uncomfortable ache down my right arm with tingling in my last two fingers
I am a 46 year old male, always on the go physically generally in the garden or writing and can be heavy handed without realising my own strength and am right handed.
However for a few weeks now I have been experiencing this dull ache I thought from my shoulder at first but it seems to stem from my armpit and down the bingo wing side all the way down to my hand with pins and needles in my last 2 fingers (my pinkie and ring finger).
I try to sleep with the arm supported by pillows but it doesn't always help, however if I put my hands behind my head it does ease a bit or if I bend my right arm and pull my elbow towards me with my left hand it does ease. If I push a bit into my armpit it hurts there and down the inner of my arm (bingo wing).
I have got to a point where I can't get a proper night's sleep, I am waiting on an appointment to see a GP as new to the area but it's really getting to me, I already suffer from Restless Leg Syndrome and have done for years and to add to it in the last year have developed painful lumps in both arches of both my feet and have been waiting for over a year for a scan.
I really hope you could shed some light on what's going on as I feel ready for the scrap heap. Thank you.
Hello James. You're not ready for the scrap heap yet, otherwise I'm already well fossilised, but certainly some changes need to be rung in.
You have a fairly classic C8 dermatome brachial neuralgia; meaning nerve pain in the arm. It's classically worse at night.
Interestingly you make no mention of neck pain. However that's probably where it's coming from as you describe the shoulder abduction relief sign to a T. Does turning your head to the right, and then looking up cause no pain? That's called Stirling's sign.
Looking out for weakness developing in the fingers.
Another less likely possibility is a thoracic outlet syndrome where the nerve bundles are affected in the inter scalene triangle.
You need to start with x-rays of your neck, including the oblique views which show the condition of the uncinate processes in the foramen where the nerve exits; that new GP should order them, then National Health will pay.
Start looking for a chiropractor who works with feet too; you may have plantar myofascitis, or even wear and tear in the joints of the feet.
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.
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.
Knowing that up to 70% of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there's a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong! Give plenty of detail if you want a sensible reply.
You visited this chiropractic help site no doubt because you have a problem that is not resolving and want to know more about what chiropractors do.
The quickest and most interesting way is to read one of my ebooks of anecdotes. Described by a reader as gems, both funny and healthful, from the life and work of a chiropractor, you'll love them. Priced right at $2.99, though Kindle fiddles the price without telling me.
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Issue #49: Consulting a locum / Green salad /Eggs Florentine
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Issue #47: Life without medication/ Eight coloured foods
Issue #46: Lower backs and ankles/ kaempferol and cancer prevention
Issue #45: Tingling, weakness and malaise/ vitamin B1
Issue #44: Applying general chiropractic principles to the hand / Omega-3
Issue #43: Art and science of chiropractic / Kale
Issue #42: Tum sleeping / Flaxseed
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Issue #40: Ominous lumbar signs / Too much medication?
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Issue #06: Safety on the Stairs / Ginger
Issue #05: Safety in the home / Red foods
Issue #04: Whiplash and the Joints of Luschka / Parsley
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