Numbness and tingling in hands and lower arms

by Judy
(Sandusky, OH USA)

When waking in the morning both hands and arms are numb, ache terriby, tingle and have a burning sensation. Hands are very red and swollen. On August 17, 2008 I had a lower back spinal fusion. However, the numbness in the hands and arms didn't start until a few months ago. My right hand goes to sleep when I'm driving or on the computer.

Hello Judy,

You need to see your medical doctor about this Judy. It's probably not "serious" but it could be. Thrombosis can cause that swelling in the arms, but not likely bilaterally. Also congestion of the venous return in the Thoracic Outlet should be considered, again not likely both sides. A cough?

Fluid is not draining back from your lower arms to the heart. You don't sleep on your tum, do you?

Once "medical things" have been ruled out, then see your chiropractor. It could be related to a subluxation of the first ribs in your lower neck.

This is not related to the surgical procedure in your lower back.

I'd take a good long look at your diet too. Significantly overweight? Something in your cardiovascular system is complaining. Start eating fatty fish regularly, take fish oil capsules, more fruit and veg. Lots more?

I hope this has contributed.

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Jul 29, 2016
jaw and face neck numbness
by: Anonymous

I am Raj.

Six years ago I met with an accident and both sides of my jaw were fractured and fixed with a steel plate on my jaw.

Now I feels numbness in jaw and face and my neck also in my arms; please give suggestions.

Hello Raj,
The nerve supplying the jaw and jaw joint is complaining; it's probably best you return to the surgeon who plated your mandible.

Most likely in the accident your neck was also injured; hence the numbness in your arms. You need an examination of your spine.

Dr B

Apr 19, 2015
numbness and pain in fingers and hands after chiro
by: Anonymous

I am 58, weigh about 155 and am 5' 4". In Oct of 2014, I stupidly was showing my kindergarten students how to stand on their heads. Crack! I felt and heard pain. I did nothing at the time, thinking it will get better. I put best and capsacin patches on it and continued to have severe pain when I moved beyond a very limited area. So significant limited range of motion. In Feb I couldn't stand it and sent to a NUCCA chiro. He has a great reputation, but his head is way too big and after a half day taking xrays, etc. He told me to come back on a month, but only if I could call on a Mon before 9:05 and get an appt. He's so booked.

After a month I went to a newbie chiro. Nice young man, but now I am experiencing numbness, tingling and pain in my fingers and hands all night, during the day sometimes. I sleep on my back and try not to move and it is less. But due to the numbness, I can go to pick something up and almost lose it. I'm assuming the two are related, but I'm not sure. Who do I go to? I can't go on like this.

You're in a pickle, frankly. Obviously you've had a serious injury and the further delay only aggravated it.

Have you seen the xrays? Can you tell me what they show, or better still take photos with your digi and send them to me at Contact.

Then we can take this further; it is serious so take it seriously. Yes, you're right, it was silly. Our legs are for standing on! But that's set in concrete, and you must move forwards. Smartly, send me those pictures.

Do me a favour please. Copy and paste this into a new thread instead of linking it onto all these old comments.

Dr B

Feb 28, 2015
by: Anonymous

Hi I'm 36 I'm 145 5'6 at the back of my neck more from behind my down my R hand I'm feel a pull its also stif can't even take up anything if I do I'm feeling it all in my chest.

I need a lot more detail. Please write from a computer not a mobile device. I don't understand quite a lot of what you've written.

Dr B

Dec 07, 2014
Question about hand, arm tingling
by: Anonymous

Hi -

I'm a 29 year old female. About 3 weeks ago I started experiencing tingling in my thumb most every time it's in use, as well sometimes in the pointer finger, middle finger, forearm and sometimes tricept area. No known injury to the neck. I don't have the best posture. I'm petite but have a well-balanced diet. Tinging usually happens throughout day but I was alarmed when I woke up this morning and couldn't bend my arm inward towards my chest. Any thoughts on what's going on would be much appreciated!! Thank you.

Hello Anonymous,
If the tingling goes into the middle finger, then you almost certainly have what's known as a double crush syndrome. The median nerve is affected in two, or even three places. The most common locations are in the thoracic outlet in the neck, between the bellies of the pronator teres muscles in the forearm, and the carpal tunnel in the wrist.

Do any movements of the neck provoke the tingling? Does raising your arm above your head relieve or increase the tingling?

Go to the Search function at Chiropractic Help and type in Upper Limb Tension Test. Do the test.

Print this out, and take your answers to your local chiropractor.

Let me know how you get on.

Dr B

Jul 04, 2014
Ulna nerve transposition
by: Loz

I had very similar symptoms it turned out to be a trapped ulna nerve which was moved to the other side of my elbow.

Thanks for your comment; was it successful?

Dr B

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Tingling in arms and hands and especially a numbing in the left arm and hand.

Is this tingling in arms and hands a nerve condition? It starts with a feeling of something crawling around my elbow, then it shoots down my arm towards my hand. It feels like 'streaks' of tingling going down my arm, sometimes so intense it hurts.

My entire hand will tingle and then go numb. It actually happens with both my arms, but primarily the left arm.

No history of heart or neurological problems ever. I am left handed, but I use my right hand on the computer mouse.

It intensifies at night, and sometimes will wake me up. It usually lasts from a few minutes to as long as 30 minutes.

I have had no injuries or been injured in any way; this started about 2 weeks ago. Is there case to see a doctor to check this out? Thank you.

No, it's not a reason to see your doctor but it certainly is a reason to consult your local chiropractor!

The fact that the tingling in arms and hands is affecting your WHOLE HAND rules out a Carpal Tunnel Syndrome which affects the Median nerve only, excluding the pinkie.
Yet it also has features of Carpal tunnel syndrome, and the Pronator teres muscle in the forearm also should be checked.

You almost certainly have what we call a First Rib syndrome (aka Thoracic Outlet syndrome) where the nerve bundles from your neck (and sometimes also the artery) are being squeezed as they pass through a narrow tunnel between the first rib, your collar bone and two muscles in the neck. The definitive test is called Adsons Test.

It's what we call a "double crush" syndrome where the nerves are often affected in the Thoracic Outlet and often also down in the forearm and wrist. Your chiropractor will probably have to address both areas.

When there's a strongly irritated nerve, I recommend you don't delay. Your arm and hand will start to go numb and possibly weak.

Thought: does placing your hand on your head increase or decrease the symptoms? Tell your chiropractor.

Let us know in a couple weeks how you get on. (he may want X-rays of your neck)

At you'll find a "search this site" facillity in the Nav Bar. Type these terms in for more info.

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numb in my fingers

by cyqno

I'm feeling back pain lately after redecorating my office. I also pick up heavy loads during the redecoration. Later, in 2,3 days, I'm feeling numb in my fingers.

Hello Cyqno,

I'm assuming by "back pain" you're meaning lower back pain. However, a pinched in the neck can refer to the muscles between the shoulder blades, as well as down the arm to the fingers.

No neck pain? Does turning your neck give you anything odd in the arm and fingers?

If the numbness is just in the thumb to ring finger, then it's probably carpal tunnel syndrome. If it's in fewer fingers, then it may be coming from your neck, or the thoracic outlet in the neck.

Only a thorough examination will detect the cause of the numbness. There are also various medical conditions, like diabetes or pernicious anemia or MS that can cause numbness in the fingers.

There are chiropractors in Malaysia, but if not in your area, then start with an exam by your doctor.

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Pain, weakness, severe pain in both arms

by jenmik

Hello. I am 32 yrs. old. I do have rheumatoid arthritis. However, this new symptom, which seems to happen every time I am in bed, and when I wake up in the morning.

I will have numbness from my shoulders down to my fingers. The pain is so intense, and sometimes the numbness is so numb that there is no feeling in my hands/fingers.
When this happens, I try to move my arms, but its like I have no control, and its very very difficult to do. They feel very weak and there is alot of pain.

Sometimes, it will just be from the elbows to the fingers. (And it is the whole hand, and all of the fingers) And somedays, it is from the shoulders to the fingers.

And it is both arms, sometimes at the same time, just with different pain/numbing levels.

This is a very new symptom, which has started about 3 weeks ago, and is happening almost every night/morning. At night, I awake with type of numbing weakness pain. Also, the morning numbness, weakness and pain last for about 20-30 minutes after I am awake.

Any suggestion would be very helpful. Thank you for your time.

Hello Jenmik,
The fact that it's in both arms definitely suggests the need for a thorough examination.

What you describe - in all fingers - points to the strong possibility of a Thoracic Outlet Syndrome. The nerve-vascular bundle are pinched by the first rib (st called the First Rib syndrome) often causing symptoms in all fingers.

It can occur bilaterally, but one is then always more concerned about missing something 'central' in nature. I would recommend a neurological consult. If they find nothing, then see your local chiropractor.

If it misses the pinkie, then Carpal Tunnel syndrome is also a possibility.

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Dec 20, 2011
Severe numbness in arms & hands/fingers throb with pain when i wake up every morning
by: Renee'

I wake up in the morning and have severe numbness in both arms down to my fingers. My fingers throb and i can not touch or pick up anything! They are frozen in a position that takes a long time to straighten them. It takes me about 20 minutes to recover after i raise them and try to have the blood flow 'even out'.

It is prevalent in my right arm. It is a scary feeling. It has been going on now for about 3 weeks.In the past i just had a tingly numbness. It is now a concern due to the severity of the symptoms. I had a cervical fusion in 2005. Could there be a problem related to that? I would appreciate any advice. Renee'

Hello Renee,
Oh, you didn't tell me previously that you had a cervical fusion. Yes, I'm afraid it could very much be related to the original problem and the surgery.

I think a good first step would be to see the surgeon who operated on you back in 2005.

I'm not sure if Chiropractic can help you or not. Certainly, I would treat you very cautiously with your history. Which means slow progress, but less likelihood of making the problem worse. Alas that could happen with any treatment.

You might try a home cervical traction unit. I find the lying down ones the best. The research is equivocal, but I find that combined with chiropractic it definitely helps.

Dr B

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Tingling in arms

by Zhana Saunders
(New York City)

Hello Doctor,
I have a tingling in my right arm. This is not a sensation of pain as much as it feels like I have an electric pulse running thru my arm. As if I am hooked up to a machine of some sort. It does not happen often as much as infrequent. Usually upon rising or when I have not done much work.

I am also wondering could this be exercise or slight stress related as I don't exercise as much as I used to. I am not overweight. I am not overly stressed but I am always doing things and needing to do things. I do moderate internet activity as well and have not been sleeping on a great bed lately either. It does not happen often as much as intermittently but I would like to get some probabilities of the condition.
Thank you

Hello Zhana,
Try two little sitting tests:
1) If you place your hand on your head for a few minutes, does it increase the tingling? Or relieve it?

2)At the side, stretch your arm backwards with the palm forwards, and now extend the wrist. Try it first with the normal arm so you know what's normal, and then with the naughty arm. Is there a difference? Now repeat with your head and neck laterally flexed to the opposite side.

These are nerve tension tests. No pain in your neck I take it.

Mouse arm is a common condition. Placing a small table at the same height as your desk for your elbow takes the stress off the arm.

Read up on Thoracic Outlet syndrome and Carpal tunnel syndrome by typing these terms into the search engine on most pages.

If this condition continues you should seek professional advice. It will become painful eventually.

Don't sleep on the tum. One feather pillow is generally best.

I hope this has contributed.

Dr B

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tingling left arm. numb fingers and heavy dead legs

I hurt my lower back 2 weeks ago and could not move. I saw a chiropractor and she said I have some irritation. Now I have left sided arm and leg weeakness.

I saw doc at a and e and have tense neck.

I saw the chiropractor again and she worked on my neck. Been experiencing dizzy spells for 9 months after the birth of my second child. Now these dizzy spells are unbearable.


In short, dizziness, left arm and leg weakness. Careful evaluation is called for, I would recommend a chiropractor with an advanced neurological diploma, or a neurologist. This is beyond the scope of the average chiropractor and perhaps GP too.

Dr B

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cold arm and fingers

I wanted to know if you could suggest or recommend a Chiropractor in my " neck of the woods". I have had continuing on & off coldness in my entire (right) arm and at times, my fingers or thumb and index finger. It starts from my shoulder and on down. It seems waking up is the worse time because it is also accompanied by tingling fingers.
Not sure if it's related but, my toes (sometime just 1 or 2) become very cold, turning purple, and at times accompanied by tingling or numb.

Thank You & Regards, R. Cossman
zip code: 61072

Dr Mr/s Cossman,
There's a high probability that you have a Thoracic Outlet Syndrome. It's usually caused by a subluxated first rib, and because it goes specifically into the thumb and forefinger, may be more difficult.

Where do you live? Which country? Planet Earth?! Actually best to contact your local Chiropractic Association. The chances are slim I could recommend someone near you.

Dr B

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Tingling in my forearm, fingers, lower leg, and feet.

I am feeling some tingling in my forearm, fingers, lower leg, and feet. It is not in a specific spot, it just kind of tingles throughout. It started more in my index finger and thumb. The right side of my chest somewhat tingles as well. I am not diabetic or overweight and have been to a chiropractor before, but not within the past several months. I'm just a little anxious about it because it feels weird. Could a chiropractor help?

Hello Helena,
When you get generalised neurological symptoms (like tingling) then I always think a general medical checkup is in order. For example a B12 deficiency can cause a nasty disease called Pernicious Anemia which has serious neurological sequelae...

The tingling in the thumb and forefinger is very specific - the C6 dermatome from the neck. That's certainly a problem for your chiropractor. But it's unlikely to cause anything in the lower limbs - unless you have spinal stenosis in the neck. So ask for an X-ray of your neck.

Let me know how you get on.

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hands and arm going numb

I recently started a new job and it involves lifting heavy (40-60 lbs) boxes , using a two wheeler with boxes stacked 6 high and lifting boxes over my head. It also calls for lots of reaching and stretching of the arm to it full length. I had hoped to "get strong" but I am now experiencing my hands going numb and arm tingling at night. It is enough to wake me. If I sleep on my back it lessens. It is usually in my right hand but sometimes in the left also. I am right handed, 125lbs. the shoulder is tender to the touch and i take 500mg Naproxen daily. Any advice will be greatly appreciated. Thanks, Diane

Hello D,
I assume you have no neck pain, and that movements of your neck to not provoke the numbness or tingling in your arm and hands.

Does placing your hand on your head increase or decrease your symptoms? The so-called "Shoulder Abduction Relief" sign.

