Results from mri and opinion

by Kristi
(Houston texas)

I have been having tingling in fingers for years but never when I am asleep nor do I awake with it. It only occurs after I am up and around. It is in both hands and on and off.

I had an emg and the needle one and it found carpal tunnel and cubical tunnel in both arms.

I also had an mri of the cervical spine and c4 5 and c6 were problematic. Moderate spinal stenosis and severe at c6. Surgeon wanted to do surgery on neck and both arms. I did not want to do surgery. What would you recommend?

Hello Kristi,
You have clearly had an old neck injury, probably a long time ago. Have you fallen off horses or had a car accident?

Do you still have only have tingling and no pain? I'm sure your neck is stiff, but does it hurt?

Do movements of your head and neck bring on the tingling in your fingers?

Which fingers are affected? Be as accurate as possible; this is critical.

When the tingling is bad, what happens if you raise that hand above your head?

Is there any wasting of the big muscle at the base of the thumb, and is there weakness in your hand or of the triceps muscle; it straightens the elbow?

I could not read much of the report, only the conclusions.

When you have given me some answers to the above, I can try to give a more educated response to your questions.

Please be precise in your reply if you want a useful response. Vague answers will mean I cannot contribute much more.

Dr B

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Aug 20, 2019
Reply mri and opinion
by: Kristi Taylor

The only access dent I have had was falling down steps in the Edenbourgh castle in 2003.
I do not have any muscle wasting.

The tingling occurs in various fingers at various times. A lot in the thumb, ring finger, and pinkie.

I have no pain at all. The tingling is not relieved by putting my hand on my head.

Hello Kristi,
If the tingling occurs in your pinkie then it is definitely not carpal tunnel syndrome.

If the tingling occurs in all fingers then it is certainly not primarily from a stenosis in your neck. Or most unlikely in any case.

The so-called shoulder abduction relief sign is negative; so it is not a pinched nerve in your neck.

So, in my book neither an operation to your wrist or your neck will help.

So, then what is it? Frankly I'm not sure. Are you a smoker? Cough? Then a Pancoast tumour should be considered.

Do x-rays show a cervical rib?

Does raising your arms as in hanging the washing or changing curtains provoke the tingling? Then ask for Adson's test to be done.

I'm glad that your gut feeling is to look elsewhere; it's the correct response.

I can't examine you, so the purpose of this site is to be the Devil's Advocate, not give a diagnosis. Keep asking more questions until you get the right answer.

Good luck, keep us up to speed.

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Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.

5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.  

10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.

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