone, can you raise your big toe, stand on your toes without difficulty, and bounce up and down on that leg, bending the knee without any weak feeling? If you can't you certainly need to point it out to your chiropractor.

Perhaps print this out, and ask him for his reaction.

I hope this contributes. Again, you are right to be concerned, but you obviously have a difficult neck. Whiplash always leaves its mark, and yours certainly has.

Dr B

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Oct 30, 2011
Phase 1 bone degeneration
by: Shirley

Hi Dr HL,
Thank you for yr fast response. During the 1st consultation, he did go through a series of history of my medical condition. And also physically go thru chk on my posture and inspect my back bone. I was told to bend down my head to ,touch my chest but I'm not able to do do cos I think bcos of my whiplash that I mention earlier on(2 mths ago). I was also told to stand on 2 weighing machine which my left leg indicate a weight more than my right leg(8kg diff!!so finally I go for d X-ray.

The result is my left leg had somehow push out my pubic bone up a bit. He did told me that my condition is not that serious. So he decided that a total of 24 treatment should be good enough for since I'm doing yoga practice daily too. I could say now I could move my head left and right without much pain. It did show improveness.

But my concern is will the chiropractic adjustment affect my nerve system too. I'm not so sure whether the numbness with my both finger(4 and 5th) got any connection or is a hidden issue that I'm not aware. Right now this numbness is occasionally happen at night if I fold my finger up to sleep.

Most of the daytime do far not so bad. Or am I over worried after reading so much negative comments fm Internet.

HELLO AGAIN SHIRLEY,
It's good that you can turn your head and neck much better with less pain.

Yes, chiropractic adjustments certainly do affect the nervous system. In fact, that's half the point of the treatment.

You need to talk frankly to your chiropractor about the numbness in your fingers.

Dr B

Oct 29, 2011
24 treatments??
by: Dr H L

Hi Shirley, Where did you come up with 24 treatments? If you have been told it will take that no to fix you, I would be very suspicious and call for a second Chiropractic opinion on your condition,before completing that no of treatments, especially if there is no significant improvement after 4, let alone a worsening!
Dr H L.

The hard truth Shirley is that whiplash leaves its mark on you, and if you have reversal of the curve in your neck then it's unlikely that any form of treatment is going to completely cure you. Anyone who promises you a cure is misleading you.

It's good that the movement of your neck is improving and yes, of concern the numbness in the fingers. It may be temporary, frankly a "reaction" occurs in most folk who have a chronic problem, but if that numbness continues, I'd be concerned.

A second opinion? Mm, only if you have lost confidence in your chiropractor. We know that yours is a tough case. Talk him frankly about your concerns would be my advice, before going elsewhere.

You don't sleep on your stomach do you?

Dr B

Dr B

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tingling & numbness in right hand (elbow down)

by Becky Carman
(San Antonio, TX ,USA)



I have tingling (like when you hit your funny bone) in my right hand (especially my forefinger , thumb & middle finger) goes up to my elbow>

I have seen an Hand Doctor... had 3 Cordisone shots in my elbow (1st thought was "tennis elbow") then 2 shots in my wrists (2nd thought "carpal tunnel") ... not helping. It does not wake me up or really bother me at night. REALLY bad when I am at work...sitting..and trying to type... sometimes it hurts just sitting...not typing or writing...????

not sure back or neck / shoulder problems can contribute to the problem...?

Hello Becky,
Five cortisone shots is definitely more than advised, so you are wise to be thinking of treating the cause, rather than the symptoms.

It certainly seems to have to do with the Median nerve which passes through the forearm between the two bellies of the Pronator teres muscle, and through the carpal tunnel.

And certainly the origin of the problem can be in the neck, more specifically often the first rib where the brachial plexus passes through the Scalane Triangle. Enter these terms in the "search this site" function at C-H.

Start by placing a small table, the same height as your workstation, at your right elbow. Just taking the stretch off the brachial plexus often helps. Let me know if it works.

Dr B

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Oct 29, 2011
Results
by: Becky

Thank you so much for your advise. When I sat at my computer earlier... my arm & hand started to tingle.... I lowered my chin to my chest... and the tingling stopped...???

Since then, every time I start to get that "tingly" feeling (sounds like a bad country song) I lower my chin ( I have even had a co-worker rub my neck with her thunbs...kinda at a center to outward motion & that really helps.

At home I try to do this myself. I am able to type this whole conversation without having to stop because of the uncomfortable tingling in my arm... I guess I need to see someone about my neck....The only trauma I can think of is 13 years ago I had a head-on collision...severe wipe-lash... I had to do a contraption over the door/neck in harness thingy for about 6 weeks due to severe headaches. Then, 4 years later I was rear-ended by a drunk driver... wipe-lash again... maybe scar tissue..??? not sure.

Hello again Becky,
That confirms that this tingling comes from your neck. One bad whiplash is quite enough, and you've had two.

Have you still got the traction device? Start using it again.

I agree. It's time to start looking for a careful thorough chiropractor. Talk to friends and even your GP. I'd get some X-rays if I was you, including "obliques".

Dr B

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Tingling left thumb, index finger, ache in left forearm

by Denise
(Indiana)

Started with tingling in the left thumb about 8 weeks ago. The tingling started in the index finger about 2 weeks later and then the ache in my left forearm began. I stopped my daily workouts. My MD diagnosed a pinched nerve. I went to a chiropractor for treatment for 4 weeks, took steroids for 15 days and nothing has improved. I ice it several times a day and I'm taking Ibuprofen for the ache. What else can I do?

Hello Denise,
Well, the tingling in the thumb and forefinger, and ache in the forearm certainly points to a pinched nerve root in the neck - the C6 root.

Do a few tests for me:

1) Sitting, stretch your normal arm straight out to the side, palm forwards. Now stretch your arm backwards, extend the wrist, and SLOWLY tilt your head to the opposite side. Remember what you feel in your arm. Now repeat with the naughty arm. Is there a difference? If it's a pinched nerve, your lower arm will feel very tight, perhaps sore, tingling.

2)Place your hand on your head. Does it relieve or aggravate the pain in your forearm and hand?

3)Turn your head to the painful side, and look slowly upwards. Does it hurt in your neck? does the tingling start in your arm?

4) Take a pin and prick your thumb and forefinger, comparing sides. Is there a difference?

5) On hands and knees, do some gentle push ups. Does the triceps muscle in your upper arm tire more quickly than the good arm?

Do you have neck pain, and have X-rays been taken? I suspect you may have an old injury that has caused damage to the joints of Luschka. Type Luschka into the "Search this site" at the top of the Navigation bar at Chiropractic-Help.com (on the left), and you will get lots of info.

If no X-rays have been taken that would be my next step. Then perhaps an MRI. Then perhaps a different chiropractor!

I hope all this has contributed. Let me know.

Dr B.

PS. One last thing: Type "Home traction" into that search engine.

PS. Watch out for cortisone + antiinflammatories, they have hideous effects on your kidneys and stomach lining.

http://www.chiropractic-books.com/Dual-Antiinflammatory-Drugs.html

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Tingling and numbness in my hand

by Tammy Theriot
(Louisiana)

The question I have is about the tingling and numbness in my left hand, it happens every so often, I am on the computer a lot, however, I also have a slight pain in my shoulder, which feels like Arthritis. I also at times feel it in my chest, but this could be due to the heartburn/acid reflux I have been experiencing lately. Could it be that I have arthritis in my shoulder, my shoulder hurts when I do anything strenuous or even sometimes when I mop my floors. Also, I tend to have poor posture and my sleeping habits consist of sleeping on this side of my body a lot. Could this be causing my pains. I was diagnosed with Anxiety a few weeks ago but since I have been on medication I feel fine during the day, it is in the morning and at night I have my anxiety problems, even with the meds. What could be causing this shoulder pain, I think I may have arthritis, it runs in my family. Please advise me on what could be my problem. Thanks -Tammy

Hello Tammy,
The first question is: in which fingers do you have the tingling? That gives us a lot of information.

Any neck condition affecting the nerves to your arm makes the whole arm vulnerable: that means the possibility of shoulder conditions such as you have, tennis elbow, carpal tunnel, tingling and numbness in the hand.

Only a careful thorough examination will provide the answers you are seeking.

If you type "frozen shoulder exercises" into the Search this site at C-H you'll find some exercises that you could start with. Not that I think you have a frozen shoulder, but they are some simple basic exercises.

It's perfectly normal to feel anxious with these symptoms, particularly if you feel they are getting worse not better. Time to take action. Like this query - a good sign.

Shoulder / arm pain is often worse at night, nothing unusual about that. Time to look for a good chiropractor in your neck of the Louisiana woods.

I hope this has contributed.

Dr B

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Tingling/ sore c6

by Lisa
(NZ)

Dermatome pattern in lower arm.

Dermatome pattern in lower arm.

Tingling sore C6

Hi, several months ago I hurt my sacroiliac joint after falling on concrete steps,

today I had a ct guided injection of steriods and anaesthetic, my arm and hand and wrist have continued to get sorer throughout the day as well as sciatic type pain down my leg, all is on my right side, is this ok? Or should I be concerned?

Hello Lisa,
Nasty fall. What's not clear: did the neck and arm pain start after the fall, or after then injections?
Some side-effects, hopefully temporary, from the injection into your SI joint is not unexpected. Ask your doctor when you can start the sacroiliac exercise programme at C-H. (use the Search this site function).
I'm presuming that you simulaneously hurt your neck when you fell, or a previous injury. It's not good that it's affecting your arm.
You've chosen the medical route for the SI injury. Now some hard thinking: for your neck: medicine or chiropractic? The choice is yours. See arm pain ...

Dr B

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Tingling in hands and feet.

by angela
(dallas, tx)

Tingling in hands and feet.

I'm 17. Every now & then i get tingling in my hands & feet for about a week or 2 & then it'll go away. They tingle so much that i can't feel when i touch things. But a few weeks later it'll come back! Sometimes it goea to my face for a few minutes. It's weird.

I thought it was from smoking. But after quitinf for a month & it coming back after a few weeks. I assumed it wasn't from smoking.

So now i think it's anxiety. I get really stressed out now that i'm taking schlo sports && a job. I haven't told my parents to take me to a doctor yet cuz i'm afraid they won't believe my pain or think it's serious enough. What's your say on this?

Hello Angela,
Right, I doubt this has anything to do with smoking, but quit anyway. Smoking will knock at least ten years off your life, and the end is usually S-H-one-T!

You should tell your parents, and yes you certainly should see a doctor. Soon. At this stage I wouldn't recommend a chiropractor.

Your doctor will do some blood tests to begin with. Vitamin B12 deficiency for example can cause a serious peripheral neuropathy. Are you a vegetarian?

Thereafter, they will probably want to make a scan of your nervous system. Remember that every nerve is coated in fat, called a myelin sheath, and eating the correct fats is vital for nerve health. In particularly avoid trans fats (from hydrogenation of fat), and eat more fatty fish, olive oil and avocados.

There are 101 possible causes, Angela. What's needed in the first instance is the correct diagnosis of the tingling in your hands and feet and face. See your doctor.

Let me know in a month or two what they found.

I hope this contributes,

Dr B

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Tingling and weakness ( have trouble holding a glass of water ) on my right side

by Jim Williams
(Springfield, MO)

Tingling and weakness (I have trouble holding a glass of water) on my right side from my jaw down my right arm to my finger tips -- then down my right leg to my toes ??

NO PAIN --- JUST TINGLING AND NUMBNESS.

Hello Jim,
It's not a tremor whilst holding a glass? Just a weak feeling, as though the glass will drop?

This needs careful assessment. The fact that it goes down to your leg means that it is "central" in nature. In other words, not a pinched nerve in the neck.

There are chiropractors who have a specialty neurological qualification (ask your MO Chiropractic Association). Alternatively it may be best to start with a neurologist.

That doesn't mean that it's not treatable, or help-able with Chiropractic, but the initial diagnosis needs to be made.

I hope this has contributed.

Oh, and I'd starting taking fish omega-3 oil. Good stuff anyway, but it does contribute to various neurological and arthritic conditions.

Dr B

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tingling and numbness in arm and wrist into hand




hi there i am 43 years old lady with tingling and numbness/muscle weekness in my arm and wrist into my hand, just one arm

this started suddenly about 3 weeks ago and sort of is intermittent.

i have a metal plate in my arm which was fitted over 20 years ago.

i dont know if this is related at all

oddly the more i think about the symptoms the more i feel them if that makes any sense?, i find if i am out and about on a walk they either go away, of maybe i just don't feel them that much then?

Hello,
Firstly, because it goes into the pinkie, you've just ruled our Carpal Tunnel.

Do you have pain in the neck? Turn to that side and look up - does it do anything?

It's probably not related to the plate, but that is an outside possibility. Somewhere down the course of the C8 nerve, it's being irritated. That could be by the first rib, in the funny bone groove in the elbow, or from your spine.

What's needed is a good thorough examination, including Adson's test, a difficult and subjective test. Use the Site Search function at C-H.

You can yourself do the Upper Limb Tension test (see video at C-H). Also prick your arms with a pin, comparing right and left.

Dr B

today it has been maily in the back of my hand/wrist,sometimes it's down my little finger, sometimes other fingers?

any advice would be very gratefully received
thankyou again
sam

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Random tingling, burning, stinging on dorsal side of palm, forearm muscles and elbow

Hi,

I've been having this condition for almost a year now. I feel constant burning and tingling in my arms, exacerbated when writing or typing, and that's when my thumb starts hurting as well. If I press Warm water helps to soothe the feeling, and I haven't been able to find a position that relieves the pain/sensations. If I put pressure on the forearm extensor muscles the dorsal palm pain intensifies notably.

In addition to this I feel a dull, aching pain a bit to the left of my right shoulder blade, especially in the morning when I go to work, and on the way home. I am doing neck stretches and neck exercises with no relief so far.

I went to see a chiropractor once who adjusted my neck discs and instructed me to start the exercises. This condition has really degraded my quality of life, I was a professional swimmer for 17 years and now I'm not able to even go to the gym. Swimming makes the pain feel a bit better. The pain started 2-3 months after I ended my career last year.

Thank you for any help you may be able to provide.

Regards,

Marin

Hello Marin,
To be quite honest, I'm not sure. There are a heap of possibilities. The big concern is that you have it in both arms.

My first thoughts were of a radial nerve compression syndrome (in the radial tunnel) but that wouldn't affect your thumb.

That pressure on the extensor muscles provoking the radiation is encouraging. I'd be looking for active trigger points in the wrist extensors.

You make no mention of neck pain.

The rhomboid muscles in the midback are supplied from the lower neck, and frequently a neck condition will refer to the midback as your are experiencing.

Have you had neck Xrays taken? A scan? If not, that's the next step.

Do raising your arms increase / decrease the symptoms? Would you know if the Upper Limb Tension test and Adson's test are positive?

I wish I could be more helpful, Marin. Perhaps time to start swimming regularly again?

Dr b

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Numbness/tingling in left hand

TOS

TOS

TOS
Inter scalene triangle

I have been struggling with numbness/tingling in my left hand for about 2 weeks. I am age 44, and Type I diabetic for 32yrs, with no previous or known neuropathy, but I was concerned it might be due to that, or cardiac-related, since I also have pain between my shoulder blades now & then.

I have been getting the numbness/tingling in ALL of my left hand (not just one area or certain fingers) and it seems to increase with having my arm bent (when holding my phone to my ear, holding my ski poles (I'm a ski instructor), or leaning with my left hand (& left arm straight) on a counter at about the same height as my chest, etc.

The numbness/tingling seems to come on suddenly & also seems to go away fairly quickly once I straighten my arm. It's been happening more & more...and I did fall on the ice about a week ago, landing on my left hip/buttock area, which I'm not sure if that has something to do with it (?)

So I went to see a Chiropractor for the very 1st time and he took neck & spine Xrays...and I believe, he mentioned I had 2 lower cervical vertebrae which had fused together (calcium?) "over the years" and my normal "S" curve was starting to go backwards in that it was pushing in the opposite direction. So he used an "Adjuster" machine on my back & neck, and I felt much more sore & had increased numbness/tingling afterward...so I have not been back to the Chiropractor.

I have iced my neck (per his suggestion) and iced the left hip area since I fell, and the hip is improving, but my left arm numbness/tingling has not gotten any better...in fact, I think it's getting worse. I'm trying to research to see if it might be due to a nerve impingement or if the problem is coming from my neck area.

I don't know if I should go to an orthopedic doctor or if I dare go back to a Chiropractor??? He told me I might see improvement if I go there 3x/week for 15 weeks.

I also work as an RN at a hospital, so I would like to get this taken care of sooner than 15 weeks! Do you have any suggestions for me??? Thank you!

Hello,
I'm going to be controversial, and probably lose some friends! but no I don't recommend you go back to that chiropractor. Another, yes. Not because you were more sore after the treatment, that's not unusual if you have advanced degenerative change in the lower neck. But because he is proposing to grossly over treat you. 45 treatments in four months is over the top. And you'll have to mortgage your home!

You make no mention of neck pain initially, or tingling except in the hand, is that right? And it includes the pinkie? And if you raise your arm as in holding the phone to your ear, it get's worse. I would want to do tests, one simple and you can do it at home.

Go to this arm pain page and scroll down to the Upper limb tension test video. Do it. I suspect it may be positive because you said that extending your wrist increases the tingling.

The second is a very difficult test, because it's so subjective. It's called Adson's test and can only be interpreted after months (years?) of doing it regularly. It's lower down on the same page, but I doubt you can do it meaningfully.

It would confirm a condition called a Thoracic Outlet syndrome in which the nerve bundles and artery to the arm are irritated in the "inter scalene triangle" which is not unlikely considering the amount of ski pole work you do.

Prod in the front of the forearm just below the elbow. Is it particularly tender on the left arm?

Of particular concern: do you have "block vertebrae" in the lower neck or is this degenerative change? What do the obliques show? Any signs of joint of Luschka degeneration?

As you can see this is complex stuff, needs thorough examination and attention to detail to come up with a correct diagnosis. You are in the health field. Did you feel the history and examination were thorough. Were reflexes tested, some of the above tests? Muscle strength in the fingers and arm, were they tested?

All this has probably only served to confuse you further, but as you can see without specific answers it's impossible to come up with the correct diagnosis, and hence the appropriate treatment.

An MRI of your neck would be VERY useful.

Muddied the water? Sorry.

Dr B

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Tingling in arm and hand


Thoracic outlet syndrome
Inter scalene Triangle

32y female, havin tingling in arm and fingers espcially in the morning these days starting from the elbow

increasees when my child sleep allover the night on my elbow

reliveing by movment in the day

i couldnot identify ehich fingers spare the tingling i feel it almost aalover my hand

Hello Dr Amira,
Because the tingling affects your whole hand, there is a high suspicion of a thoracic outlet syndrome in which both the artery supplying the arm (subclavian artery) and the brachial plexus are being irritated in the Inter Scalene Triangle ...

Two things would confirm this. Firstly, during an attack of tingling your arm and hand, if you place your hand on your head, are the symptoms worsened?

Secondly, is the test known as Adson's Test positive. It is testing the arterial pulse in the wrist whilst you turn your head and breathe in.

There are plenty of reasons, not only for the health of your arm, why your child shouldn't sleep the whole night on your arm.

The underlying cause of TOS is a fixated first rib, or spasm of the scalene muscles.

To be ruled out is a pinched nerve in the spine. Unlikely as it would cause a "dermatomal" pattern of tingling. Only in the thumb and index finger for example.

See your local chiropractor is my best advice. Find a good chiropractor is perhaps your next stop.

Let us know how you get on.

Dr B

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tingling in fingers and sometimes lips

by Carol
(Boynton Beach , FL, USA)

I went for an adjustment for my lower back and the next day my neck was stiff and fingers tingling/numb and my lips sometimes.

Could the adjustment have caused this when the Doctor didn't adjust my neck?

Thank you,

Hello Carol,
I very much doubt it. I would go back to your chiropractor. Emphasize the tingling in the lips, it may be that something quite unrelated is happening.

Dr B

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numbness in hands

Adsons test

Adsons test

Adsons test
Dermatomes of the arm

My question is what could I possibly have. In the last two years I have been sleeping with two pillows because when I sleep with one my hands feel numb. Also for the first hour or two after waking up when I hold something like a toothbrush, blowdryer and hairbrush I get a feeling of numbness in both hands (left hand with blowdryer and right hand with brush.

When I go to work for the first hour or so holding a pen and writing or doing anything where my hand is closed because I'm holding papers I get a numbness. But this doesn't happen everyday but it happens often maybe 20 out of 30 days in a month. I remember 10 to 15 years ago when I'd get up two hours earlier so I could do some sewing before the kids woke up, just holding a sewing needle would make my hand numb, but that's the only time it would happen. I mentioned this to my my family doctor about 5 years ago thinking I had a circulatory problem, but he said it's not and had to do with nerves but he never sent me for any tests or x-rays. The problem was really more this week since last weekend and Monday (three days in a row) I was doing yard work where I dug with a shovel and broke the clumps of earth putting in a border of bricks where I have a garden, so I think my problem was worse because of the yard work for some reason.

I put flyers together at work for two days a week and there were times where I just stopped for 15 to 20 seconds because the numbness started to give me pain, and then I'd feel better and continue. What do you think I have and what tests should I ask my doctor to perform? Could I have arthritis?
Sincerely, Anna
Thank you for your help and information.

Dear Anna,
The first thing to consider is EXACTLY which fingers go numb. There are many possible causes of the numbness, and knowing which nerve is affected certainly helps.

Secondly, do movements of your head and neck, particularly rotating to the side, and then simultaneously looking up, provoke the numbness?

Thirdly, does placing your hand on your head relieve or increase the numbness?

Arthritis in your spine is a possibility, particularly if you have had a whiplash previously, (type "joints of Luschka" into the Search this site function at C-H). Other possibilities are cervical ribs, a carpal tunnel syndrome and a thoracic outlet syndrome.

Sounds to me like it's time to get some X-rays of your neck, including "obliques" and to look for an experienced chiropractor.

I hope this has contributed.

Dr b

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Fist extension

by Candiss
(Kimberley, B.C Canada)

Would it be possible to demonstrate this adjustment technique on video that I could pass on to my chiropracter? This is in regard to Tietzes syndrome.

Hello Candiss, I'm afraid I don't use fist extension for Tietze's syndrome. Just a standard anterior thoracic technique that every chiro knows. Hope this helpful.

If I wrote somewhere giving the impression that I use fist ext for Tietzes could you please forward me the link, many thanks.

Dr b

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Stiff neck with tingling in arms & hands & weakness in leg

by Aden
(Dc)

Stiff neck with tingling in arms & hands & weakness in leg

What Could Be Causing My Contant Stiff Neck & Weakness In Arm & Leg (Leftside)
Something I Feeling Tingling In Head On the left temple ? Can you help
I feel lower back pain as well ? .. Any suggestions ? P.s I sleep on a air bed could that be in affective matter ?

Hello Aden,
I would recommend you see a neurologist. When something in your neck (or head) causes weakness in the leg, then further tests are needed.

Go from Stiff neck with tingling in arms & hands & weakness in leg to other Chiropractic Conditions often treated…

Dr B

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Swollen pinky,ring & middle finger..now painful,,locking pinky, worse at night and morning.


(victoria, BritishColumbia, CANADA)

CTS

CTS

Hello,
About four months ago I noticed the rings I wore on my right hand were becoming tight.I thought perhaps extra salt had made its way into my diet although I am health conscious and avoid anything high in salt. I ended up with a rash from my rings, saw the doctor, he said it was just eczema.I left my rings off and treated it with cotizone cream. The rash healed but swelling never went down.

I noticed a few weeks ago upon waking that my pinky finger was difficult to straighten but if I try and close my hand my pinky "clicks". It doesn't just smoothly close anymore. This is worse upon waking, but now a few weeks later it seems to just stay this way all day and I feel the effects in three more fingers in a row now.

Writing is especially painfull, using my laptop is painfull, stirring things, opening things. I will be going to see the doctor but we have a rash of norovirus here right now, so avoiding the clinique until that has passed by.

Could this possibly be related to a back sprain I sustained 11 months ago? I fell down stairs with a basket of laundry, sprained my entire back. My back has been better for about three months though. Ive ditched all the meds except ibuprofen. Sleeping at night has become uncomfortable, I'm noticing some pain mid arm, and my hand goes numb super easy. Every position I try is uncomfortable.

Oh, and just for some background info, I'm a 32 yr old female, I jog/walk/exercise daily, I'm not over weight, I eat well and until the back sprain have been very healthy. Everyone keeps mentioning carpal tunnel since work involves computer use all day for me, but this began in my pinky, is worst in that area but now into three more fingers and I keep seeing carpal tunnel doesn't effect pinkies.

My fingers are still swollen, I feel like my right hand is like "drying" up, getting tight and shriveled, claw like, but I'm still young! Any info, tips would be greatly appreciated. I googled my symptoms and it kept bringing me to your page. So thought I would start here.
Thanks!

Hello Kristy,
Good for Google!
You are quite right, this is definitely not carpal tunnel.

And I doubt it has anything to do with your spine.

I take it you didn't injure your hand in the fall???

I would be thinking in the direction of a trigger finger which is a calcification of the tendon that closes the finger. Are there any little nodules in your hand if you follow the tendon in the palm of your hand, as it leaves the finger in the direction of the wrist?

The second possibility is rheumatoid arthritis. Did mum have arthritis as a young woman. Did her fingers go crooked with lumps on the middle joint of the finger? The PIP.

Lastly there is cause for concern - obviously - that you have been on anti inflammatories for so long. If they don't give you an ulcer there is a higher risk of other conditions, including a clot. This I think unlikely from what you describe, but in any case isn't time to get off the drugs. Time to see a chiropractor, methinks!

And ask him/her to work specifically on your hand. Trigger finger in it's early stage responds well to chiropractic.

And of course you neck and arm need to be examined.

I hope this contributes.

Dr B

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tingling in arms and weakness

tingling in arms and weakness

hello,
my boyfriend said he woke up this morning and has felt like his arm has been "falling asleep" all day long and also feels weakness in that arm also. It is in his left arm at the triceps muscle. He has carpel tunnel in both wrists along with high blood pressure. could this be a blood clot?

It's unlikely to be a blood clot, it's really not common in the arm. Is there any swelling?

Does he have any neck pain, and do any movements of the head and neck increase the weak feeling and tingling in the arm.

Carpal tunnel syndrome is not going to cause the weak triceps.

The triceps is the most commonly affected muscle in a pinched nerve in the neck, but then turning his head to the left and looking up would certainly be painful in the neck, and perhaps in the arm.

Does he get relief by putting his hand on his head, or does it make it worse?

Let me know.

Dr B

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Burning in palms

by Sam
(San jose,ca)

Hello Sir,
I went to a board certified chiropractor with 21 years of experience and was given 2 adjustment in the lower and upper back and neck. I went with a tightness in the neck symptom. After the second treatment my left arm started burning in the palm and went from my pinky to main finger.. I am wondering whether any nerves were seriouly damaged and what would be the best course of action.

Hello Sam,
Mmmm, not sure, frankly. A certain amount of discomfort after treatment is not unusual, but that burning in your hand is of concern.

If you've had the problem for a long time, or have had injuries, it's unlikely anyway that two treatments would fix your problem. A course of at least 6-8 treatments followed by rehab is the norm.

If overall, you felt you were carefully examined, he was thorough, and you had a good vibe, then I'd go back and tell him just what you've told me. He would most likely alter the way he treated you.

If you felt the consultation was shabby, then go elsewhere.

Sorry, I can't be more helpful.

Let me know how you get on.