The most likely cause, though there are several possible diagnoses, is a Thoracic Outlet Syndrome (TOS). Raising your arm closes down the space between the collar bone, the first rib, and two muscles in the neck. It's a condition treated routinely by chiropractors. Occasionally it's complicated by abnormality called a "cervical rib".

Do you also look up when you are raising your arms? Then it could be in your neck.

Which fingers do you get tingling in? If it's from the neck, it tends to go to certain specific fingers, whereas TOS more likely affects the whole hand.

A carpal tunnel syndrome is also a possibility.

Type these terms into the search engine at You'll find lots of info about them.

Taking anti-inflammatory drugs for any length of time can cause serious side effects in the stomach.

The pain in your shoulder may also be significant. Active trigger points in the shoulder muscles may refer down the arms. Rotator cuff syndrome.

If the condition continues, seek the help of a local chiropractor. Ask friends and even your doctor for the name of a competent conscientious DC.

I hope this has contributed.

Dr B

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Tingling started in left arm 2mths ago but now starting in right arm

by john della

I have had an MRI and this reveals a spur between C6-C7. Nerve conduction studies reveal left triceps muscle has shrunken - will repeat nerve conduction studies to see whether any natural improvement, I am now worried as similar symptoms starting with pain & tingling to right arm - any suggestions are welcome.

Hello John,
You don't mention your age, nor how severe the degenerative changes are at C6-C7. That would normally produce symptoms in the middle finger. Which is consistent with a weak triceps, the mostly commonly affected muscle from neck problems.
Do movements of your head, particularly turning to the side of pain, simultaneously looking up, produce pain in the lower neck and in your arm?

Does raising your arm increase or decrease the pain? Do you get relief by placing your hand on your head? Or does it increase the pain?

I ask these questions as, sometimes those changes on the MRI are "incidental findings". A first rib subluxation can cause a "thoracic outlet syndrome" for example. And shoulder conditions can also cause arm pain, apart from the spurs.

Only a careful, thorough examination can answer these questions. Ask your Chiropractor to do Adson's test. Does it affect the pulse in your arm?

If you have digital copies of the MRI, or can take a digi photo of them, you can post them onto this site. It would be useful for me to see them.

This is a condition seen on a daily basis by chiropractors, but each case needs to be carefully assessed and treated. That weakness is of course of concern.

Are you handy? At C-H you will find a page on making a home traction unit. You can also buy them. I believe in conjunction with manipulation that it helps, but the research is equivocal.

I hope this has contributed.


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(fayetteville nc)

My face and left arm are tingling.

Hello Regina,

Best you start by consulting your physician. Is it a heart condition?

Thereafter there are a multitude of possible causes of your tingling. A jaw condition, a first rib or lower neck problem.

Once your GP has cleared you of a heart condition, see a competent conscientious chiropractor - ask friends and even your doctor.

Have you signed up for our monthly newsletter? A host of tips on such problems.

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weakness in the arms on and off over 6 months

by Janelle

Twitching eye movements have stopped but weakness in my arms and sometimes my legs and nervous feelings throughout body remain!
I sometimes shake when holding things like cups and when performing small tasks like hanging washing on line and taking it off. i have been asked to see a neurologist for further assessment as my blood tests reults all came back normal. Any thoughts would be appreciated! symptoms happen everyday!

Hello Janelle,

I think an assessment by a neurologist is the right way to go. It doesn't sound primarily like a chiropractic problem, though your chiropractor may be able to assist - weak muscles mean that your spine is more liable to "go out", I hate the phrase, but it's so used by the general public.

That shaking when holding a cup is called an intention tremor - it starts when you intend to do something, as compared to a resting tremor, like Parkinsons, that occurs continuously.

Also advice on a daily exercise programme is something your Chiro could help you with, and that's vital is this is a neurological condition.

It's good news that the eye twitches have stopped.

Make sure that you are on the best sources of fat. Your brain is 60% fat, and the nerves are coated with a fatty myelin sheath. That means use only olive oil (and small amounts of butter) in your diet, avocado is good too, and absolutely avoid hydrogenated fats. You need to become a fanatic there. Read the labels. Most margarines are high in hydrogenated fats, most snacks, crisps, peanut butter, marmite... eat natural. You want the right fats (called "cis") coating your nerves.

As to have your homocysteine levels tested.

All the best, Janelle. Let us know when a diagnosis is made, if one is.


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by waris
(trivandrum,kerala, india)

Last night my wife accidently slept over my hand. I woke up in the middle of the night with tingling and numbness in forearms and elbow area as well.The tingling and numbness is continuing even after 24 hours.
What steps shall I take ?
What medicines do you suggest?
Is it permanent or will it go with time?

Is the tingling in both forearms?

These incidents do usually pass of their own accord assuming there is no injury to the neck, which seems unlikely. You make no mention of neck pain.
The best is to use your arms, swing them in a circle, move your wrists, and massage a muscle called the Pronator teres (see our Carpal Tunnel page) - use the Search this site facillity.

Frankly, without an examination, it's impossible to make a diagnosis, but it's certainly not time to become anxious yet. Prick both arms with a pin, and see if they are equal. Watch out for weakness in one arm, particularly doing pressups - the triceps is the most commonly affected.

If after a week the condition persists, best see your doctor. I wouldn't take any medication.

I hope this contributes.

Dr B

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Tingling in hands

I have had tingling in my hands when I lay on either side, for at least a month. When I lay on my back it stops.

Now I have weakness on my left. Well the Left leg is hard to get going after a while, and then I will start to drag my toes on the left.

My left arm is weak at times and it's hard to even wash dishes or hold anything up. Now my lower back hurts. I also have a limp now.

I fell of my porch around Christmas and right knee was swollen. Fell on the right side. What could be the problem?

Frankly, I'm not sure. But falls, weakness in the left arm and leg and tingling in the hands certainly calls for a good neurological examination.

I would start with your doctor, and ask to see a neurologist.

Dr B

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Numbness, Tingling & Burning sensation in my arms

by Isaac Astalosh

HELP !!! I am experiencing numbness, tingling, and burning in my arms. This has been going on since about September 2010. Last night was the worst. I woke up about 1:30 AM , my right arm was literally BURNING (it felt like). It was numb, felt tingly, and was causing severe pain. I had to get up and walk around for several hours, and the pain subsided a little, but has been present all day today. Right now, 7:40 PM the next day, both my hands are tingly, the right one worse, it has not gone away all day. Anything I do with my right arm or hand is painful and the arm feels weak.

Hello Isaac,

There are a number of possible causes. Does the pain pattern avoid the pinkie but get you in three or four fingers? This sounds very like a Carpal Tunnel Syndrome. It classically wakes you at night.

Try the CTS exercises at this page. Sometimes they help. Shake your hands.

Your chiropractor needs to check your neck, including the first rib, and the whole course of the median nerve. Sometimes it's pinched in the forearm, frequently in two or more places. We call it a double-crush syndrome. Very occasionally it means an operation on the carpal tunnels.

However, if it's in only one or two fingers, then I'd be thinking of a nerve root condition.

Start looking for a local thorough conscientious chiropractor.

Keep in touch and let us know of progress...

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Oct 19, 2011
by: debsi

I don't want to alarm you, but I had the same symptoms as you describe, it was worse at night, but persisted through out the entire day as well.
I've just been diagnosed with multiple sclerosis. I think you should see your G.P who will be able to refer you to a specialist for further tests.
Good luck.

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Neck issue

It's the rotated neck from ontario, Canada, where lawsuits keep the best chiropractors from treating and correcting my neck issue.

It has been a month now since I originally contacted you and four months since the initial injury to the neck that has caused C1 to be rotated sideways and fixed, and then issues are occuring with the rest of the neck now as they compensate.

I have had more adjustments in order to try and take the pressure off the head and yet I am not getting anywhere - relief but not permanent.

My questions are these:
1. Are the occiptals considered the base of the skull?
2. If my C1 is rotated laterally and sideways - what does that mean?
3. I have not been able to get my ART provider to take me back and give me ART and unfortuantely I have not been able to find someone else to do my ART? What are other options I could try? I was told by one of the other chiropractors to take four months off and do nothing but let the "so called hypermobility in the neck" settle - that would mean feeling like a Mack truck run over me and not going to a hospital.
4. Osteoporosis - I take a product called Axid 150 mg three times a day for a hiatial hernia and I take metamucil daily. I lost the 100 lbs but I didn't do weight training and since there has been a mention by the odd person that perhaps that when I lose the weight and if my body is acidic that perhaps my osteoporosis/osteopenia is temporary and once the cells readjust and become more alkaline that my bones will restore their proper density? That was one of the chiropractors I saw versions?

Funny thing is I feel like I live in the USA as I am denied chiropractic, ART care and most people in the USA that don't have benefits go without it because medical care/chiropractic care is too expensive but my problem is I am denied this care because of the fact that I have osteopenia/osteoporosis and have pulmonary hypertension which is very much under control without medication. I said the funny thing is with the ART that I was receiving from the chiropractor who refused to adjust me but would provide ART is that at least I was functioning and living and feeling better with the ART to manage my symptoms and keep me moving than I am without it. Some people just never get fixed with any "fix" of any kind and for me ART provided me relief but the chiro won't talk to me and let me say hey I just want to be comfortable and ART does that for me.

Oh by the way, if I was seeing the chiro that only did ART and I saw the other lady chiro for adjustments - do I have to tell the ART chiro that I received any adjustments - after all he didn't do any adjustments and he used to do both chiro/ART together without any problems so if I do them separately with two different providers than do I need to communicate that to him? The lady chiro that adjusts me knows I am seeing the other guy and practically can't stand him but knows that I am receiving benefit from him and leaves it at that.


Hello again,

Sadly your ART chiropractor is miffed because you have consulted someone else. You simply have to move on. Perhaps in time he'll change his attitude.

It's not essential but I think it's important for all your doctors to know who else you are consulting. Yes, I would tell him you are also seeing another chiropractor who is adjusting you.

Each of us has our own criteria. For me neither your osteopenia, nor your controlled blood pressure would put me off if you had a normal Wallenberg test, but others have different standards. One has to follow one's instincts.

Metamucil is okay, but rather a diet rich in soluble fibre. Then you also get the anti-oxidants so essential to prevent a host of diseases including cancer. An apple a day, a decent salad, not just a leaf of lettuce and half a tomato, legumes like green beans and hummus and the berry fruits. Mulberries, blackberries, blueberries, cranberries..., beets.

I'm afraid the research shows that if you've had neck pain for over 6 months, it will probably never go away completely. You need to visit your chiro occasionally, but regularly. Perhaps every 6 weeks.

Yes, the occiput is the base of the skull.

I hope that contributes.

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by scaredy cat
(inglewood, ca, united states)

I'm having sort of a warm tingling pain in my extremities, to start; I first noticed it when I was typing an essay. The pain came at the top of my RIGHT hand then spread to my forearm, upper inner elbow, and stopped sorta in the bicep area.

I figured it was CTS so I saw my physician and he said it sounds like early CTS. So I figured fine, will just have to be more careful.

However now I have the same feeling in my LEFT hand while I was playing my ps3. However, the pain seems like it's coming from my thumb(inner palm as well as on top of my hand opposite of my palm) and goes through my inner elbow, bicep and into my shoulder and the pit of my neck just above the collar bone (on the left side of my anatomy).

I did some googling and noticed that this could be a sign of "brachial plexus", ulnar neuropathy, or even multiple sclerosis. I don't know but as the stress is building up I've started to develop a spontaneous mild tingling pain at the top of my feet as well.

I'm pretty terrified, probably because read that these are early HIV symptoms. So I guess what I'm asking is can stress be the cause of this or is this just something to really be concerned about??

Help me please doc, I'm dying over here. By the way I've never had a history of anxiety or anything but now this thing is all i think about.

Hello Sacredy Cat,

Nothing unusual about being scared. It IS scarey when your body starts to do strange things. Best way is to stare the facts in the face... which seems to be what you are doing. Good.

HIV does affect the neurological system and produce strange symptoms, so if you think you could be positive, mostly we know, then get tested.

These arm symptoms seem to be related to computer and Play Station, so howabout for a couple days staying completely away. Does it make a difference? Go for at least a half hour walk every day (you should anyway!), does it do anything in the arms or legs? Couch potato? How much exercise do you generally get.

Make sure your elbows are supported at the computer. Small desk adjacent to your desk for you arm to lie on, particularly the mouse arm.

No neck pain? Do movements of the head and neck provoke anything in the arms?

Do moving your arms, shoulders provoke anything? Anything at night, early morning? That's when CTS is usually the worst.

The area you are suggesting in your neck, on the left is called the scalene triangle. Press around the collar bone, above and below. No lumps and bumps? The scalene triangle is indeed where the brachial plexus exits from the spine. The triangle is bounded by the scalene muscles, the first rib and the collar bone. A first rib subluxation, and tight scalenes can provoke this.

What's needed is a careful, thorough neurological examination. Find yourself an experienced chiropractor who can do this. I do every day.

Think too about diet. Your nerves are coated in fat and you want to make sure that you are not getting hydrogenated fats in you diet. Trans fats are nerve-toxic. Look to fatty fish, avocado and olive, nuts for the good fats. Mostly we eat far too much Omega 6 oils, put omega 3/6 out of balance. The all-American diet (Europe and England too, the so-called civilised world) is high in junk. When did you last eat an apple? Keeps the doctor away. Literally, scientifically proven.

When all else fails, get an MRI of your brain and spinal cord.

I hope this has contributed.

Dr B.

PS. I doubt you are dying, but you bod is giving you a wakeup call. Take heed...

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Pins and needles starting in my finger tips and going up to my elbow in my right arm. I cannot carry anything in rt. hand without it starting.

by mary
(Bolton, lancs)

I do also have diabetes, blood pressure, underactive thyroid, arthritis and have had polymyalgia rheumatica 3 yrs. ago, but am still on 5 steroids per day.

I also have a heart murmer but it has never caused any problems.

Hello Mary,

All in all a complex set of symptoms. Firstly, do you have adult onset, type II diabetes, and are you significantly overweight? Obesity, diabetes, high blood pressure and polymyalgia are firm bed-fellows.

At this page (, scroll down until you come to Body Mass Index, follow the link, plug in your weight and height. Near or over 30? Then that's a large part of your problem. Get it off, cut out the carbs in your diet. Sorry, but the alternative is too ghastly to contemplate. Stroke, heart attack, pain...

Carefully decide which fingers you get the tingling in. If it's in the thumb, index and middle finger, then Carpal Tunnel is a real possibility. A first rib fixation (Thoracic Outlet syndrome) would cause the tingling in all fingers. In just one or two fingers, then it's coming from your neck.

