plethora of pain

by Christina
(St. Petersburg, FL)

my straight neck

my straight neck

I have a straight neck,Thoracic outlet syndrome, carpal tunnel and de quervains.

My thumb, pointer,middle and half of my ring finger goes numb when texting and talking on the phone. My arms go numb at night(fingers too). Neck constantly hurts. I was going to a chiropractor 2 times a week & massages 1x a week without feeling any better. Suggestions?

Hello Christina,
Yes, you do have pain. This is what I, and I suspect my colleagues, find to be one of the most clinically challenging conditions in the practice.

What's good in your case, is that from the x-ray you enclosed the disc spaces appear quite good, though I am unable to see the so called joints of luschka. Their state is vital in the prognosis. Could you attach more pics, or at least send the radiological report.

You have typical carpal tunnel symptoms but it's complicated by the TOS signs. The fact that raising your arm, as in holding the telephone, increases the symptoms confirms the likelihood of TOS.

No suggestion of a cervical rib in the report?

Go to the site search function and type in upper limb tension test. Let me know.

Also, look to the side of pain, then look up. What happens?

Oddly what I have eventually worked out is that less treatment, rather than more, is often the secret. Try seeing your chiropractor once in two or three weeks, instead of twice a week, and see if that helps.

Never hold the phone to your ear with your shoulder.

If it's your mouse arm, push the mouse pad right back on the desk so that your elbow lies on the desk. Get your computer set up checked.

Let me know keeping to this thread.

Getting onto an anti inflammatory diet will contribute; use olive oil only, fatty fish or freshly ground flax seeds daily and add fresh chilis to your food. Delic in any case! Using the search function at C-H you'll find lots of information about these so called functional foods that contribute to better health, and have a role in disease prevention.

Dr b

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Interesting challenges of the day

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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Greetings, Dr B.
You helped me quite some time back with a soothing and professional response which turned out to be exactly correct. I now consult a local chiropractor. You write a superb newsletter, too.

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