Dr B

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Tingling in right arm and hand

by Agatha
(India)

Tingling in right arm and hand

Am 39, female, work at the computer for about 10 to 12 hours a day though not at a stretch. I have been experiencing tingling and cramps in my right hand and arm for over a month. It is severe as soon as i wake up in the morning. It also happened when i took a nap. thought it had to do something with my sleeping position. I tried sleeping on my left side, but didn't notice much difference. My hand feels tired and exhausted and a strange feeling. Earlier the tingling disappeared after a while, but now it persists all the time. Diabetes and Blood pressure is ruled out. Am quiet nervous about it. please advise.

Dear Agatha,
In which fingers is the tingling? Do you have any neck pain?

Is there anything you can do to increase the tingling? Any swelling in the fingers?

Dr B

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Dec 13, 2011
tingling in right arm
by: Anonymous

thank u doc. nope, i still have to see my doctor. thanks again for your time and advice

When you have spinal pain, unless it's severe, you don't usually have to rush off to your doctor or chiro (same as a snivel or little cough), but radiating symptoms like you have demand you don't delay. See someone you trust.

Dr B

Dec 13, 2011
no neck pain and no swelling
by: Agatha

The tingling sensation is in all the fingers and the palm as well. The whole arm feels numb and exhausted. No neck pain as such, except because of strain due work sometimes. No, i cannot do anything to increase the tingling, it happens on its own. There is no swelling in the fingers, but i have the same feeling - like cramps.

If it's affecting ALL fingers, Agatha, then we are probably looking at what is called a Thoracic Outlet syndrome. The most usual cause is a first rib fixation, but there are others such as a cervical rib and a nasty called a pancoast. Smoker? Cough?

The test to confirm TOS is very subtle and only an experienced practitioner who has done it hundreds of times will know the difference between normal and abnormal. It's called Adson's test.

I'm afraid only a careful and thorough examination will determine where the problem is. I presume you've talked to your doctor, start looking for a good chiro.

Hope this has contributed.

Dr B


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Tinglings in hands down to palm.

by Mr Thian Chen San
(Singapore)

I have suffering from tingling like millions of needles poking into my arms & hands whenever i sleep on my back. X-rays shows I have degenerative scoliosis.

Even the use of 5cm thickness Visco-elastic mattress topper do not help. In fact, my left back aches when I woke up.

My appetite, functions of my body is normal.

I my younger days, I was diagnosed with scoliosis but was discharged then.

The tingling goes away whenever I wake up or not lying on my back.

FYI : I used to have neck pain but now, no more as I using the memory pilliow

Hello Mr San,
Most likely there is impingement of one of the lower neck nerve roots, or possibily an irritation in the Inter Scalene triangle.

Along with scoliosis there is likely more arthritis too in your neck, so that could be affecting the nerve roots.

Take your X-rays with you and consult a chiropractor in your neighbourhood. Failing which, I can recommend my friend:
Dr. Neil O. Stakes
Back II Life Pte Ltd
360 Orchard Road #10-01A
International Bldg
Singapore 238869
Tel: 6235 1220 Fax:6235 1639

www.b2life.com

Dr B

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Tingling in hands and arms

by SS
(Mumbai India)

Hi
When I am at rest either sitting or laying at same position my legs start tingling and and hands too but less as compared to legs
I had a neck pain around 2 months back I was having difficulty in moving my neck at side
I am worried about tingling now
I have some mensuration problems too.. Though I am not married

Dear SS,
The fact that it's in your hands and legs, suggests that you should see your medical doctor. This could be any one of many things, and you should pursue it.

Dr B

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PAIN AND TINGLING IN ARMS AND HANDS

by Aaron
(Kumasi, Ghana)

PAIN AND TINGLING IN ARMS AND HANDS

why do i get a tingling pain in my leg and some fingers whenever i wake up from any sleep?

Dear Aaron,
It's probably two different conditions, one in your neck and one in your lower back, but they could be related.

Start with our "lower back exercises" from Chiropractic Help every morning before getting out of bed.

Then massage your forearm, look at our Carpal Tunnel syndrome page, and you'll find a picture of the muscle in the forearm, just below the elbow.

Dr B

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Tingling in left arm and neck stiffness

Tingling and numbness in arm and neck!

I'm 26 and two days ago i started getting a tingling sensation on my left arm this has progressed to a stiffness on the left side of my neck starting from just below the back of my ear down to my upper back area on the left side. i have been under a great amount of stress of late.

i haven't been to see a Doctor because i didn't think it was serious but i want to knw is that cause for concern?

Hello Carol,
Yes, it is of concern. Radiating pain from a spinal joint is always of concern, because poorly managed to leads to numbness, loss of a reflex and weakness in the limb.

Stress finds your weak areas, this is probably an old injury. Any car accidents, blows to the head and neck, falls? Horses?

I would advise an X-ray, perhaps a scan if you have the insurance or money, they do contribute a great deal, and a visit to an experienced chiropractor.

Meantime, carry nothing heavy with that arm.

At C-H, using the Search this site function you'll find a link to a test called the "Upper Limb Tension Test" which is very important in diagnosing how serious the problem is. You can do the test at home.

I hope this contributes.

Dr B

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Loss of muscle control in right hand

Loss of muscle control in right hand


Here is my question. For the past several years
I have been losing my ability to write. When I hold a pen or pencil in my hand and begin writing with it, the muscles in my hand seem to want to tense up, which results in my hand always pulling down in jerky movements. If I focus intently on relaxing the muscles of my hand...it helps, but I'm not able to do that for more than a minute or so.

Hello,
This seems to be an intension tremor of sorts. I take it this only happens when you want to use your hand.

I think you should see a neurologist.

Dr B

I do not experience any real tingling or numbness in my hand or fingers and I have no pain associated with it. Although after trying to write for a couple of minutes, I do feel a vague burning-like sensation in my arm...sort of the feeling one gets after a good workout.

I have been to my family doctor who took some xrays of my neck and said that I had some very minor cervical stenosis. I went to a physical therapy session, but the therapist kept giving me advice to "ease the pain" even though I kept telling her I have no pain. I asked her if she'd ever heard of these symptoms presenting with spinal stenosis and she said that she had not. She did say that I have very tight muscles in my shoulders/neck/back and that she could feel slight muscle spasms when touching those areas.

A chiropractor did tell me many years ago that the tendon in my shoulder that goes through that little groove (the bicipital groove) slips in and out. You can feel that happening if you put your hand on my shoulder and I raise my arm from my side. You can feel a slight "catch" each time my arm raises.


I've tried writing with my left hand to see if I have a similiar problem and it doesn't seem that I have those symptoms in my left hand, although its hard to tell since I'm right-handed.

I don't seem to have any loss of strength in my right hand or arm and don't seem to have lost my ability to grip things.

It is very puzzling to me, but also alarming because it certainly isn't normal. I would welcome any suggestions as to what I should possibly be looking for as a cause. I'm hoping it's something as simple as needing to have deep muscle massages, but I'm worried that it's something more serious.

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Jun 03, 2012
TENGO EXACTAMENTE EL MISMO PROBLEMA
by: GLORIA

Tengo exactamente el mismo síntomas, he consultado con un neurólogo y me receto un tranquilizante natural pero esto no me resulto en lo absoluto, estoy muy preocupada y con miedo porque últimamente también tengo dolores muy fuertes de cabeza pero solo la parte baja donde se une con la nuca y los dolores bajan hasta la espalda,mi trabajo es escribir 8 horas al día 6 días a la semana, nadie hasta ahora me da una respuesta de lo que me pasa.

Alas, Gloria, I understand no Spanish, or is this Portuguese.

Ignoramus

May 14, 2012
I have the same problem
by: Anonymous

help i have the same issue.

Cervical stenosis is an uncommon condition that may affect the spinal cord.

An important clinical sign concerns the reflexes in the arm. Decreased (a local neck condition), increased (a more serious condition that could be in the spinal cord, like Motor Neuron disease), or unaffected. In this instance various neurological conditions like Parkinsons should be considered.

Frankly, this is advance neurology requiring careful analysis, and more advanced tests than can be expected of the average chiropractor. See a neurologist. If you have no joy, then look for an experienced chiropractor in your neighbourhood.

Dr B

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Full Body Spasms

by William
(Lewiston, Idaho USA)

Shortly after my wife went to the Chiropractor she has been having full body spasms. Sometimes so violent that she can't even breathe. The chiropractor said her 5th rib was out and popped it back into place. She kept telling my wife to relax and she said she was trying but couldn't. Shen then got cracked and was fine until shortly after. (around a few days don't remember how long).

She started having spasms in her diaphram/middle back then it progressed to arms and legs then the entire body.


Her friend's friend had the same thing happen to her. She went to a chiroprator got popped and shortly after had the same thing. After many many doctor visits it turns out that the ligaments at the base of her skull were broke. So her body constantly spasmed to try to tighten up that area of her neck. She had to have surgery and plates put in before the spasms subsided. We have not yet had a diagnosis but it seems so far that her symptoms match exacly what this lady had went through.

What can she do to restore the ligaments in her neck at the base of her skull? What do you recommend?


Thank you for your time.

Hello William,
For me to comment and add my pennyworth, we need to go back to the beginning.

For what reason did your wife consult her chiropractor. What were the symptoms, how long had she had them, and was it the first consult with this person.

Did you wife feel that the chiropractor took a good history, and was there a reasonable examination?

Then with the regard the treatment, the rib I take it was adjusted, but anything else? Her lower back? Her neck?

The fact that the symptoms started several days after the manipulation suggests to me that they are independent. Iatrogenic illness - doctor-caused disease - pertains to chiropractic too, but when stuff goes wrong with chiropractic, it goes wrong very quickly. Usually within minutes or hours. Several days? I doubt.

What I suspect is that the diaphragm pain perhaps had nothing to do with the rib, that there is some other process going on... but that's pure speculation.

The big question is whether there are neurological signs. Are the reflexes increased? If so, a neurological consult should be TODAY.

A subluxated rib can cause extreme discomfort, and affect breathing, sharp pain in the midback. If the chiropractor had cracked a rib, can happen, I have cracked six over a career of 31 years, the pain would be immediate. Likewise, if the manipulation aggravated the rib subluxation, that can also happen, the pain would be immediate.

More lookly, either your wife sneezed, if it was several days later, or there is something totally other going on.

If you have/had faith in this chiropractor, seen him/her for years, then I'd go back to him, not for treatment, but an examination and advice. Where do we go from here?

If it's your first visit to this person, and you have good experience with chiropractic, then go to another chiropractor with a good reputation,and ask them to examine your wife, and advise where to go.

If you've had no previous experience with chiropractic, this is an unfortunate beginning, then I'd go to your GP. Explain the whole story, and let him/her examine those reflexes...

Let me know the answers to the questions above.

I hope this has contributed.

Dr B

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pain in neck/weakness in left arm

by Dawn O
(Palatka, Florida)

I am a 46 year old female. I have had carpal tunnel syndrome for 27 years and have not had surgery or injections. I broke my left arm in 2003 and developed necrosis of the lunate bone and was casted for a total of five months which resulted in an ulnar nerve problem which left me unable to extend my pinkie and ring finger and later was diagnosed with RSD due to that injury. I have a fusion of C4 and C5 from birth. I was in a 4 wheeler accident approximately 6 months ago and was thrown on my back causing my head to slam backwards. My neck was a little stiff but nothing severe. Since then I have had pain in my neck which is worse when sitting in car or recliner and laying down. I also have weakness (more than the usual associated with RSD)and a tiredness in my left arm which radiates from my neck down the back of my shoulder and down my arm. Also, occasionally my left leg feels weak along with a left intestinal jittery feeling. I was also diagnosed with tennis elbow in both arms several years ago. My shoulders, arms and hands have hurt for several years and strangely the middle finger knuckles on both hands. I have been to orthopedic doctors who only want to do injections and surgery. I did go to the emergency walk in clinic after my accident just to make sure I didn't have a head injury but have not been to doctor about other newer symptoms because I don't have much faith in them as they only want to treat my symptoms by putting me on pain meds and anti infammatory drugs. I have a slightly elevated platelet count due to inflammation and have been tested for rhematoid arthritis which was negative. Do you think chiropractic intervention would help me? As the Garth Brooks song goes...."I'm much too young to feel this dang old!"

Hello Dawn,
Thank you for your interesting, and nicely written letter, more than I can say for many of your fellow countrymen!
There is plenty of research now confirming that many of the conditions in the arms, like CTS and even tennis elbow have their origin in the lower neck and brachial plexus. It's no coincidence that you have "block" vertebrae (I presume) and all these arm problems.
Made worse obviously by your injuries.
Some chiropractors only address the spine, and there you may find that the treatment helps, but is limited. In my opinion, you need to find a chiropractor who works with extremities, who will mobilise your wrist and elbow, stretch out the median nerve and the Pronator teres muscle in the forearm, as well as give you exercises for the arms as well as adjust your neck.

Do some homework. Talk to friends and family, your doctor perhaps, and see if you can find such a chiro in your neck of the woods. Take your X-rays with you. I'm sure your problems can be helped, though a cure I suspect unlikely.

I hope this has contributed.

Dr B

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Right wrist, thumb, bicep & neck pain

by Paul
(Scotland)

Hi,

5 years ago I fell a sleep on a long haul flight with my neck bent forwards and when I woke up I had a deep burning sensation down my right arm,really stiff wrist, and very deep neck pain which I think is around the scalene muscles. After many visits to various health professionals and 2 MRI s, shoulder surgery i am without a diagnosis and i am still suffering but now the burning pain has spread to my left arm as well - the pain is not there all the time, but is intermittent throughout the day. I don't know what to do next as it is affecting everything I do!

Okay, Paul, some questions:
* Does moving your shoulder hurt? Where?
* Does turning your head, particularly right rotation and then simulaneously looking up cause pain. In your neck? Shoulder? Hand?
* Does the Upper limb tension test hurt? use the search this site function at C-H
* Are there any neurological signs? Reflexes, skin sensation, muscle strength?
* Have you seen your local chiropractor?
* Does placing your hand on your head, increase, decrease, make no difference to the symptoms in your arm?
* Has anyone examined your first rib? do you have a cervical rib?

As you can see, i simply don't have enough info to make a valuable contribution. Let me know.

Dr B

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"asleep" feeling in parts of right arm and hand

by Angela
(Texas)


For the past 5 days I have noticed this incredibly annoying numbness/burning/asleep feeling in the under part of my right arm through the middle, ring and pinkie finger. It feels so restless as though I can't help but move it, thinking that if I get blood going it will feel better. I've never had anything like this before and of course it scares the poo out of me. I'm 25 year old healthy female. What sort of doctor do I consult if needed??

A little test, Angela. Does raising your arm, as in hanging the washing, or placing your hand on head, increase or relieve the tingling? The so-called Shoulder Adduction Relief sign.

The fact that the tingling is in the middle finger as well as the pinkie and ring finger suggests this could be a "Thoracic Outlet Syndrome" caused primarily by a first rib fixation. There are other causes. Adson's test is the definitive examination.

Why not see an experienced chiropractor? This is bread and butter for us. A cervical rib needs to be considered too and, if you're a smoker, an apex of the lung condition.

Let me know...

Dr B

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Tingling and feeling faint

by Wanda
(Illinois)

Can a pinched nerve make you feel like you want to faint? I'm a nursing student sleeping many nights upright falling asleep with my head down and to the side.

I was diagnosed with a herniated disc c5-c6. It felt like something snapped at the base of my neck, my right foot leg and arm began to tingle, then an odd feeling gradually creeped up the back of my neck and stopped at the top of my head(if I drew a line from one ear to the other across the top of my head. I thought I was having a stroke.

After ct, echo, doppler of neck, blood work and the extensive workup. Nothing. A month later I had the same feeling like some sensation caused the hair on my arms to stand up, my heart rate, respirations, b/p elevated and I felt like I was about to pass out. I never did but that feeling was scary.

I had another ct scan, blood test, chest x-ray, again nothing. I stretched 3 days ago and viola' I was at emergency again. Is it more than c5-c6 could other nerves be pinced or aggravated as well? During these episodes, as they resolve, I have the urge to use the bathroom (bm) and it seems I feel better the more I go. Please give me your insight. Have you heard such a thing?

Hello Wanda,
Firstly, sleeping upright is an absolute NO=NO for even those with a good neck. For you a disaster, avoid at all costs.

Do any movements of your head and neck ever make you dizzy or nauseous? Looking up and turning to the side?

Ask a doctor to take your BP lying down and then standing. Does it drop alarmingly?

Are you eating properly? A glucose tolerance test might contribute.

Anxiety attacks? I presume anaemia has been ruled out.

There are many possibilities obviously. What's good is that Medical science has excluded the nasties.

Go back to basics: sleep correctly, eat properly, get plenty of exercise, and perhaps see a local chiro.

I hope this has contributed.

Dr b

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Pain in left arm, swelling and numbness and loss of feeling in fingures, can't feel hot or cold temperatures

by Joyce
( New Brunswick, Canada)

Greeting

This problem my 27 year old daughter has. She lives in Halifax Nova Scotia.

My daughter had an accident when she was 9 years old. She was hit by a 5 ton truck which knocked her down. We believe the lisence plate cut her arm as she fell. Her arm was cut from the wrist up mid way between the elbow and the shoulder. You could see the tendions in her arm. Nothing was broken. After skin grafts and physio she had 95% mobility. She has thick scar tissue. Over the years the condition changed.

Now at 27, pain, swelling, and numbness have at times become almost unbearable. She works in a Daycare, needing to lift children, help with hand motor skills, and a lot of repedative tasks, like buttons, shoe laces, mittens on small hands.

My daughter has been to a nerve Doctor, who said after doing the electro tests it was not her nerves in her arm. She then had a MRI on her arm and that showed nothing. This week she went to her family doctor again and really argued with him to send her to some other specailist, yet the Doctor said no. Said he doesn't know who to send her to. She is major fustrated. It is not just in her mind. Help.

Living as she does in Halifax,Nova Scotia, with the best of Doctors and Hospitals, should be a good place to be. Apparently NOT. Please help us.

Sincerely

Joyce

Dear Joyce,
I feel for your daughter, she's in a hard place, but she's quite right in insisting that her doctor pursues this.

Hard from a distance but it seems to me there may be two distinct conditions here. That loss of ability to distinguish between hot and cold points not to a problem in the arm, but in the spinal cord. The spino thalamic tracts carry this information to brain. In my humble opinion, the MRI should have been done of her neck rather than her arm.

But that doesn't explain the swelling in the arm. I would first be looking for an obstruction in the inter scalene triangle (type this into the Search this site function at C-H) of the subclavian vein which actually normally passes outside of the triangle. A cervical rib is a possibility.

Somewhere, something is happening, just the doctors haven't found what. Urge her to continue the process. I suspect it's a "medical" problem. Even a clot in the arm. I would be inclined to ask to see a vascular surgeon next and ask for an MRI of her neck. Causalgia another possibility.

Just a few thoughts, I hope they contribute. Let us know in a couple months what transpires.

Kind regards,

Dr B

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Mar 12, 2012
best wishes
by: Anonymous

You are very welcome.

Mar 12, 2012
Pain in left arm, swelling and numbness and loss of feeling in fingures, can't feel hot or cold temperatures
by: Joyce

Thank you so much for this information.

Mar 11, 2012
Not trying to Dx but hope this helps
by: Anonymous

Hello I just recently had a car wreck and had the roughest 7 weeks of my life. I would have "mini stroke symptoms" and ER doctors only found nothing. My chiro who was helping me with stretches since I could barely move when I came to him saved my life and through the grace of God can I write this. My left arm started going numb about a week and a half after my accident then it started getting cold and swelling. When I lifted my arm it was even worse I had lost complete use. I even lost the pulse in my arm. Thoracic outlet syndrome can be life threatening. You need to have her seek immediate attention. It can develop at anytime. You need to schedule with a neurologist immediately. This is only a tid bit of information but I'm lucky to have full cognition to write this for you. Goodluck I hope this helps.

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Both my Pinkys go crazy

by Jason
(Menifee, CA)

Thoracic outlet syndrome

Thoracic outlet syndrome

When I put my head back all the way my pinkies cramp up and go crazy. What gives?

Extension of the neck closes down the foramena where the nerves escape from the spine on the way to your arm. The solution is not to put your head all the way back!

Seriously, do you also have neck pain and discomfort? Then it's time for a careful and thorough examiation by your local chiropractor.

It could also be a problem with the first rib - two muscles called the scalenes get tight, pinching the nerve bundles on the way to the arm. It's called Thoracic Outlet syndrome.

I hope this contributes.

Dr B

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Tingling in legs and arms

by Meghan B
(Philadelphia PA)

Tingling in legs and arms

About 6 months ago, I began to notice tingling in my hands. Over the next few weeks, it spread up the arm and began in my legs and feet. It has worsened since then, and has become painful at times. It is a fairly constant feeling at this point that is beginning to affect some motor skills.

I saw a neurologist shortly after this happened. She did a blood test, MRI, EKG, etc... she said I tested negative for Lymes disease, said she saw no sign of MS, B12 levels were fine. She suggested it might be neuropathy and offered Gabopentin to mask the symptoms.

I am a 31 year old female who is otherwise very healthy. Im getting more concerned as the symptoms have worsened. Any suggestions? I was considering a second opinion.
Thank you!

Hello Meghan,
I suspect your neurologist is right. A neuropathy. I presume diabetes has been ruled out.
You haven't been on a diet high in carbs and low in fat by any chance?

I have only two suggestions, and they are good to do anyway, but whether they will help the tingling in legs and arms or not is uncertain.

Nerves are coated in a fatty sheath that is made primarily up of oleic acid. Without a healthy coating, conduction is disturbed. I would change to olive oil benefits ...

Secondly I would make sure that you have no trans fats in your diets. They are produced when fat is hydrogenated, and are in many processed foods. Read labels. hydrogenated foods ...

Thirdly I look to raising the omega-3 in your diet. Safflower oil remains controversial, the experts remain divided. Safer would be fatty fish and freshly ground flax seed nutrition information ...

And lastly make sure your diet is rich in the B complex vitamins. Mostly in green leafy vegetables and whole grains. Generalised muscle weakness ...

Meantime, prick your legs and arms and see if there is any change in the sensitivity of the skin. Compare sides. Look for specific weakness: can you open bottles normally, stand on your toes, heel, on one leg... try to define as precisely as you can what skills are being affected. Any tremor, clumsiness?

Was the MRI of your brain? Neck? Lower back?

There are fairly rare conditions like Chiari malformations that produce bizarre symptoms, they would have been seen on an MRI of the brain.

I think you are right to pursue this, Meghan seeing it's getting worse and affecting your motor skills. Try and document your symptoms and signs as accurately as possible. There are so many possibilities, and it's often from an accurate history that diagnosis is made.

In short, when you have unusual symptoms, go back to basics. When did you last have a holiday? Are you exercising? Typical fast food diet? Getting plenty of fruit and veg, salads? Yes, I'm encouraging you to become something of a health nut. Crack you own pecans, eat fatty fish, ...


Find a good chiropractor may be your next stop, but until a diagnosis is made, I'm not sure of that.

Take time out to read a good book. Now the sales pitch! Enjoy a good book? For only 99c you can enjoy my fourth book. At this link you can see if you fit into target audience A FAMILY AFFAIR … a romantic and intimate yarn with a twist.

Dr B



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Pins and needles in thumb/index finger

by Gary
(UK)

C6 dermatome- index finger AND thumb

C6 dermatome- index finger AND thumb

I have been experiencing sporadic pins and needles/tingling in the thumb and sometimes index finger of my right hand for the past few weeks although it has become much more common over the past week.

The tingling usually starts in the thumb before sometimes spreading to the index finger and down the thumb towards the wrist. Shaking my arm about or moving my hand about usually stops the tingling; if the tingling persists the end of my thumb often becomes numb.

Most of the time the pins and needles occur when i am NOT using my hands/wrists/fingers. I had originally blamed spending too much time at the computer but the times when i have tingling is usually when my hand is off the mouse/keyboard and resting on my lap rather than when i am actually using the mouse/keyboard.

Sitting with my hands on my lap/legs often causes the tingling to start- the last couple of times i have been a passenger in a car the tingling seems to start every couple of mintues and it is difficult to find a position that doesn't cause the tingling to keep coming back.

Lying face down on a bed to read with weight on my forearms will rapidly cause tingling in right thumb/finger.

Using a video game controller tends to periodically trigger tingling. However, I know video gaming isn't the cause as I hadn't played video games for at least two months before the problem started and I have only started to play in the last couple of days. The normal position I am in for gaming- sitting with arms down at approx right angles, forearms on/slightly above upper legs with hands on or above lap -is more or less the same position that causes tingling when i am in a chair, in the car etc so i suspect this is the cause of the tingling rather than the use of thumbs or fingers.

Activites in the last couple of days involving the use of my wrists/fingers- gardening, hedge trimming, mowing, coarse fishing, throwing ball- do NOT appear to trigger pins and needles unless I happen to find myself in one of the aforementioend positions. 99% of the time the pins and needles only seem to occur when i am sitting down, with arms at right angles or slightly lower and with forearm/elbow/wrist or hand resting on something.

I have no tingling when i go to bed at night (i sleep on my back) and there is no tingling when i wake up in the morning.

I'd be grateful for any advice- thanks.

Thank you Gary for a very thoughtful and well described situation.

Two big questions: Does placing your hand on your head relieve the symptoms when they start? And secondly do you have any neck pain, and do movements of your neck relieve or aggravate the tingling?

The thumb and index belong very specifically to the C6 dermatome which suggests this is coming from your neck. Look up the "upper limb tension test" at C-H (use the Search this site function) and let me know what happens.

Do some pressups: is there weakness in the triceps? Using a pin, is there actual numbness? Sometimes more sensitive.

This is a fairly classic case for a chiropractor. Look for someone in your neck of the woods.

Dr B

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Tingling in R/L Hand and R arm after shoulder surgery

by Charlotte Bates
(Sebring, FL)

Tingling in R/L Hand and R arm after shoulder surgery

On January 30, 2012 i had a reverse right shoulder replacement surgery. I have edema in the arm and hand, i have had over 10 weeks of therapy but i still have the edema in the last 2 months i have this tingling sensation in the right hand.

Prior to this surgery i did not have this tingling sensation on the right side, i also have some tingling in the left hand, i do some exercise in the pool how ever the doctor does not want me to raise my arm any higher then my shoulder which i really can not do! I have some strength but not enough to scrub my head (if you understand what i mean here)

I also have a tremor in the right hand on medication (Propranolol 120mg 1 a day) This medicine does help but it really does not take it away ( i still have the trembling ). I would appreciate any suggestions.

Charlotte

Hello Charlotte,
I wish I could make some sensible suggestions but it's very difficult in the circumstances. I think it best you address these questions to the surgeon.

Ask him if you can do the "Frozen shoulder exercises" that we advocate at Chiropractic Help.

Sorry not to be more helpful.

Dr B

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post 1st rib resection and subsequent nerve damage

by Daniel Scott
(southampton, England)

Inter scalene triangle (note where the 'vein' passes

Inter scalene triangle (note where the 'vein' passes

Inter scalene triangle (note where the 'vein' passes
TOS and the subclavian

I was diagnosed with thoracic outlet syndrome 15 months ago, after a clot formed in may right shoulder. Through a stent and blood thinners the clot ws removed.

However after an iodine scan of my subclavian vein flow of both my shoulders serious constriction was noted and 1st rib resection essential. Right 1st rib (my main hand) resection was successfull with initially only minor damage to brachial nerves noticed as a freezing and numb sensation in the little finger. Recovered from the operation and nerve sensations very well through my work of landscape design and construction.

Changes and improvemans to the posture of my right side were fairly immediate more relaxed further back and level.