These are things that Chiropractors treat on a daily basis. Shop around for a competent experienced chiro.

Oh, start walking EVERY DAY. At least half an hour. Otherwise, with all that cortisone, there's a fractured hip on the way, just to add your misery.

You can do it, Mary. There's heaps of research showing that exercise benefits arthritis and polymyalgia. Depending on your age, aim for a BMI not higher than 28.

I hope this has contributed.

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Jan 11, 2011
Mary needs to get off steroids
by: Anonymous

Mary....You must communicate with Dr. Bruce West. He is the brains behind the newsletter "Health Alert". By becoming a subscriber for the tiny sum of $39, you can get a complimentary, thorough consultation. He will tell you in writing EXACTLY what to do for all your conditions. But if you intend to live a long life in good health, you need competent care. There are nutrient supplements for your medical problems, and Dr. West can guide you. (831) 372-2103 You MUST get off those steroids and whatever other prescription drugs you are taking!!

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tingling and pain in feet and hands

I have been having tingling and pain in my hands and feet for about a week my blood pressures is fine but it is still worrying me I'm just 18 so I don't think its my heart but what else could it be?

Mm... if it's in both hands and both feet, I would start with a test for diabetes. Thereafter a test for B12 deficiency anemia, and rheumatoid arthritis.

Frankly, there are a host of conditions that could cause this. If it continues for another two weeks then a careful and thorough exam is called for.

What's your lifestyle like? Exercise regularly? Overweight? Plenty of healthy food? Or a junky?

I hope this has contributed.

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tingling, numbing and deep pain in arm and hand and fingers,

I have been experiencing SEVERE pain in my arm, hand and fingers (right is severe...some in the left).

It will be tingling, then expand to where there is numbness and it feels like my fingers could explode; the skin on the fingers become very taught.

The pain then becomes excruciating.

This will go on all night, that the touch to the skin hurts by morning.I will also have episodes during the day if I try to do any fine motor task (remote control, simply hitting the buttons) it will ease up then start again and the process may pass by the tingling and go directly to just the severe pain and taughtness.

I have been experiencing some pain in left hip as well so I feel I may be having some major nerve issues. All of this has come on very frequently as far as the intensity.I have had tinglng before but never like this as far as the intensity nor frequency..this is very different than a hand falling asleep, or normal athritis.


Four important questions.

* Which fingers?

* Do any movements of your head and neck provoke pain in the neck or arm?

* When you get an "attack" are there any changes in the colour of your fingers? Do they swell?

* Do activities like hanging up the washing (hands above the head) bring on an attack, or extreme weak feeling in the arms?

Let me know, and we'll take this further.

Dr B

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Feb 24, 2012
I am having the same problem
by: Anonymous

I thought it was my thyroid medication needing review but the pain has gone up my arm and into my shoulder. I wake up numerous times in the night and have to get up to walk around and flex my hand, fingers and arm. It is to the point that I can not tolerate the pain. I am unsure if it is my thyroid, carpal tunnel or a pinched nerve in my neck or back.

If there is actual swelling in the arm then get to your doctor quickly. A clot in the arm, or Raynaud's syndrome should be considered.

However, more likely is a first rib subluxation that is causing a "Thoracic Outlet Syndrome".

A "cervical rib" can also invade the inter scalene triangle in the neck affecting the artery and nerves to the arm.

Or, a lower neck condition such as a cervical facet syndrome. Only a careful examination will diagnose what is the exact cause of your problem. Type these terms into the Search function at C-H for more info. These are all conditions that we treat on a daily basis. Not the clot...!

Dr B

I hope this contributes.

Mar 08, 2011
Arm pain and hand numbing
by: Anonymous

The finger do seem to swell and the color sometimes seems redish and yet sometimes appears blanched.

It swells to the point the skin feels as if it may split.
It is peculiar, sometinmes when the hand is up it does start and yes sometimes when it is down it starts.

Any fine motor activity will have the hand react. The entire arm with the core pain is almost always through the entire night.

It is at that time that my arm situated high and over my head is an improvement.

It sometimes feels as if it is two different things going on but one may set of the other, I may be wrong about that.

My neck can hurt also but it does not seem to me in conjunction with the arm.

Hello again,

This sounds typical of Raynaud's disease in which the fingers change from white to blue and then to red, and often with a numb feeling. It's caused by constriction of the blood vessels. Occurs mainly in winter when hands get cold. Try wearing gloves.
Yes, it is possible that there is more than one condition here. Relief by raising your arm is suggestive of a neck problem.

Take photographs of your hands when they change colour, and take them to your doctor. Only a careful clinical examination will determine if you have a separate problem from the neck, or a thoracic outlet syndrome.

I hope this has contributed.

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dull ache in arms and hands! TINGLING IN ARMS AND HANDS

by julie


About 6 weeks ago I woke up with a dull ache in my right arm. I thought I'd slept funny! It's not a pain just an horrible ache.

I went to my doctor who told me if its not gone in 2 weeks to come back (no medication) after the 2 weeks it seemed to have gone! Then last week it started again but started also travelling down my arm in to my hand!, then I startd with a pain in my neck.

I did go for massage, he told me thought it was a trapped nerve?. I was in agony that night! I've used deep heat hot water bottle etc. and took pain killers!

After a couple of days it was much better then last night woke up at 4 am with this horrible tingly dull ache feeling again in both arms? but left arm seemed worse. I took diclofenic. I have only had 4 tabs in total up to now. When I got this feeling in the night I felt really sick and had a headache! I'm so worried, but do I need to go to the hospital? Please help!

thanks julie x

I'm a normally healthy 39 year old female?

Hello Julie,
No, you don't need to go to the hospital (though an X-ray would be useful, including the "oblique" views.)

You have a condition known as a "brachial neuralgia", in layman's terms: a pinched nerve in the neck. It's one of the more painful conditions we treat, nights are often bad, and sometimes it can be stubborn to treatment of any sort.

Having said that, normally the condition will be much improved within 2-4 weeks with chiropractic care.

Three classic tests:

* Turn your head to the right, and then look up. Does in hurt in your neck, and does it radiate into the arm?

* Stretch your good arm out to the side, palm forwards, and extend your wrist, remembering the tightness in the lower arm. Now repeat with the naughty arm. Is it much tighter? Painful?

* Does placing your hand on your head RELIEVE the pain?

See an experienced chiropractor. Soon.

I hope this has contributed.

Dr B

PS. Correcting your English was a pain, but seeing you're in such a pain we'll be kind! Don't they teach grammar in M?

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Aug 08, 2012
doc b
by: lenda

grammer may not her strong point....`
manners are not ur strong point.....

u must make a wonderful 'bone cracker' ~*


Hello Julie,
Just wondering how you are doing? You have a difficult condition, but hopefully you have seen a chiropractor and are feeling better.

The bad mannered chiropractor!

May 23, 2011
dull ache in right arm
by: Anonymous

Thankyou i know im silly not going for x ray im just so frightened! ive still got it in my arm the dull ache, and ache in my hand, today, yesterday i had neck ache slightly but definatly today only in my arm, i eat well and i do sleep it just niggles throughout the day like thoothache.. im gong to contact a chiropractor tomorrow xx many thanks for all ur help!!

Let me know how you get on. Take a copy of this correspondence with you. Good luck.

Oh, and exchange your "friend" for another who isn't a prophet of doom! There's a one in a million chance that she's right! 999,999 chance that you have a problem that, neglected, could lead to more serious problems, and is usually routinely treatable.

May 22, 2011
dull ache in arms TINGLING IN ARMS AND HANDS
by: Anonymous


Oh thank you, you have made me feel a little bit easier! but ache in arms seem to have got a bit worse! too scared to go for x ray bcause my friend said it could be heart related or bone cancer, really really worried and not sleeping very well!!

Also dull ache in neck today? as well as arms! Do u think it could be cancer? I'm so scared.

So sorry for bad english, many thanks for your reply.

Well yes, I suppose it could be cancer of the neck. I've seen about a dozen cases I suppose in thirty years. About ONE EVERY THREE YEARS!

Far more likely you have an irritated nerve in the neck causing tingling in your arms and hands - that I see about 4-5 cases EVERY DAY.

Your friend has no right putting the wind up you like that. Neck cancer is EXTREMELY RARE!

Rather than living the rest of your life in terror, go and find out what is the cause of your pain. Face it head on. Denial and fear of the unknown are usually far worse than the underlying problem.

Oh, yes, and I think it was ten years ago I saw a patient with pain in the arm from a heart condition. Only in the left arm, not ARMS.

Start looking for a conscientious chiropractor in your neighbourhood. Ask your doctor, friends and family.

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Tingling in both arms and hands

Hi there,

My symptoms have been happening for some time now, maybe over a year or so.

It doesn't happen everyday but boy when it does happen, I feel like I'm going mad as all I do is continually shake my hands and arms like I'm
having some kind of fit. The tingling starts just below my elbows in both arms and then it seems to shoot down into hands and fingers, not any particular finger as the tingling goes though my whole hand and fingers. It's especially severe at night and when it does come at night, I cannot sleep whatsoever and normally results in me having the next day off work due to lack of sleep; I'm a high school teacher.

I've been having re-occurring Shingles for the last 10 years ( I'm now 30) and doctors are at a loss as to why I keep getting Shingles? They simply put it down to a low immune system , even though tests have come back negative. I've had Viral Meningitis within the last 2 years ( I've had 2 bouts of it) and since I had this meningitis, I now have migraines. I also have depressive episodes over my health as i would just like to be normal. So can you help?

It would greatly be appreciated

Thank you.

Mm, to be quite honest I'm not sure. It certainly does seem that your immune system is not in good shape, not usual for a person of your age to get shingles even once, let alone reoccuring symptoms.

Plus the meningitis.

It's possibly something in your neck, but bilaterally is not that common in your age group. In many ways sounds like a "thoracic outlet syndrome" or carpal tunnel syndrome, but once again not common bilaterally in your age group.

My suggestion initially is become a health nut for a three months. Get on to a healthy diet of fruit, salad and veg, avoid McD and all sugary foods, eat wierd stuff like hummus, eat fatty fish, and take a good walk every day. Have a couple of B12 shots, and be tested for homocysteine.

When did you last have a proper holiday?

True, I'm scratching. Any neck pain? See a chiro for an assessment of your neck. Ask him to check the pronator teres muscle.

I hope in some small way this has contributed.



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Sep 05, 2012
i know how you feel!
by: Anonymous

I am going through the same problem. The doctors are at a loss for what is going on. They keep telling me it is the shingles so live with it. I get the shingles 2 or 3 times a month followed by viral meningitis. The doctors say just to take my antiviral meds and tylenol. I feel so depressed i just want to cry. I am 32 years old and healthy, they keep telling me my immune system is low. I have no other health problems, and i eat semi healthy. I just wanted to tell you "You're not alone".

Thanks for your contribution. Viral conditions are very difficult to treat, so keep going back to the basics of healthy living: eat right, exercise, take walks, go on holiday, talk to God, deal with your stresses best you can...

Dr B

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Tingling and weakness in left arm and leg

by Mary Anne

I'm a 28 yo female. I woke up to tingling in my left arm and leg with significant loss of strength in those limbs.

I was unable to bear any weight on left limbs. I fell down trying to arise from bed. But all symptoms resolved in 5 mins or so
leaving only minimal weakness in the left limbs. (wobbly feeling)

The same thing happened the next day upon waking. Same duration of 5 mins before spontaneous recovery.

The following mornings after that I'm experiencing the same tingling in left arm and leg
upon waking but with mild wobbliness. It's been 1 week. No complete loss of strength.

I never experienced any facial symptoms which leaves me to eliminate a mini-stroke
as a possible cause.

Short history: Suffered the same left sided limb weakness almost 3 years ago. I was reffered to a neuro, had nerve conduction test and results were insignificant.

4/5 muscle strength on left arm and leg. Doc seemed uninterested and told me to try to eat more.

Weakness never got better. Now with the flare ups I'm wondering if it's serious or should I
just ignore it since it seems to go away on it's own anyway.

My symptoms resolve so quickly that by the time I see a specialist, all symptoms are gone.
What could this be and what can I ask my doctor to do for me?

Hello Mary Anne,

Without doing a whole lot of tests, I'm afraid that I can't offer a possible diagnosis.

However, I personally think you should persue it since the weakness has remained for three years now.

You mention no pain or headaches which obviously is good.

You aren't on a high carbohydrate/ low fat diet by any chance? That is associated with certain serious neurological diseases. 60% of the brain is fat, and the nerves for conduction are coated with fat (called the myelin sheath). Loss of that sheath is very serious.

I would presume you've had blood tests so Pernicious Anemia (a B12 deficiency) would have been ruled out.

Prick yourself with a pin. Is there a difference right and left?

Do you know if any reflexes were increased?

I think a second opinion from another neurologist is in order. Ask for a brainscan.

Sorry I can't be more helpful. Keep in touch when you have some more information.

Dr B.

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Jan 27, 2011
Hey Paula
by: Mary Anne

Hi there Paula, thank you for your concern, however, your symptoms appear to be much more serious than mine. My headaches are nothing compared to yours. My symptoms does not severely affect quality of life. Get treatment ASAP and pls update us on your condition. Take care sweetie, hope you're ok.

Jan 24, 2011
fed upp
by: paula

Well today I am going to the doctor and not moving... my headaches are so severe now that I am sleeping non stop and the pain etc has moved to whole body. I am so tired, just washing up, thought I could handle 1 side but both no chance, pain is unbelievable and slept 20 hours yesterday. Any symptoms huni I would carry on at your doctor demand they do something

Paula, you need help. Get it. I've tried correcting your grammar, but it's clear that things are not well in the state of Denmark. Get help.

Jan 23, 2011
Hi again, Detailed history.
by: Mary Anne

Around age 7 I suffered joint pains in my knees. mostly at nights. The knee pains went away when I was in my early teens.

At 16 had joint pains again but this time included my wrists. By age 20 something joint aches were affecting my shoulders and hips as well. Hurts most at night. I never took meds for it cos it would go away on its own after a few hours. I finally went to see a doc about it when I couldn't bear the hip pains. The doc tested my blood for arthritis or inflammation. It was negative. Prescribed me some diclofenac.

After taking diclofenac I suddenly lost strength in my left limbs. No tingling at all though. I noticed it when I tried to get up from a chair and had trouble. I thought it was because of the meds. I went back to the doc who said it's not caused by the drug and referred me to a neurologist who told me to eat more. Anyway a year after first onset of weakness I got married and had a baby. When I received the epidural my entire left leg fell asleep. Couldn't move it at all. But my right
leg retained its strength. My left side seems to be so sensitive.

