Intermittent episodic aching tingling numbness arms and legs and back
Dorsal scapular nerve to the rhomboid muscles.
Intermittent episodic aching tingling numbness arms and legs and back
I have been experiencing for quite some time (4+years) discomfort which most often starts near the spine, slightly inside the inner edge of my right scapula, then my entire right arm, palm and fingers will ache, both to the touch and in usage.
Recently I am also experiencing the aching etc. down my left arm (without the pain in the scapula area) and most oddly aching in my right hip and numbness in the area right below the toes as they move into the ball of the right foot.
It is very uncomfortable to sleep on my side - even with pillows.
I am quite active physically: yoga, walking, dancing Tango. Working at the computer, sitting and lying down can aggravate, as can standing (i.e. going to a museum). Moving actually seems to relieve.
I have gone to several chiropractors, a Heller worker, acupuncture: temporary relief if I am lucky.
Sometimes slight pressure on the muscle/flesh right next to the inner edge of the right scapula helps relieve, or slight pressure to the right of C1 helps.
Recently I have been putting ice on my mid back before falling asleep, which seems also to be helping.
I am 60, quite slender, fine boned.
Any ideas on what is going on?
Hello Barbara, It's time to ask to see a neurologist. Frankly I have little idea, more tests are needed.
If it affects your whole arm and hand, it means that the whole brachial plexus of nerves is being affected, rather than one single nerve root. My thinking is of a condition called thoracic outlet syndrome ... both the artery and the nerves to your arm may be affected.
The classic symptom is that the tingling and numbness in the arm(s) increases if you lift your hand above your head. Test it. Is it worse when you hang washing?
The standard test is known as Adson's test. Do you remember if anyone has tested the pulse in your wrist whilst you turn your head, look up and simultaneously take in a deep breath? Quite a difficult test to be objective with, unless one does it regularly.
But what about the scapula pain. Right now I'd assume it's related, but that's not necessarily so. Plus the rhomboid muscle located there is supplied by a single nerve from the neck. Read more at this deep upper back pain page. It could be a rib condition too, a referral from the lung tissue, and a host of others.
Most often a first rib fixation, or scalene muscle spasm is the cause of Thoracic Outlet syndrome and usually responds quite quickly to chiropractic care, but not in your case. There are other causes. Not a smoker?
And then there's the pain in your lower back and feet. Perhaps another separate condition, but possibly related, particularly now it's affecting your left arm too.
What's needed is a careful, thorough physical examination, reflexes, muscles strength, numbness, orthopaedic tests, listening to your chest, exam of the lower back and pelvis, the rib cage. And perhaps a scan of your lower neck and midback.
Have you had an X-ray of your neck? No cervical ribs? There really are many possibilities.
Please let us know when you have a diagnosis, it's helps others with simular problems. Perhaps someone else reading this will reply.
1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.
2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.
3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree.
Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.
4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.
He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.
5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.
6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.
7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.
8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.
9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.
10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.
11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.
12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.
13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback
since working above his head. Trapped nerve tests are negative but he
has advanced degenerative joints of Luschka; after just two treatments
he is 50 percent better. Can we reach 90?
And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.
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