1st rib resection of my left shoulder (2 months ago)has squared up my shoulders but has increased the strain on my neck. mid and lower back. Nerve damage sustained due to the operation has serverely effected the first three fingers (left hand presumably?) with hyper sensitivity, signs of muscle wasteage around the base of the thumb and forearm is apparent. Overall I have ailments from the finger tips through the wrist up my arm, within my elbow and shoulder down the spine,at the base of my back through my left hip joint and in the back of the knee.

Often getting cramps in the calf muscle, leaving my foot some what light. I do strongly believe that change has occured to the overall alignment of my shoulders and therefore my posture. I am regaining co-ordination and normal sensation within my fingers against the clawing effect of hypersensitiviy, and progress with the thumb and index finger is slow.

As the sensitivity of main areas improves so to does movement and therefore am feeling a variety of stresses and strains along of my spine. Am being guided somewhat by a physiotherapist for generall manipulation of the hand/arm and shoulder. I have also had some acupunture. Both these have aided in my recovery but i feel there is a missing link that could greatly enhance my recovery and am interested in any thoughts you may have.

Hello Daniel,
Do you by any chance have the X-rays of your neck? Or access to the X-rays. If they are digital, then you can save them to the desktop, and then add to this link. Or photograph them, and post the digital photograph.

The effect on your thumb and index finger raises the question of whether this could also be a cervical spine problem, especially as you feel it affecting your leg.

Would you describe the symptoms leading to the diagnosis of the clot in your right shoulder please. Did your right arm swell? Change of colour?

Is your cholesterol raised, and are you a smoker?

It's most unfortunate that the right resection was successful, but the left has left you so disabled.

I would love to have had the opportunity to examine you before the operations, but at this point in time, certainly until everything has healed, I doubt chiropractic could contribute much to your condition. And even then with the greatest circumspection.

It's interesting you say the subclavian "vein" as the vein doesn't usually pass through the inter scalene triangle, the true thoracic outlet. Do you know if the artery was affected? Did anyone do a test (Adson's) where the pulse in the wrist was tested whilst you turned your head, looked up and took in a deep breath?

With the clot having formed, yours is really a 'medical' problem, Daniel, though I'm intrigued as I treat Thoracic Outlet Syndrome almost on a daily basis, but never affecting the vein as it passes usually outside of the inter scalene triangle.

I would only consult a very experienced, careful and thorough chiropractor, in consultation with your surgeon. I'm uncertain whether chiropractic has much to offer in your case.

I hope this contributes.

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Tingling, pain in hands and arms

Pronator teres

Pronator teres

My problem started as numbness only in 3rd and 4th fingers on left hand. It was very noticeable upon waking and subsided throughout the day. It now occurs in both hands and mild ache is noticed in wrist at base of thumb and also elbows. Any sort of weight training seems to make the condition worse. I have been seeing a chiropractor regularly and actually was concerned that it may have caused these problems, I'm not sure if that makes sense.

Thank you for any help!

Hello,
Iatrogenic disease is "doctor-caused" illness. It's not impossible, but unlikely that manipulation of your neck caused the problem.

If you feel fairly sure that is the case, you have several options. The best, if you trust him/her overall, is to discuss your feelings in a mature, adult way. Not with accusation or malice, but "could the manipulation have caused this problem...?" and come to some conclusion.

A "cervical break" technique on the side of the pain may sometimes cause this tingling. A change of technique is usually called for.

However, the third and fourth fingers do not belong to a specific nerve root, but are a part of the median nerve distribution. The nerve can be entrapped between the branches of the Pronator Teres muscle in the forearm. It's usually also associated with a fixation in the neck, or first rib. Any of these syndromes would be aggravated by weight training. Lay off for a bit, do more stretching.

Your next option is to go on with treatment, but simply to ask him not to manipulate your neck, or at least not in the way s/he was doing. And to carefully examine the wrist and muscles of the forearm, and the first rib.

The third is to go to a different chiropractor, or a different profession.

Whatever, if you have any symptoms in the neck, an X-ray would be advisable. A nerve condution test may contribute. So would the "Upper Limb Tension Test". Use the Search function at C-H.

I hope all this makes some sense.

Dr B

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Tingling in forearms and toes

by YASHWANTH
(HYDERABAD)

I am suffering this problem of tingling in forearms and toes whenever I fold any of them . from past six months this is suffering me . I consulted neurologist he checked and with a test and verified as nothing.

I AM SCARED. PLS HELP ME OUT

Hello Yashwanth,
Don't be scared of the future. Most of the bad things we are terrified of never actually occur. Rather live each day for itself. One day there will be bad news about our health, but there's no point dwelling on it now!

It's good that the neurologist found nothing. Believe him, he's probably right.

I would start exercising more regularly, and perhaps ask for a couple of B12 injections. They sting!

How is your cholesterol? If it's raised, then you must change your diet. It could be that your arteries are clogged. Smoker?

Get a bicycle.

Dr B

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chest & shoulder pain accompanied w shortness of breath Thoracic Outlet Syndrome

by Tammy
(Panama City, FL)

Thoracic Outlet syndrome

i was in a bad car accident back in 1997. the car rolled four times and i broke my left collar bone. now i am 31 years old and have thoracic outlet syndrome, no insurance and i am in severe pain daily.

a new symptom has started & lasted atleast a year. I cannot breath. Shortness of breath almost daily. It is accompanied by chest pain shoulder pain numbness and tingling in my left arm.

sometimes my head hurts as well. I am scared that i might mistake this for my TOS and it be my heart in stead. Is Shortness of breath a symptom of TOS or should i try to get help? I have no insurance so it is difficult. The only relief i can get is with the heating pad. But the breathing doesnt improve.

I had someone mention that a nerve that is with the diaphragm is associated with the thoracic nerve bundle could be causing the shortness of breath when it gets inflammed. Is this correct?

Hello Tammy,
I don't have any insurance either. Instead, the vast amount that both you and I are saving by having no insurance premiums should be spent on private health care. So don't begrudge going to see your local chiropractor.

No, shortness of breath is not normally associated with TOS, but it can be. But it's uncommon.

When you say "shortness of breath", do you mean it hurts to take in a deep breath? Where? This could be a chiropractic problem. In fact, TOS in my opinion is best treated by chiropractic - I see it every day in the clinic.

Or do you mean you seem to be short of oxygen? You say nothing about your general health. Smoker? Obese? Blood pressure? Asthma?

Use the Search this site facillity at C-H to look up Tietzes syndrome.

The Phrenic nerve runs down through the neck to the diaphragm, and I suppose could affect your breathing. I can't say it's a problem I encounter in the clinic, but in theory, yes, it could be part of the problem. More likely the injury has affected your rib cage, the costo-sternal and costo-spinal joints and the first rib, collarbone and scalene muscles. Bread and butter for a chiropractor, this is what we deal with all day long.

Prioritise your cash, less for trivia, and spend it rather on your health. This is obviously making you miserable.

Dr B

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Tingling and Numbness in Tip of Right Middle Finger (Finger Pad Area)

by Maria
(CT)

Tingling and Numbness in Tip of Right Middle Finger (Finger Pad Area)

Hi - I was doing some laundry yesterday when the tip (finger pad) of my right middle finger went numb and turned white. Came on out of nowhere, lasted about 10 minutes and then went away as quickly as it came on. I'm healthy and have never had this happen before. I do seem to have some muscle tightness in my right shoulder / shoulderblade area. Could this be connected? Should I be concerned?

Hello Maria,
What an interesting email address! Making a statement?
Well, yes, there is reason for concern if this happens again. The reason for the turning white is probably a lack of blood for a short period, and Reynard's syndrome should be considered. Is it cold in Cape Town? It's certainly more of a problem in the winter months.
I don't know of any research suggesting that Chiropractic could help Reynards, but then no medical treatment either that I know of.
If it happens again, I'd see your medical doctor. The problem is that s/he needs to see it happen. Perhaps take some digi photographs.
If you have no joy, see a local chiropractor. It's a condition that I encountered frequemtly in Europe but never in warmer climes. So... I'm not sure.
The middle finger is supplied by the C7 dermatome. Any pain at the base of your neck?

I hope this contributes.

Dr B

PS: It's nice to get a letter from someone who can write in decent English!

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Pain and Tingling in arms and hands

by Kelly
(Miami FL)

Thoracic outlet

Thoracic outlet

Thoracic outlet
Cervical rib?

Pain and Tingling in arms and hands

I tend to deal with health anxiety so when I have tingling in my arms and hands I tend to diagnose myself with serious diseases. I have had a brain MRI to rule out MS for other reasons as well.

My symptoms in my arms and hands have worsened over the last month or so. I was diagnosed with Thoracic Outlet Syndrome about two years ago but my symptoms seem to be worsening and on both sides of my body. My hands hurt when I make a fist, my arms have shooting pains and tingle and go numb very easily.

I also have a strange symptom of my face buzzing when I am being very still. I have read this can be due to anxiety but maybe it is a nerve issue?

I have very slight scoliosis and have been told one of my legs is slightly shorter than the other. My structure is off in my back where you can see that the shoulder blades are not even as well.

Any input is welcome. Aside from these symptoms I am a 33 year old healthy woman not on any medications

Hello Kelly,
Your symptoms are very typical of a problem in the thoracic outlet, in your case bilateral, so a question of cervical ribs. Read the X-ray report.

Thoracic Outlet Syndrome can occasionally be difficult, but mostly it's caused by a fixation of the first rib, and responds well to chiropractic treatment. Look up Adsons test in the Search this site function at C-H. Do you remember if anyone did this test on you? The pulse in your arm diminishes when you turn your head and simulaneously look up and take in a breath.

Time to visit a chiropractor, methinks. If medicine hasn't come up with anything in two years, then don't you think a venture into complementary care is a possibility? Type Finding a good chiropractor into the Search this site function at C-h.

If you're still reluctant, you can always go for an examination only, no treatment, and then you go home and think about it.

Dr B

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Pain numbness & tingling in arms and hands

by Lori M.
(Virginia)

Pain numbness & tingling in arms and hands

Hi, I have been having problems with my arms and hands for awhile. I began feeling it while I was doing things in the kitchen, like grating cheese - my upper arm would hurt so much, I would have to stop. I thought it was just from lack of strength. Then, when I would try to grip things like a tomato to slice it, or a potato to peel it, my hand would hurt and be hard to open it back up.

Over time the pain has become more constant all the way down my arm. I choose to type things over writing because gripping a pen to write more than a couple of sentences is quite painful.

I do also have problems with my shoulders. They hurt all of the time. I've always thought it was just from "stress knots". I have had several massages and that does help my shoulders to feel better, but by the time I can drive home they feel just like they did before.

I do have stress, but not to the severity of these "stress knots", so I just keep wondering why am I having such stress knots in my shoulders?

Every now and then I do have an extreme shooting pain from my shoulder up into my neck. It is so painful, it catches my breath. I have a high tolerance for pain, but the constant ache that has become is quite unnerving.

It was not until I found your website, that I realized there may be something wrong with my spine that is causing these problems.

Dear Lori,
Thank you for a beautifully written letter. Compared to the nasty cryptic smartphone notes of some...

Yes, something is going on, and there may be different things.

Let's start with difficulty opening your hand. That points to a problem with the hyaline cartilage in the joints in your fingers, and would naturally be in shoulders and neck too.

The ratio of omega-6 (seed oils) to omega-3 (fish oil and flax seed oil) is vital. In our typical Western diet the ratio of 6/3 is far too high. Read more at Anti inflammatory omega 3 …

Safflower oil is controversial. It's high in omega-3 but there are some downsides, the jury isn't out...

It doesn't sound like rheumatoid arthritis, then the middle knuckle in the fingers become swollen. Still a simple blood test would rule that out.

Secondly, the body is made to move. How much exercise are you getting. Sit behind a computer all day? Recipe for neck, shoulder and arm pain. These simple Stiff neck exercises for neck pain done regularly would be beneficial.

Whilst it doesn't sound like a frozen shoulder either, the gentle shoulder exercises at Frozen shoulder causes and Chiropractic treatment would be very helpful.

Start with the simple things. Check your diet, not easy to change I know, and get in motion, not easy either in our overly busy world. But... exercise or ache, take your pick, is the old adage.

Shoulder pain is a great misery in our society today, and there are many causes. Read more about shoulder pain.

One of those causes could be subluxations in your neck that are affecting the nerve supply to your shoulders arms and hands.

Once you've made a big effort to increase the omega-3 in your diet, decrease the omega-6 and got in motion... if it's not helping, then Find a good chiropractor is your next stop.


Go from Pain numbness & tingling in arms and hands to other Chiropractic Conditions often treated…

Now the sales pitch! Enjoy a good book? For only 99c you can enjoy my fourth book. At this link you can see if you fit into target audience A FAMILY AFFAIR … a romantic and intimate yarn with a twist.

Dr B

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Began with EXTREME pain and stiffness in neck and led to pain and stiffness in hands, wrist, and fingers, that led to tingling fingers, forearm, and hand

by Vanessa
(Torrington,CT USA)

EXTREME pain and stiffness in neck

Hello. Two days ago, I randomly started feeling an INTESNSE pain in my neck and stiffness. It was so bad that I could not move my neck at all. It was mostly when I tried to turn my head to the left, right, or down. I was cashiering at the time, and even putting the items in the cart was an almost impossible task.

I took anti-imflammatories that night, and put icy hot on my neck, but that didn't help me not being able to move my neck. I felt like I was wearing a neck brace because I couldn't move it at all. I had to turn my whole body to look around.

Later that night, I also tried putting ice on the back of my neck, and it sort of helped. Not really. Trying to sleep was difficult since I sleep on my stomach with my head turned to the side.

I woke up in the exact same pain i was in the previous day. I couldn't move it again. But throughout the day, it got better and better, not all the way though. Then that night, I started feeling extreme pain and stiffness in my hands, fingers, and wrists.

I tried to ice it last night but didn't work. So now as we speak, my fingers, hands, and forearms are tingling and have a numb sensation. This just started about an hour ago. I have no idea what's wrong with me. I have no insurance and only work as a cashier, so I can't even pay to go see a doctor. Please help!

Hello Vanessa,
There is a habit, a very bad habit you have to break, and now is the time. Last night was the last night you will ever sleep on your tum again. It will take you about ten days of gnashing your teeth, not being able to sleep properly, and then you will able to sleep normally again, on your side with one soft pillow, down best, and hopefully not get this condition again.

During the night, with normal physiology, fluid seeps into the discs bringing fresh oxygen and nutrients for the cartilage. You literally get taller. Then during the day, with gravity pressing down, that fluid gets squeezed out, carrying waste products with it.

When you sleep on your tum, the pressure in the discs is much greater, and disturbs that normal nutrition of the neck. You'll get arthritis. And pain, lots of it.

In the short term, use the ice as you've been doing, try to keep moving, but if that pain in your neck doesn't decrease within a week, and particularly the pain in your arms, you will need to see a chiropractor. It's a serious problem, very painful, so take it seriously, and remember that if this pain stays for six months, research indicates you'll have it for the rest of your life.

Having a friend stand behind you, lying on your back, with one hand under your skull, the other under your chin, and gently tractioning your neck may help. It needs to be done right... done wrong it can make matters worse.

September is when college begins. Start planning what you're going to study, so you can do something more interesting with your life than being a cashier!

Frankly I think you're going to need to see a chiropractor. Start looking for someone in the neighbour who is recommended by friends and family.

Dr B

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pins and needles and cramps in fingers on right hand. during sleep and when driving or typing etc.

by sharon
(johannesburg)

CTS

CTS

CTS
Pronator teres

Good Morning

I have been experiencing horrible cramps and pins and needles in my right hand lately.

The pain is so bad that it wakes me up a couple of times a day. It does not seem to make a diff what position I sleep in.

The cramps are quite painful, but the 3 middle fingers especially get very numb.

This also occurs while driving, and while typing etc.

I was told many years ago that I have long , loose tendons in the joints of my fingers which are often sore. They feel like an arthritis pain, and burn when cold,and my hands are painful especially at the joints.

This cramping happened about a year ago, and eventually went away, but now its back more frequently and is lasting for longer periods of time.

Can you help at all?

Many Thanks
Sharon

Hello Sharon,
Firstly, Carpal tunnel syndrome NEVER affects the pinkie, but usually also affects the thumb. Is there any swelling of the hand?

Secondly, does raising your arm and placing it on your head increase the tingling (a Thoracic Outlet syndrome), or relieve the tingling (a spinal facet or disc syndrome)?

Is there a very tender spot high in your forearm (front)? The Median nerve passes between two bellies of the pronator teres muscle, often implicated in these lower arm pain syndromes.

In short, go to your local chiropractor for a thorough examination. There's a list at C-H under "South Africa" in the Navigation bar.

These terms can be explained by using the Search this Site function at C-H.

Take omega-3 oil (fish oil or flax seed oil) for the painful joints in your hand.

I hope this has contributed. Come back to me, if you have more queries.

Dr B

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Tingling/weakness in top of forearm into my thumb and index/middle finger

by Shawn Weiske
(Boston, MA)



For the past two weeks I have had a tingling sensation that is most prevalent on the top of both of my forearms (kind of between those two muscles in my forearm) that radiates down to my thumb and to a lesser extent my index and middle fingers. My right side is worse than my left. Laying down seems to make it worse while stretching my back, taking Advil, and using a heating pad tends to alleviate the tingling.

My forearms get tired easily. I was recently at the doctor's office for an unrelated issue and my blood pressure is fine. I don;t have diabetes or any other chronic condition (at least to my knowledge). I work out regularly but didn't noticeably injure myself recently. Any thoughts? Thanks in advance.

Hello Shawn,
I take it you pump iron, or do some sort of exercise regimen. The nerve pattern you describe belongs to the Median nerve and I would be thinking about an entrapment where the nerve travels between the two bellies of the Pronator Teres muscle in the forearm.

But it could be your neck, a first rib condition and even in the carpal tunnel.

Lighten up on your gym programme for a couple weeks, and you might be lucky. If it's still sore in two weeks, look for a chiropractor with a FICS sports chiro qualification.

Dr B

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Hand arm and toes

Help I'm 52 but I feel like 90. I have had an op to remove some bone spurs in my foot, this op did not work and I can not bend my foot. On the right foot my toes go numb and I have to keep moving to get feeling back.

Also my right hand is swollen and I get acute stabbing pains on my arm . then pain in my upper arm,shoulder. could it be my neck?

I feel I'll I get chills nobody understands I have had this body for 52yrs and it's not right.

I forgot to mention that on my right Hanson the left corner it's red gets swollen and becomes painful.HELP.

Yes, you're right, it's not right! You have a lot of pain, but I'm afraid without an examination there are so many things that could be causing your pain.

Have you seen a chiropractor? Look for someone who specialises in the treatment of the extremities - feet, hands, shoulder.

I'm afraid ops to remove spurs in the feet rarely seem to be successful. Keep that foot moving or it will turn to concrete. Look for our alphabet exercises.

Swollen hand? You had better talk to your GP and get a diagnosis.

Back to basics. Exercise, eat healthy, plenty of fruit and veg. Get fatty fish for the omega 3 into your diet. If necessary get your weight into shape.

Dr B

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Sudden, numbness & severe tingling in entire right arm

by Hannah
(Missouri)

interscalene triangle

interscalene triangle

interscalene triangle
A cervical rib?
Adson's test for TOS

I am a 42 year old female. I had shoulder arthroscopy on my left shoulder approximately 6 weeks ago.

About 3 weeks after this surgery, I developed a sudden, severe and constant numbness and tingling in my entire RIGHT arm.

I do have a history of a mild herniated disc in C6-7 but I also had a mild stroke 7 months ago.

This arm pain has been going on with no relief and it is constant for about 3 weeks at this point.

I have a blood clotting disorder, Factor V Leiden and I am currently on Plavix.

I just can't decide if I should go see my doctor or wait and see if this resolves on its own.

Is this possibly an after effect of the stroke or even a new stroke? Or could it be more likely that it is from the herniated disc?

Hello Hannah,
This should be looked at in the context of your total health, obviously you have several issues.

One looks at these issues in terms of their seriousness. A new stroke, obviously is the most devastating, though perhaps the least likely cause of your arm pain. That must be first ruled out, and your medical doctor is the place to be.

Then secondly a clot in the arm is a very serious issue, though also relatively unlikely. Your medical doctor will address that.

Obviously any shoulder operation could have injured the brachial plexus, but that too is unlikely. It would have started sooner after the operation.

So where does that leave us. You haven't said anything about your general health. A stroke in your 40's is most unusual. Obese? Smoker?

You presumably know that the risk of heart attack and stroke is increased with the use of anti inflammatories and painkillers. That's why drugs like Vioxx and Bextra have been withdrawn. Says Dr Antmann: "These latest findings suggest that the concern (about NSAIDs and the increased risk of heart attack) may also extend to the risk of stroke," said Dr Elliott Antman, a professor of medicine at Harvard Medical School. "Limiting use of NSAIDS is nevertheless a good idea," said Antman, "and especially important for people with established heart disease or its risk factors, such as high blood pressure." (Chiropractic-Books.com)

I suspect with the hernia in the neck you've been taking plenty of NSAIDs, the usual medical treatment for neck pain, and with your added other risks, a side effect of medication must be high on the list of possibilities.

But this recent episode. Was the arthroscopy done with a general anaesthetic? They extend the neck to keep the airway open, and with your existing cervical spine issues, that to my mind is highly likely to be the cause of your arm pain. But that too I would have thought would have started sooner.

In short, go to your medical doctor, don't delay, get the medical issues ruled out as a cause of your arm pain. If you are a smoker, and have a cough, ask for a lung X-ray to rule out a Pancoast tumour.

High on the list of possibilities (since you have tingling in the whole arm) is a first rib syndrome. The whole group of nerves to your arm go through a small passage call the inter scalene triangle. When the whole arm is affected we think of a "Thoracic Outlet Syndrome". http://www.chiropractic-books.com/Thoracic-Outlet-Syndrome.html

This is a condition we face frequently in chiropractic clinics. And quite frequently after a GA as extending the neck also decreases the interscalene triangle.

Good luck, do something sooner rather than later.

I hope this has contributed.

Dr B

See also for Adson's test for TOS: http://www.youtube.com/watch?v=QxdpJftw2Wo

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Tingling in hands and arms

by Holly Grissom
(Charlottetown, PEI, Canada)

Hi,
I have been experiencing pain in my arms and hands. It's not quite like tingling, but it feels like moments of someone pulling on the nerves in my limbs (not just the arms and hands, but my legs and feet as well) I have Restless Legs Syndrome, so would that have anything to do with this? I have an appointment with a Neurologist soon, but I am hoping to get some idea of what is going on before that.

It's impossible for me to advise, Holly. What's needed is an exam to see if the pain in the hands and arms is local - like carpal tunnel syndrome - or something in the neck, brain or spinal cord. Like the restless legs for example. Obviously the treatment is quite different.

Recommend you go ahead with the neurologist. If he doesn't have much to add, then a good thorough chiropractic exam would be recommended to see if we could help.

Ask the neuro, or your doctor if he can recommend a chiropractor in your neck of the woods.

Dr B
Sometimes it only occurs once for about 30 seconds and goes away, and sometimes (like right now) it comes and goes every 30 seconds for about 10 minutes in waves of pain. I have been experiencing this for about 6-9 years now, but it seems to be getting worse, where it only started in my arms, then it moved to my other limbs over time.
Please let me know what you think this could be.

Please contact me at hhgrissom@hotmail.com

Thanks

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Pain and tingling in arm and hands especially left.

by Beatrice
(erie )

Carpal tunnel distribution

Carpal tunnel distribution

Pain and tingling in arm and hands

I have pain in my left arm. its been off and on for 2 years now. My pinky, index and middle finger go numb alot and its hard for me to be able to open anything. its very painful when i work.

if i dont use my hand its not so bad. I recieved the test for ct and it came back normal im frustrated. any ideas on what it could be

Hello Beatrice,
Gosh, you've stuck with MEDICINE for two years with a CHIROPRACTIC condition!

Sorry to be controversial, but your doctor is weak in neurology. Carpal tunnel syndrome NEVER goes to the pinky - you've been consulting the wrong profession!

There's a rule of thumb: If after a period of time (how long depends on the condition) you KNOW you are not getting better, then you should be seeking a second opinion. Two years was far, far too long to wait. Two months was too long. No wonder you are frustrated.

Worse, the research shows that this problem, if it lasts more than six months, will probably never go completely away, no matter what treatment you have.

Okay, now that I've finished blasting off, the pinkie, ring finger (and sometimes part of the middle finger) belong to the C8 dermatome. You have a pinched / strong irritated nerve in your lower neck. Hence the stiffness in the neck.

The fact that your fingers feel weak and numb (what are called "hard" neurological findings) suggests this is going to be difficult. Don't expect a one-click miracle because it won't happen.

Start hunting for a thorough and conscientious chiropractor in your neck of the woods. Talk to friends and family. Make sure you get X-rays of your neck.

Good luck, let me know in a month or two how you get on.

Dr B

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Tingling in tips of just pinky and thumb in both hands

Hi doctor. Quick overview of me: 26 year old male, in good shape, and work on the computer but not a lot of typing. I have been getting a numb tingling feeling in the tip of my thumb and punitive finger. The feeling happens more frequently in the right hand but has affected the left hand as well. It has been happening for a little over a year now. I will not have health insurance for another month. I would live to hear what you think. Thanks a lot. I appreciate your time and help.

Hello,
The pinkie and thumb belong to two different nerves, so that's a little bizarre. Also that you are getting it in both hands.

Is your computer correctly set up? Hands facing downwards, and screen at eye level?

Frankly, I'm not sure, this ain't run of the mill. Perhaps a visit to your GP?

How's your diet? On a beri beri white rice menu? You may be deficient in the B vitamins. They are important in nerve transmission.

Let me know what your GP suggests.

Dr B

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tingling in lower arms and hands, it feels like they are burning.

by catherine
(wales)

tingling in lower arms and hands

i slipped forward awkwardly on to a settee the symptoms then started what could it be?

I need more information. When did this happen? Do have neck pain? Does any movement of neck, arms or hands provoke or relieve the tingling?

Which fingers?

Dr B

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Whiplash injury and Complex , chronic pain syndromes

by Tonya
(USA)

Whiplash.

Even through a process of elimination, Drs have not been able to diagnose my problem for over 7 yrs. I have had almost every blood test, xray but they refuse to do MRI because of the complexity of symptoms.

I did have whiplash (very bad) and was treated with a neck brace for a couple of weeks but never wore it (oops). This was when I was 12, now 37ys old. Is it possible to have whiplash symptoms come up this much later?

I threw the question at my Dr but she denied that it was possible. I have done clerical and college work on pc as well as working p/t self-employed for many years aprox 12 hrs a day until last Dec.

I had to drop short of finishing a college degree, can't work because of pain and other symptoms and bed-ridden on occasion. I have squishy sound in my neck and skull, shoulder pain, have spine pain, mid-back pain, occasional non-cooperating use of legs/arms...etc.

Here's a list of (I know it's a lot) my symptoms that have repeated (come and go) for over 3 yrs and rotate within 3 months aprox. Never know which ones it will be from minute to minute. Pain and fatigue worst of ALL symptoms, nevertheless they are all debilitating.

Hey, any ideas you may have - I'd really appreciate it because the drs don't know and I have nowhere to go but worse, so it has seemed. Thanks for your time and valuable info.

1. Joint stiffness, pain (Actually get “stuck”) Can take a few minutes to “unlock” joints and get flexible again.

2. Sensitivity to touch, all over pain and discomfort associated with touch (also happens with heat or cold. Cold causes pain in spine and all-over in different areas. Can be severe enough pain to cry! I tolerate pain well - reallllly gets old and exhausting to be in pain all of the time!