Headaches. Since I was a teen. Dunno if it's related. Severe headaches 1-2 mins after rising up from bed. Sometimes I see black patches. I have to stand still or lie back down and wait for it to pass. Usually less than two minutes. It hurts more if I'm moving. Pain feels heavy and tight/squeezing, dull but very strong. Can't pinpoint exact location of pain. Feels like the whole head. But it also spontaneously fades away. Kinda helps when I press the top of my head down hard. Saw a doc bout it once and she said I dream too much. Sorry to be so long winded. Which symptom do you think is relavant to mention to my doc that could be linked to my current left sided tingling and weakness.

Certainly if you are still getting headaches, mention that. However, the pattern of chronic headaches doesn't fit with a brain tumour.

I think there's quite a high probability that you had Juvenile Rheumatoid Arthritis but the blood tests should have showed something.

Did/does that hip pain go into the groin? If so get a pelvic X-ray. There are various hip conditions like Hip Dysplasia that cause the symptoms you describe.

I recommend you have a test for Homocysteine. It's associated with the pains you describe.

Mary Anne, you obviously have one of those subclinical conditions that disturbs you, but nobody can accurately pinpoint. Be glad and get on with your life. Eat healthily, get plenty of exercise, talk to God, deal with your stress... the basics of a healthy life.

You twice mention doctors telling you to put on weight. Is that an issue? If you're not eating healthily you can't be healthy. Plenty of fresh fruit and salad and veg, and the healthy fats especially those found in the olive, avocado and fatty fish.

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numbness/tingling in arms and hands

My job requires a lot of physical labor, I am lifting 30-50 pound bags 6 hours a day. For the last six months my arms, shoulders, and neck are EXTREMELY tight, literally hard as rock, and on several occasions I have woken from sleep to one arm being COMPLETELY numb from shoulder to fingertips. This worries me because nothing like this has ever happened to me, and I am scared that I have done permanent damage to my nerves. I had an x ray the other day, and I am going to begin physical therapy asap. I do stretch as much as possible -and it helps (when I stretch, my arms do not go as numb in my sleep).. but I feel like maybe it is time to find a new job. Please, tell me what you think. Should I be really worried, or is this something that I can fix?

Hello, thank you for your question.

The first step is to see what the X-ray shows. And the second is a careful thorough examination. How are the reflexes, is there numbness or weakness, are the nerve tension tests positive, do movements of your neck produce tingling in the arm, neck compression tests.

Frankly, I doubt you can cure this yourself, but yes you can do much to contribute to healing (and to making it worse for that matter). The chiropractor you consult will advise you...

An MRI may be in the offing. Sometimes the cause may not be seen on a normal X-ray.

If the tingling goes to ALL the fingers, then a "thoracic outlet syndrome" could be the cause.

At Chiropractic Help you'll find a page on making a home traction unit, one that you make ($10) or buy ($100). It may help.

Good luck, and I hope this has contributed. Let me know what the X-rays show. In fact, it would be fantastic if you could load them on this page, then others could see them too. You'll notice that you can upload up to four images. Or send a digital copy to me (put them up on a window and take a photo with your digi).

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Deep neck and shoulder pain , with tingling in left hand.

I crashed my ATV about a month ago. My neck started to hurt a few days afterwards. And as of a week ago the tingling started in my hand with pain in my shoulder all on the left side. When i wake up it feels fine. As the day goes on the pain and tingling comes and goes. Will this just heal over time or should I seek medical attention??

BRL: Turn your head and neck to the left, and then gently look upwards. What happens?

In which fingers do you get the tingling? Try pricking them with a pin. Is it different compared to the right hand?

What's needed is a careful and thorough examination. Sooner rather than later. The chances are pretty good that you are soon going to get numbness, and weakness in the arm. Try doing a press-up. Does the left arm battle? The triceps is most often affected, but it can affect many different muscles depending on the nerve affected.

The definitive test is called an Upper Limb Tension Test, rather difficult to describe. Adson's test is to see if the first rib subluxation is the spoke in your wheel: Thoracic Outlet syndrome. Then the tingling in the hand is "non-dermatomal" - it doesn't follow one nerve root. Plug Thoracic Outlet syndrome and Tingling in arm and hand into the search engine on most Chiropractic Help pages. It will take you to these conditions.

X-rays are indicated if it goes down your arm.

(PS: What's an ATV?!!!)

Obviously, being partisan!, I'd suggest you rather see a Chiropractor, but honestly, your medical doctor would not be a bad start if you don't know a good chiropractor. Ask your doctor- he will recommend someone.

Coupled with the Chiropractic adjustment I find a traction unit often helps. But it's controversial - research suggests that traction ON ITS OWN doesn't help, and no one has tested it TOGETHER WITH the chiropractic adjustment. See "home traction unit" at Chiropractic Help (if you are handy).

I hope this has contributed. Drop me another note in a couple of weeks, and let me know what progress there is, and what the X-rays show.

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Tingling sensation in my upper arms and fingers when I touch them,

by reel

I got drunk last night and started to feel tingling sensations in my arms. What do you think is the problem?

Is it a liver problem or something? I am kind of worried because I'm a binge drinker, and drink very often. Thanks for answering back, sir.

Hello Reel,

The big question to face, Reel, is why this need to drink so much? Is life so bad that you just need to blot things out? Or is it just a bad habit?

Either way, your body is starting to use alcohol for energy, instead of normal food. People who drink too much often start eating poorly at the same time, and that means alcohol toxicity PLUS malnutrition. An oft fatal combination, literally.

The probable cause of these symptoms is a B12 deficiency, common in those who drink too much. Ask you doctor for a blood test. It has very serious neurological complications. Like the tingling you are getting, but worse is to come. The solution is B12 shots.

It's time for a new hobby / activity, Reel. Take up fishing, cycling, hiking, snorkeling, or spending more time with your children / grandchildren.

You see, this heavy binge drinking, reseach shows, will set them on this same destructive path. That's not something you want to hand on to your children and grandchildren, and great-grandchildren, is it? That's not what you want to be remmembered for.

You need help, Reel. Firstly, see if you can help yourself, and if you can't, see your doctor.

Rule number one: Never drink before sundown.

Number two: never drink on your own.

Number three: make sure you are eating properly, and yes brinjals are great food.

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Ongoing De Quervain's Tenosynovitis

by Erin
(Williamsburg, VA)

I hoping you might be able to give me some idea on how to proceed...
After 2 years of pain in my right wrist ( i am right handed, therefore complete non-use of my hand and wrist for work is not possible) upon overuse - In August, pain in my wrist became so unbearable that I could not touch the skin on my hand, wrist, or forearm, swelling became noticeably present, and the use of my hand and wrist became very weak - therefore, I decided to see an orthopeadic surgeon. My first visit I was diagnosed with DeQuervian's with just X-rays and a physical exam...I was told my symptoms were mild. I didnt call that mild, but OK. At that point he told me to take about 400mg of Motrin 3x a day and wear a splint - if it hadn't improved in 2 weeks - Surgery was my only option. 2 weeks later I was in the same situation and at that appointment he was attament about surgery, I refused and he gave me a cortisone shot despite me telling him about recent experiences with Cortisone (i recieved one to help with Carpal Tunnell - at that point I relized that i had a reaction to them). The cortisone shot as expected cause increasing extreme pain and 3 weeks later after the crystals disolved, no pain reduction was felt/ At that point after being dismissed when i called to tell the office that the cortisone was causing extreme pain, I started doing my own research. I discovered that chiropratic care was often helpful in cases of tenosynovitis and tendinitis. Since 1st of Oct. I have been under the care of a chiroprator with specialization in sports medicine. Trigger Point Massage, manipulation of the wrist joints, Ultrasound, Ice and Heat therapy, and the Graston technique have been used. The pain has subsided and but has since stopped subsiding - the pain has went from a 10 to a 6 or 7 in a matter of 6 weeks. The chiroprator seems to think that it should have improved more and keeps asking when i want to see the hand surgeon he wants to refer me too. Should this have improved more after being treated for 6 weeks or should i continue with the chiropratic treatment. Im just not confortable with the idea of surgery after failed carpal tunnell release. Could this be in relation to the carpal tunnel?

[Gosh, E, you have a hard time. I too have my doubts about De Quervain. How long after the CTS surgery did this begin?

My feeling that with a two year history, a 40% improvement is just a few weeks is pretty good, and I'd be inclined to press on with your Chiro.

But I'm a bit worried about that swelling. I recommend you take your Chiropractor's advice. See a hand surgeon for another opinion, and perhaps a vascular surgeon. Is there a vasculitis, even a clot, a thoracic outlet syndrome... in short you seem to be in the hands of a very competent chiro. Take his advice. Seeing a hand surgeon for another opinion doesn't mean stopping what your chiro is doing... continue with that meantime. Ask him about Adson's test, and the pronator teres, but he's probably already covered that.

Difficult to be quite honest to give solid advice. Stick with those doctors you trust.

I hope this has contributed.

Dr B.

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Nov 09, 2010
by: Erin

Dr. B thanks for your response, it is greatly appreciated more than you may know. The pain was there (just not as strong) before I had the CTS surgery. Around 3 months following the surgery the pain returned, but being that it was only constant slight pain and sharp pains when I used it. I could ignore I just passed it off as side effects from the surgery for what would have been exactly 2 years in October. The surgeon that did the CTS surgery shut down his office and moved to Lynchburg 3 weeks after the stiches were removed and was not advised as to where my records went or who to see with problems. So ignore it I did.
Anyway, I have another appt with the Chiro on Friday morning, I will ask him again about the hand specialist and will see about making an appointment after I return from a relaxing Weekend in West Virginia. Thanks again...

A pleasure, E. Not sure that I contributed much!

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Tingling in arms and hands and calves, upper middle back and pain in back of head.

by Belinda Wilding

I have tingling in arms and hands and back of upper arms. It also goes to the middle of my back at times. It sometimes burns a little. The backs of my calves also tingle. The back of my head up towards my ears also hurts.

These symptoms are worse when I do physical labor. It keeps me from sleeping at night. The tingling and numbness never go away in my hands and arms.

I had the EMG test for carpal tunnel and it was negative. The hand doctor said I had nerve damage coming from another part of my body and recommended I got to a chiropratic clinic that uses light therapy. Shouldn't I get an xray to see if my neck is messed up? Should I see an orthapedic doctor? I am confused. Thank you for any opinions.

Hello Belinda,
Yes, I certainly would get an X-ray, and frankly an MRI. This is not a run-of-the-mill chiropractic case.

Are your reflexes okay? No loss of muscle strength? No numbness when comparing right and left with a pin?
Does turning your head, or looking up cause any symptoms.

Is you gait normal? You don't lose balance, bump into doors...

Look for a chiropractor who has a specialty diploma in neurology. Phone your local TN chiropractic association. There are lots of possibilities, Belinda, and without more tests no one is going to be sure what is the cause of these symptoms. It's not typical of Carpal tunnel syndrome.

I'm not sure what "light therapy" is. Light as in not-heavy?

Thank you for your question, and I hope this contributes. Let us know when a diagnosis is made.

Dr B.

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Tingling & numbness in my hand

(Woodstock, GA)

Carpal tunnel pain distribution

Carpal tunnel pain distribution

I have been seeing a chiropractor for several months due to a problem in my right shoulder. Originally I was told that the problem in my shoulder was due to using a mouse at the computer. The more treatments I received, the worse my arm and hand became. Now my right hand has constant tingling, numbness and pain and the chiropractor can't seem to relieve this. I still feel it stems from my shoulder as it gets tight there and pain shoots down my arm. Is this chiropractor doing incorrect treatments which is causing me more problems? What can I do?

Hello Woodstock

Um, I don't really have enough information to give you an absolute answer. But, yes, all does not seem well in the State of Denmark.

When you first consulted the chiro, did moving your arm, raising it for example to brush your hair, brush teeth, put on a T-shirt... did they hurt in the shoulder? Did you at that stage have no problems in the lower arm and hand?

In which fingers do you have the tingling and pain? If it's in the thumb to middle finger/ring finger go to the Carpal tunnel page at Chiropractic-Help, scroll down to the graphic on the pronator teres. Press hard in the forearm - is it far more sore than the left arm?

Raise your left arm to the side (90*), palm forewards. Stretch your arm backwards, extend your hand backwards, and tilt your head to the right. Call the stretch in your forearm and hand 'normal'. Now repeat with the naughty arm, tilting your head to the left. Is the right forearm much tighter, sore?

Turn your head to the right and look up. Do you get pain in the neck, and does it radiate down the arm?

Do some press ups. Not pain, but does the right arm tire much faster?

All this is simply stating that it's a complex subject and there are a whole lot of possibilities. My rule of thumb is that if a problem isn't 50% better in 3-4 weeks I would ask for a second opinion. Another chiropractor? Your doc?

Perhaps time for X-rays of your neck and shoulder.

I hope this answers some of your questions. You are quite right to be concerned, so don't be embarrassed to ask a few awkward questions.

Dr B

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tingling in hand

by Kenny
(new bern nc)

I fell through a hole in the floor and now my fingers have felt numb for over 24 hrs? What's wrong?

Hello Kenny,

Obviously not sure, but for starters, next time take more water with it! Falling thru a hole in the floor is likely to do damage.

If it's ALL the fingers, in BOTH hands, then we need to assume that it is central in nature. In other words, not an injury to the hand, or arm.

Do movements of your neck provoke the numb feeling in your hands. Try pricking them with a pin. Is it different left and right? Any weakness in your hands, for example when opening a bottle?

Usually, I don't recommend rushing off to the quack if you have a cough, or niggle, but with radiating symptoms from what appears to be a cervical spine injury, I do recommend you consult someone you know. Perhaps your GP, but of course you are more likely to be helped with a neck injury by a chiropractor, than taking medication.

Take more water...!

Dr B.

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Feb 27, 2011
Why to use a chiropractor
by: Dr. Ron

Rarely do these cases walk into a chiropractors offices. The majority of injuries are simple, frequent, innocent motions, like "I bent over to wash my foot in the shower", that cause a significant back injury. Prevention is the key.
Great site doc, a monster of info, good job
Evocare Center for Physical Health
3500 South Wadsworth Boulevard, Suite 302, Lakewood, CO 80235-2054
(303) 980-5699 ‎

Hello Dr Ron,

Absolutely, but still less than 10% of the public consult chiropractors. We need to encourage folk who fall through a hole in the floor that consulting their local chiropractor is perhaps a more sensible step than their local GP. Imagine if 50% of these injuries first consulted their chiro!
Thank you for your contribution.

Barrie RL.

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tingling in my arms/ hands and feet

Hi there, about 4 weeks ago I woke up and noticed a tingling in my right arm and hand only, with stiffness in the right side of my neck.

I am usually healthy, no history of any trapped nerve/back problems so I didn't think much of it.
It carried on for a few days and then i felt the same sort of tingling in my Rt leg and foot. Felt a bit like I had slept on it and it woulnd't wake up. Slight ache and numbness.

After about a week, it started to get better and I thought it was going. Then I woke up and it had came back with even more tension/ache in my neck. (Rt side).

So I went to GP who examined me and said strength-wise I am ok. He did some blood tests which have come back clear.

I also went to a phyio who said I had a lot of tension on the right side of my neck with some tendontitis. Also disk 4 and 6 (I think) have been rotated out of place.

He feels that is what has caused the tingling.
I have had two sessions with physio but doesn't seem to have helped yet, still getting the same tingling, changes slightly some days worse than other, some days more in foot than the hand.

Over the last couple of days I have begun to notice it on the left side too, seems to be not as bad a the right but my forefinger and thumb on left and big toe on my left foot seem a bit tingly. I can raise my toe off the ground fine.

I am due to have sensory tests at GP soon.
Do you know what could be causing this and why the left seems to have been affected as well? I've never had it before, a bit worried it may be something serious. Could the mobilising that the physio has done cause the left to go tingly as well?

The left is not as bad the right and the right numbness/weakness is still there.

Do you think I should have more physio?

Thanks for your advice.

Pip John

Dear Pip,

Just a set of plain X-rays, including oblique films are essential. The obliques will show if there are any arthritic spurs from the Joints of Luschka invading the foramen where the nerves emerge.

Only once do you mention 'weakness'. Could you be more specific. What action feels weak? Try doing some press-ups - Does your right arm tire quickly? Go up on your toes on one leg, ten to twenty times. Does it tire very quickly? Right faster than left?

If you prick your arm and hand, is there a difference right and left? In the leg?

Just in the neck and right arm, I wouldn't be too concerned, but going into the leg, and now the other side, X-rays and probably then a MR scan are essential. Your doctor needs to rule out spinal stenosis where arthritis, or other, in the neck may affect the cord and your lower limbs.

I wouldn't have any treatment, physio, chiro, pills until a diagnosis has been made. Pursue this, and don't let people fob you off. Your instincts are right - not to put the wind up you, but as you already have realised, this could be serious.

If your doctor forks his feet, demand to see a neurologist.

I hope this has contributed.

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numb tingly left arm fingers and sharp pains in groin area

by Jen
(Las Vegas, NV )

I have numbness on my left arm as well as tingly fingers.

For a few hours I have had sharp pains in my groin area as well as cramping in my left chest area.

I use crystal meth occasionally but am trying to stop if that will help? Do you know what it would be? It has me pretty scared.

Hello Jen,
And so you should be. Ever read "Open" by Andre Agassi? Crystal Meth came close to totally ruining his life, and did ruin his best friend's life. Also in Vegas, oddly.

However, confess I don't know enough about it to comment on whether it could cause these symptoms. I think unlikely, but I'm not sure.

I would think the tingly in your arm and the groin pain are two separate, apart, conditions.

The tingling in your arm is mostly likely caused by a pinched nerve in the neck, or by the first rib. Depending on whether you have arthritis in the neck (you don't mention your age), it's probably the sort of thing Chiropractors treat daily.

The pain in the groin needs careful evaluation. Any swollen lymph nodes? Does it hurt if you pull your knee to your chest. Lying on your side, stretch the sore leg backwards. Pain in the groin and upper leg? Pelvic infections?

As you can see a careful and thorough examination is called for.

So, why the crystal meth? Time for soul searching. Is life that dull and meaningless? No hobbies, no God... perhaps contact a minister or good friend and talk about these things. At 63 I can only say that my life as a chiropractor and Christian is supremely interesting and full. Yours could and should be too. Only you can ring in the changes. Good luck. You can do it. Agassi did.

Dr B

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first weakness in left hand fore finger and thumb and now numbness

by jayam

First weakness in left hand fore finger and thumb and now numbness

I have cervical spondylitis at C5 and sciatica both on right side since last 10 years, and I suffered severe pain in my right hand and right leg. All of a sudden now my left hand fore finger and thumb have become weak and numb. Can it be cured and kindly advise me what to do please. I am a 49 yr old female.

Hello Jayam,

You have obviously had an old whiplash-type injury in your neck that wasn't well managed at the time. Or perhaps just a severe accident that with even the best management would leave you with problems.

The thumb and forefinger points very clearly to the C6 nerve root. It is of course of concern that it has started in your other arm.

I'm not sure if there are Chiropractors in Mumbai, but this is this the sort of condition that Chiropractors treat on a daily basis.

Dr B

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Tingling in arm/hands & swelling of fingers

by Amethyste Spardel
(Lee, NH - USA)

For the last 3 months - I have been at a loss in finding out what is going on with my arms, hands and fingers. I wake up in the middle of the night, they are tingling - in the morning they are tingling, sometimes in the day, they tingle too. When I reach for my coffee cup and extend my fingers to contour the cup, I sometimes feel small little electric impulses in my fingers/hand. I also feel a general sense of tightness over my whole body and fluid retention.

What distresses me the most is the extreme swelling I have been experiencing in my left hand, especially in my ring finger - it looks like a vienna saussage! My ring size is a 5 3/4 and my finger has swollen so much in such a short period of time that wearing my wedding ring is almost impossible. The swelling is intense in the morning and as the day progresses, the swelling diminish lightly but never back to normal. In all honesty, I feel that something happened when I moved into my house back in August 2010. It was a lot of manual labor for 2 days...

I am active, I do 45 mins of yoga daily and 3 times a weeks, I go for a 1 hour brisk walk.

Could I have a pinched nerve? Could it be carpal tunnel (I work in an office)?

I'd be delighted if you could give some advice!! THank you so much


Hello Amethyste, what a nice name, Dutch? German?

I would have your medical doc check you out for an embolus, just to be safe.

That fluid build up is the probably cause of a carpal tunnel syndrome, similar to what many women experience in pregnancy.

A block of the vein in your neck as it passes near the scalene triangle is a possibility too. Any lung problems?

This is a medical problem, I think you need to be under the care of your doctor. Diuretics in the short term, then to answer the question: why is such a fit healthy person building up fluid? Kidneys checked, heart...

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Nov 10, 2011
Pronator Teres
by: Amethyste

Hello there :)

I dug my fingers into the muscle and yes, it is a bit tender, mostly toward the interior of the forarm (when palm is facing up)... I assume I need to tend to this huh?

I'll do some research on the net and see what I can find...

THank you again for the wonderful care and time you took to answer!


Hello Amethyste,
If you go to our carpal tunnel page you\ll see how the median nerve passes between the two bellies of the pronator teres- it's one of the sites where the nerve get's tethered. The other two in the inter scalene triangle in the lower neck, and the third (where medicine places all its attention) in the wrist.

Try massaging ther pronator and stretching it.

Dr B

Nov 09, 2011
Thank you!
by: Anonymous

I have been wearing wrist supports when I go to sleep and it has helped the tingling tremendously! I also found that I was vitamin D3 deficient, so now that it is back to normal, my skin is less puffy as well.

I do work in an office and I think the culprit is my kboard/work station setting... I need to rethink how it is working...

As I play the theremin, I have been mindful of my hand positions and actually, it also made me re-think how I approach the instrument too.

THank you for your reply - I truly appreciate your time!

PS: I am French Canadian :)

Hello Amethyste,
I wondered what would come of it all!

Two thoughts:
A vitamin D deficiency is likely to get much worse now that winter is approaching. Make sure you are eating plenty of fatty fish

Place a small table under your elbow at the computer to support your mouse arm. At roughly the same level as your desk.

Your chair may be too low also, the wrists should point slightly downwards at the computer.

Type "pronator teres" into the Search this function at C-H. Dig your thumb hard into that muscle. Is it tender?

Glad you are finding relief.

Dr B

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Chronic shoulder and head neck pain

I recently went to 2 different chiropractors for chronic shoulder and head neck pain. One tightened me too much - I went back but I still had pain after another adjustment so I went to another chiropractor.

I had neck and shoulder pain. He adjusted me with something that he hit over my head, after putting something that looked like a small board with 3 boards going cross-width behind my back and told me to bite down and hold my head in. Afterwards he used a massage machine and one time used a laser to heal it more quickly. After several visits I quit the treatment because I felt so battered.

I now have severe head pain and neck pain. Is this normal treatment? Have you ever heard of this type of adjustment? Who do I see next to get rid of the pain. I really did not see what he hit me with over my head! Do I see a medical doctor or whom? Thank you so much. I will watch for your answer @ this web site.

Gosh, I've never heard of the battering rams used on you. No wonder you are sore! A mystery I'm afraid.

Chronic neck pain is never simple. After all, it all stems from something that happened years and years ago. And a certain amount of after-pain is not unusual but certainly shouldn't last more than a day or two.

Have you had X-rays? Did either of them ask to see them? If not, that says plenty in my book.

How did you find these two chiropractors? Did they come highly recommended by friends and family, or your doctor? Or the yellow pages?

This page might help you:

I'm sorry you've had a bad experience so far with chiropractic. Do you homework now before finding a third... you know what you don't want! Take your X-rays with you, and if you haven't any, get some taken.

Don't expect miracles. S/he will have to work hard to get your chronic problems sorted out. Rome wasn't built in a day. Perhaps a woman instead?

Let me know if I can be of further assistance. Oh, one more thought: try the local branch of the chiropractic association for someone they can recommend.

Dr B

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burning sensation in right arm probably Carpal Tunnel Syndrome

I'm a 49 yr old woman who suffers from diabetes. I've been having some shoulder pain especially when the weather gets cold or there is a draft.
About a week ago started feeling a burning sensation in my right forearm that starts in the wrist area and shooting up into my forearm which seems to be worsening especially if I write or type. I would like to know if this is serious, should I be worried?

I have been to my family doctor about it and he gave me a referral for an EMG of the forearm which will only be done in 6 weeks time.Is this a condition that I should go to the emergency for?


Most likely your doctor is sending you for a test for Carpal Tunnel Syndrome test (use the Search facillity at Chiropractic-Help for more details) which is double entrapment syndrome, usually in the neck, forearm and/or wrist. Is the pain pattern in the fingers shown in the graphic? In some cases the pain is more in the arm than the hand, particularly if the entrapment is by the pronator teres muscle.

I won't say it's not serious but a few weeks delay probably will not be deleterious. No, I personally don't think it sounds like you need to go to the ER, but do understand I haven't examined you, and so am making certain assumptions.

Superficially, it appears that you have a problem either in your neck or with the first rib (Thoracic Outlet syndrome) which makes the shoulder and arm vulnerable. Hence you first had the pain in the upper arm, and now in the lower arm. They are probably connected.

What you need to face is: are you doing to go for surgery if the test for CTS comes back positive. There's no strong research showing that either chiropractic or surgery helps IN THE LONG TERM, but in the short term, FROM A RESEARCH PERSPECTIVE, surgery is apparently more effective.

How much chiropractic can help is just not well researched, so I'm not promising you the earth. Having said that, I treat shoulder and lower arm tingling and nerve signs such as the burning pain you are having on a daily basis with good success.

Personally, I would recommend you see a chiropractor first, just because it's so much simpler, safer and cheaper. If it's not successful you can still go for surgery.

But you will have to find a chiropractor who will address the other impingement sites: neck, first rib, pronator teres, carpal tunnel. Ask before you make an appointment just how much success s/he has with your type of symptoms.

An X-ray of your neck would be beneficial.

I'm assuming your diabetes is well controlled.

I hope this has contributed.

Dr B.

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Occasional tingling in hands

by Joe
(Hbg, Penna)

About every other night or so, I am waking up in middle of night to tingling in either one or both hands. It started over a month ago with only part of a hand tingling but of lately it is the whole hand. And most of the day my arms feel uncomfortable, kind of achy (feels burny and tired). I also notice that i am more nervous (jittery). And can not relax.

Hello Joe,

There are in reality numerous possible causes of the tingling. In which part of the hand did the tingling start? Do you have neck pain? Does placing your hand on your head increase or relieve the tingling.

I'm afraid only a careful thorough exam (preferably by your local chiropractor!) will discover the cause. If it's affecting your whole hand then a "thoracic outlet syndrome" is a likely cause. Use the search facillity at C-H to read about it.

Get some X-rays of your neck, including "obliques".

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Upper Right Arm Dull Ache and ....

by Fred Fleuren
(Adelaide, Australia)

I've had this for a while now. The ache is spontaneous and is very dull and becomes uncomfortable, then appears to travel through my bicept when it feels cold. I get slight tingling also throughout the arm.

It than relaxes a bit but is continually there.

Any help or idea on this would be greatly appreciated.

Hello Fred,

The first thing is to decide whether this is a shoulder problem (does moving and using your arm hurt?), or is it a nerve pain from your neck (does placing your hand on your head increase or decrease the pain?).

Or both. Shoulder and arm pain often find their source in the neck or a first rib fixation which may cause tingling through the whole arm, as you describe.

The usual rule of thumb is: when you KNOW the problem is not going to abate of its own accord, then don't delay. Start looking for a good chiropractor in Adelaide. I'm sure there are plenty.

Ben je Nederlands, Fred? Er zijn veel Limburgers met de naam Fleuren. Aardige mensen!

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Feb 01, 2011
RE: Upper Right Arm Dull Ache and ....
by: Anonymous

Thank you for the heads up will have it checked out as it doesn't seem to go away now.

Geboren in Nederland - Nijmegen. Bent nu al 43 jaar in Australie.

Graag gedaan. You're pure Ozzie now, except for your name. I hope your children speak some Dutch! Hebben ze hun wortels bezocht?

Good luck with the shoulder.

Dr B. (Zuidafrika)

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Tingling in left arm

by Roger Echelmeier
(Chesterfield, MO)

I have tingling in my little finger on my left hand. In past year my trainer has been able to correct by trigger pointing in my shoulder and neck, but now, it is coming back and he cannot correct, even though we do not feel tightness in the muscles in my neck and shoulder.

Hello Roger,
If you have absolutely no pain, tightness or tingling in any part of your arm, shoulder or neck, except the little finger, then I'd be looking for a local problem in the hand, and perhaps where the ulna nerve passes behind the elbow.

Sitting, raise your RIGHT arm parallel to the ground at the side (called abduction), with the palm forwards. Now stretch your right arm backwards, extend the wrist backwards, and slowly laterally flex your head to the LEFT. Careful! Remember what you feel in your right arm.