3. Muscle weakness overall and especially in limbs and neck. Can also effect walking.

4. Burning skin sensation on arms, neck and face (Aprox 3 Years), (November 2010 started burning on feet and ankle, up leg)

5. Burning Skin, sensitivity to heat/ sun makes skin burn. Need for temperature-controlled environment. When it’s very active, I can’t even go in front of a light bulb!

6. Facial “rash”, not raised. Crosses from right side, over nose and partially (1/2) way to other side of cheek. Can not have exposure to sun or heat ‘at all!’ This red rash does not go away, intensifies in color and pain (like reverse sun-burn feeling) with stress, excitement, heat and movement (likely creating heat).

7. Muscle pain, feels like the pain of working out (soreness to touch) Soreness without touch.

8. Fatigue, usually associated with pain, sudden onset, comes and goes. Fatigue can feel extreme, almost like a black-out or a dream state. Can last for minutes up to month. Obviously causing bed-ridden and intermediate resting periods (I can rest/clean/ rest/ cook/ rest…) comes and goes.

9. Severe migraines, come and go *usually last 1-4 days in a row, can cause nausea because of the pain. Otherwise don’t get regular headaches often.

10. Pinching or shock feeling right above eye/temple area, and behind eye or in various places of the head. Often.

11. Muscle twitching in face, arm, leg (one side and one twitch on occasion)multiple locations, lasts for several minutes and can be intense.

12. Ringing in ear, usually one at a time; very loud and can last a few minutes. Comes and goes.

13. Diarrhea; mostly daily, constipation; nothing regular (very rare for normal)ever. Occasional undigested food.

14. Vision changes, sensation of rolling or wavy-even color changes (blue, red, orange etc)

15. Nausea/ vomiting and loss of appetite (comes and goes with pain and without pain)

16. 11-2009 to 1-10-2010 Experiences loss of use of limbs *upper and lower*, increased with spinal pain/ chill (Bedridden and immobile during that time period/ sudden recovery in mid-January) (seemed to increase during use of prescribed medications *and especially when regular Dr would not refill Tramadol (this usually sent me to ER in excruciating pain and high bp/ fever)

17. *Shortly after being bedridden, (Jaundice skin and eyes) for aprox 2 weeks.

18. Pain under right shoulder blade, sharp (triggers worse with deep exhale)otherwise, dull (comes and goes with no connection to eating or injury)

19. Crawly skin feeling on head, back of the neck and arms.

20. Eye pain, muscles of the eyes hurt with movement. (no fever associated with it)

21. Tingly, numb and cold toes and fingers (worsens in the fall through spring). Difficulty warming even with heat pad or warm water.

22. Electric shock, zap felt in legs and buttocks (on occasion). Very strong, like someone jabbing a pin!

23. Sitting, standing and walking difficult. (Cannot exceed more than a few minutes of each).

24. Difficulty walking up stairs and on incline such as outdoors; can do only with railing or assistance going up.

25. Feelings of coming down with flu, but never do.

26. Heart, flutter/ palpitations (usually while resting, sitting up)

27. Elbows, hips, wrists, fingers, back and neck; all lock up with stiffness (within minutes if no movement).

28. Shakes, trembling;

29. Concentration and memory problems/ recall ***Time judgment and awareness very poor!

30. Mental Distortion or forgetfulness of event or timeline/dates.

31. Difficulty focusing, especially during pain or discomfort.

32. Frustration, irritability, anxiety *brief attacks* and mood swings may contribute because of lack of support/ diagnosis and remedy of pain and discomfort.

33. Throat and chin can tighten up; feeling like something is wrapped around neck or something stuck in throat.
34. Cracking and popping in neck, shoulder and back. Neck started cracking and more discomfort after chiropractic adjustments.

35. Vertigo, BMC records high blood pressure and severe vertigo incident (while at an unrelated follow up apt for breast. 11/2010

36. Vertigo started happening aprox 3 yrs ago/ including balancing issues (unreported to physician because the episodes only lasted for a day or less than a week at each incident).

37. Balancing issues. With eyes closed, cannot lift one leg to stand on without feeling like falling over/losing balance. Falling over for no apparent reason. Comes and goes but can last weeks.

38. Leg pain and burning foot mostly right leg.

39. Increased episodes of memory loss and recall issues to the point of major emotional frustration.

40. Twitching throughout body, just enough to be annoying! Can last for hours.

41. Pain, pressure and discomfort in back and near ribs (sometimes just in the front or only in back or may flip or be one side front and back).

42. Sudden cramps in hands, feet and other body parts.

43. Apnea?/ Gasping for air out of a sound sleep, or feeling heart stopped and urge to get it going again? sudden

44. Avoidance using stairs or walking uneven terrain. Difficulty walking stairs, even with assistance and using hand rails. (Aprox 3 yrs) Heaviness and inability to do the motion of walking.

45. Sudden onset of jaw pain December 2010 (One side, then the other to the point of not being able to chew and talk; only lasted a week for each side.)

46. Voice change! Can’t seem to get the right tone when starting a conversation or tone could change while in conversation.

47. Eye socket pain. I usually only got eye socket pain if I had a high fever

48. High blood pressure, taking bp medication w/ prescription. Pending tilt table test 4/18/2011

49. Increase chest discomfort left and right side, burning squeezing or sharp pain lasting for minutes or hours. Come and go.

50. Highly sensitive to chemicals, including medications and cleaning supplies.

51. Sensation of ice on leg, occasionally feeling hot spots

52. Joints popping, feeling loose. Shoulder Right side mostly. Noticeable when “inflammation is down”.

53. Squishing sound in neck and head way gross! Often, usually when it feels like “inflammation has gone down”.

54. Swelling of hands, usually in the morning but can last all day. Unable to use hands, until swelling goes down. Usually cold towel works but takes a long time.



56. Pain in elbow runs from elbow to hand (feels like when you hit your funny bone and experience unpleasant pain) but this is constant and comes on suddenly without hitting elbow. Can last on and off for days/weeks.

57. Sharp sudden pain in lower rib area and in abdomen. Occasional, but sudden and shocky-like, catches me off-guard.

Hello Tonya,
Indeed complex and chronic. Firstly, whiplash certainly does have an effect down the road. There is plenty of research now proving that joint fixations causes "immobilisation arthritis". The slow onset of arthritis after such an injury.

In addition, whiplash has a profound affect on the meninges and spinal cord, the most sensitive tisses in the body, though these I would have expected at the time of the accident, rather than years later.

Some of your symptoms are typical of the conditions chiropractors treat, and some almost certainly unrelated. Relating them directly to the whiplash would be difficult, but I've learnt from thirty years in practice that whiplash invariably leaves its mark.

I recommend you gather all your X-rays and spend some time looking for a chiropractor who will patiently listen to your story, and examine you carefully. And tell you honestly whether s/he can help you. I'm pretty sure some of these aches and pains and tingles an be help with chiropractic, and perhaps a lot more than we think.

I hope this has contributed.

Dr B

PS: I've had to remove some of your symptoms as the maximum is 10 000 characters.

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Thumb

by DiAnna
(WV)

Hello.. I was doing a crossfit workout and when I was doing te over head power snatch my left arm became numb and weak..

When I left after my workout it was m&m's and weak the rest I that evening . Then my other arm became affected as well..

It is now day mine And both of my thumbs are tingling and somewhat numb:( sometimes I experience numbness in my forearms as well.. I am really getting scared!! What is this !?

Hello Diana,
Keep in mind the purpose of any workout programme is to make you fitter and healthier, not give you injuries. Give it some thought before starting your crossfit workout again. Frankly I know nothing about crossfit...

I would just rest and be careful and sensible for a couple weeks and see if your body doesn't heal itself.

Having said that, we take symptoms in the arms, like the tingling in your thumbs, for more seriously that pain in the neck, especially since you are getting it bilaterally.

Use your common sense. If your gut feeling is that this is getting worse, then see your doctor or chiropractor. If it's improving, wait a bit and see, remembering the symptoms go away much faster than the condition heals. Don't rush back to the gym.

Dr B

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Tingling and numbness in arm and fingers.

Tingling in arms and hands

Tingling in arms and hands

Tingling in arms and hands

I have tingling in my right arm and my middle, ring and pinky fingers go numb sometimes. I also have a dull achy feeling near my arm pit.

When I wake up i also have a considerable pain in my collar bone and it sometimes will feel as if it pops after a few minutes. I am tired of being in pain. I have seen my dr they tested me for carpal tunnel and it was negative. Also I have pain in my neck that comes and goes and it will travel to under my should blades. This makes it so i can barely turn my neck on those days.

Hello,
These are so typical of conditions that chiropractors treat on a daily basis. Stiff neck, radiating pain down the arm, shoulder pain... 95% of the time this is CHIROPRACTIC not MEDICAL stuff. You've been consulting the wrong doctor so it's no wonder you aren't getting better!

Also, s/he is weak in neurology. Carpal tunnel NEVER goes into the pinkie.

Make sure your chiropractor does Adson's test. This could be a TOS. Type "inter scalene triangle" into the Search this site funtion at C-H.

I would recommend X-rays of your neck. There is a small possibility of a "cervical rib".

Good luck, let me know how you get on.

Dr B

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Tingling in left arm

by Kathy
(Austin, Texas, USA)

I am a female 70 years of age in good health although I have had Non-Hodgkins' Lymphoma for ten years, low grade, usually in remission as it is currently.

Yesterday and today while doing normal activities I experienced noticeable tingling in my left arm significant enough to get my attention. It abated after a few minutes. I am about 30 pounds overweight but do not have a heart condition or diabetes. This is so unusual that I decided to check it out online to see what I could find. No pain accompanying the tingling. What would be your best guess on the caues of this tingling?

Two questions, Kathy.

* Where in the arm is the tingling? As accurately as you can describe.

* Does putting your hand on your head relieve or increase the tingling? And what does carrying shopping bags in your left arm do?

You make no mention of neck pain, so I'm presuming that turning your head and looking up doesn't hurt in your neck or cause the tingling.

Let me know.

Dr B

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tingling and burning in the whole of the right arm and shouder and shoulderblade


Shoulder abduction relief.

im getting treated for a shoulder impingment at the moment

ive had these symptoms since mid jan 2013..the pain and burning sensation is getting worse..back of neck swells..in your opinion could it be something else like a trapped nerve elsewhere

Dear Anne Marie,
A shoulder impingement is frequently secondary to a trapped nerve. That it affects your "whole arm" makes one suspect that it could be in the Inter Scalene triangle ... - the key sign is that the tingling and pain is worse when your arm is above your head. As in hanging the washing.

A pinched nerve in the spine is characterised by less tingling and pain if you place your hand on your head.

Treating the underlying cause is vital to achieve success.

You might ask whoever is treating you if these exercises might be beneficial: Search this site … type in "frozen shoulder exercises ..."

I hope this has contributed. Don't feel alone, a pinched nerve in the neck or inter scalene triangle is extremely painful, and difficult to exercise. Don't carry any heavy parcels in that arm.

The key test for a pinched nerve in the neck is called the Upper Limb Tension Test. You can do it at home, type that into the SiteSearch function at C-H.

Good luck, let us know how you are getting on in a month. If it's not improving after two months... Find a good chiropractor ...

Dr B

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weakness, lightheadedness, tingling, pain

by keshia whiteside
(russell, ks, usa)

i was exercising after my second child was born...i over did myself and i got hot and dizzy and it never stopped...i suffered six months of uncontrollable anxiety that medicine couldn't even stop...it went away for the most part after a year...then i began experiencing severe fatigue that doesn't go away...muscle and joint pain...tingling in all my extremities including my eyes....visual changes have already changed to eye glass prescriptions in two years...then i began having headaches...everyday neck pain that extended into my shoulders and now weakness....i have had 3 brain mri's...a couple neck cat scans...come to find out they say i have 3 levels of degeneration in my neck...and 2 slightly herniated discs also...plus found out i have occult congenital spinabifida since i was born...all of this they say isn't causing any of my symptoms...i am desperate for answers cuz the doctors think i'm crazy...but the chiropractors i have seen say differently...the main symptoms is me feeling lightheaded or dizzy twenty four seven to the point i feel like i am going to pass out...nausea that doesn't stop ever..and have had my stomach scoped for many things which came up normal...what i'm asking is..is it possible that my neck is causing all these symptoms?!!!! especially the dizziness,fatigue, muscle pain, and weakness? i am scared to death that i might has multiple sclerosis or lupus...which they say i don't...i really think i'm dying...it's to the point i can hardly function and have went into deep depression cuz nobody can seem to give me any answers...please if you could give me your HONEST input i would appreciate it...i am looking for the light at the end of the tunnel...it's been three years and this is putting major strain and stress on me and every aspect or my life as well as my children...i feel 70 years old and decrepit when i shouldn't..i am only 24 almost 25 years old...hope to hear from you soon...thank

-keshia

Hello Keshia,
No you aren't going crazy, but there are most likely different things going on here.
Firstly, if you had a condition like MS it would certainly have showed up on the scans, so RELAX!

Most unlikely that the spina bifida occulta is causing your symptoms. At what level is it?

Dizziness. Does standing up up suddenly make you dizzy? Is your blood pressure low? Does turning your head, and especially looking up or down simultaneously make you dizzy?

Fatigue, muscle pain, headaches, neck pain, signs of degenerative changes in the neck. I would suspect you have the typical symptoms that chiropractors treat on a daily basis. I certainly do. Only because it's going on so long, it's wearing you down.

Gather all your X-rays and scans and start looking for a careful thorough chiropractor. Have none of the chiropractors who have treated you helped? Talk to friends and family, even your doctor for another...

I feel sure you can be helped.

No jaw joint pain? Clicking or popping?

I hope this has contributed. Let me know how you get on.

Dr B
PS: Vegetarian? Perhaps 3-5 vitamin B injections.

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May 27, 2011
????!
by: Anonymous

I have a lot of the same stuff and am wondering if you have learned any new information?

Please look back to my reply. I asked certain pertinent questions...

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Constant tightness/tingling/funnybone sensation from forearms down to wrists and fourth and fifth fingers


Hello, I hope you might be able to help me with some advice or suggestions. I am a 40 year-old male who has been struggling to understand some odd sensations in the arms, intermittently under the ribcage on both sides, tightness/soreness between the shoulders, and stiff neck issues.

It reads like quite a laundry list, but it is the neck and arm trouble that has got me vexed. The neck stiffness has been something I have had for a few months, but is never severe enough to cause too much discomfort; mostly irritation.

This arm trouble, however, is causing me some concern, as the sensation is daily, morning to night. I can perform the usual manual physical activities, but simply have this trouble that makes me feel like a funnybone has been activated like a tuning fork...constantly ringing from basically the elbow down, the underside of the left arm and to the hand and (sometimes) 3rd - 5th fingers.
This began 2 days ago suddenly, and I have no explanation for what brought it on. No injuries or other aggravation, just the neck and primarily the arm.

I don't know if this is a ulner nerve problem, not CTS I guess, or something else, but as the arm tightness/sensations have continued to no end, I am becoming somewhat nervous. So, I hope you might have some ideas related to these symptoms, and what might be causing them.

Thank you,

Hello Jared,
Yes, you are right to be concerned, particularly as it's affecting both arms. That stiffness in your neck is almost certainly connected to the tingling and tightness in your arms. It's following basically the C8 dermatome, ring finger and pinkie, but by including the middle finger, possible a pinched ulnar nerve in the elbow. Unlikely, I think as it's both arms.

The right place to start is an X-ray of your lower neck. That's where I suspect the trouble lies. If it shows nothing, then an MRI scan.

And of course a thorough examination.

Let me know what the pics show.

Dr B

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Mar 28, 2013
Tietzes syndrome
by: Jared

Tietzes syndrome

Hello Dr. B,

First, let me just say thank you very much for your earlier reply to my question regarding arm tingling/numbness and generally odd sensations.
Your reply was very helpful, and I appreciate you taking the time to answer.

I hope it would be ok for me to add that I recently received a MRI on the neck (not an X-ray), and was told by my neurologist that nothing seemed to be wrong. Of course, I know that without you seeing it, it is impossible to either confirm that is the case.

However, if assuming the result of the MRI is clear, would there be another explanation for the sensations/tightness in the arms, and also the occasional central chest-sternum (non-cardiac related) pressure? Perhaps age and a lack of exercise/weight training is related, but I imagine not for the arms.

The only advice I was given was to go to an orthopaedic specialist, and perhaps receive a electro nerve test on the arms.

I hope you might be able to point me in the right direction, regarding whether a chiropractor, orthopaedic or neurologist would be the best place to go from here.

Thank you,

Jared

Hello again, Jared,
Obviously great that the MRI of your neck was clear. However, that doesn't mean that there is nothing wrong in your neck. Early neck conditions don't show up on scans.

My best suggestion is it's time for a careful, thorough chiropractic neck examination, to see if there is any indication that the symptoms could be coming from your neck. They probably are.

Find a good chiropractor ...

Interesting about the chest tightness. A grade I Tietzes syndrome can cause that tightness, and if affects the first rib or collar bone can certain produce signs and symptoms in the arms.

Owing to their effect on Inter Scalene triangle ... does working with your arms above your head increase the tingling in your arms? Any indigestion?

Nerve conduction tests would certainly be useful.

As you can see it's complex and I'm just trying to give you some direction, some of it perhaps hopelessly of course. But research shows that 60% of the diagnosis comes from a careful history, even before examination and tests.

Maybe print these out and take with you to the chiropractor. Two heads is better than one! And the scan obviously.

Dr B

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Tingling in hands and arms or a zapping feeling

by Barbara
(Denver)

I had a fall falling 10 feet onto my back with swelling on my head and a compressed fx to my L1 This happened end of May and now about 3 weeks this sensation has occurred.
I was given x rays of head, arms and back as well at CT's. Only the compressed fx appeared. No concussion or pinched nerve any where.
However when I fell immediately I felt the tingling a a much higher degree from neck down my arms. Now it is a faded sensation on / off during the day.

I recently went for an x ray of my lower back but nothing appeared except the healing process is occurring to the L1. Any suggestions?

Hello Barbara (or Barbra?)
Unfortunately pinched nerves cannot be seen on X-ray, so the fact the X-rays were negative of your neck and head merely tells there was no fracture.

Any neck pain? Do movements of your head cause neck pain or tingling in the arms?

Ten feet is a big fall. It could be a head injury too. I would ask to see a neurologist.

Start some gentle exercises for your lower back, and do them faithfully. Or that will give trouble too. See Lower back exercises at C-H.

I hope this contributes.

Dr B

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Pain in mid right shoulder w/tingling and pain down arm to hand/fingers


Pain in mid right shoulder w/tingling and pain down arm to hand/fingers

Early indication of trouble with both arm/hand/finger numbness periodic and during sleep. Ignored for several weeks while continuing a rigorous yoga practice. Increased pain/numbness
With greater localized pain in scalpula led to chiropractic consult and two treatments with recommendation to ice and focus on posture. Aftermath has lessened acute pain, but still tender and increase numb/tingle especially on to of arm w/first second fingers. Wonder if this is healing taking place or further treatment neccessary?

Hello,
Certainly a pain and tingling down the arm is not going to be fixed in two treatments. It's one of the more difficult conditions that faces any practice, medical or chiropractic.

Were you given a diagnosis? And what sort of treatment regimen was recommended? X-rays?

The thumb and index finger pertain very specifically to the C6 dermatome, from a pinched or irritated nerve in the lower neck. Carpal tunnel would have also affected the middle finger, and possibly the ring finger too.

It sounds like the treatment was helping. Stay with your chiro. Ask him/ her to specify how much treatment they think will be needed.

Perhaps do the Upper Limb Tension Test (type it into the Search this site function at C-H) and let me know the result.

I hope this has contributed.

Dr B

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Locking pinkie, short sharp pain in forearm

by Danny
(UK)

Locking pinkie, short sharp pain in forearm

Hi, recently my left pinkie has become stiff and almost locks at the knuckle. I also have short sharp pain in my left forearm and tingling in fingers of my left hand - any connection, what is cause?

Regards,
Danny

Which fingers tingle, Danny?

Yes, there probably is a connection. You most likely have what is known as a trigger finger developing. It is often caused by Dupuytren's contracture which is a painless thickening and contracture of tissue beneath the skin on the palm of the hand and fingers. It most commonly affects the pinkie.

When the finger actually locks and you can't straighten it anymore (likely in the future) then it's work for an orthopaedic specialist specialising in hands.

But this sounds like an early case, and there is often much that chiropractic can do. I'm busy with a case right now that is responding hearteningly well.

The tendons run up thru the forearm, hence the pain in the forearm.

The tingling can be an entrapment between the bellies of the Pronator teres muscle (see carpal tunnel syndrome at C-H), but also in numerous other places too. A careful thorough examination is called for. The fingers that tingle gives significant clues.

I hope this has contributed.

Dr B

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Right hand and left side of face

by Lisa
(Gulf Breeze, Fl USA)


Hi there Dr. Lewis,
I woke up this morning with my right hand swollen and tingling as if asleep and at the same time the left side of my face from my cheekbone to the center of my forehead was hyper sensitive to touch, almost achy. I have been painting my house and so holding loads of positions that my body is not used to, and I also have a bulging disc at c-5 (for years). Could this be the cause of these symptoms? Thank you in advance for your advise. Sincerely.
Lisa

Hello Lisa,
The swelling and tingling in your hand sounds like Carpal tunnel syndrome ... Does it affect the pinkie?

It's most likely that the numbness in your face is quite different. A bit mysterious ...

I'd recommend a consult with a neurologist.

Dr B

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tos

by Patricia Hamilton
(Hot Springs AR)

Does Vertigo often accompany TOS? Do you know if Hot springs Arkansas has a Chiropractic Doctor that has a good understanding of treatment for TOS?

Thank you, Patricia

Hello Patricia,
I know of no direct connection between vertigo and TOS. Two independent conditions as far as I know, but I could be wrong. Ask a neurologist.

In chiropractic lingo, TOS is often known as the first rib syndrome. Often there is scalene muscle spasm associated with it.

Critical is a chiropractor who can confidently do Adson's test. It's a fickle test (I find anyway) with plenty of false positives in my opinion when done in the traditional way.

See our Adsons test at Chiropractic-help.com

I'm afraid you'll have to do your homework. Phone and ask if Chiro X knows about TOS and Adson's test. Talk to friends and family, your GP.

If still in doubt, phone your state chiropractic association.

Dr B

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Pain in neck/tingling in hands

by Yvette
(Brimingham UK)

Interscalene triangle

Interscalene triangle

I am a healthy, fit 32 year old, who was passenger in a car accident 8 weeks ago. We were hit on the passenger side (left side- UK) at approximately 70 mph. So I banged into the door, but air bags were deployed to protect my head. I had numbness in my left forearm and last two fingers straight away. The following day I was in a lot of pain everywhere. MRI showed mildly bulging/protruding disc at C6-7.
Pain in most parts of my body have lessened, however I am still concerned with the following:-
- severe pain and stiffness on left side of neck, still cannot turn my head to the left (it's so stiff it feels like a wooden stick is stopping me from turning)
- swollen trapezius muscle which is tender to touch then turns into a hard ball as soon as I'm upright for 30 minutes
- throbbing ache which goes inside of my collar bone
- throbbing ache in my armpit, down my inner arm
- very tender, sometimes throbbing inside elbow ( tender when I stroke it, sharp pain if I press it)
- forearm throbs mainly when holding make up mirror
- pain sometimes shoots across my wrist
- numbness in patches on the back of my hand and tingling in pinky and ring finger. Pain across the bottom of my middle finger as if I'm wearing a very tight ring.
- painful pinching feeling on the tips of my last three fingers. Sometimes the fingers and hand sort of itch inside.
All of the above mainly takes place at night, in the morning and whenever I am not doing much. When sitting after moving around my right eyelid twitches like crazy and keeps going until I've had a sleep. I also lost my sense of smell but have random flashes where I can smell.


My doctor says that this doesn't make sense because ring and pinky fingers are not related to disc problems at C6-7.

I would love to to hear your thought and would gratefully receive any advice.

Many thanks in advance,

Yvette

P.s Apologies for the long drawn out explanation.

Hello Yvette,
It's true, one would not expect a C6-C7 bulge to affect the C8 dermatome: ring finger and pinkie. But then neither would loss of your sense of smell.

Clearly you have had multiple injuries.

The holding up your makeup mirror, and the pain under your collarbone point to the possibility of a "thoracic outlet" condition where the nerves and artery to your arm have been affected in the "inter scalene triangle". type these terms into the Search this Site function at C-H for further information. Has anyone done "Adson's test" on you? It's looking for a change in your radial pulse when you turn your head and look up, and breathe in.

Ask if the "joints of Luschka" have been injured.

If you decide to see a chiropractor at this stage, make sure it's someone with a lot of experience and time to check you out carefully and thoroughly. Perhaps go first for an examination and consultation only, no treatment. Yours is not a neck to rush into where angels fear to tread.

In the future, if you do not get those little joints mobilisted, you can be sure you will get immobilisation arthritis. Nasty.

A nasty injury, Yvette. Do not sign off any documents for at least a year. The person who did this to you must pay... hopefully there is insurance.

I hope this has contributed.

Dr B

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Apr 18, 2013
Loss of smell
by: Alvey

Loss of smell

A cousin of mine has lost her sense of smell too but can't recall any trauma that might have caused it and I wonder if Chiropractic can do something about that condition when there's no known trauma.

Hello Alvey,
I'm afraid I doubt it. It's either damanged nerve ending in the nose, or in the brain itself, and I don't think the source is likely to be in your spine.

Sorry..

Dr B

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Pain in hands, arm, elbow and neck

by Erin
(Uk)


CTS
Stones in my clog by me Bernard Preston

Pain in hands, arm, elbow and neck

I started with pain on and off in my right hand, especially in the thumb and first finger. The pain was like the feeling of a burst blood vein. Then a pain started in my wrist and forearm, and into the other fingers (not pinkie)

my doctor put me in a wrist brace as said it was probably carpel tunnel. But my elbow and arm were in such pain (like a dull ache) and my fingers felt tight and stiff especially my thumb and middle finger. I went back to the doctor who now thinks it may be arthritis. I am awaiting blood tests.

But I've also now had a pain in my right shoulder (odd twinges) and now at the base of my neck. I've also had a bad headache today and have been feeling quite fatigued.

My knees and hips sometimes ache when I lay down and my right knee twinges, my toes sometimes feel stiff but I've no idea if any of it is related. i used to get a sharp pain in my chest on and off about 2 years ago but the doctor said that was stress and ecg results were fine.

i broke my coccyx about 4 years ago but it seemed to heal fine and I only ever get lower back pain if I've been bending down a lot. I'm 36, female and fairly healthy. I do Pilates, yoga and spinning and have not had any injuries. I've had no major illnesses.

There's nothing simple about all this, Erin, that I suspect you have already worked out.

That trauma to the coccyx, you don't say what, was enough to shake your whole body up. The coccyx has settled down luckily... but the rest?

Prod in your upper forearm just below the elbow.
The median nerve passes between the two branches of the Pronator teres muscle, a frequent site of irritation. Compare with the other arm.

Carpal tunnel syndrome is just that: a syndrome. A mixture of symptoms and signs that very frequently involve the wrist, the pronator teres, the Inter scalene triangle and/or the cervical facet syndrome ...

Deciding what is the primary is often difficult, and sometimes all these areas have to be addressed.

It sounds like your neck is the primary, hence the neck pain and headache. Neck pain and headache …

The fall obviously also disturbed your midback setting up perhaps a potential Tietzes syndrome but that luckily seems to have resolved of itself.