Now repeat with the naughty arm. Is there a difference? Be careful... this test can aggravate the problem. That points to a nerve entrapment / irritation somewhere along the course of the nerve.

When the tingling starts, place your hand on your head. Does the tingling decrease/ stop?

Turn your head to the left and then look up. Does it do anything in your neck or arm or finger?

Only a careful examination of the whole course of the ulna nerve will detect where the problem is. If it's now persisting, then it's time to find a thorough local chiropractor. Ask your GP...

I hope this has contributed.

Dr B.

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pressure in finger tips

What causes finger tip pain? When I wake up sometimes my finger tips feel like they have been squeezed and are warm. How come?

To be honest, I'm not sure. I assume there is no other pain in the neck or arm, just the finger tips. Is that right? And it's only when you wake in the morning?

Do you sleep on your tum? Any circulation problems? More details please.

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Tingling in arms and hands especially pain in left arm, and in the neck (trapezius area)

by Sean
(Darmstadt, Germany)

(Keyword: tingling in arms and hands)

Hello Bernhard,

About 5 weeks ago, I went for a motorcycle ride in cool weather, and thought that a draft had hit my neck, causing me to stiffen up. This had happened before, and generally went away in two - three days. This time, it did not.

After the first week, I went to see a doctor who gave me a shot for the pain, and subscribed muscle relaxants. The pain killers did not work, but the muscle relaxants just caused me to become "heavy" and not move much (the medication was Vicodin). I was not a fan of this stuff at all.

Meanwhile, I have stopped taking these meds, because none of them had helped.

I sought the assistance of the emergency room at a military hospital. They x-rayed my neck area, and rambled off something to the effect of my having an "slightly adjusted disk", yet proceeded to give me another shot for the pain (which did not help). The doctor had also recommended I attend a physical therapy, which I did last week for the first time.

The Physical Therapist asked many questions about my sitting, working, computer habits etc., and then again said that I had a "stiff neck" in other words. She tapped my arms, had me apply pressure to her hand with my face (pressing into the shoulder) and had me do a few posture exercises (sitting up straight, and then slouching back into a relaxed position).

She really put me on edge when she told me that my pain will never go away. When I asked her why, her answer was "well, your 44 years old and work a desk job".

I thought to myself, that cannot be the answer to telling me that I am always going to feel this way, and all that the treatment would do is extend the period of painlessness. Now, some of the areas of pain have gone away, but therefore are more concentrated on one area on my neck, and the tingling down my arm is more intense, whenever I sit too long in a bad position (or on a hard chair for example).

Oddly enough, I still work out on an elipitcal trainer (45 minutes every day) and can do gardening work without any pain or problems. In short, the more active I am, the less pain I have.

My big problem is trying to sleep. I constantly toss and turn, looking for a comfort zone without pain, in order to fall asleep. When I do fall asleep, and roll over, I wake up and go through the entire procedure again.

I have read myself silly on the internet, which I know can happen, but your the first site I have come across that allows me to ask a question. I don't want to buy the fact that I will always have this stabbing pain, and tingling sensation, and with summer really makes it hard to even look at my motorcycle, knowing that until this problem is treated, that I am not going to risk my life on two wheels.

I truly appreciate your taking the time to read my email, and welcome any feedback you can provide in helping me to the road of recovery.

Many thanks,

Ah, Sean, a man after my own heart. I've had a bike most of my adult life, and wondering which will be my next! Probably a BMW R80.

You don't say which bike, but if you have dropped handle bars, with the neck in the extended position, that could be the problem. The neck doesn't like prolonged extension. Otherwise, just a new activity after a long winter of discontent.

A couple of important questions:

  1. Which part of your arm tingles?

  2. Does turning your head to the left and looking up cause pain in the neck? And directly into the arm?

  3. Do you get relief from the tingling by placing your hand on your head, or does it get worse? (Tip: if the former, sleep with your hand under your head.)

  4. Did anybody test the reflexes, search for numbness and test the strength of the muscles in your arm? If not, sue for malpractice! Only joking. What was the result?

  5. The lady who told you you will have this for the rest of your life, doesn't read the research. Yes, after six months you will have it (probably) for the rest of your life. So you have four and a half months to get it fixed.

  6. Stretch your right arm out to the side of your body parallel to the ground, with the palm forwards. Extend the wrist and laterally flex your head to the left. Remember what you feel in your arm. Now repeat with the left arm - what happens?

Are the X-rays on plain film, or digital? If the former, take digi photos of them. If digital, open the folder (you may need help) and R-click copy, or Ctrl-Printscreen, save on your desktop and then paste them into the spot on the page (up to four photos).

Handy man? Look at the Home traction unit page at C-H. Can also buy them, I recommend the lying down type, not the sitting ones.

Let me have some answers and we'll take this further.

Dr B

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Jul 28, 2013
Severe pain in the...

Hello, I am a 29 y/o woman. I have been having this severe pain In my back for years now and im just so so very tired of everything hurting and keeping me up at night. In the mornings I awake to painfully numb and swollen hands. And repative motion of my arms (bathing my kids,washing dishes,cooking,folding laundry, just to name a few) becomes so painful on my back it brings me to tears!! My GP prescribes narcotics and sends me on my miserable way, im so tired of taking this dangerous drug. I was prescribed Noroton which seemed to help for a short while but I have to take more and more. (Current dose is 3 /300 mg capsules 3 times a day) and it no longer is affective for me. Im so lost and ready to know what is causing this!! PLEASE HELP!!

Hello Esther,
Please copy this into a new thread at one of neck or arm pain pages at It's not relevant to Sean's problem.

And give me more details. Where is your back sore? What other treatment have you had other than medication. Have X-rays been taken? Has your arm and neck been examined? What were the findings?

I don't have enough information to give you a cogent reply.

Dr B

This link might help you find a good chiropractor. Find a good chiropractor may be your next step.

Oct 15, 2011
by: Anonymous

Hi Dr. B,

Not sure if you remember me from the forum, but I wanted to thank you for your outstanding advice. I sought a good professional here in my area, who with only a few sessions, managed to heal my condition 100%. Meanwhile, I have also taken up specific yoga lessons, to ensure that I don't miss another biking season.

Thanks again for everything.

But of course, Motorcycle man! Didn't tell me what bike!

Marvellous news that Dr Jansen has helpend you so much. Send him a case of good German stein!

Dr B

PS. How you getting on with Clogs? When you're done pass it on to Dr Jansen. A short, honest comment for my website would be appreciated. Two or three sentences.

Apr 30, 2011
Doc found in Germany
by: Sean

Hi Dr. B,

Thanks again for your quick reply and positive news. After researching Chiros here in Germany, I found one in my area. A Dr. Gordon Jansen, studied at Palmer Palmer College in Iowa. Here is the link to the clinic: (in English).

I wrote him an email to set up an appointment,and await his call.

I will keep you posted on the developments and how things turn out, and with a breeze of hope, maybe will be able to hit the French alps on two wheels this year yet :-)

I wish you a wonderful weekend, and will be in touch soonest.

Thanks again, Dr. B.


Hello Sean,
Palmer College is one of the best in the world. Still, make sure he's thorough... it's not an easy problem you have.

I hope you enjoy Stones in my Clog. Thank you for purchasing it.

Hopefully the Alps!

Dr B

PS. I might be beneficial to take him a print out of these emails. Or ask him to read it online. And of course the X-rays.

Apr 30, 2011
Many Thanks Dr. B
by: Sean

Hi Dr. B

Thanks so much for your confirmation of a pinched nerve. I just don't understand why the doctor at the hospital and the PT didn't diagnose this with everything in hand, nearly as well as you did just from written communication. That truly shows your experience and professionality. THANK YOU. BEEN AT IT FOR THIRTY YEARS, ON A DAILY BASIS, HAVE TO LEARN A FEW THINGS!

I will definitely forward you the copies of the XR, and will begin looking for a good, experienced chiropractor today! Too bad your not located in Europe. SEMI-RETIRED IN SA, IN MY GARDEN HALF THE DAY IS MUCH BETTER! STILL LOVE MY WORK AND SEE ABOUT 10 PATIENTS A DAY.

If all else fails, I would be make my way to see you when you are in Europe, though quite a long way out. I do have one final question; if I find a good experienced professional here in Europe, how long would you think it would take before I would begin to notice effective healing? I'M DEALING WITH A VERY SIMILAR CASE RIGHT NOW. HE HAS ABOUT 20% RELIEF AFTER THE FIRST 4 CONSULTATIONS, NECK MUCH BETTER BUT FINGERS STILL QUITE NUMB. ABOUT 6-8 WEEKS TO HEALING DEPENDING ON THE PRESENCE OF NUMBNESS AND WEAKNESS. HOW ARE THEY?

Thanks again for everything, Dr. B. You really helped to put my mind at ease, even under these circumstances. THINK ABOUT A TRACTION UNIT TOO, I THINK IT HELPS IN CONJUNCTION WITH CHIROPRACTIC THOUGH THE RESEARCH IS UNEQUIVOCAL THAT, ON ITS OWN, HAS LITTLE BENEFIT.




Apr 29, 2011
Help in sight
by: Sean




2.Does turning your head to the left and looking up cause pain in the neck? off. Looking down at the arm is the same feeling. CLASSIC SIGNS OF A PINCHED NERVE IN THE NECK. NOT GOOD THAT THAT MOVEMENT PRODUCES SYMPTOMS IN YOUR ARM AS WELL AS THE NECK.

3.Do you get relief from the tingling by placing your hand on your head, Yes, I do get relief by placing my left arm on top of my head. THIS IS CALLED THE SHOULDER ABDUCTION RELIEF SIGN. TYPE IT INTO THE SEARCH THIS SITE FACILLITY. CONFIRMS PINCHED NERVE.

4.Did anybody test the reflexes, search for numbness and test the strength of the muscles in your arm? I was tested for reflexes however, the doctor and the PT did not make any comments. PRICK YOUR ARMS RIGHT AND LEFT AND SEE IF THERE ARE DIFFERENCES IN THE AREAS MENTIONED ABOVE. IS THE LEFT ARM SHARPER OR NUMBER?


5.ill have it (probably) for the rest of your life. So you have four and a half months to get it fixed. This is the best news I have heard in over five weeks :-)

6.Stretch your right arm out The other way around causes stiffening of my left upper arm, tingling sensations in the upper arm and stabbing pain in the back of the left side of the neck. UPPER LIMB TENSION TEST IS POSTIVIE: PINCHED NERVE, MEDICALLY CALLED A BRACHIAL NEURALGIA.

I had been doing a few of the stretch exercises every day, and I can only say that it has maybe gotten about 5-10% better.

I really look forward to hearing from you.





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Pain in neck,right shoulder,arm pain and finger numbness

Arm started feeling a little uncomfortable a week ago yesterday then woke up last sunday and my neck,upper back/right shoulder was hurting so bad i could hardly move then by later that day my arm was hurting and fingers/pointer finger was numb.Was told may be a muscle spasm and prescribed pain pills, ibuprofin and tylenol which did not help so went back 2 days later which the neck and shoulder pain had let up some but my arm was hurting worse and finger still numb,gave a steroid shot which did not help at all. What does it sound like is causing this?


You have a potentially serious problem, I'm afraid. A pinched nerve in the neck, radiating to the arm is one of the most painful conditions faced at the Chiropractic Coalface. Nights are often the worst.

Does placing your hand on your head bring some relief to the pain in your arm? Shoulder Abduction Relief sign.

Start looking for a competent thorough local chiropractor. Ask friends and family, even your doctor. This is definitely not muscular. X-rays and possibly a scan will be needed.

The arm may now very rapidly become weak, most usually the triceps muscle. Don't delay.

I hope this has contributed.

Dr B

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Sep 24, 2012
Thank you
by: Mark G

Dr. B,
I found this case report and your comments very helpful. I have this exact problem. I am athletic, healthy and not under stress.
I am 45, but awoke 5 weeks ago with neck and shoulder pain and spasms. A day later my index finger and part of my thumb are completely numb, like they are gone. I can't feel anything in my pocket, when I pet my dog, I don't feel anything in my index finger and thumb. My forearm hurts as does the back of my shoulder by the scapula. Also, the top of my hand is numb.
I am growing more concerned every day. I try to stretch my arm, but it hurts and I try to rest my wrist but it hurts.
My family doctor called me in a Medrol dose pack, which did nothing but keep me awake for a week. I hope a local Chiropractor can help, but if they are unsuccessful would you send me to a neurologist or orthopedic specialist? Also, message therapy or physical therapy?
Thank you once again for this great site!
Mark G.
Hello Mark,
You have a very typical C6 neuralgia, and it's of concern because you are now developing "hard neurological signs". Not just pain, tingling, a feeling of numbness, but actual numbness and weakness in one or muscles is probably developing, most likely the triceps.
The nerve is tethered in your neck so stretching out your arm will only aggravate the nerve pain.
Have a look at the "upper limb tension test" in the Search this site menu at C-H. The test is almost certainly positive.
It's time for an X-ray of your neck, if you can afford it or have insurance, an MRI scan.
Medicine's approach is that this is an inflammation, and thus the pills you were prescribed. We see it as a physical problem, and needs to be approached from that angle. Like you wouldn't treat a broken arm with NSAIDs. You'd set it and put it in a cast to heal.
It is one of the most difficult and painful musculo skeletal conditions faced by any practitioner, so I won't promise that it will be plain sailing with chiropractic. Chances are it won't be.
Consider a supine home traction unit as an adjunct. I find they often help.
Good luck, let us know how you get on, and what the scans show.
Dr B

Jun 20, 2012
numb index finger and thumb
by: Anonymous

I can not sleep because the throbbing pain goes down my arm now, I want to die

Hello again,
Like I said, this is one of the most painful conditions. Nerves are extremely sensitive to pressure; they complain. Loudly!

If it's throbbing then a vascular condition also needs to be considered. Any swelling, discolouration of the arm? Does turning your head hurt in the arm?

See a local experienced chiropractor.

Dr B

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Cortisone shots and Tingling

by Joshua Jones
(Rockville Maryland )

I just got a cortisone shot in the back of my right thigh.. I had surgery on my sciatic nerve in May 4,2010.

I was wondering if the Cortisone shot I got in my right leg could cause tingling on my right arm and hand..?

Hello Joshua,

Nope, I very much doubt if a cortisone shot in the leg could have anything to do with the tingling in your arm and hand.

Likely you have a cervical facet syndrome, possibily a disc injury or thoracic outlet syndrome. Muscular conditions in the shoulder can also sometimes cause tingling.

What's needed is a good thorough Chiropractic exam to find the source of your troubles. Even a carpal tunnel.

Plug these terms into the SEARCH at Chiropractic Help, and you'll find lots of info.

One spinal op is more than enough! Try Chiropractic this time.

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Tingling on the inside part fo my upper right arm

by Carolyn

Recently, I have been experiencing a tingling sensation on the inside part of my upper right arm. Initially I thought I had slept in a bad position but the sensations still continues a month later.

Please advise.

Hello Carolyn,

The inner part of the upper arm is supplied by the Th1 dermatome. That nerve comes from the junction of your neck and upper thoracic spine.

Do you have any neck pain? Do any movements of your head and neck cause neck pain, and more particularly the tingling in your upper arm?

Does placing your hand on your head (Shoulder abduction relief sign) increase or decrease the tingling? Or make no difference?

Put your arm out at the side, extend it backwards (palm forewards), extend your wrist and then laterally flex your head to the opposite side. Does it increase the tingling?

In all probability, this tingling comes from your upper back/ lower neck. It's a problem treated on a daily basis by chiropractors.

Cough? Smoker? Very rarely tumours in the apex of the lung can cause this condition. But it's unlikely... if you hear hoofbeats, don't think "zebra"! Think horses!

Get some X-rays of your neck and, if you have a cough, chest X-rays.

I hope this has contributed.

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Dec 19, 2010
Thank you
by: Anonymous

Many thanks for the insight. I shall observe the symptoms and revert as necessary.

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Pins and needles

I have and am still experiencing numbing, through pins and needles, in my arms and legs. This sensation started 5weeks ago and whilst it isn't constant my symptoms have not changed too much.

I am now experiencing a very weak left arm sensation (even though it isn't actually weak). I have consulted my dr and have had full blood, electro lite, neck X-ray, lung X-ray, spine MRI (not head) and diabetes check. My dr has now advised that she doesn't know what it is and I should forget about it!! I do have a slipped disk in my lower lumber but have been assured that this wouldnt cause arm sensation. What do I do now!!?? Any advice would be gratefully received.

Hello Sam,
Your doctor has followed a sensible course of action, looking for the major things. With these symptoms being in arms and legs, we would be thinking of something 'central' rather than local. In other words a slipped disc in the lower back wouldn't cause it. I agree.

Presumably the spine (including neck?) MRI would have ruled out spinal stenosis in the neck which can cause leg symptoms. How old are you?

Is this a numb 'feeling' or is it objective. Try pricking yourself with a pin, comparing left and right, lightly stroking yourself.

That numb feeling in your left arm. Do some press-ups - does the triceps tire quickly? Open bottles, wring out a towel, holding a pen, scissors. Any real weakness in the arm, or again, just a subjective 'feeling'.

I would presume your doctor checked the reflexes, and they were normal. If increased, there is reason for concern.

Thereafter I'd be thinking of conditions like an Arnold Chiari malformation, where part of the brain descends into the foramen magnum, very uncommon, causing bizarre symptoms in arms and legs. And a brain MRI. It's certainly 'central', meaning brain and spinal cord.

For the time being, I'd take your doctor's advice, relax, and get on with life. Try not to be neurotic about it, but do be on the lookout for other neurological symptoms. Headache, numbness in the face, walking oddly, poor coordination, stutter of speech and swallowing, difficulty doing buttons.

Ask your spouse to carefully lift your big toe up and down, and then stop up or down without brushing the second toe. Can you tell, with your eyes closed whether the toe is up or down?

Can you stand on your heel, toes, squat on one leg. Weakness. Gait quite normal?

If your spouse puts something, say a paperclip, pen, key in your hand with eyes closed, do you know what it is?

Relax for a bit, watching out for these sorts of things. If it progresses, definitely ask for a consult with a neurologist.

At this stage, I don't think yours is a case for a chiropractor, until a diagnosis has been established. Thereafter, it's odd but chiropractic does help the most unusual conditions.

One last thought: nerves are coated in a fatty "myelin sheath". Make sure you are not eating any hydrgenated foods (most margarines, chips for example). The trans isomer is known to be very toxic to nerves. And absolutely avoid the high carbohydrate / low fat diets - they are associated with nasty neurological diseases. Get plenty of fat from fatty fish, olive and avocado.

Good luck, keep in touch, and let us know of developments.

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Pain and tingling in shoulder blade, upper arm, and fingers.

by E

areas where I feel discomfort the most

areas where I feel discomfort the most

areas where I feel discomfort the most
areas where I feel discomfort the most
Thoracic Outlet Syndrome

Hello, I am a 26 year-old male who has been experiencing pain and tingling in the area where my neck and shoulder meet, along with in the wrist, hand, and fingers. This has been going on for over a year now.

I did data entry at my job for 5 years and that is where I first started experiencing discomfort in my hands, though most of my issues are on the right side. I have had 2 EMGs 8 months apart, 2 MRIs (one of the neck and one of the brain), an x-ray of the neck, and cortisone injections in my wrists. The tests have all come back fine and I have seen many different doctors who can't seem to pinpoint an issue or come up with a diagnosis.

The symptoms used to be only in my hands and wrist so they thought it was CTS, but over time my symptoms have changed and worsened. I have experienced tingling in all of my fingers. My arms feel easily fatigued. I feel it is difficult to sit up straight, I can't sleep on my side anymore because my arm (from my armpit all around) and neck feel pain and tingling sensation, where it feels like I need to move to relieve it but no matter what way I move the arm it doesn't feel right. I'm only able to sleep on my back, though sometimes when I do (and I am unsure if this is related) from the top of my rear down to my toes I feel an uncomfortable numbness, but it doesn't happen all the time.

I have been unable to work or enjoy my hobbies such as playing guitar, because any bit of work or activity I do seems to make them worse. Particularly the spot on my wrist (which is circled in the photo I borrowed from you) and the area in my neck. Up until these problems I lead an active healthy life-style and exercised every other day by doing pull-ups, push-ups and lifting 10-30lbs. dumbbells, so I have always had good body strength. However, I have been unable to do this workout routine.

I still try to stretch a little to keep limber, but I don't know if I am hurting anything by doing so. Any help or advice you can offer would be appreciated.

Dear E,
Don't feel all alone. I'm getting dozens of letters from folk with similar symptoms, and of course they are every-day complaints at the Chiropractic Coalface.

There are several significant factors here. The first is that you do have neck pain. That is certainly the origin of your complaints. Do a little test: place your hand on your head. Does it relieve or aggravate the pain and tingling in your arm? "Shoulder abduction Relief" sign.

The second is that your symptoms cover more than one dermatome. That immediately tells me this is not the usual pinched nerve root problem. Hence all your scans were negative. Your insurance should be mad - these were largely unnecessary.

However, considering that you are feeling stuff in your lower limbs too, that MRI has the benefit of ruling out what we call "long tract signs". Something like a tumour in the spinal canal canal pressing on the spinal cord.

I think it's time for a thorough Chiropractic examination. Be sure to ask him/her to do Adson's test, and to test for a first rib fixation. A Thoracic Outlet Syndrome is a definite possibility.

Start talking to friends and family, even your doctor and find a conscientious Chiropractor in your neck of the woods. Take your X-rays and scans with you.

I hope this has contributed.

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Oct 27, 2012
Neck and arm pain after using laptop
by: Toby

I'm 30 years old male I spent 3 days leaning on my right side using a laptop and since then have Been in pain! Twitches spasms in my c6-7 area feels like pinching. Pins and needles tingling, and sharp shooting pain peck spasm tingling across back side of my shoulder numbness all along my fore arm and back of my hands. Pain killers hardly touch it! Had xray bones apparently looked fine. Booked in for MRI scan .. Waiting game! Been trying good posture small
Warm up exercises not much helping :( taking tips from Robin mckenzies book fix your own shoulder. When I hold hand on top of my head section c6-7 feels like a pinching. Will be grateful for any tips to relieve some pain! Am taking ibuprofen co co domal nasproxan diazepam. Thanks for any help Had this pain for nearly 4 weeks.

Hello Toby,
First off, laptops are not for extended use. All the ergonomics are wrong for the head, neck and arm. Don't do it again!
When you place your hand on your head like that does it also increase the symptoms in your arm? If so, I would expect to find a tethered nerve in the interscalene triangle. Use the Search this site function at C-H to better understand this syndrome, known as TOS.
But if relieves the tingling in your arm, then I would be looking for a facet or disc syndrome in your neck. Does turning your head to that side,and then looking up cause pain? Where?
Gather your X-rays, and the scan if you've had it done, and start hunting for a local experienced chiropractor. Ask friends and family, and your GP for a name.
Good luck.

Dr B
But if it actually

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arm pain

by scott buchans
(uvalda ga)

my left arm an hand feel like there going to bust open my finger lock up an can use them

Sorry, Scott,

Could you try writing in English please, not American! If you want a sensible answer, give me some details that I can understand. When it began, does it hurt? where? What relieves the condition, what aggravates, is there disability... get it? Neck pain? Accidents?

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Sharp shooting pains down left arm to fingers

by Kris

Intermittant very painful sharp shooting pains that go down my entire left arm, ending in fingers (middle and ring finger. Thumb and index finger are not affected. Little finger sometimes affected.) The pain is on the backside of the arm and is awful but only lasts a few seconds. Depending on severity of each "incident" sometimes my arm/hand/fingers are weak for a few seconds after this happens. Right arm is only VERY slightly affected the same way.

I believe this was originally caused by a really bad mattress that pinched my shoulders (side sleeper) unmercifully and cut off blood circulation to whichever arm I was lying on (predominantly left). I suffered on the mattress for over a year, about 4 months ago got a new one. New one isn't much better, (now my mid and low back hurt) but it doesn't crush my shoulders the way the other one did. However, in bed is when I get the pain the most. Oddly I do not have to be lying on the left side to get the pain in the left arm. I can be on my right side or on my back and still often get the sharp pains in left arm. Mostly I sleep on my stomach with arms down at my sides (straight) and head flat on mattress turned to the left, to avoid mid/low back pain and crushed shoulder/arm pain.

Have a long history of cervical neck issues and a good chiro who can adjust satisfactorily.

Haven't been to see him in 6 months. Last time I was there I told him about sharp arm pain and he thinks it's arthritis and said I need an x-ray. I didn't get the x-ray yet. I don't think it's arthritis I am about 99% certain it's due to the bad mattress(es). The pain is getting unbearable. I have an appt with him tomorrow and hope he can adjust something to relieve the pressure on whatever nerve is causing this.

I also spend too much time slouched on the sofa in front of the computer and get no exercise anymore.

What do you think?? Thanks for your input.

Hello Kris,

You've already given me the answer to your question! You have a typical C7 dermatome pain in the arm and if you don't get it sorted the arm will become lame and weak.

The underlying cause is almost certainly sleeping on your tum. Very bad for the neck. Spend the money, get a decent bed, one pillow. Or you'll spend ten times as much on chiropractic and surgeons!

I agree with your chiro. When the pain goes down your arm, X-rays are definitely indicated. The chances of foramen narrowing are pretty high.

My experience is that an occasional regular treatment is far more effective than waiting until you have so much pain that you can't wait any longer. Folk who come for a treatment every 6-10 weeks need less treatment in the long run.

Get moving! I know it's winter, but a walk every day, perhaps some skiing, will improve your health enormously.

I hope this has contributed.

Dr B

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tingling in the arm from shoulder to tip of fingers

by Aster
(arlington va)

I have a tingling and burning sensation from top of shoulder to tip of my fingers on my left. It's been going on for a month. I had a leg injury three months ago. What could it be?

Hello Aster,

The question is which fingers? If it's all your fingers, then think of a Thoractic Outlet Syndrome. If it's in the thumb, index, middle and possibly ring finger, think Carpal Tunnel Syndrome. If it's in the thumb and forefinger... you get it? It's complex and only a thorough and careful Chiropractic examination can tell where the tingling comes from.

It's unrelated to your leg injury, but it's possible that when your leg was hurt, you had an injury to the neck at the same time. Or the limping has upset your equilibrium.

So, start looking for a careful and thorough chiropractor. There's sure to be one around the corner. But do your homework, talk to friends and family, even your doctor.

I hope this has contributed.

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Weakness numb feeling in left arm and lower left leg and left foot area

by Aaron

Well I knew something wasn't right with the feeling in my arm. It's been about two years since my neck injury... Had two vertebrae bruised in a spinal injury when I fell unconscious.... now my jaws kinda locks up after I yawn... my head kinda shakes uncontrollably a couple times throughout the day... and I wake up to my arms tingling and numb... please help... all the information on this page matches the symptoms I've been feeling... doc say I have bone spurs in neck from injury but that's about it. Im 27 otherwise in good health... the fall was from an overdose of drugs. Thank you in advance.

Hello Aaron,

You are right to be concerned. Firstly, note that all drugs are dangerous, but sometimes are necessary. Try and stay away from medicines. 200 000 people DIE every year from the side-effects of medicines in the USA. DEAD.

Bony spurs at your age are most unusual, and unlikely to cause these symptoms. If it's affecting your legs then I'd recommend a consult with a neurologist. An MRI is indicated. You have what are called 'long tract' signs and it needs to be followed up.

You don't sleep on your tum, do you? That's very bad for your spine and could be contributing to the feelings in the arms in the morning.

The stuff in your jaw is probably unrelated, a TMJ syndrome that needs to be dealt with separately. But that shaking of your head... see a neurologist.

How much cold water fatty fish do you eat? The Omega-3 is vital for your brain, spinal cord and nerves. Eat fish, or take capsules, or both.

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"Incidental finding" on x-ray.

by Kim
(Nashville, TN)

During a recent visit to the chiropractic for daily headaches for over a 6 month period, she did full spinal x-rays. During the consultation, she explained that I had an "incidental finding" of a large amount of calcium buildup on my left side two floating ribs. The best way for me to explain what it looked like was ....the ribs were normal from the spine out but the last 1/2 - 2/3 was basically much whiter than the rest. There was no evidence of a spur or anything else that I could see. Any ideas, concerns, etc.....

Hello Kim,
I think an opinion from a radiologist would be in order. Just to be sure... incidental findings can occasionally be very significant. I doubt your chiropractor would have any objections.

I hope this contributes.

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Tingling in hands, feet, and face

by Mike
(Ottawa, Canada)


I have been suffering from this problem for 3 years now. My neurologists ruled out many of the diseases that would cause this and have not given me any answers. I have had MRI's of the neck and brain, Xrays of my spine, full blood work, and everything comes back normal.