Arthritis in the hand is usually straight forward. The fingers become stiff and sore and sometimes swollen. When it's radiating from the neck you have none of that, just the fingers ache and tingle. But of course Carpal Tunnel syndrome also causes swelling in the fingers.

So, it's complex.

My suggestion is that you stick with the medical route until you sense they are running out of ideas. Then, don't wait, gather your X-rays and tests and start hunting for a local well-qualified and thorough chiropractor. Find a good chiropractor ... Research indicates that once you've had this for six months it will never pass over completely no matter what the treatment. So, don't delay once you know you must make a change to chiropractic.

Go from Pain in hands, arm, elbow and neck to other Chiropractic Conditions often treated…

I hope this has contributed. If so, this is my latest book, available on Amazon for $2.99! Shameless! Stones in my Clog … Chiropractic anecdotes from the polders of Holland.

Dr B

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tingling in hands that ends in severe pain

by Wendy
(Fyffe AL)


For the past month I have been having tingling in my hands and fingers that causes numbness and severe pain, it happens if i leave my hands still for a few minutes, when i do my hair or makeup i have to relax my hands several times before i am done, anything i do basically causes this. It is very bothersome, and so bad at night i end up crying in my sleep and waking myself up. Please help, i need relief

Hello Wendy,
There's a good chance you are suffering from carpal tunnel syndrome, though it NEVER goes to the pinkie.

It's a "double crush" syndrome, with irritation of the median nerve in one or more places. Typically the wrist and forearm, or wrist and lower neck.

Any swelling of the fingers? Any change of colour of the fingers when you have these attacks? Neck pain?

It's time to see your chiropractor or medical doctor.

Dr B

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Tingling in extremities

by becca
(Tennessee)

C8 dermatome

C8 dermatome

I have been seen by two neuros and a GP that all said they did not believe I had MS or anything else neurological.

I have been having tingling down my arm on the outside and into the pinky finger. THe tingling also goes up my left neck and a bit across my face at random times. At the worst of times, I also get awful pain at the back of my neck and head that seems to finger to the front of my face.

Most of the time when this happens, I have an aching pain between my shoulder blades. This all being said, I also get pain in my left buttocks and then the back of my left calf falls asleep and my middle toe falls asleep. sometimes this happens on the right side of my body, but mainly the left.

I know as I type this, that these are all typical symptoms of C8 and C5 as well as sciatic nerve issues. The neuros, though, said they questioned nerve issues simply because it somestimes happens on my right side....but rarely ever.

Should I be concerned about MS or other serious conditions? I have been seeing a chiropractor and have been seeing a reduction in the pain and headaches, but not too much of a reduction in the tingling just yet.

Hello Becca,
I always say "the direction is what is important". You are getting pain relief from your chiropractic treatment, that is very important. Most usually pain lessens first, then the sensory symptoms such as numbness and tingling, and last of all any motor signs, weakness.

The rhomboids muscles between the shoulder blades are supplied from the neck, so it's no coincidence you have neck and midback pain.

The sensory nucleus of the nerve (Trigeminal) that supplies the face and jaw joints lies in the upper neck. Ask your chiropractor to check your jaw joints if s/he hasn't.

By happy, you're getting better. Not there yet, but on the way. A total cure is perhaps unlikely, as with medical conditions like diabetes. An occasional regular chiropractic treatment and plenty of exercise is best.

Remember, MS is not common. The neurologist has declared you don't have it. Relax. If you had MS the chiropractic wouldn't be helping and tingling radiating into the pinkie and midback is very typical of a neck problem.

Dr B

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Pain in neck, right shoulder and right arm, tingling

by Marc
(Gary,IN)

Over the past couple of months i've been having problems with the right side of my neck hurting, but now it involves my shoulder and right arm.

It hurts worse when I sit on a hard object such as an uncushioned chair....but also while laying down on my side. The pain is accompanied with tingling in my right arm and hand, if I move my head a certain way then the pain goes away temporarily. I was told by a doctor that I have DDD in C5 and C6 region, if this is the cause then how come i'm just now feeling it?

Hello Marc,
It does sound like that degeneration in your lower neck is the cause of the problem. But that doesn't mean it's untreatable. Most of my neck/ shoulder / arm patients have lower cervical degenerative changes. Probably an old whiplash.

There is probably enlargement of the joints of Luschka and they are irritating one or more nerves.

It's a not uncommon problem and most likely very treatable, if not curable. An occasional, regular, treatment from your chiropractor is probably what lies ahead. But I'm surmising, of course, not having seen your X-rays or examined you.

If you do nothing it will probably slowly get worse and parts of your arm go numb.

Why did it start now? Something set it off, sleeping in a chair, a bump in the car, a long journey, sleeping on your tum, a violent sneeze... many things.

See a local experienced chiro. Take your X-rays with you.

Good luck.

Dr B

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Excruciating neck pain, unable to move it

Hi

I woke up in the night, not last night but the night before, with a very sore, stiff neck that was stuck in one position (to the right). It was very painful, but I was still able to go to work. I wore a scarf all day to support it.

Went to bed last night at 8.00 hoping to get an early night and hopefully wake up with an eased neck, but unfortunately the opposite happened. It was impossible to get comfortable and the pain became excrutiating and I started to feel numbness in alternating hands. I didn't get any sleep! I phoned a friend in tears early this morning, as I was unable to move and my head was completely stuck now in a forward position.

My friend got me to the doctors, who said I had just slept funny and prescribed me some diclofenac (50mg 3 times a day). She never examined me. She just said I need to move me head and try and stretch the muscles.



I have taken 2 of the tablets she prescribed as well as 2 paracetamol. I don't feel any relief. I cannot lie down as the pain is unbearable. I have tried to move my head whilst supporting it with my hands, but I get an unbearable shooting pain down the back of my neck and don't feel that moving it at the moment is possible.

Any advice would be greatly appreciated.

Hello,

It's a shame she didn't examine you. The usual and correct procedure (in my opinion) is History > examination > (special tests if indicated, like XRays) > Diagnosis > Treatment.

Putting you onto treatment without having first examined you and made a diagnosis is... well, enough said.

Do you sleep on your tum? That is a possible cause.

It sounds like you have a cervical facet syndrome though a disc injury is also possible. Neck pain often worsens at night as you experienced, and is sometimes far worse than low back pain because you can't find a comfortable position. That's not unusual. I have more patients in tears with a painful neck than any other part of the body.

I recommend you shop around for a competent local chiropractor, sooner rather than later - talk to friends and family. S/he may want X-rays depending on your history.

Yes, a sore neck can be VERY VERY SORE. Do something soon if it's not improving.

Ice followed by a little heat is more effective and less dangerous than anti inflammatory drugs. Wrap an ice pack in a face cloth or apply for about 15 mins depending on the thickness of your towel.

I hope this has contributed.

Dr B.

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tingling in arms and legs

by mike
(newton aycliffe)


tingling in arms and legs

I have tingling in my forearms, the backs of my hands, to topside of my feet, up my shins, the knees and just above my knees.

Strange muscle spasms in random muscles, a wierd feeling in my thumb and index finger on one arm..... BUT silly thing is that my right arm although is slightly affected is not as bad as the other arms.

Have been to a doctor and a neurologist and both have left me feeling like i am going mental cos they don't have a clue what's going on.

Hello Mike,
Don't feel bad. Neurological symptoms can be very wierd depending on what the cause is, and that they still don't know. Obviously the neurologist found no "hard neurological signs". No real weakness, numbness, reflex changes...

So, you have two options.

1. Hope it will go away with time, which it may.

2. Try and be proactive. It may not help, but nothing lost in the trying.

There may be two different things going on here. First tingling in the thumb and forefinger is very specific. That's the C6 dermatome that is innervated from the lower neck. Any neck pain?

Do two things for me. Turn your head and neck to that side and then look up. Does it produce any neck pain or tingling in the arm? That's called Spurling's test.

Secondly, please lie on your bed and ask a helper to do the Upper Limb Tension Test ... is the naughty arm much tighter, tingly or painful?

Thirdly, prick your thumb and compare with the other hand? Do some press ups, does that arm tire much more quickly?

The generalised tingling and numb feeling sounds like a "peripheral neuropathy". There are a number of possible causes, but they mostly relate to the B vitamin group. Did you have a blood test? A vitamin B12 deficiency causes Pernicious anaemia and one of the results is these sorts of symptoms. Ask your GP. Read more at this Tingling in arms and hands and feet page… Scroll down to Pernicious Anaemia. It's quite a technical page, try and grasp it, if you really want to understand what's going on with your body.

Generalised muscle weakness that often goes with these strange symptoms may be caused by a vitamin B1, deficiency. Eat solely white refined rice?

A series of vitamin B complex injections, they sting! may be part of the solution.

Then lastly, nerves are coated with fat. Most of it is a particular fatty acid called oleic acid. In particular I recommend you cut out all the bad fats in your diet. In particular, avoid
hydrogenated foods ... oddles of evidence that trans fatty acids are very toxic, and if you body is using them to coat your nerves... troubles.

Change to olive oil and eat avocados if you can get them.

Lastly, get onto omega-3 fats. The best sources are fatty fish and freshly ground flax seeds. Think of
ways to cook salmon and flax seed nutrition information ... all you need is a little coffee grinder from Amazon, less than 20 pounds and the seeds are very cheap. Masses grown in England.

In short think healthy living, better eating habits, more exercise.


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Shoulder pain

by Lynda
(Nottingham GB Uk)

Good morning,
I have had two surgeries to my left shoulder in the past year. Both surgeries were carried out under a scalene block. The first operation was a sub decompression and acromion rescission. The shoulder unfortunately after approx three weeks developed a frozen shoulder.

As I am an old canoeist still competing at masters level I opted to have surgery to release the capsule. Since then I have had two steroid injections to control the pain and freezing. Today my shoulder is still painful around the front and I get muscle smash in the deltoid, lots of pain around the first rib and scalene pain.

I have read your site with interest and feel that problems are the result of nerve irritation.
I would greatly appreciate your advice.
Regards,
Lynda

Hello Lynda,
Gosh, you have problems, and I'm afraid it's very difficult to advise without the option of a careful examination.

There's the original problem, severe enough in itself, and now complicated by two more surgeries, and the possibility that the anaesthetic block could have caused damage.

My best advice is to go to our Frozen Shoulder exercise page on YouTube, but I think you should discuss them first with the surgeon to see if he thinks them appropriate.

Then I'd contact the BCA, British Chiropractic Association, and ask for a FICS trained chiropractor in your neck of the woods. An intensive specific sports oriented course.

I wish I could be more helpful.

Dr B

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Tingling and numbness in both arms simultaneously

by Tammy
(Florida)

Tingling and numbness in both arms simultaneously

Over the years I get this numbness and tingling in both arms at the same time. I can actually feel this about to start. It's a flush feeling at first almost feels like it's pulling me down. Total weakness and there is no pain. It lasts about a minute sometimes two. I have to stop and just let it do what it is doing and goes away as suddenly as it appears.

I also experience this numbness on the left side of my lip. I am disabled with Rheumatoid arthritis. Have high cholestorol, hyper thyroid take Lortab, zocor, and synthroid methotrexate.

I forget to mention this to my Dr's I just had a spell and decided to go online and see what I could find out on my own. Thank you for any suggestions. Tammy

Hello Tammy,
Firstly, when did you start taking zocor, or other cholesterol meds, and what dose are you taking? Any kidney disease?

Statins have some nasty side effects, one of which is tingling limbs and another acute kidney disease. High cholesterol symptoms …

Whether it helps the tingling or not, my best suggestion is that you look seriously at getting your cholesterol down by eating foods that lower cholesterol … and then getting off the zocor under your doctor's guidance. It can be done, but you will have to ring in the dietary changes first before going off the meds. Do it, it will improve your health enormously. And really, is adding foods like rolled oats, garbanzo beans, apples and eggplant to your diet so onerous?

Secondly, ask your doctor to also test your parathyroid gland. It controls the blood calcium levels, and out of control produces tingling in the face, especially around the mouth.

There's some fascinating research done at Harvard on chicken bones extract with rampant rheumatoid patients that responded to no other medication. Freeze your chicken bones and make a bouillon from them for a vegetable soup.

It is possible that the tingling in arms and hands comes from your neck. Have you seen a chiropractor for an examination. Having said that, rheumatoid patients have to be treated very carefully... look for an "activator" chiropractor.

What else? Take to the swimming pool as often as you can.

Do all this and I can give you a reasonable assurance than in six months you'll be a different person.

I do it all myself by the way, except the swimming which I detest, but I get plenty of exercise. And despite loving red meat and butter, my cholesterol is 170. Yours could be too, if you ring in these changes, plus salads plus fruit - unless you have a hereditary condition called hypercholesterolemia.

I'm not boasting, just pointing out that it can be done. Good luck, let us know how you get on in a couple of months.



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Tingling in both hands and arms, Left shoulder and arm have burning pain, ribs feel broken with difficulty breathing

by Theresa Zamora
(Santa Fe NM, USA)

I have been to the E.R., urgent care, my primary doctor, orthopaedic surgeon, neurologist, naprapathy and acupuncture. I am still in pain. My dr is trying to say it is fibromialgia but it seems more like a muscle/pinch nerve issue to me. What kind of Doctor should I see to determine what is actually wrong and what tests should they be conducting. I have had x-rays and nothing is shown there. I have had electric test to determine carpotunnel. Blood tests came back fine. Thank you for your response.
Theresa

I don't see a chiropractor mentioned, Theresa, in that list. There's nothing more that a chiro likes that a patient who has been through the wringer with no results.

Frankly I'm hesitant to make recommendations, there are so many possibilities.

Where I would start would be to try and reproduce the pain and tingling with various tests. Does turning your head give pain or tingling in the neck and arm. Is the Upper Limb Tension test positive, is Adson's and Kemp's test pos. Is the specific rib pain, is there costo-transverse tenderness, how about the costo sternal joints? Is there a first rib fixation, does raising the arm increase or decrease the tingling... weakness, numbness, reflexes... and much more.

Perhaps it's time to see an experienced chiropractor to find out if you are a Chiropractic case. If so, you're not likely to get relief elsewhere.

Take your scans and X-rays with you.

Good luck, I hope this has contributed, let us know how you get on.

Dr B

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feels like circulation is being cut off in my arm

by kelly
(germany)

interscalene triangle

interscalene triangle

every once in a while i get this feeling in my left arm that kinda feels like the circulation is being cut off to my arm but there's no pain in my arm or chest or jaw so its not a heart attack

its just a weird feeling and freaking me out can you put my mind at ease

Hello Kelly,
There are various sites where there can be a problem, the most likely in the scalene triangle.

The definitive test is called Adson's test. It's very subjective and quite difficult to do unless the examiner does it regularly.

See a chiropractor and ask him/her to examine the first rib, the scalene muscles and Adson's.

If your arm swells, or becomes red, go IMMEDIATELY to your doctor. It's not likely to happen, so don't get anxious.

Dr b

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Tingling and Numbness in fingers and Hands


(Arkansas)

Hello,

About three years ago I started noticing minor problems in my left arm. While running, after about 10 to 15 min my left pinkie and ring finger would start to feel cold and fat (mild numbness) and would progress to minor aching. Continuing to run would cause the pain to progress to my elbow (pinching pain). Shaking my arm while running would help some but would not make it go away. Still continuing the run, the pain would progress further to a feeling of deep (but still minor) aching in the middle of my shoulder muscle. All this would continue for about 5 to 10 minutes during the run and then would start to subside. Since I could "run thru it" I did not think much of it and figured I was not stretching enough.

About a year and a half ago the progression of pain started coming sooner, 3 to 5 min into the run, and would continue longer, 15 to 30 during the run. The associated pain also seemed to be more intense.

I cut back on running but have since started (about 8 months ago) experiencing additional problems that may be related???. When sitting still for short periods of time (1 to 2 min) my left thumb will start to feel cold and fat but instead of typical tingling from falling asleep it is a deeper aching pain along the back of my thumb. It seems to go away by stretching the arm and shoulder but will come again if I remain stationary too long. (I.e. the other day I was driving for a few hours, and if my left hand was stationary on the steering wheel for very long the progression of pain in my thumb would start. I had to periodically move my arm around to prevent the pain).

Besides the issue with the left thumb, remaining stationary too long will sometimes cause my right (whole) hand to fall asleep. This only happens once or twice during the day so it is not as annoying.

The pain in my thumb is more intense and frequent when I lie down at night and will wake me up several times during the night. When I wake up during the night the "thumb pain" seems to have progressed up my arm and deep into my shoulder muscle.

I do not experience any noticeable back or neck pain during the day so I am unsure what the problem may be.

I am a 35 year old male with no known health problems. At first I thought joint problems or perhaps poor circulation, but after finding your site I thought perhaps nerves??

Does this sound like something I need to see a physician about or perhaps visit a chiropractor to make sure everything is in adjustment properly?

Hello,
Mm, you've let this run far too long, not that I believe in rushing off to the doc or chiro for every little ache or pain. But a radiation sign like this, particularly now that it's affecting the other arm too, is potentially serious.

Seeing it's in both arms, I'd be inclined to start with your family doctor for an opinion. No cough? Certainly an X-ray and perhaps an MRI are indicated depending on what he finds. By this stage there may well be sensory, reflex and muscle changes.

Certainly it's a condition faced at the chiropractic coalface, but in both arms careful evaluation is indicated. Don't expect an instant solution. I suspect there won't be one after three years.

Old injury? Smoker? Weight loss?

Dr B

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right neck pulling, tingling down back of right arm and hand and fingers.

by Lisa
(NC)

two years ago, chirop. did exrays said i had a pinched nerve in my neck and my neck is straight up and down instead of curved. Could notaford to go to the chirop. for six months like he said it would take.

Recently just went to another cirop. for three months. Did not help. Pulling in my back of my neck and pain in front of my shoulder down my front arm, then it moved to the back of my shoulder blade, when i turn my head to right side i can feel it pull in my back of shoulder blade, started tingling down my right arm and hand, and fingers, no tingling in my pinkie though.

At night is the worst. raising my right arm above my head helps relieve pain and tingling.

When i sit up in a chair feel most of the tingling in my arm and fingers. and at work pushing the wheel barrell feel lots of tingling in my right arm and fingers. I work on a horse farm so i work with horses, cleaning stalls, lifting hay,etc....physical work. Take ibuproberen, doesnt really help.

Chirop. said i would have to have a MIR done she didnt know what else to tell me. I don't know what to do, don't have health ins.

Hello Lisa,
I take it you've had falls off of horses. That's probably the underlying cause of your injury.

The relief you get by raising your arm is called the Shoulder Abduction Relief sign. It's a sure sign of a pinched nerve.

Frankly your chiro is right. You need an MRI. You've saved a bundle having no health insurance, now it's time to dip into that nest egg.

You might try cervical traction. The lying down kind. It sometimes helps in conjunction with chiropractic, and not too expensive to buy or rent.

Good luck, I hope this contributes.

Dr B

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Severe neck pain left side

I was in a car wreck in dec 2009 and 6 months later began having neck pain. It was at the base of the skull in back on the left side. I have been going to the dr for 3 months with no luck in a diagnosis. They sent me to physical therapy without getting xrays or mri and now I am in more pain than ever almost unbearable and can't work pain is so bad and has pretty much disabled me at this point.

Now the pain is on the left side under ear under the skull. I sometimes get numbness in my hands or feet and i have a lot of swelling in my hands not sure if related or not.

My left side of my neck has recently become numb on the skin.. I have major trouble sleeping cause can't get confortable, bought a tens unit, use heat and ice but nothing helps. Please help me if you can. In much pain. I was reading and i think the c1-c2 facet joint syndrome could possibly be cause. Look forward to hearing from you soon Thanks Rachel


ps Doctors keep telling me there is nothing wrong, and i know there is. I played sports all my life and have always been active and now i can not hardly walk my dog a block.

Hello Rachel,
It's perfectly obvious that your doctors know zilch about whiplash. They don't feel the pain, and obviously have no idea how to examine you.

If the pain started some six months after the crash, then it's unlikely anything was broken. Nevertheless I would get X-rays of your neck, and NB especially an "open mouth" view.

Only a careful and thorough examination will determine the cause of your problems, Rachel. Quite likely indeed a facet syndrome. C0-C1, C1-C2 or C2-C3 most likely.

Time to start looking for a competent chiro in your neck of the woods. Let us know in a month or two how you are getting on. Insist on those X-rays, not an MRI at this stage.

That swelling in the hands... may be related, but probably not.

Dr B

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Apr 24, 2012
NECK PAIN
by: RACHEL

YES I FEEL LIKE THEY DON'T CARE AND JUST GIVING ME THE RUN-AROUND. UNFORTUNATELY MY INSURANCE DOES NOT COVER CHIRO AND MY INS ENDED LAST DAY OF MARCH AND JUST REAPPLIED SO WAITING FOR IT TO BE ACTIVE AGAIN. I HAD XRAYS AND THEY TOLD ME NOTHING WAS WRONG AND THEY WERE NOT GONNA DO ANY MORE TEST AND I DEMANDED SOMETHING ELSEBE DONE BUT OF COURSE THEY WAITED TIL INS ENDED TO SCHEDULE MRI SO I HAVE TO WAIT. THERE IS JUST NO WAY NOTHING IS WRONG AND I HAVE TO GET SOME RELIEF FROM THIS PAIN AND SOON! DO YOU HAVE ANY SUGGESTIONS TO HELP ME GET SOME RELIEF TIL THEN IF IN FACT IT IS FACET PROBLEM? i LIVE IN NORTHERN CALIFORNIA BY THE WAY! THANKS AGAIN!

Hello again, Rachel.

The right course is: Examination > special tests (like XR or MRI or blood tests) > diagnosis > appropriate treatment.

In the meantime, alternating ice and heat is the best painkilling treatment. It has no side effects. Try to keep off heavy medication.


Let us know what transpires.

Dr B

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sensation of pain in wrist and tingling in fingers with pinching pain in chest.

by parijat
(assam , india)


Sir, for the past month,i have been having pain in my left arm especially the wrist and pain in the chest.

On consultation with a cardiologist i was diagnosed with minor right bundle block.the doc said the pain and pulsating feeling was due to cervical rediculopathy, and he gave me muscle relaxants after which the intensity of the pain has much reduced. But i am still having the pain in wrist or a pinching pain in my chest if i am in some particular posture. Kindly suggest me some help , as its ruining my daily routine.
Thanking you in anticiaption if a response.

HELLO Parijat,
Could you please tell me in which fingers you get the tingling. Secondly press just to the side of the breastbone - is it tender?

If you turn your head to the right and left, and at the same time look up, do you get pain in the neck or does it increase the tingling?

Dr B

Dr B

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Mar 23, 2012
Thank you for the advice
by: Anonymous

Thank you Dr.B for responding to my query.

Yes , indeed it seems like a musco-skeletal problem....As of late due to my neck pain , I am wearing a soft cervical collar , which seems to reduce the tingling of the fingures in the left arm.
Doing stretches regularly as told to me by an orthopedic .
If it does not yeild results , he suggested to get a scan done to find how much damage has been done.

The good part in all this is that , it does not seem to be my heart ,which is causing the pain.

Thank you so much for the reply , will inform you as to how I get about tackling this irritating condition of mine.

Hello again,
In the absence of a chiropractor, how about a good masseuse? Massage around the sclene muscles in the neck may help the tingling in your fingers. It is a sensitive area however, forming the "inter scalene triangle" where the great nerves and artery to the arm pass.

You're faced with two diametrically opposite philosophies. Chiropractors like to INCREASE the movements of the joints in the neck, but orthopaedics often favours a collar to decrease that movement.

Dr B



Mar 21, 2012
Thanks for the response
by: Parijat

Thank you Dr.B for the response.

No the side of the breast bone is not tender.

The pain is usually in the wrist,thumb & little fingure.

And yes sometimes on moving my head i do feel a pinch in the center of my chest or on the left side of the chest.

Recently on advice from friends I changed my mattress and pillow, which has made my entire back pain,and the neck too.

I am doing some strectches as suggested by doctor,but what I am worried about is , is it my heart , or a musculo-skeletal problem.

Please advise.

Hello Parijat, nice to hear from you again.

Obviously I can't be certain, but my gut feeling this is musculo skeletal. That pain when turning your head suggests a neck problem rather than a heart condition.

With the tingling in thumb and pinkie, it points to a possible first rib problem. Ask your doctor to do Adson's test (for a Thoracic Outlet syndrome.) Quite a difficult test. If positive, then adjusting the first rib is usually the solution.

A nerve root problem would either go to the thumb side OR the pinkie, but not both. It's looking like a brachial plexus injury. A smoker? Very occasionally a pancoast tumor can produce these symptoms. Rare.

I'm afraid not many chiropractors in India, so I don't know what to suggest. These are problems I deal with on a daily basis.

Dr B

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stiff neck

I got into a car accident like for almost 3 yrs now..did get a really bad whiplash...but a few months after that my neck seems fine no pain or anything...and now i'm starting to feel stiffness on the right side of my neck..not everyday but once in awhile i'll get it...it hurts to turn my head especially when driving..i dont know if its from the car accident i was in before or not.

Hello Nunu,
Almost exact replicas of your story I have heard hundreds of times over the years in the practice. Of course, other things often contribute, another injury, sleeping on the tum, a scoliosis...
It's speculation obviously, but it seems highly likely that you have a spinal joint fixation from the accident, most often in the lower neck, upper back, but elsewhere too. This results in less fluid swishing around in the joints involved, and now very interesting research that this is the most common cause of "immmobilisation arthritis". What you feel is stiffness, and it will probably turn to pain in the neck, and then tingling in the arm.
I would get an X-ray of your neck, and see a local reputable chiropractor. Talks to friends and family, even your medical doctor for a name. Your condition is an everyday story for chiropractors, and prevention now is better than seeking a cure in five years time for all the arm complaints that come from this problem.
Alas, after three years it probably won't go away completely.
I hope this contributes.
Dr B

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tingling in the left arm

by wilamina lang
(london)

I have tingling in my left arm comes and goes for the past few weeks I have Artial Fibalation which is under control with medication and am on warfarin what could be the cause.

Hallo Wilamina,
Ben je Nederlands? Which part of the arm, which fingers are tingling?

When the tingling comes on, raise your arm. Does it increase, decrease, or no change the tingling.

Any neck pain? Do movements of your neck increase or decrease the tingling?

I would get some X-rays of your neck.

Dr B

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Feb 11, 2013
tingling in left arm
by: wilamina lang

There is no pain but the tingling goes down into my thumb when I do move postion it does go away

Hallo Wilamina,
Follow the old rules: symptoms in the arms and hands are more significant than those in in the neck.

Secondly, when you KNOW it's not improving, then it's time to seek professional help. Don't leave it for months and months. Research that after six months it will never go away.

Personally, if you have symptoms in the arm and hand, i would insist on an X-ray of your neck.

But all depends on the thorough clinical examination, and that I can't give.

Doet alles een beetje rustig hoor.

dr b

Don't carry heavy items, like grocery shopping, in that arm.

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Hands

by Francois stubbs
(South africa)

Was stabbed wth scissors about 5cm below my middle finger,now i cont bend my index finger and numness in ,my thumb.and it pains alot,did it struck a nerve.

Hello Francois,
The inability to bend your index finger points away from a nerve related problem. However a rather nasty nerve condition called causalgia should be considered.

You don't state how long ago this happened. The numbness in your thumb points to a median nerve injury, or perhaps directly related to the trauma.

I think this is a medical condition. See your doctor, if you haven't already.

Dr B

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Apr 19, 2012
?
by: Anonymous

I am baffled by your question because you didn't say if you still have the wound or rather its healed. In either case you need to seek care. However if the wound is still present the healing process can deter movement especially if close to the bone? If healed already you may consider how long it took to heal did you minimize the usage of that particular hand? If so hand therapy to strengthen and ensure mobility may be suggestive here. Remember without constant movement or bodies can and will get stiff and sore especially after injury. Hope something helps

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Tingling in shoulder, arms and hands.

Hello, I am 25 yr old female, my shoulder muscles are massively hard, when you feel my shoulder it feels like you touching a bone or rock (way more on left side)

I been experiencing bad left side head pain (sharp/stabbing/burning) which i can not stand, since I was about 4 months pregnant my daughter is know 5 months, I have recently had muscles spasms so bad i can't hold my neck up, and it lands me in emergency room.

I just started going to physical therapy to try to resolve this problem but it seems as if it's just getting worse, tingling in my shoulder, up my neck/head and down my arms and hands, so hard to do any daily tasks, I'm wondering what I can do or who I need to see to resolve this? Therapy doesn't seem to be helping.

We have a saying in the profession: " If you don't have a chiropractic problem, chiropractic probably won't help you. But if you do, nothing else will probably help.

Perhaps it's time to consult a chiropractor, and have a good examination and see if you have a chiropractic condition.

Dr B

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Absolute numbness in my pinky and ring fingers and sometimes, my entire arm.

by Eric
(Michigan)




Numbness and Tingling in pinky and ring finger

It seems that any time that I drink alcohol, this situation becomes worse. It happens when I go to sleep without fail. I wake up multiple times throughout the night having to "bang" my hand and sometimes my entire arm against a wall to get the feeling back.

I suppose it's important to note that I'm only 23 and in very good shape for someone my age. I eat very healthy and work out or run roughly 4 days a week. It's also probably important to note that I have cut down considerably on drinking (The last few years were practically every day).

Although it happens in both arms, I feel as if it happens more often in my left. I cannot feel a thing if I were to grab my arm with my other hand (assuming that one didn't go numb as well). And what's even more scary is that the arm that is numb cannot be moved on it's own. As hard as I try, I can't make it happen.

I've had to sit up before at night and turn side to side as hard as I can to get the feeling back. I'm really sick of this happening. And to top it off, it seems as if it's getting worse.

My doctor has not offered a reasonable explanation for this citing "Carpel Tunnel Syndrome". I have been tested for this before, and have seen a few different doctors who seem sure that I do not have carpel tunnel.

Since this only happens when I wake in the night, it's impossible for me to reduplicate the symptoms on command for my doctor. I have been diagnosed with an anxiety disorder in the past, but I've been coping with it my entire life. I know what anxiety is, and it has never caused me an REAL physical discomfort like this has. I would LOVE your opinion on what I should do, or any disease/disorder that fits with these symptoms. I am sick of not being helped with this. I'm afraid it will only continue to get worse. I appreciate any feedback you could give me.

Hello Eric,
It's unlikely that your drinking has anything to do with this, unless you fall asleep in a sitting position. That's very hard on your neck, and can also cause a condition called Erb's palsy that should perhaps be considered, but I think unlikely.

Your doctor isn't too hot on neurology, I'm afraid, Carpal tunnel NEVER goes to the ring finger and pinkie.

There are three possible common causes, and then a host of less likely. Firstly, you don't sleep on your tum, do you? That can certainly cause these symptoms.

Secondly, when you have an attack, immediately put your hand on your head. Does it relieve the symptoms? This points to a condition in your neck.

Thirdly, a Thoracic Outlet syndrome can cause tingling in the hand, and especially the outermost fingers as the lowermost branch of the brachial plexus lies immediately on the first rib. Type the term into the Search function at C-H.

That inability to move your arm is of concern.

Do you have any pain / discomfort in the neck? Does turning to the left, and then looking up cause any symptoms in your neck or arm?

What is needed is a careful and thorough examination of your neck and arm. The reflexes, muscle strength, the ability to feel, various orthopaedic tests including Adson's test, and an X-ray and possibly a scan.

I haven't said much about the alcohol, but heavy drinking, especially if coupled with a poor diet can certainly cause a peripheral neuropathy. A few beers every night certainly won't cause this, but if you are into a half bottle of spirits every night... it causes amongst other things a B1 deficiency, so you might start with a B complex. Alcohol makes a good servant, but a very bad master, but you already know that, I'm sure.

You should pursue this, Eric. It is serious. Let me know the answers to my questions, keeping to this thread.

I hope this has contributed.

Dr B

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Apr 22, 2013
stiffness and joint and muscle pain
by: Anonymous

stiffness and joint and muscle pain

I have been on statins for about 5 yrs and blame my trouble on them but 2 yrs ago I was treated for cll and the chemo could have something to do with my nerves to cause this. Drs don't seem to know and just offer medicine which I won't take.

It came on all at once or most of it did. I did have some trouble right after I started the statins with sore feet on bottom and hard to walk and that went away but have cramps in legs toes thighs neck, you name it but not so bad lately except legs sometimes.

Top of legs sore to walk when I get up out of chair. I have been off statins for 2 or 3 weeks now because my liver enzymmes were elevated.

Dear Anon,
Well, you can certainly be pleased you're off statins, they DO have mysterious and quite often very serious side effects. Like kidney failure.

High Cholesterol symptoms …

But now you must do something to get your cholesterol down, otherwise you're high risk for a whole lot of diseases, especially if you have a family history of cardiovascular disease.

My two best suggestions are Foods that lower Cholesterol … and Foods to avoid high cholesterol …

At these pages you'll important links to omega-3, for example, vital if you have raised cholesterol. Walking, a glass of red wine, apples and eggplants ... really, it's not that difficult.

Go from stiffness and joint and muscle pain to other Chiropractic Conditions often treated…

Good luck, I hope this contributes.

dr B

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Tingling in hands and arms

by paul
(ontario,canada)

hello,
i have had a skin rash for about three years that was diagnosed as eczema,

recently i developed tingling,pain in my right arm.forefinger and thumb mostly.woke up one morning with a sore neck and this arm condition.

the neck has subsided but the arm is not good.no strength to grasp or squeeze.

if i push myself up off the floor with the right arm it will tingle severe and snap inside. using the mouse is getting to be painful.

you mentioned a hypersensitive skin as the first symptom to a c6 dermatome.what is the best course of action for me in your opinion?
Thank You,Paul

Hello Paul,
The excema is probably not relevant unless it's a psoriasis - that has an associated joint arthritis.

What I would recommend is a good, careful and thorough examination. There are some indications this is all related to your neck, and if it causes weakness, then it should certainly be taken seriously.

But there are some indications it could be a muscular condition: if using the mouse hurts in the hand, then your hand needs to be examined too. There may even be two different conditions, co-existing.

As a rule of thumb, if moving your head and neck hurts in the neck and the arm, then the problem is primarily in your neck.

Type "cervical rib" for example into the search this site at C-H. But there are many possibilities. An X-ray of your neck, including obliques, a MR scan if you have the money better still, and a good examination.

Let us know what comes of it. Take it seriously.

I hope this contributes.

Dr B

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TINGLING ON THE RIGHT SIDE OF MY BODY

by LADIELLE
(WESTCHESTER, NEW YORK)

I HAVE TINGLING FROM MY FACE DOWN. IT RADIATES TO MY HAND AND SOMETIMES IN MY FOOT. ALL ON THE RIGHT SIDE. THESE ARE ALL NEW SYMPTOMS. I RECENTLY WENT TO ER WHERE I SPENT 24HRS. AND THEY FOUND NOTHING. WHAT IS GOING ON? I WOULD BE INTERESTED IN PURCHASING YOUR BOOK AS WELL. THANKS.

Hello Ladielle, what a nice name!

I would recommend a consultation with a neurologist. What's needed is some fairly specific tests to rule out nasties.

Is there anything you can do that will increase the tingling? Or decrease it?

Do you know if there were any changes in the reflexes? Try pricking yourself with a needle. Any difference right and left? So weakness in the limbs, no change in your gait?

I'm sorry, but I can't really contribute much.

You can Frog, Bats and Clogs from http://www.bernard-preston.com/Our-STORE.html Enjoy, they're lots of fun, light reading.

I hope this has contributed.

Dr B.

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tingling in left hand and pain in upper arm on my right

by lisa
(canada)

Thoracic outlet syndrome

Thoracic outlet syndrome

tingling in left hand and pain in upper arm on my right

i was wondering if you can tell me what's wrong...i cant put my right arm behind my back or even move it certain ways cause of pain...i have pain in the upper arm between shoulder and elbow...also tingling in my left hand..it's been this way for over 2 months.

Hello Lisa,
Firstly, you seem to be developing what's known as a right frozen shoulder. That inability to get your arm behind your back sounds like what's known as a positive "Apley's scratch test."

Have a look at this page and see if it fits: Frozen Shoulder causes and Chiropractic treatment ...

Which fingers tingle in your left hand? Do this next test for your LEFT arm, avoid trying it on the right which is what we normally do, but you won't be able to most likely. Upper Limb Tension Test ... Does tingling start in your left hand or is the lower arm very tight and sore during the test?

You'll read in these pages that we find the first rib is often involved in these arm pain syndromes, or lower cervical spine nerve impingement. Thoracic Outlet syndrome ...

Note the frozen shoulder exercises in one of the above pages. Start them for the right arm. Slowly, gently, or they'll make you sore. They won't help for the left arm. Untreated a frozen shoulder can become one of THE most painful conditions, lasting three years or more. Nip it in the bud!

Find a good chiropractor is your next stop. Someone experienced with shoulders. As you can see it's complex, there is no simple answer.

There's no charge for this, but if you found it contributes: Enjoy a good book? For only 99c you can enjoy my fourth book. At this link you can see if you fit into target audience A FAMILY AFFAIR … a romantic and intimate yarn with a twist.

Dr B




Go from tingling in left hand and pain in upper arm on my right to other Chiropractic Conditions often treated…

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Right ring and middle fingers go to sleep at night

by Jim
(Sandston, Va)



Right ring and middle fingers go to sleep at night

I sleep on my side (either/both) with my arm under the pillow under my head. My right ring finger and middle finger go to sleep, and it's difficult to get ring of the tingling.

This happens when I am laying on the other arm, although at som time during the night I will lay on that arm. What is causing this. How can I wake the fingers up more quickly. Could Chiropractic help?

Hello Jim,
Classically the ring finger (neurologically) goes with the pinkie, so your symptoms are a bit oddball.

However, the middle finger (C7 dermatome) sometimes goes along with the medial side of the ring finger, and even the index finger.

But it's certainly not a carpal tunnel syndrome.

They way you sleep sounds fine, so that in itself is not the cause.

You make no mention of neck pain. Does turning your head and lookng up cause any pain or tingling?

What's needed is a careful examination of your neck and arm to determine where the problem is. I'd suspect the lower neck, but there are other possibilities. Perhaps some X-rays of your neck would be a good start.

Some people find that doing a windmill with their arms in the morning helps to alleviate the symptoms. Try it.

Dr B

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Tingling in hands, face, neck, and finger and face stiffness, eye twitching

by Angela
(Coos Bay, Oregon, USA )

I've been trying to research what could be causing these episodes I've been having and haven't had much luck. I have experienced about 5-6 of these episodes in the last 3 years, and the worst occurring this last weekend.

It seems to begin with my face tingling but also tightening making it hard to form words, then my hands begin to stiffen making my index finger and second finger point straight out while my thumb tightens inward, the tingling from my face furthers down my neck and to my chest which it then feels as if someone is sitting on me- i have a very hard time breathing.

Usually these episodes pass within 15-20 mins. The most recent one I almost went to the hospital because I could hardly breath at all but my last experience with the doctors there was horrible. They tell me I'm having a panic attack which is so very discouraging since there was nothing panic to set the incident.

They also say it may be heartburn. NO SIR! I know the difference. The family doctor I used to see also had no idea what to say about my episodes.

My faith in doctors is on the fence, resulting in this being my first time asking an online forum.

Please, if there is anyway you could help point me in the right direction of diagnosis ideas i would be so very grateful. Thank you.

Hello Angela,
I think you have reason to be concerned, and I should ask to be referred to a neurologist. This doesn't sound like a panic attack, I agree.

In particular, that "tightening of your thumb inwards" may be serious. I'll try tomorrow to present a page tomorrow on the "thumb bending test." This is a neurological test which you can do at home, in which the thumb involuntarily bends inwards on testing. It's known as pyramidal insufficiency.

If positive, it may be a sign of an imminent stroke, so I wouldn't delay. Jump up and down and get to see a neurologist soon. How is your BP and general health? Your weight? This may be what is known as a "wake-up call."

In all probability I'm being alarmist, but early detection of pyramidal involvement can save you years of misery. It's better to be alarmist, and wrong, than after the fact mutter "with hindsight" we should have recognised these signs.

Demand to see a neurologist. Soon.

Dr B

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Numbness of various degree in right arm, armpit tender to touch, trigger points in my back...

by Julia
(Sacramento)





Hello,

The symptoms began in 2009 after I had my second baby, when I would woke up with numbness in my right arm which of course I ignored it as I do not like to complain of every little ache and pain.I assumed it is from sleeping on my right side so I tried not to do that as often.

I got worried last year, not sure exactly when, because of my left side starting to have same symptoms and worsening of symptoms in the right hand. The numbness is on the interior side of the arm,from above the elbow going down to the little and ring fingers.

There also is tenderness to touch and sometimes to just feeling clothes' seams under the armpit and inner upper arm. On my back I have several points that I feel almost constant pain and makes me tired too quickly.The points are very sensitive to touch and I feel nodules. I looked a little online and it might be trigger points. They are situated along inner border of scapulae and and almost all over my trapeze muscles and up the neck to the occipital bone.

I have to admit I am not active at all and had a lot of stress in the past 2 years. Went to the doc, he said I am a mass of stress and also diagnosed me with cervical-ulnopathy(at least this is what I think he wrote), and gave me a referral to have a nerve conduction study done, which partially confirmed his diagnosis...ulnopathy but again the study was done for hand and arm a little above the elbow when he said we could go higher where he had to insert some needles (ouch!!!) in my muscles but he is sure that my only problem is the nerve being displaced from the groove(so I said I trust him and do not want the needles--just not my favorite).

The specialist said that the ulnar nerve is getting out of the elbow groove when during night I bend my elbow and sleep on my hand. Since then I tried not to do that anymore and even strapped my elbow with a towel to keep it straight but after several times I could not stand the feeling of having something so tight on my arm (it was as loose as I could get it without it falling off) so I would take it off during night. It got a little better where it is not debilitating anymore but the annoyance of some numbness is still there and the back pain got worse especially on the right side from neck over the shoulder. Armpit still sensitive.

One day my right shoulder hurt and could not bring my right hand in the back to put my jacket on since then it recovered but not completely. I was also referred to a physical therapist but then with more research I came across this and I am not sure if maybe a chiropractor would be of more benefit to my problem. Also I thought you might tell me what you think about my back problem, as on some resources there was an indication that the two problems might be correlated.

Oh and I did notice that bringing my arm up and resting it on the head relieved some of the numbing and felt a cooling sensation in my hand. I apologize for the long post and thank you for your patience! Julia

Hello Julia,
It is of course possible that you have an ulna nerve entrapment in the elbow, but it's so rare. Far for more likely is an entrapment in the Inter Scalene Triangle. Or, a lower cervical nerve root entrapment syndrome.

Does turning your head to the right, and simulaneously looking up, do anything. In the neck? In the arm?

The area of your arm you are talking about is called the C8 (and possibly T1) dermatome.

Both the interscalene entrapment (called a Thoracic Outlet Syndrome and a lower cervical irritation can affect the muscles and capsule of the shoulder which, deprived of innervation can start to cause shoulder pain and disability. You describe some signs of a mild intermittent frozen shoulder.

I presume X-rays have been taken of your neck. What do they show? You mention (in passing) some neck pain, but does your NECK hurt?

The classic test for TOS is called Adsen's Test, but it's a difficult test to interpret and requires a clinician with experience in using the test. It's not uncomfortable or painful like the conduction test, just difficult to interpret.

Read the pages at C-H on TOS and Lower cervical anatomy (use the SiteSearch function). This kind of stuff chiropractors treat on a daily basis, but after all this time, don't expect a quick fix. Miracles we do at once, but the impossible takes a little longer!

Good luck, let us know how you get on. I hope this has contributed.

Dr B

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pins and needles in arm and face

by Mary
(other)

I am 25 year old female. I started having symptoms like numbness and tingling in my right arm and left side of the face and also some swollen in my right arm

and then there was like pins and needles sensation that spread through my legs to my arms and face and it lasted for 3 days now

and I was wondering could this be related to a heart issue knowing that my mother , uncle and grand ma suffered from heart diseases .

other thing two years ago i had a car accident it hit me in the left back side of my body.I was wondering that would have something related to a nerve problem or something because since then every now and then i feel sever pain in my leg like I just had the accident.

I don't know where to start looking should I go chardio or neuro. please help

Hello Mary,
I was start with your GP and do it today. If your arm is actually swollen, then we need to be sure that you don't have a clot in the arm. It's not common, but it is serious. TODAY.

These symptoms are so diverse: Left face, right arm, legs ... that a careful clinical examination is needed. It's probably several different conditions... your left jaw joint perhaps, your right lower neck (or an embolus) and a lower back condition.

How is your overall health? Blood pressure? Weight? Exercise? Eating your mandatory five colours per day? Apple, tomato, celery, broccoli, butternut... are you eating them?

Dr B

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23 year old female with arm tingling

by Tawny
(Georgia)

C5 dermatome - shingles

C5 dermatome - shingles

Hi.. I am 23 years old and fairly healthy.. 2 weeks ago I broke out in hives.. Not really sure what caused it.. Not allergic to anything.. Now I am experiencing tingling and slight numbness off and on in my right hand and lower arm.. I've also had some slight chest pain.. Should I be alarmed talk to my dr?

Hello Tawny,
You almost certainly are allergic to something, only often difficult to track it down. Seafood restaurant? Snails? Peanuts? New deodorant?

It's also possible that your hives was an attack of shingles. No lesions on the chest?

Use your common sense. If the symptoms are decreasing, then wait a few days. It's now two weeks, if they are increasing, then it's certainly time to see your doctor.

Good luck,
Dr B

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aching/pain in left arm from inner elbow down to hand and fingers sometimes goes a little up the arm

by Janine
(Berkshire)

aching pain in left arm from inner elbow down to hand and fingers sometimes goes a little up the arm

I have for the past 2 months if not longer had aching/pain on the inner side of the elbow, going down to my hand and all fingers. Sometimes it goes up the arm past the elbow as well. Elbow itself aches as well. In between inner side and the elbow itself (top of arm)it is tender to the touch. What could this be?

Hello Janine,
Raise your arm, rotate it, move it about, behind your back, do you get pain in the shoulder or arm?

Secondly, when you get this aching pain, place your hand on your head. Does it increase or relieve the pain?

Thirdly, turn your head to the left, and then look up. Does it cause any neck pain or shoulder pain, or tingling in the lower arm?

Go to Search this site … and type in Upper Limb Tension Test - do the test and let me know what happens.

Since it goes to all fingers, it's not a pinched nerve root in the neck. Mostly likely is a condition called a Thoracic Outlet Syndrome ... usually a first rib subluxation, or a scalene muscle spasm, and very occasionally something more serious in the lungs. A smoker?

Let me know, keep to this link.

Go from aching pain in left arm from inner elbow down to hand and fingers sometimes goes a little up the arm to other Chiropractic Conditions often treated…

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painful tingling in hands

by chrissy
(texas)


it's all of a sudden but i get sharp painful tingles in my fingers and hands. It is sporadically but it is everyday. The other day my hands were hurting really bad it felt like my hand was burning on the inside. Also when I wash my hands now there is cold tingle afterwards. I have started working out again and lifting machine weights. I have some neck pain too.

Hello Chrissy,
Have someone evaluate your workout programme, and remember don't like a bull at a gate. The aim is to improve your health, not make you into a wreck! Rome wasn't built in a day, and getting fit isn't either.

It sounds a little like a Carpal tunnel syndrome. This is usually a double crush problem, in the wrist and elsewhere, either in the forearm, the inter scalene triangle or the neck.

Only a careful thorough examination will locate the source of your pain. If it doesn't improve in a few days see a local chiropractor.

Dr B

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pain in shoulder and right arm

by mary aubrey mamuad
(philippines)

Thoracic outlet syndrome

Thoracic outlet syndrome

pain in shoulder and right arm

Right shoulder down to upper right arm hurts for 1 week now. I experience tingling and numbness sometimes. Do i need to go to a doctor or just ignore it?

Hello Mary,
I don't believe it necessary to rush off to the doctor or chiropractor for every little pain. Often they will go away of their own accord.

The exception is when it radiates down the arm or leg - then it's more serious.

Do movements of your shoulder hurt? And your neck?

There are many possible causes, but often the first rib is the problem because a subluxation affects both the artery and the nerves to your arm. Only a careful examination will find the source of the problem.

Yes, see your doctor. And a chiroprator, if you can find one. Better than pills.

Dr B

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Left Thumb and Neck Tingling

by Aimee
(Stockport)

Good morning.
I hope you can help me with my query as it is bothering me but I don't want to visit the doctors in case it's nothing.

For the past month I've been experiencing random tingling where my neck and shoulder meet on the left hand side. I've recently noticed the tingling only happens when the palm side of my left thumb is rubbed.

I think the area where the tingling happens might be a slightly different colour and sunken but I'm not completely sure.

I'm right handed (in case you need to know!).
Looking forward to hearing back from you.
Regards.

Hello Aimee,
Neck pain if ignored invariably eventually goes to the shoulder and then down the arm. I'm not sure of the significance of rubbing your thumb. Is that the ONLY time you get the pain and tingling?

Tingling points to an irritated nerve condition. It's obviously not a mouse arm, but it sounds like you've had a old neck injury. Sleep on your tum?

Time to see a local chiropractor methinks.

Dr B

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Numbness in arms and hands after a cortisone shot

by Linda Laguna
(Victorville, CA, USA)

Numbness in arms and hands

After receiving a cortisone shot in the wrist my friend now has numbness on the inside of her left arm & also on her left side..

Hello Linda,
I'm trying not to be cynical, but why did she go for a cortisone shot. It's such a dangerous drug. Had she tried everything else? Had she been to a chiropractor, a physiotherapist, a physical therapist and they couldn't help. Then, so be it, you have to go for more radical treatment.

Either the doctor's knowledge of anatomy isn't too good and he penetrated the ulna nerve with the needle, or the drug itself has damaged the nerve.

It's important to at least inform the clinic that she has had this reaction to the treatment. Then I'd suggest she do as little as possible, perhaps ice the area, to see if nature won't do its thing.

Then over a week or two, I'd suggest she consult someone else with a view to treating the initial problem. Probably a carpal tunnel syndrome, right? There's much the chiropractic can do for CTS provided the doctor addresses the arm as well as the neck.

Nothing short of a careful thorough examination can give her specific and correct advice. This above should be treated simply as speculative. Time to start doing some homework: look for a chiropractor who is competent to treat the extremities as well as the spine. A FICS certificate would be a great help. Talk to your local chiropractic association.

I hope this has contributed.

Dr B

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tingling all over

by Michele Galan
(San Antonio)

For the past few weeks I have experienced tingling on both sides of my face. It has then traveled to my arm and now my legs are experiencing the tingling. I also at times feel the tingling on the top of my head. there have been time when I have felt pain in my neck that could last a few seconds.
I have gone to several doctors and they are unable to tell me anything.
What could I be experiencing or if you could lead me in the right path I would greatly appreciate it.

Michele

Hello Michele,
I recommend you demand to see a neurologist. More tests need to be run, and a neurologist is the best person to oversee it.

Dr B

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Burning sensation like sunburn on lower neck and forearms

by Darren
(Australia)

Hi, it seems after going to chiro for the first time I now have a burning sensation on my forearms and neck.. It started on the left side of my face but now seems to be across my shoulders and forearms only. It can vary in strength of pain too. Been there for about a week. Any ideas?

Hello Darren,
Mm, I'm not sure, partly because I don't know why you consulted him/her for in the first place, nor what the treatment was.

However, I share your concern. Assuming that it was a reaction to the treatment, which it presumably was, I personally would hesitate to manipulate your neck again at present. I think it unwise.

If these symptoms persist, I would recommend a neurological evaluation and if they worsen I'd get to your medical doctor fast.

I also think it important that you report this to your chiropractor, either telephonically, or by letter.

Iatrogentic (doctor-caused) illness is a huge problem in medicine, and whilst less of a problem in chiropractic, it occurs in our practices too.

I hope this contributes.

Dr B

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Mar 31, 2012
Seek the consult of your chiro
by: Anonymous

It seems to me that really the only way you are going to find out why is by returning to the original chiro who consulted with you in the first place.

That's an option, it depends on how much confidence you have in him/ her. At this stage, I think further manipulation perhaps unwise. Just my opinion, I would hesitate if you were in my practice.

Dr B

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Severe tingling in my fingers wakes me up at night

by Nahida
(Beirut, Lebanon)

CTS

CTS

Tingling in the thumb second and middle fingers mostly at night and quite severe . It wakes me up and I have to get out of bed walk around. It often takes 45 minutes to go away. I shake my hands move my arms but still it takes so much time. I am losing sleep.

I just want to know if there is a special movement I can do AT NIGHT when this happens that will stop the tingling instantly. This happens every night and I am really tired. I know of several exercises to do during the day for carpal tunnel, which I presume this is, or so I have been told by my doctor, but I desperately need something to do when I am suffering at night. Thank you

Hello Nahida,
You could try swinging your arm like a windmill, and using the Search this site you will find some carpal tunnel exercises that may help.

You don't sleep on your tum?

There's some difficulty with the diagnosis. Tingling in the index and middle finger is unusual. A normal carpal tunnel syndrome would also affect the thumb and ring finger.

I would recommend a consult with a neurologist.

Dr B

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Tingling in hand, aching elbow and arm.

by Nick Gregory
(Frome, UK)

Hello,

Over the past couple of weeks I have had difficulty sleeping in my normal position as I have had an increasing numbing pain in my left elbow. if I sleep the other way the pain lessens but is also now becoming worse.

Over the past few days I have now developed a tingling in my left hand and this is becoming more pronounced.

The pain emanating from my elbow is now no longer confined to night time and is present pretty much 24/7.

Am I to be concerned or are there any exercises I can do to alleviate the pain?

Cheers

Nick

Hello Nick,
You are right to be concerned. Start pricking your arm and fingers and see if there's a difference. Classically, first the affected nerve will cause increased sensitivity, later it becomes numb.

More important, is there weakness developing. The most commonly affected muscle is the triceps. How are press ups? But of course other muscles can be affected too.

Pay particular attention to two things:
* Which fingers are affected?

* Does raising your arm above your head, placing your hand on your head, increase or decrease the tingling and pain.

Lastly, do movements of your head and neck cause neck pain or tingling in the arm?

This is a job for your local chiro, Nick. If the pain doesn't improve in a few weeks, I'd see him/ her.

Do your homework. Pain and tingling in the arm is one of the more difficult conditions facing us at the Chiropractic Coalface. Talk to friends and family, even your GP, for a conscientious, thorough chiropractor in your neighbourhood.

I would want X-rays, so you might want first to get them from your GP. Don't let him talk you into seeing a surgeon first! That's the last port of call!

Find a good chiropractor ...

I hope this contributes, let us know how you get on in a few weeks.

Don't sleep on your tum!

Dr B

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Tingling in Arm, hand and fingers

Carpal tunnel syndrome.

Carpal tunnel syndrome.