I first began to feel the symptoms in my left hand pinky finger after waking at night with my palm and pinky numb. I thought I had cubital tunnel syndrome so I slept with a splint and it got better. However, After a hard summer working landscaping, I was hunched over for 8 hours a day for 3 months weeding and fixing flower beds. The week after my last shift, I started to feel tingling in my left foot pinky toe for 1 month straight, after that I began to feel tingling in both hands and both feet as well as eye twitching and tingling in lips, forehead and back of the head. It just kept on growing, I also started having muscle spasms in the tricept, thigh, buttocks, that would be visible and my muscles would just start shaking. Today, I can go for weeks with feeling only hand tingling and minor foot tingling, and then flare up and whole body starts tingling. I also get a weird tightness and dry arthritic feeling as the tendons in my hands are scraping against the sheeth. Drs have ruled out all arthritis and RA.

So now three years later, I have tried homepathic treatments, acupuncture ( currently having treatments along the spine and it works to help symptoms but not eliminating the problem), and ART from a chiropractor.

I have been told my radiologists that my spine is not the problem, i have no signs of entrapments but a very mild disc bulging in C5 on the right side but they said it is not of concern.. Also, I have no pain in my back or neck.

However, I have noticed that if i bend over for extended period of time, sit on an improper chair, or turn my neck on the left side I get tingling in my feet, or face. If I keep my arms stationary and rotate my shoulders my hands flare up.

Is it still possible that I have some spinal issues that would cause this even though my xrays and Mri's came back fine?

I want to seek chiropractic help but it is expensive and would appreciate some guidance.

Thank you for your time.

Hello Mike,

Yes, these are unusual symptoms. I take there is no sign of a B12 deficiency, or diabetes. Would have come up in blood tests.

The most significant is that turning your head to the left provokes the symptoms. It's of particular concern that it causes tingling in the legs.

I would ask for a second opinion on the MRI scan of your neck, and particularly the base of the skull. No sign of Arnold Chiari malformation?

Have you had any manipulation of the neck? Does it relieve / aggravate the symptoms, or are you getting only ART? Your chiropractor may feel anxious about manipulation of the neck in the light of these symptoms, hence only doing ART. I use a lot of ART but it's unlikely to help your problems. Does your chiropractor think this could be coming from your neck? Are tests like Kemps, and Adsons negative.

Are there absolutely no neurological findings? Reflexes all normal, no numbness, no weakness?

It's a long shot but I'd go for some B12 shots, and eat plenty of fatty cold water fish like salmon, olive oil and avocados. Important for the conduction of the nerves.

My best shot, I hope it has contributed.

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Apr 26, 2013
spinal cord lump the size of an apple

spinal cord lump the size of an apple

Put up my laptop,trying to see,if any help is on offer, all movement this painful,been told lump on lower spinal cord the size of a apple

won't do op fell; though garage roof 34years ago,

years of trying to tell docs weakness, pain in back and legs

but 6 years ago a lady came off her drive and crash into me,so yet again pain then headaches all the time ,

had stroke,which mri scan showed lump on spine now wheelchair most of the time due to numbness,wobbly,weakness when moving tingling gets stronger all over my body

can someone please give me some help on stopping tingling.

thank you so much much for page I THOUGHT i was going mad trying to explain what my body was feeling,now due to your page i see others in this way too.lyn

Hello Lyn,
Ex-Dargle Lynn Davies? Probably not.

Gosh, where to start. What have you been told is the likely diagnosis of the lump on your spinal cord? Probably too risky to biopsy.

I wish I could offer something positive. Alas not.

When you have a condition that everyone has given up on, I always say: "go back to basics".

Eat properly and healthily. Plenty of green veg and fruit, the correct fats and limited animal protein. At our Healthy Living Tips page you'll find plenty of ideas.

Obviously walking is difficult, but try and walk, with a stick or walker as much as you can every day. Swim? Stationary bike? Keep as active as you possibly can.

Fighting with anyone? Deal with those painful outstanding issues that you know need to be settled.

Fighting with God? Deal with that too.

Lower back exercises. The most important thing for your lower back is to exercise, exercise, exercise. Every morning, in bed, before you get out of bed, and as often as you can during the day. At Lower Back Exercises you'll find something basic and simple that takes no more than two minutes. Do it.

I'm afraid I don't have a great deal more to offer, Lyn. Yes, one thing: omega-3 foods.
Fish oil ...
Flax seed nutrition information ...

A long shot to be quite honest, but it's worth a try. Good healthy stuff in any case. I take them both regularly myself.

Too little, I fear. Jammer. Let me know what the diagnosis of your apple is.

I hope this contributes.

Dr B

Go from spinal cord lump the size of an apple to other Chiropractic Conditions often treated…

Jun 21, 2012
by: Mike

I thought I would update this thread.

After many years now, the tingling is still there and even worse now my feet get super hot, burn, and insane joint pain. I did a bone scan and very bright large clusters around each pain point on my joints. The results shows medium uptake at big toes, ankles, left shoulder.

Last week I did a blood test and some abnormal ranges.

MPV 11.4 fl, Vit d 54 umol/l, anti-ccp 27.2iu/ml, bilirubin 35umol/L

this is the firs ttime my blood comes back abnormal. The bilirubin i was told is gilberts disease a while back but i dunno..

im waiting on a rheumatologist apt.

my feet hurt so bad I can't walk on them when they get hot and ive taken weeks off work and school to heal after bad flare ups.

Good luck everyone.

Doc - THanks for the reply, rude of me not to follow up. Also, thanks for this outlet and communication.

My neurological tests are all "great" as my neuro says. Its not my spine, rather when any part of my body is over extended or any exertion on the nerve causes the symptoms. Ive had 5 MRI's.

I can deal with the tingling, the pain in my feet now is ridiculous.

Hello Mike,
Seems to me that a rheumatoid consult is the right thing after that positive bone scan.

Does turning of your head still provoke tingling? That's significant.

Did you try the B12 shots and omega-3 oil?

It's amazing how much can be done with foot pain, more difficult in your case as it seems you might have an inflammatory condition. Nevertheless, if you can find a chiro who works with feet, you would probably get considerable relief.

It it turns out to be one of the inflammatory arthritides, then you just have to become a health nut. Lots of fruit and veg, much less red meat, more fish and fowl and legumes like hummus for protein. Plant some bush beans, it's not too late.

Thanks for contributing.

Dr B

Jun 21, 2012
tingling in hand face and feet
by: Anonymous

I too have had these symptoms for over 2 years now. I am going to ask my doctor to test my blood and give me a mri, so many things it can be, my friend told me I am having mini strokes but i highly doubt that. I have severe anxiety and fibromyalgia, i also lack b12 and protein as I choose to not eat red meat and cut out salt not all the way but i dont add it to anything i eat. i am a vegan and i try to eat right but i guess im not healthy all the way because i am lacking b12 and protein. im worried its serious.

Mar 18, 2011
tingling in hands, face and legs, feet
by: Anonymous

I have the same as Mike. I am a 48 yr old female. Have had tingling in hands, legs and face, and pain in middle toes of both feet (not at the same time) when sleeping off and on for days.

I have been to a Chiropractor without relief. Went to doctor and he has done blood work, testing for B12 deficency, calcium and diabetes. Today, where I had the tingling, I now ache, very little tingling today.

When you're miserable all over, and nothing seems to help, I always suggest going back to basics. Take a walk EVERY day, take a good hard long look at your diet, cut out the crap, if necessary get the extra pounds off, eat much more fruit and veg, take a holiday, talk to God... all the basic stuff that makes life happy and healthy.

Good luck.

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by Tory Gross

I've been having Gastritis but at the same time I am experiencing numbness and tingling in my arms, hands, legs and feet. I also have tingling sensation that radiates down the left side of my back. The doctors so far can not tell me anything. It has been effecting my vision and ability to work. I was just wondering if this could be all from a neurological system?

Thank you,


Hello Tory,
It's good news that the doctors have found nothing. Do you know if you've had a B12 test? Gastritis often causes a malabsorption syndrome, a decrease in Intrinsic Factor from the stomach, essential for the absorption of B12.

A B12 deficiency causes a nasty condition called Pernicious Anemia, characterised by some of these symtomps you are having.

Make sure you are getting plenty of the good fats, particuarly in fish oil, olive oil and avocado, essential for the lining of your nerves.

Take a good long look at your lifestyle. How's your diet? Eating the required coloured fruits and salads? Avoid all hydrogenated foods - the trans isomers in the fat are very toxic for your nerves.
Ask a nutritionist to evaluate the omega-3 to omega-6 ratio in your diet.
Getting regular exercise?

When you are not well, and you know you are not well, but nobody can find anything, then go back to basics: diet, exercise, stress, when did you last have a 3 week holiday? Chat to God periodically? All these things can contribute to poor health.

I hope this has contributed.

Dr B

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Tingling in side of upper arm near elbow and then a strange feeling in outer jaw

by Carole Lynn
(New York, New York)

I was at the kitchen sink rinsing my stockings and suddenly had tingling in side of upper arm near elbow and then a strange feeling in outer jaw (both sides and both arms). I stopped. Managed to call for my husband. Immediately sat down and tried to calmly breathe. It went away almost immediately although I have this peculiar sensation still in my outer jaw and my two pinkies. Yes, I have a mild scoliosis with a lower right shoulder that I concentrate on raising through my back shoulder blade and isometrics.

Hello Carole,
My first thought is don't be alarmed, this too will pass, unless you were sweaty, nauseous and have a history of high blood pressure, or heart disease. If it were only in your left jaw and arm, then certainly there would be cause for concern.

Which side of your elbow gives you the tingles? Near the funny bone (ulna side), or the outer elbow? The inner part of the forearm and ring and pinkie fingers (you must have a Dutch background to know about pinkies!) belong to the so-called C8 dermatome, lower neck. Does turning your head and looking up cause any pain in the neck, and more important does it immediately bring on the tingling in your arm?

Do your jaw joints pop or click, or cause pain? Gum chewer?

I hope this has contributed. Obviously, like any new condition, should these symptoms persist, you should seek advice from a doctor or chiropractor you trust.

Trying to raise that low shoulder is a lost cause by the way. Rather ask your chiropractor if you have a short leg, and would a shoe insert contribute?

Dr B

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Aug 09, 2011
DR. B - You are SO right!
by: Carole Lynn

When you wrote: "Mostly likely it's an obscure complaint from your neurological system", you could not have been more helpful or accurate!! I was under huge stress (business-wise; and always), and there is no question but that my body was letting me know this. If not a holiday, I at least started to breathe deeply again and calm myself. YOUR RESPONSE WAS - if not a lifesaver - A HEALTH SAVER!! I bless you in my thoughts for your perceptive writing. You really care.

Dear Carole Lynn,
Thank you for kind sentiments. Glad that I wasn't so far from the mark.

I've learnt from 30+ years in practice, that usually before things go seriously wrong, our bodies start to warn us. Smart people heed the warning signs. Otherwise you get cancer, have a heart attack...

One of the things I LOVE about HOLLAND is that FIVE WHOLE WEEKS is the standard holiday for everyone. Executives get more. The Dutch work very hard, and then take good time out. To smell the roses.

I learnt form a psychologist friend that people in high stress jobs need to take three consecutive weeks of leave. The first week you are worrying about the things you've left behind. The week before going back to the saltmines you are starting to think about the year ahead. It's only the weeks in between that you get real soul-rest.

It's one of things that I personally think is crazy about America. Two weeks leave! Are you crazy! All work and no play made Tom a depressed, stressed, dull and boring boy.

Hopefully you've had a good summer!

Dr B

Dec 05, 2010
Thank you, Dr. B
by: Carole Lynn

Thank you, Dr. B. The answer to all your questions is NO. The answer to which part of the upper arm was affected: It was just above the elbows on the outer part of the arm and, within seconds, the outer jaw (both sides). It disappeared within seconds (and some deep breathing) but left that slight 'sensation' in my two pinkies (no Dutch background).

Like I said, if the symptoms remain, and you are concerned, get some professional advice.

Mostly likely it's an obscure complaint from your neurological system. Time to take a holiday and smell the roses, a low key Christmas. Obviously these are long shots, not knowing your background, but what is the omega-6/ omega-3 ratio in your diet? Each nerve is coated in fat, and it's vital that you have the right fats.

A random screen of blood sugar and cholesterol never did any harm. So many diabetics and potential heart attack and stroke victims walking the streets, not knowing that they are a time bomb waiting to blow.

Happy Christmas

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Tingling in upper arm

by Brad
(Arlington va)

Tingling in upper arm

I have tingling in my upper right arm that is activated by straightening my posture. For instance if I sit and actively straighten my neck for mediation (meditation?) or standup and actively correct shoulder slumping. I have been working with a chiropractor who suspects nerve entrapment.

I am 55 and have arthritis and not the world's healthiest spine. Any thoughts on useful modalities to heal?
Thanks very much,

Hello Brad,

You make no mention of neck pain, so I presume that turning your head to the right doesn't hurt in your neck, and doesn't radiate immediately to your arm. Neither does turning right, and then looking up. Correct?

Does raising your arm, and placing your hand on your head increase or decrease the tingling? Does stretching your arm backwards start the tingling?

No shoulder pain when you move your arm?

The only clue you give is that correcting a slumped shoulder increases the tingling. That suggests to me that we may be dealing with a First rib syndrome, aka Thoracic Outlet Syndrome. Type it into the Search this site function at C-H.

Frankly, I'm not sure Brad. I don't have enough information. Ask your chiro to check the first rib, and to do Adson's test and the "Hands up test".

Advanced arthritis in the neck could be the cause.

I hope this has contributed.

Dr b

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numbness in left hand and fingers when bending my head down to floor.

by sundar

When my head bends down to the floor my left hand and fingers started getting numb.
What cold be the reason? And what is your suggestion for a cure?

Hello Sundar,

Thank you for your question. There are numerous possibilities and the first step is to get an X-ray of your neck.

Careful examination of your spine, looking for loss of reflex, weakness and numbness is vital. And various orthopaedic tests, like the Cervical Compression tests and the Upper Limb Tension Test.

You could have a slipped disc in the neck, or it could be degenerative spurs that are invading the foramen, and there are other possibilities.

I don't know how many chiropractors there are in India, start at the hospital, and take a copy of this with you.

At this site you'll find a home traction unit that you can make to help yourself. It's not difficult.

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Did you find this page useful? Then perhaps forward it to a suffering friend. Better still, Tweet or Face Book it.

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.

Have a problem that's not getting better? Looking for a different slant on your pain? Want to pose a question?

Interesting questions from visitors

CLS writes:

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.

Your own unresolved problem. Pose a question

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.