Carpal tunnel syndrome.
Adson's test for Thoracic Outlet syndrome
TOS

Hi:
For about 2 weeks I have experienced tingling (comes and goes) in my arm, hand and fingers which has woken me up a few times. Before it was just my left arm, however, I recently noticed that it is also on my right.
Doctor's diagnosis is swaying between carpal tunnel to frozen shoulder, however I am not sure it this is the case.
Very often, my fingers feel so cold and I feel shiverish..

Any advice will be very helpful.



I have a good balanced diet, I don't smoke, blood pressure is normal and non diabetic,

Thanks

There's a world of difference between carpal tunnel and frozen shoulder! CTS NEVER goes to the pinkie. Frozen shoulder causes extreme limitation of movement in the shoulder, and +++ pain.

It is of concern that it's affecting both arms. Have X-rays been taken?

That cold feeling in the arm suggests the possibility of a Thoracic Outlet syndrome (type the term into the search facillity at C-H) in which the artery running down the arm, as well as the nerves is affected.

Nothing short of a thorough examination I'm afraid can find the source of your problem. Time to see a local chiropractor, methinks.

I hope this contributes.

Dr B

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Mar 11, 2012
Chiro
by: Anonymous

Hello first off I'd like to say Dr B might be right with the TOS. I recently went through similar things but my chiro and the grace of God saved my life.

Thoracic outlet syndrome can be non life threatening but if you start to notice your fingers or hand going white you need to seek attention to make sure the artery isn't being blocked off.

It can also cause a frozen shoulder feeling. I lost complete use of my left arm my chiro was the only one who caught it. Find a chiro who is well trained. He can show you stretches to help along with an adjustment that will open your nerve endings to relieve some of the tingling. If your having trouble breathing you can also act like you are blowing bubbles or buy bubbles to blow and blow bubbles sitting up straight for about five minutes at a time to help open your diaphragm. Best wishes I hope this helps.

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Electrical tingling from fingers up forearm

by Sue
(Cheshire)

Electrical tingling from fingers up forearm

Hi...I have been suffering from a severe lack of sleep due to having three babies under 3 and I noticed about six months ago that when I was driving that when I turned my neck to the right it clicked weirdly. SInce then if I grab something like a stair gate to open it I get electrical impulses going up my right arm which are quite sharp....

I also get tingling and pain in both hands if I use the law mower and it continues afterwards. I also have been getting cramp like feeling in my calves recently. My doctor thinks it may originate from neck problem and that the aches and pains may be myofascial pain due to lack of sleep . I would value your thoughts......

Hello Sue,
This is a stressful time obviously, make sure there isn't a fourth this year! Snip-snip for hubby is the best solution.

This doesn't sound myofascia to me, but what's needed is a careful, thorough exam of the neck and arms.

Do any movements of your head provoke the tingling? Particularly looking up and turning your head simulaneously.

When you get a bout of tingling, place your hand immediately on your head. Relief, or does it get worse? What's hanging the washing like?

Let me know as accurately as you can precisely which fingers tingle.

Is there any post-partum swelling in the hands? They could be causing carpal tunnel syndrome.

Let me know and we can take this further.
Dr b

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sprained neck

by debbie

Frozen shoulder

Frozen shoulder

i have suffered on and off for 2 years with upper back pain and a stiff neck.

the last few months i also started to experience pai n in my shoulder,alot worse at night ans it was very difficult to lift up.

3 weeeks ago i started with apain on my left side similar to earache but also ran down my neck,2 days later i was unable to move my head at all and was in agony,

i was prescribed diazapan and naproxin,symptoms have improved but feels like it was when it first started 3 weeks ago,any help or suggestions would be greatly appreciated .

Hello Debbie,
Your tale is not an unusual one; we have similar stories every day at the Chiropractic Coalface.

Before serious things happen in the body, it usually starts to warn you than something big is in the pipeline. For two years it's been trying to tell you, and unless you do something now, and quickly, there's worse to come.

Conditions start usually with pain in the joints of the spine, and then if you ignore it and hope it'll go away, it starts to affect the nerve running to your shoulder and down your arm.

Your doctor is only treating the symptoms with those anti inflammatories, not the cause of the pain. An X-ray of your neck and upper back, and perhaps shoulder are now important.

Your doctor will probably direct to physical therapy, or a physiotherapy, and you have to make the decision whether to go in that direction, or with chiropractic. Your call.

But do something soon more than swallowing pills. They will only give you an ulcer if you take for any length of time. Or you'll get a frozen shoulder and worse.

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Back pain and tingling in arms legs and upper back

by John
(New Jersey)

Back pain and tingling in arms legs and upper back

Male 41....OK.........I am in pretty good shape, and I am an avid weight lifter. Back in December I ran for the first time in several months. Three days after I ran I noticed a pulled muscle feeling in my left side where my stomach is located. I decided I must have pulled a muscle and gave myself a break from running. Three days after that I started having pains in my mid back.

My doctor prescribed oral steriods, motrin, and a battery of tests which include blood tests, x-rays, MRI and Cat scan. The MRI showed SLIGHT (nothing major) herniated discs in the t7 t8 and the lumbar spine. I have been taking lyrica and going to a chiropractor for weeks now.

Yesterday, I went to the gym as normal but I felt tingling in my arms, legs, and upper back at night. I have tried stretching, walking, etc....If I sit for too long it feels like my back is fatigued. I also get wierd pain radiating to my stomach muscles(it also started when I felt the back pain). I have been told this is consistant with thoracic herniation, but I am really at wits end at this point.

I am tired of thinking it will get better only to have it get worse. The pain that radiates to my front bothers me the most because it interupts my sleep.

It is not deep muscle pain, but it the nerves on top. I almost feel like they are inflammed. Have you ever heard of anything like this, and can you suggest anything that will help? My doctor is great, and so is my chiropractor, but I feel like it is not getting better and the annoyance of it all is driving me insane. Thanks

Mmm, difficult, John,
What can I contribute? Not sure, frankly.

Firstly, this tingling that comes around to the stomach area is unusual. And that makes me think that you should keep your mind open. Your doctor is no doubt thinking the same, hence all the tests, thankfully negative.

However, this area is innervated by the nerves that come from the mid to lower thoracic spine where the MRI does indicate you have issues. Type Thoraco abdominal nerves into Wikipedia.

But your chiropractor would have been working on that area, I'm sure. Not an easy area to adjust often. Ask if he does any "anterior thoracic techniques?" I like to do it sitting with your fists behind your back.

Then, lying on your right side, ask she who must be obeyed to take a skin cream /oil and massage between the ribs, starting at the spine and going all the way anterior.

Next, do these Maignes syndrome exercises … get your hands as high as possible to get to the lower thoracics.

I've always enjoyed working in a practice with several chiropractors. When I'm not winning with a patient, I ask a colleague to treat them a few times. Sometimes a different pair of hands...

Frankly, I'm not into heavy weights. I've had so many patients over the years who hurt themselves. But only you can decide that. If every time you gym... you get pain and tingling... then change your technique, change your exercises, do something different. Skipping?

Go from Back pain and tingling in arms legs and upper back to other Chiropractic Conditions often treated…

I hope this has contributed. If so, this is my latest book of chiropractic anecdotes, available on Amazon for $2.99! Shameless! Stones in my Clog … Chiropractic anecdotes from the polders of Holland.

Dr B

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Tingling in arms and hands and feet and head

by shawn
(North carolina)

Tingling in arms and hands and feet and head

I really dont know what it is. I have been to the doctor and they just kinda act lost, my arms,feet,hands n head has a very bad tingling and hot sensation to them. Its really painful. If u can assist me with help i would highly appreciate it.

Hello Shawn,
Generalised tingling of this nature needs to be managed by a neurologist. It could be something simple like a B12 deficiency or something more serious. Well, a B12 deficiency is serious too.

I'd start by taking a B complex and omega 3 capsules from fatty fish or flax seed oil, and ask your doctor if you can see a neurologist. A diagnosis is important.

Dr B

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Jan 26, 2012
thanks
by: Anonymous

Alright thank you...i been takin fish oil and ultra man vitamins, but no sign of stopping. I guess i have to see a neurologist. Pains n my left eye also.

Do it. Soon.

Dr B

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Tingling in left arm causing numbness also in left leg causing numbness in foot

by Julie
(England)

Tingling in ring finger and pinkie - C8 dermatome

Tingling in ring finger and pinkie - C8 dermatome

Hi I am a 45 year old female. I get tingling in my left arm causing pins and needle s and numbness in my little finger and the one next to it.

I also have tingling down my left leg that goes from my buttock and radiates down causing numbness in my foot especially when driving or sitting would appreciate any insight into this thanks

Hello Julie,
Even one of these is potentially serious, having them in both your arm and leg, I would recommend a neurological consultation.

In all probability it's two different conditions, each in its own right treatable (probably) with chiropractic, but in both arm and leg more serious things need to be ruled out.

Tell your doctor you want to see a neurologist.

Meantime start the lower back exercises and stiff neck exercises you'll find at Chiropractic-Help.com.

And start to draw up as precise a history for the neurologist as you can, being specific.

Good luck, let us know what s/he finds.

I hope this contributes.

Dr B

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Tingling in my left hand

by Zachary
(Goleta, California)



Howdy,

For the last two days, my pinkie, ring and middle finger have been having this weird feeling. They're incredibly sensitive to heat and there's this constant pins and needles sensation. If this continues, I'm going to need to go to the doctor. Do you have any idea what this is or how to relieve it?

Hello Zachary,
It makes such a difference when you are specific, thank you.

No neck pain? If you turn left and then look up?

Seeing that it's not a true dermatomal picture, it's probably not a pinched nerve in your neck. The most likely is a Thoracic Outlet Syndrome ... the key sign is that your arm gets worse and tires very quickly if you use it above your head.

TOS is usually caused by a fixated first rib, or scalene spasm, both work for a chiropractor, but other more serious things can cause it. Smoker?

The other possibility is a pinched ulnar nerve behind the elbow.

More rarely, a cervical ribs ... diagnosed on a neck X-ray.

Use you common sense. If it doesn't get better, see either your doctor, or if you already know a chiropractor see him/her. Don't carry heavy packages in that arm.

Let me know when the diagnosis is made.

Dr B



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Clicking Neck


(Malaga, Spain)

Hello,

I am a 21 year old female but I am suffering extreme discomfort in my neck / top of my spine. If I do a light massage on the ball of my neck, it does a loud clicking, which can be heard by others and also you can feel something moving under my skin.

I have to continuously move my neck in circular movements to attempt to ease discomfort.

Occasionally I have trouble sleeping but by sleeping on my back, I do not feel it as much.

I hope you can help,

Thank you, P.

Hello P,
I don't have an instant diagnosis obviously, P. What's needed is a careful examination to find out what the cause of these nasty symptoms.

Have you had injuries? Car accidents? Down the steps? Horses? In an older person a clicking neck is common and not of great concern, but at your age there is obviously something awry with your neck.

You don't sleep on your tum?

I would recommend you start with an X-ray of your neck, INCLUDING A VIEW THROUGH YOUR MOUTH. It's called the APOM.

Then start shopping around for a thorough chiropractor in Malaga. I'm sure you will find someone, there are two colleges in Spain.

I hope this has contributed.

Dr B.

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Pins and Needles in my Hand.

by Salome
(United Kingdom)


Pins and Needles in my Hand.

I have had constant pins and needles in my left hand now for well over a week. While it is not painful it is very irritating. As a right handed person the most time i use my left hand is on the laptop and i,m not a very good 2 hand typist,

also when my left arm is relaxed the left hand tends to shake a bit.

I am a 44 yr old female and in relatively good health.

Hello Salome.
Which fingers?

Dr B

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May 08, 2012
Pins n needles
by: Salome

All my fingers on the left hand.

Hello Salome,
When it affects all the fingers, the problem is probably not directly in your spine. Maybe. More likely a cervical rib, or first thoracic rib fixation affecting the inter scalene triangle.

Use the Search this Site function at C-H, look up "Thoracic Outlet Syndrome."

However nothing short of a careful thorough examination will find the cause of your problem. It's the sort of problem that I'm faced with on a daily basis.

Dr B

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stinger like symptoms cannot lay flat...

by tonya delphous
(troy idaho)

C7

C7

at night i have very painful stinger like sensations... with the pain goin from my right shoulder blade area in the center next to my spine all the way down to my middle finger on the right hand... numbness tingling loss of control of that hand.... elbow, it hurts sooooo bad... i wake up all night tyring to find a better position to sleep... only thing that helps is to pile up pillows and crawl over the top of them in a "fetal type position... please help

Hello Tonya,
You most likely have one of the painful conditions treated at the Chiropractic Coalface.

The middle finger is supplied by the C7 dermatome - you probably have a pinched in your lower neck and it usually hurts. A lot, and is often worse at night.

You can confirm it by doing two things:

1. Turn your head to the right, and then look up. What happens?

2. Go to Search this site … and type in Upper Limb Tension Test. Again, what happens.

Because the triceps muscle is large C7, it may become weak. If you do press ups, does the right arm tire much more quickly?

You need help Tonya, this is a serious condition. I would recommend X-rays of your neck in this instance, better still an MRI if you can afford it as there is no radiation and it shows far more.

Whichever road you take, I'm afraid it's likely to be difficult. Don't expect miracles from a chiropractor, nor anyone else.

Don't carry anything heavy in your right arm.

Good luck, I hope this contributes, let us know how you get on.

Dr b

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tingling in both arms and accompanying and accompanying odd arm pain

by Sam
(Central PA)

Arm pain

This happens when I'm awake and happens both after exertion or just normal movement.
Could this be dangerous ? My BP is under control at 115/63 to 122/75. I do have a bit of degeneration in upper and lower spine but other than some stiffness there seems to be little discomfort.

Hello Sam,
Everyone gets some degeneration of the spine as we age, so that's not unusual, but do take omega-3 oil. If it becomes advanced can be serious.

Discomfort in the neck and back is not unusual but as with any pain, if it continues it's best to seek advice.

However, radiating symptoms such as you have are potentially far more serious and I wouldn't delay. See your usual physician first and if you get no where, consult your local chiropractor.

I am particularly concerned that the tingling is in both arms.

Dr B

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tingling in hands and arms


Hi,
I wondered if you may be able to help me. In april this year I had a disectomy on L5 as I had numbness in my left leg. This operation went well and I returned back to work in June.

Over the last 2 weeks I have developed pain and aching in both of my arms running down to my hands. The pain is tingly and and prickly, and keeps me away at night. This pain is really getting me down. Should I be seeing my GP and do you think it could be something to do with the discectomy, as I do suffer from scoliosis of the spine.

Hello Sharon,
This is unlikely related to your lumbar discectomy. It would have started sooner. On that score, are you doing lower back exercises, EVERY MORNING BEFORE GETTING OUT OF BED? If not, that lower back pain will return. It might anyway, but at least not next week!

Not doing any sit up exercises? Sleep on your tum?

Any neck pain, or only in your arms? Shoulder pain?

Does raising your arms above your head, or behind your back, hurt anywhere? Does turning your head and neck hurt?

At C-H you'll find the Upper Limb Tension Test. Do it. Positive?

Frankly, Sharon, I'm not sure. As you can see lots more information is needed, a thorough Chiropractic examination. Time to start asking friends and neighbours for a name.

I hope this has contributed.

Dr B

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tingling in both hands and feet

hello!

i have been experiencing very painful tingling on the palm of both of my hands that comes and goes all day. now i am also experiencing the same painful tingling in my feet.

It sounds like a generalised condition rather than a specific pinched nerve in the neck or back. Been tested for diabetes? Vitamin B12 deficiency? Peripheral neuralgia?

I would you start with a visit to your doctor.

Dr B

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I have a myriad of symptoms related to cervical neck

by Cynthia
(Los Angeles)

I have had problems with my neck since I had a ruptured appendix in 1989 when I was 36 years old. I developed a large hump on my spine just below C6/T1, the size of a baseball. A friend told me it was "arthritis" but no doctor has made any significance of it. I didn't have any pain, but my friend said that might be a sign regarding other symptoms I was getting at the time, i.e. I had bouts of head-turning or arm raising that caused a sudden feeling of dizziness and/or faintness. I remember one of the first times was at a gas station, when I was pumping gas with the right arm, and then reached to the left and back with my left arm to push up the lever. I got a sudden catch in my breath and it felt like my heart skipped a beat. I was tested for thoracic outlet and also given a tilt test at UCLA that were both negative. That was 1990.

Since then, I have had two bouts that lasted several months each (1998 and 2009) of an odd group of symptoms that, although seemingly unrelated, came together. They started with recurring vertigo (the kind when I get dizzy or off balance when I sit up after waking in the morning or lean forward over the sink, or look up to a shelf - and also a few times severe with the vision nystgmus). During those months, I also had bouts of ataxic or spastic feeling in left leg when I take a step, a few headaches, twitches on the face around the eye and cheek, and all of this along with a "knot" pain in the upper mid back, next to the trapezius, on the left side of spine. I also developed high blood pressure in the second instance 2009, which recently I was able to bring down to normal using Dash diet, lost 23 lbs from 230 to 207, limited salt, relaxation exercises and walking each day.

Just in the last three years, I have also had several occasions (about five times) of looking down for several minutes while standing (when I am at my desk or looking at mail on a counter) and then I suddenly have static double vision that lasted for a minute or two (the clock in front of me was doubled to the upper left and lower right, and not moving). Other times I have had bouts of vertigo that were either dizzy/swaying off-balance feeling to a full room spinning feeling with visually everything repeating over and over. I was told it was Benign Paroxysmal Positional Vertigo, but I did research and found references to a few other conditions like “Rotational Vertebral Artery Occlusion,” “Thoracic Outlet Syndrome,” “Cervical Vertigo,” and “Vascular Compression Syndrome,” and “Trigeminal Neuralgia.” The latter being of significance as I described the symptoms in paragraph two above that included the muscle twitching on the face.



Over the last 20 years, I have had carpel tunnel syndrome (diagnosed with a nerve conduction test) with tingling in thumb, first finger and middle finger. In the last year it seems to be getting worse, or maybe it is related to my neck, as I have woken in middle of night with those three fingers completely numb (not just tingling) and having to sit up with my arms down for several minutes to relieve. I have had more recurrences of the tingling also in the last year when I use my hands too much or clench like now while typing, or using cell phone, or holding steering wheel.

I have also had what I call “heart symptoms” related to my neck. When I had the high blood pressure the last few years, I noticed that my face was getting very red whenever I would use my arms, turn my head, lean forward. I also noticed that when I would get a very bad stiff neck, especially when it is raining outside, I would also get dizzy feelings, and tightness in the chest muscles through to the back on the left side. I have been thoroughly checked out for heart issues with holtor monitor, EKG, Stress Echo and Echo – all negative except for some mild changes that I was told were age normal.

Yesterday (and the most obvious cause and effect, I was sitting cross-legged on my bed, with my elbows resting on my legs, and the palms of my hands holding up my head which was bent forward with my chin to my chest. I stayed that way for about 2 or 3 minutes, and when I finally looked up, I was suddenly very dizzy with the room sort of swaying slowly around. My daughter was with me and said my face was very red when I looked up. i stood up and it continued for a few minutes and I was scared. Later that night I continued to feel a tight, pulling feeling in the tendons and muscles just at the base of the skull at the back of my head. I especially know that something was affected because when I lay down, I could really feel a difference from other nights when I lie down.

A few weeks ago, I got an HMO referral to an orthopedic spine specialist at UCLA, and I am not happy that (again) I was told that all this is just "old age" and "arthritic changes," and nothing more specific or detailed to investigate the causes of the various symptoms and syndromes described.

Gosh, Cynthia, you've had a hard time.

Two big worries, three really. Let's get the third out of the way: get that weight off, get your BMI down to less than 30. Your extra weight is just seriously complicating all the other conditions. Go on, shout at me! But do it, or suffer.

The second is how a burst appendix could cause a baseball size mass in your upper back. Is it still there? That is worrying, suggestive of any osteomyelitis. Of course, a long time ago, but have left its mark.

Thirdly, that ataxia and spastic feeling in your leg. An upper thoracic lesion, affecting the spinal cord can cause serious symptoms in the lower limbs. Have you had an MRI?

BPPV is the most common cause of vertigo, 70% I think, and responds so well to the Epley manoeuvres. Find someone who can diagnose which canal is involved, and the side, and bingo, the Epleys done at home will fix you. The diagnostic test is called the Hallpike Dix test. Standard stuff done in the chiropractic office. You describe typical BPPV.

I treat the patient with vertigo (neck manipulation) with great caution. It can set off a bout of vertigo. Especially in light of your BP.

Doesn't sound like Trigeminal neuralgia to me. Fortunately.

So many issues, Cynthia. But underlying them your weight. If you want to see your grandchildren grow up, and sit in your dotage under that tree you planted, GET IT OFF. A total change in your diet and way of life is called for. Nothing less, no "diets" will achieve it. Hit the salads, fruit, hummus, oats, vegetables, fish, and cut the carbs HARD. Yell at me by all means, I'm hard of hearing, but do it. Pretty please, because the alternative is too ghastly to contemplate. Just more and more of what you are now experiencing. Plus knee arthritis and foot pain.

Go on, yell! See Weight Loss in the Navigation bar at C-H.

Dr B

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Mar 21, 2012
Dr. B - answer to your question to me
by: Anonymous

Dr. B - you asked which fingers are tingling. They are always the first three - thumb, index and middle fingers. They also tingle at night and if I sleep on my side. But also when I am driving and gripping the steering wheel, or gripping my cell phone and holding it up to my ear.

Right now I have exacerbated problems with my neck for the last three days. Actual pain right below the skull line and a crunching sand sound when I move my head down (chin down towards chest).

I have a headache, the pain in the back of my neck at base of skull, blurred vision seems worsened when I have this too. My whole back seems out of alignment. When I was sitting in an easy chair last night, with my legs crossed, I got a slightly dizzy feeling and worsened other symptoms like the pain and tingling. When I un-crossed my legs and sat up straighter, it immediately helped.

That sounds very like Carpal Tunnel syndrome. It's a double crush, usually in the wrist and in the forearm between the bellies of two muscles, back can by a first rib fixation, or in the cervical spine itself.

Look at the CTS page at C-H

Mar 19, 2012
Dr. B - replying specifically about osteomyelitis and thoracic lesion
by: Anonymous

Re your two concerns about osteomyelitis as cause for my "hump at C7-T1 - just to clarify, the hump is soft and it will grow larger and smaller with other neck symptoms. Right now it doesn't feel so large and I can feel my vertebrae through it. Other times I can not feel the vertebrae and it is sort of like a big fat pad is inside there. DOes that still sound like osteomyelitis?

About thoracic lesion and the ataxia/spastic feeling in left leg - these were only present during the three months period when I also had the on and off again vertigo when I woke up and sat up; other occsaions when it was just a swaying/dizzy feeling when I would look up or bend forward or walked in a mall with bright lights reflecting everywhere off the marble. I also had witching in the muscles of my face on occasion especially around eyes or next to mouth or in chin. And the whole time - the whole three months - I felt extremely compromised and not my self - not well. ALl those things appeared and then were gone together.

Mar 19, 2012
Dr. B - replying to your reply
by: Anonymous

Hi Dr. B:
I am not going to yell because I am a very pragmatic and analytical person. I am well aware and agree that my weight is a big problem no pun intended. And no, it is not a laughing matter, but I am trying to keep my spirits up and focus on the complete change in my "diet." Not a weight loss diet, but a COMPLETE change in what I eat and how I look at food. So far so good. As I mentioned, I was at 232 tops last year, and now at 207. I will continue and pray every day that I won't get back sudden uncontrolable urges to eat what I should not.

As far as my neck, very worrisome as I am only 58 and I feel like what is going to happen when I am 68 or 78? I have been wearing flat shoes for 15 years now. .. the slightly dizzy feelings when I turn my head or tingling in my 3-fingers.

Last summer I was still forgetting occasionally and carrying a heavy purse or picking up heavy groceries, and then I started waking up in the night with completely numb 3-fingers. Very scary as they were not just tingling but completely numb. I have learned now to never pick up anything heavy and it has helped. I do still wake up with numb fingers if I lie on my side so I have had to learn to only lie on my back.

And I desperately need a new mattress. Mine is lopsided so when I lie down I can feel one side of my upper back is slighly higher than the other and I have to adjust myself at an angle. But I haven't been able to afford a new one until this week when I got my tax refund. I am worried about what kind of mattress to get. In January I had one of the very bad spells of tingling and numbness - so bad that I got it every time I used my cell phone, or typed on the computer. I lied down in my moms retirement home on the adjacent bed and voila! all my neck symptoms were gone for several days.
Your diet sounds just fine, stick to it and like I said get to the magical BMI below 30. Important.

That could be a lipoma, not really important, but obviously I have no clue.

Which fingers tingle? That gives us a big clue as to what and where the problem is.

I still think you are describing BPPV with the vertigo. Epleys are easy, but you must do the right ones. That means diagnosing which canal.

good luck.
Dr B

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Knot on top of finger tingling in fingers and arm hurt

by J R
(Tennessee)


I have been suffering for a 6 months or more with the pain and it seems to be getting worse, cannot write or hold anything and now my arms hurts, my neck is stiff along with my shoulder but they don't always hurt at the same time. Going to a neurologist soon.

Do you think it is something more than carpel tunnel?

Hello JR (Ewing?!),
Neck stiffness, shoulder stiffness, pain and weakness in the hand and arm points to one of the many neck syndromes that causes these type of symptoms.

Have you had X-rays of your neck?

What's needed is a good thorough examination. You should get that from the neurologist, and then consider moving on to a chiropractor.

I'm sure this is treatable, but perhaps not "curable". Start some GENTLE exercises for your neck and shoulder perhaps.

I hope this contributes.

Dr B

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Tingling in left hand, thumb, fingers, and arm. Now tip of tongue tingling.

by Andrea
(Burleson, Tx)

Feels like my LEFT arm and hand are asleep. This is constant. It is more extreme when I wash my hands or touch my hair. Today, my tongue feels like I burned it eating hot pizza, tingling. Today is July 18 2011. All this started beginning of June with the very tip of my index finger feeling swollen but it wasnt. Over the next few weeks, the tingling started to include my thumb, then my middle finger, then my palm, then my wrist, then my forearm (thumb side) and today it seems to include the inside of my upper arm. All of this is regarding my LEFT arm and hand. For about a week, my wrist actually felt tight like I had a rubberband around it. There is no difference in temperature between the right or left hands. When I stretch out my left hand the palm feels really tight.

A few things occurred in the time frame just before my symptoms. I yanked a garden hose toward me and the metal nozzel whacked my arm really hard about 1 inch away from my wrist. This is what I initially thought caused all this. But I was also working overhead on a gazebo and I remember having a difficult time because my arms were up for a long time.

And finally, I was using insecticides and did not wear gloves or a mask. Also I spray myself with a mosquito repellent at least 2 times a week. I have been doing that for years in the summer, since mosquitos adore me. I was really concerned that I poisoned myself with the other insecticides but then I read your info about overhead work. The last time I did overhead work was early last month but my symptoms progressed as I stated.

I feel it is nerves and not circulation. I went to my chiropractor and he did not address by arm concerns and just adjusted my back and neck and jaw. I have another appt at which I will tell him we need to discuss my arm. I would love to hear from you. Thank you

Hello Andrea,
Step no. 1: Go out and buy a mosquito net, and get hubby if there is one, or papa to attach it to the ceiling. A far better solution to the mozzie problem.

Secondly, I have to say I am unsure. Stuff in your neck and the first rib is most unlikely to affect your tongue. I would advise a neurological consult at this stage.

The symptoms in your arm seem related to the carpal tunnel and the first rib in your neck. Only a careful examination will find exactly where the problem lies. Both respond well to chiro but only if he treats the lower arm and adjusts the first rib.

It's the tongue stuff that has me pondering. See a neurologist.

Kind regards,

Dr B

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Pain in neck and bulge after going to a chiropractor

by Heather
(Richmond VT)

What could the chiropractor have done to my boyfriend's neck that causes him to be in pain and have bad headaches that he didn't have till the chiropractor cracked his neck.

He also has a bulge on the right side, like the the veratbra is out of joint. He his a 31 year man who had no pain in his neck till he was popped.

Mmm, there are a variety of possibilities, Heather.

My first question is why did he go to the chiropractor in the first place for neck treatment if he didn't have pain in the neck?

When there is a chronic problem, there is quite often "after-pain" especially after the first treatment or two. That's not unusual, but it should be fairly short lived. Perhaps a day or two. If it's longer, there is cause for concern.

Secondly, every neck is different. One person has had two car accidents, another a diving accident, a third a fall from a horse... it takes time for your chiropractor to work out what combination of treatments is best. It takes a bit of trust, and some patience, and honest feedback. "I felt terrible after the last treatment" is okay.

Thirdly, there may be some abnormality (such as block vertebrae) that you can't detect without an X-ray. We don't X-ray every patient for obvious reasons, and sometimes, in retrospect, we realise we should have.

And lastly, it's possible that s/he just did it wrong. It's called iatrogenic illness - doctor caused disease. It happens to every single doctor, including chiropractors, including myself. After the fact, you realise you should have done this, and not that... again more honest talk.

Your boyfriend should phone the chiropractor back. If s/he doesn't take your boyfriend seriously, or respond sympathetically, I'd go elsewhere.

I hope that contributes.

Dr B

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Tingling in hands and arms.

by Ed
(Warren, MI)

Hi,

I started lifting weights about a year ago. Recently I have been experiencing tingling in my lower arms and hands, from my elbow to fingertips, on the inside and outside (anterior and posterior?) of my arms, and sometimes it will even extend up my upper arms (triceps) and into my deltoids. This typically occurs when I am trying to sleep, and can even become painful. If I massage the area all around the elbow (as if I just bumped my "funny bone") and my lower tricep, it seems to go away, but sometimes it returns quickly as soon as I stop.

It's almost like my triceps are somehow clamping down on a bundle of nerves or something like that, right near my elbow.

Any ideas? I've stopped lifting for about a 3 weeks and it still seems to bother me. This happened to me once before when I spent a lot of time trying to chop wood, but it eventually went away on its own once the wood was all done.

Should I be concerned? Will this cause any long-term damage? It doesn't seem to tingle or hurt when I actually am doing the exercise... it's when I'm resting afterward. It sometimes happens when I lay my arm on something hard (desk, armrest, etc.) if there is pressure on the elbow.

Thanks,
Ed

Hello Ed,
You do indeed have reason for concern. You certainly have nerve impingement somewhere, the trick is to work out where.

The triceps is often a biggie in shoulder conditions, but I'd rather think of the Pronator teres muscle. It has two branches, and the Median nerve travels between them, supplying the fingers on the thumb side of the hand, importantly missing the pinkie.

But yes it could be in the ulnar groove in the elbow, or the Scalene triangle in the neck or even the lower neck.

It's time to look for a sports oriented chiropractor with a FICS qualification. Contact your local Chiropractic association for a name.

Good luck, let me know how you get on.

Dr B

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tingling in forearms thumbs and finger tips

by Teri
(MI)

Can breathing treatments and/or steriods cause tingling in inside of forearm, thumbs and finger tips? Is it something to be concerned about?

Yes, Teri, neurological symptoms are always of concern. It will however take careful examination to find the source of the tingling.

Not sure what your breathing treatments are, but the brachial plexus - the nerves from the lower neck to the arm - pass over the first rib, close to the apex of the lung, so both lung conditions and perhaps the treatment, since that would involve inter alia the first rib, could perhaps be involved.

I think it unlikely that steriod treatment would be the cause, but there you should ask your doctor. That in any event should be your first port of call. Talk to him/her about your symptoms, and thereafter consider seeing a chiropractor to examine your lower neck, the first rib and the pronator teres muscles in the forearms.

For more info, punch "carpal tunnel syndrome" and "thoracic outlet syndrome" into the Search this site function at C-H.

I hope this contributes.

Dr B

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Pain and tingling in Hands

by Michelle Brooks
(Henrico)

Pain and tingling in Hands

I had a surgery in nov of 2011 and 3 months later I have had pains in both hand day and night tighness feel like someone sticking pins in them and numbness .

What surgery, Henrico?

Dr B

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Swelling and numbness on the left side of my body (arm & hand, leg & foot) some tingling.

by Jackie
(Citrus Heights, Ca, Sacto.)

cervical rib

cervical rib

For about the past two weeks when I wake up early mornings my left side feels all swollen and numb,some tingling in hand mostly. My shoe fells tight. It subsides some what during the day until the next morning. I have always for as long as I can remember had a cold hand on the left side that's is not new. It just feels like one half of me is swollen no real pain and I can still function. Feels like water retention on one half of me.

It's different don't know whats going on. I am a diabetic not on insulin but when testing I can't get blood out on left hand.(circulation?)

I have also had some neck tightness lately... really bad even my jaw like TMJ but its my neck that causes the jaw problem I think. I did go to the chiropractor last week, got it adjusted went well. Neck fells better but still wake up with one side of my body feeling the same as before. I do go see him next week, didn't even think it was connected till reading on line. I shall ask him about this but I am thinking more in the line of
my heart, that worries me.....

What do you think? Can you have water retention on just one side of your body? What would cause this every morning? Also the arm, hand,leg, foot are swollen you can see the difference between one side and the other.

Health info. I am a diabetic, no HBP, working on the cholestrol (210) and over weight. Walk every day.

Hello Jackie,
My first thought was a "cervical rib". There aren't normally ribs in the neck, but 2/1000 people have a cervical rib that can enter the inter scalene triangle and cause havoc with both the artery and nerves to your arm. Ask your chiro to see if you have a pulse in the wrist, and to do Adson's test. (Type Adsons test into the Search this site function at Chiropractic Help).

However, that wouldn't affect your leg.

Seems to me time to see your diabetes specialist for an opinion.

Get that weight off Jackie. It's almost certainly contributing to your misery, and those extra pounds are a mill stone around your neck. There's only more trouble coming, arthritis in the knees, insulin and of course the ever present threat of stroke and heart attack so high in obese diabetics.

Not easy I know, but the alternative is too ghastly to contemplate. Start by cutting out the carbs in your diet and making your own hummus to increase the vegetable protein that you are eating. See in our Healthy Living section.

Good luck, let me know how you are getting on. Perhaps print this out for your chiropractor. I hope this has contributed.

Dr B

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Tingling in my hands and arm


Hey,
For a while now I have been having an aching, tingling feeling in my right index finger and thumb. It got to the point I had to use my left had to use my phone etc. Now I have noticed it has started to move down to the inside of my wrist and a little way up my arm. I find if I apply pressure it relives it but as soon as I release the pressure it tingles/throbs.

Along with this a few times I have woken up with a horrid pain on the right side of my neck, where it felt like I could not get comfortable or sit still for long periods of time as it didn't feel good.

It usually lasts a few hours to the majority of the day. I thought it was an outcome of laying weird in bed but now I am wondering if it is linked to this feeling I have been having in my hand/arm.

I wanted to inquire about this to see if I need to get it checked out or if there is anything I can do to stop this.

Thank you!!

Dear Miss Mayhem,

Mm, a stirrer I take it, and now it's boomeranged and there's something stirring in your neck!

Yes, there is certainly a connection between what's happening in your hand and neck. Not a tum sleeper by any chance?

I would suggest you start with a visit to your GP and ask for some X-rays of your neck including "obliques". Take your camera with you to the radiologist and, if they are on plain film, take photos. If digital, ask for them on a CD.

Then you have to decide what route of treatment you want to go. Obviously I'm biased and would recommend a local chiropractor, but your doc may want to suggest pills or physiotherapy.

Meantime don't carry heavy things in that arm. Does placing your hand on your head relieve, or increase the tingling?

Shoulder abduction relief sign ...

Use this button to search for Upper Limb Tension Test. Search this site … Go to Youtube, watch the short video and ask a friend to help in doing the test.


It's your bod, so your call.

Dr B

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Neck and Head pain

My 12 year old daughter has had headaches and neck pain for several months. It has been worse in the last 1-2 months. She has had a CAT scan of head and brain, and blood work which were normal. She complains with pain right below her eyebrows, temple area and back of neck near base of head. She asks me to rub on her neck and frequently.

She is in the middle of puberty and I am wondering if much of this could be hormonal.

At any rate we are trying to find some relief. She has been prescribed pain medicine for migraines, Imitrex, etc. I have not given her any of this. First I do not believe she has migraines. Maybe tension headaches but she has no nausea, sensitivity to light and it's not just on one side of her head.

She has been taking Skelaxin sometimes 2 or 3 times per day. It seems to help maybe some. I began taking her to a chiropractor this week. She complained that after the adjustment, particulary of the neck, that it made her pain worse. I'm not sure if we should return. She does not want her neck popped again. She had developed the habit of popping her neck.

The chiropractor advised her to stop this habit. He says he has to turn her head much farther than he should have to in order to pop her neck. I would welcome any advice.

Thanks.

Hello,
The fact that she has 'developed the habit of popping her neck' suggests this goes back to an old injury, or perhaps even related to a scoliosis, and Leg Length inequality …

My experience is that folk who pop their own necks inevitably get worse. It's quite abnormal and unnatural. Chiropractic cervical manipulation is done with distraction to open the facets. Done by patients who pop their own necks, the condition just gets worse and worse.

The fact that her pain increased after the adjustment is cause for concern, but not a reason to stop treatment. I suspect she has a real problem, does she have any old injuries?, and it sometimes takes time to work out what spinal adjustments work for each patient.

If she goes on cracking her own neck, the Chiropractic treatment will be quite unhelpful.

You're in a difficult place. I don't like X-raying young children, but if there is old trauma, horses, down the stairs, MVAs then I would recommend it, including an APOM. An X-ray through the mouth.

But she's already had a huge amount of ionising radiation from the CAT scan, and so I would be reluctant...

Discuss all this with your chiropractor. What I can promise you is that if she goes on popping her own neck this will get worse and worse.

A gentle massage from Mum every evening? Some neck exercises? Ask your chiro for advice.

I hope this has contributed.

Dr B

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left arm shoulder area ring and pinky finger

by gary day
(berwick maine)

C8 dermatome, ring finger and pinkie.

C8 dermatome, ring finger and pinkie.

I slipped and fell and now have had pain and burning inside of my left arm. My ring and pinky finger are numb. When I try to use my arm no strength and it increases the pain, with a severe headache that makes me want to vomit.

Doctors here are having problems finding problem. I have had mri galore, emgs and other tests. Please help.

Hello Gary,
First of all the ring finger and pinkie is very specific - the dermatome relating to the C8 nerve root. It emerges from between the lowermost neck vertebra C7 and the first thoracic vertebra T1.

If you turn your head to the left and look up do you get lower neck pain and does it radiate immediately to the arm?

However, the C8-T1 nerve roots, side of your hand and inner arm, are the ones lying over the first rib. It's possible that when you fell the first rib was fixated, or the scalene muscles are in spasm. Read more: http://www.chiropractic-books.com/Thoracic-Outlet-Syndrome.html

There's a very specific test for TOS called Adson's test. Has any one taken your pulse whilst you look left, up and take in a deep breath?

Stretch your RIGHT arm out to the side, palm forwards. Now extend the wrist, and then extend your whole arm backwards, and gently tilt your head to the LEFT. Remember what you feel in your right arm. Now repeat with the naughty arm. Is it different?

Does raising your arm increase or relieve the pain?

You say that moving your arm increases the pain. Then it could also be shoulder pathology - like a rotator cuff strain. Do activities like changing gear, opening the car window, combing your hair hurt?

These important questions and tests will give an indication of where the problem is.

Frankly, a pinched nerve in the neck is one of the most painful conditions we treat in Chiropractic clinics. You're not wingeing about nothing. I can see this hurts.

Start hunting for a competent thorough chiropractor. Talk to friends and your GP.

I hope this has contributed.

Dr B.

Comments for left arm shoulder area ring and pinky finger

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Oct 27, 2011
thnk you very much, no numbness anymore.
by: Mohamed

thank you very much, after lifting at the GYM my pinky was numb. after I did the exercise the no numbness, little fibration feeling from time to time.

Good, glad it's improved.

Dr B

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Tingling aching arms

by Richard
(Cairns, Australia)

Hi. I have for the past 2 years had odd sensations of tingling and aching in the arms and hands. This is usually followed by a fuzzy type feeling which sometimes is felt in just the body but mostly affects my head as well. Almost like a want to faint kind of feeling.I usually feel quite ill after. Nauseous and just quite yuk in general.

I have had numerous tests over the past couple of years and currently waiting to see a neurologist. Because I have osteo arthritis in parts of my spine, the doctors I have seen seem to think my condition stems from that.

All I know is that it scares the hell out of me at times and quite frankly I don`t know how long I can put up with it. Attacks just occur wherever, whenever, but usually the worst ones are in the evening. It is almost a daily experience now and i have had enough.
Any help would really be appreciated.

Hello Richard,
What's needed is a more thorough neurological examination, and that's what you'll get from the neurologist.

It could be related to a condition called Cervical Spinal stenosis, narrowing of the spinal canal in the neck which can affect the whole body, not only both arms. But that's a guess. The diagnosis is made with an MRI.

However, the neurologist will be wanting to rule out other conditions because of that nausea and fainting. It hasn't affected your eyes or balance?

Start writing up the symptoms as accurately as you can for the examination. For example, is the tingling in all the fingers? Do movements of your head and neck and arms affect the tingling in your arms. Do sudden movements of your head produce nausea? The more accurately you can describe your symptoms, the greater the likelihood of an accurate diagnosis. Let us know what the upshot is.
Meantime, keep active, keep busy. Exercise, eat healthily, and perhaps some extra fish oil, always useful for osteoarthritis of the spine.

Sorry not to be more specific. Good luck.

Dr B

Comments for Tingling aching arms

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Jan 19, 2013
Allergic
by: Richard

Hi. I have discovered that all of my symptons have gone away......the reason..........apparently I am allergic to Lipitor. I am on a different medication now and I feel a new person. Thanks.

Hello Richard,
Thanks so much for letting me know. You've got a clever doctor, or did you work it out yourself. Bad stuff Lipitor. Think rather Foods that lower cholesterol ...

I've taken the liberty of quoting you on one of my cholesterol pages.

Dr B

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aching arms and hands

by B Wall
(Charlotte, NC)


I have an 8 month old...

Just last night, I woke up to aching arms and hands (from the shoulder down). Almost like both of my arms were "asleep" and they were "waking up". Where that feeling is normally temporary, this lasted all night more intense last night and now again today. Should I be concerned as it has only been a couple of days of discomfort?

Dear B,
Thank you for your letter. Frankly I'm a little torn. Conditions that have just started, we first recommend you follow a bit of home care and common sense. But on the other hand, pain and tingling in arms and hands and feet we rate far higher.

It's probably related to carrying your child, and perhaps your feeding posture. Try to make a few changes there, swing your arms regularly during the day and if it continues, or gets worse, then obviously you must see someone.

It's quite likely related to the first rib / scalene muscles in the neck that can put pressure on the artery and nerves to the arms in the inter scalene triangle ...

I hope this contributes, let us know how you get on. Don't sleep on your tum. That's a big no-no.

Dr B

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pain and numbness

by tracy e.
(covington tx)

for about a yr now ive had stiff neck , heavyness in sholders , nerve pain in back and shoulders , joint pain in shoulder , elbow and inside of my knuckles are super tender on one side of my body. now my other side my hand is stiff and my pinky and ring finger want to stay bent and one looks like its turning in. i have had alot of pain so much so that when i get up in the morning my ankles hurt like ive been on them all night. the pain does get better as the day progress. im 38 yrs old and a female. please help.

Hello Tracy,
Frankly, I'm not sure, and further testing is necessary. The fact that you hurt all over, your fingers are stiff suggests this may be a form of arthritis. Have you seen your medical doctor? What did they say?

The inflammatory arthritides are best treated by becoming a health nut. Try and avoid getting onto cortisone.

There are any number of suggestions, but the most common are: start taking omega 3 oil, fish and flaxseed oil. Drink as much water as you can. Start eating plenty of salad, fruit and veg, and cut down hard on your red meat.

Short fasts are a good idea. Perhaps a day with nothing to eat, just plenty of water.

Some suggest cutting back on alcohol and caffeine, and then there are plenty of way out things.

Keep active and use alternating ice and heat for pain control.

A good weekly massage would help, and an opinion from a local chiropractor wouldn't go amiss.

I hope this contributes. Let us know when you have more info.

Dr B

Comments for pain and numbness

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Apr 21, 2012
REPLY
by: TRACYE

I HAVENT BEEN TO THE DR YET. PLANNING ON GOING SOON. SOMEONE SAID THAT IT SOUNDS LIKE RHEUMATOID ARTHRITIS . NOT SURE , BUT I DO KNOW THAT ALONG WITH ALL THIS I GET HEADACHES IN THE BACK AND ON THE SIDES OF MY HEAD THAT MAKE ME NAUSIATED DAILY. PRETTY SCARED THE WAY IT HAS JUST TAKEN OVER MY BODY.

Chiropractic will most likely also help you with allied problems like headaches, though with rheumatoid, manipulation of the neck must be done only with caution.

See you GP. Soon... and do your level best not to get onto cortisone.
Dr B

Apr 21, 2012
Natural anti inflamatory
by: Anonymous

I suggest you search out foods that will help fight off inflammation and or drinking. Stretches that help loosen your body. I'd say that if the pain gets a little better with movement maybe even upping the exercise nothing too hard but get your circulation moving. On fasting there are ways to fill the void to keep you feeling full lots of water but you can also add a broth a broth of homemade veggies is best ( look up miso soups) you could also drink watermelon juice best if in the morning. And as always how are you sleeping? A good nights sleep is always right going to help but if your not fulling resting in the night your body isn't either. I hope something helps best of luck.

Hello again, Tracye, unusual way you have of spelling your name!

A variation of fasting is the broth fast (as above), always good, or a fruit fast. Rather than watermelon juice, eat watermelon. The processing of fruit juices robs them of many nutrients.

Good luck.

Dr B

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tingling arms and hands

Tingling arms and hands

I get electric tingling in both my hands wrist and arms after doing push ups. it goes away after a while and it doesn't happen every time i do push ups. It started last semester when I was doing yoga, weight lifting, and taking a sculpting class. Do you know what it may be?

Hello,
Which fingers would give us a clue. The median nerve passes between the two bellies of the Pronator Teres muscle in the forearm, affecting the fingers but excluding the pinkie. See our Carpal Tunnel syndrome page.

If it affects all the fingers, then I'd be looking to do Adson's test to check for a Thoracic Outlet syndrome.

If it goes to the ring finger and pinkie, then I'd be thinking of the ulnar groove in the elbow.

Underlying all these is usually a fixation in one of the lower cervical vertebrae or the first rib.

If it continues to bother, or you start to get symptoms whilst at rest, then I'd look up your local chiropractor.

I hope this contributes.

Dr B

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Tingling in hands / Pain around T5 (upper centre back)

by Kevin
(Vic. Australia)

Tingling in hands

Hi there, I wake early each night now for about 3 months with pain around T5 (upper centre of back) also have tingling in hands..the pain in back dimishes after I have got up for about 10 minutes and the hands are ok as soon as I move them a bit..these issues have been around for about 5 years or so but have just got much worse of recently.

Cheers Kev

Hello Kev,
Night pain is always more worrying. Have you had an X-ray? I would. No cough? Good health? No weight loss?

The fact you have tingling in both hands suggests that the midback pain could be coming from your neck, or it may be a separate, independent condition.

Time for a good examination. Diagnosis before any treatment, including pills.

Dr B

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Numbness in left pinky finger.

by Del
(Burnsville, Minnesota)


I've got numbness in my left pinky finger. It feels like when you get a burn and lose some sensation. Actually the area affected seemd to correspond to the C8 dermatome in your diagram.

Coincindently, I've now got a pretty bad sinus condition with dark green secretions and a little blood. I think I got the sinus problem from driving with the window down. I noticed that while driving, the back of my neck would get very cold. It seems like the right side of my neck,just off center and at the hair line, is somewhat hardened and a little thicker. Just enough to be noticeable. I've been rubbing it to loosen it up.

I assume that the sinus condition will go away. I've had sinus problems before. What do you think of the numbness? Any connection to the sinuses?

Hello Del,
Most likely the numbness in your finger is unrelated to your sinus infection.

The pinkie corresponds to the ulnar nerve, the C8 dermatome as you say (usually the ring finger too), and the "thoracic outlet". It could be a local problem in your finger or hand too. Not a carpal tunnel, that never affects the pinkie, a median nerve problem.

Does you neck hurt? Do movements of your neck affect the arm and finger? Try the "upper limb tension" test - is the arm much tighter, painful? Also, does placing your hand on your head relieve or aggravate the numbness?

Use the Search this site function at C-H for the meaning of these terms and tests. Let me know.

Dr B

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Pain on index through middle finger

by Rico
(London, )




Hi,
Greetings! I've experience pain and tingling on my index then it went to my middle finger few days ago. It didnt get better but just the pain becomes like even worse. Then I wake up to feel that the pain travels to my arm and feeling numb as well. Pls help and need advise please.
Kind regars,
Rico

Hello Rico,
Carpal tunnel syndrome is definitely one of the possibilities, in which case the forearm muscles and the Inter Scalene Triangle need to be examined also.

You make no mention of neck pain.

You might go to C-H and use the Search this site … for Upper Limb Tension Test. If positive, then it may be more complicated with a pinched nerve in the neck.

Decide: drugs and surgery or manipulation and soft tissue therapy.

Go from Pain on index through middle finger to Chiropractic Conditions often treated…

Dr B

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Pain in the left upper trapezius and tingling sensation in the left thumb on the dorsal surface

Hello,

I have a pain in my left upper trapezius that increases when I turn my head laterally. Additionally, when I sit with my left forearm positioned on a desk or table at a 90 degree angle my left thumb starts tingling on the dorsal surface. I have enjoyed lifting weights for decades. Can you please offer any explanation for these symptoms?

Thank you.

Hello,
Stretch your arm out to the side, palm forwards, and then extend the wrist. Tilt the head to the opposite side - what do you feel in the forearm? Compare with the other side.

Is that pain in the trap when you tilt your head to the same side (probably not muscular: a facet joint) or to the opposite side? The latter could well be muscular.

I would think that stretch your arm out on the desk in front of you is stretching out the brachial plexus of nerves in the neck. Does placing your hand on your head relieve the tingling/

Old injuries? Whiplash?

Avoid pull downs.

I recommend you consult a local chiropractor for a good exam. Perhaps take a printout of this with you.

I hope this has contributed.

Dr b

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tingling in arm/fingers, pain in shoulder

by jessica
(reno, nv)


For about a month I had just pain in my left shoulder blade, a large knot of muscles that helped when rubbed.

The pain is gone there but now there is pain at the top of my shoulder in the back, the pain continues down to my bicep and sometimes the inner part of my elbow. I have numbnes and tingling from the elbow down to my first 4 fingers. It hurts more at night or during rest. I never have pain below the elbow.

The pain is worse at the top back portion of my shoulder and slightly down before my shoulder blade, no frontal ain It hurts to touch, even a slight slap on the back of the shoulder is vey painful, but overall just an aching pain. The tingling is random but is occuring more frequently. No neck pain, no headaches, I feel more tingling when my hand is below my heart, elevation and heat helps.

Hello Jessica,
You have true pinched nerve signs, and yes it's painful. Very painful.

Two things to consider. The fact that elevating your arm relieves the pain is calld the SAR sign. Shoulder abduction relief. Type it into the Search facillity at C-H.

Also tingling in four fingers points to what is known as "double-crush" syndrome. The pattern in your fingers is following the course of the median nerve, and is probably also being affected along the couse of the nerve. Perhaps by the first rib in the interscalene triangle, perhaps between the bellies of the pronator teres muscles, and perhaps in the carpal tunnel in the wrist. Again, use the search this site function for these terms.

Time for an X-ray, and if you can afford it a scan. This is a serious condition, you're not whinging about nothing, and your arm may become weak and numb if you neglect it.

Don't carry anything heavy in that arm, and avoid looking up, especially when rotating the head to the left.

It started in the midback, under the shoulder blade, because the rhomboid muscle is supplied by the lower neck.

Do the Upper Limb Tension Test and let me know the result. Good luck, don't delay...

Dr B

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Left arm feels tingly

by Dan West
(U.K)

Interscalene triange.

Interscalene triange.

Hi there, for the past couple days now my left arm has felt sort of tingly. Like when you lift it up for a long period of time and the blood goes from it. The really strange part though is my knuckles feel as though they are being pressed together from the right into the left. When I raise my left arm vertically it increases this feeling and my hand starts to close itself. Can you give me any idea of what this is and how I can get rid of it. I am a pretty healthy 18 year old male with no heart conditions or any other condition apart from asthma.
Thanks for your time.

Hello Dan,
Not sure frankly. When raising your arm increases the symptoms, we usually think of a problem in the inter scalene trianle just in front of the neck, and to the side.

A pinched nerve in the neck usually lessens the symtoms.

But that clawing of the hand I can't explain. What's needed is a thorough examination: reflexes, sensory disturbance, muscle strength, Adson's test, pinched nerve tests, neck orthopaedic examination, and then a consideration whether this could relate to the central nervous system: the brain and spinal cord.

No discolouration of the arm?

Symptoms in the arms and legs need to be taken more seriously that pain in the neck or back. If this continues over the weekend, I would start with your general practitioner. Then only start hunting for a local chiropractor. In the first instance, I'm not convinced this is a chiropractic condition.

I hope this contributes.

Dr B

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Comments for Left arm feels tingly

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Apr 15, 2012
Some more info
by: Dan

Hi there again, I have reason to believe it is something to do with my funny bone. On my left arm if I press in where my funny bone is it increases the tingly feeling that I have constantly at the moment. Its sort of all the way on the left of my left arm to the end of my left little finger and 3rd finger. Sort of a numb feeling unless I raise my arm up for a few seconds then I get the pins and needles feeling. There is a nerve in this area that could be trapped?

Yes, indeed, Dan, the Ulnar nerve passes in that groove, bumping the "funny bone" may irritate the nerve, giving the tingly numb not-so-funny feeling, hence the name.

However, I would suspect a "double crush", and would always first carefully check the lower neck and first rib, and the scalene muscles.

Medicine may want to reroute the nerve in front of the elbow, but start with looking higher up with your chiropractor first.

Dr B

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Tingling in hands and face

by Caroline
(St. Louis, MO)

Hello, I have had tingling in my right hand and arm from the elbow down, and in the right side of my face most notably in my lips and by my eye.

I have had every test there is to make sure it isn't MS. These symptoms have lasted for almost 2 years now. I have some slight weakness in my right hand and occasionally get pain in the tips of my fingers on my right hand. I have also had a sharp pain shoot from my elbow to the tip of my middle finger on a couple occasions. The tingling I experience gets worse in the evening. Do you have any idea what this might be.

Caroline

Hello Caroline,
You make no mention of neck pain, or movements of your head and neck provoking these symptoms.

My only other thought is a condition called hypoparathyroidism. Tingling around the mouth and finger tips is one of the symptoms of a calcium deficiency, and that's controlled by the parathyroid gland. A simple blood test.

No jaw joint problems?

Dr B

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