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Arthritis (Expert Forum)
Cervical Osteoarthritis
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
This forum is for questions and support regarding arthritis issues such as: Arthritis, Autoimmune Disease, Bursitis, Fibromyalgia, Gout, Juvenile Rheumatoid Arthritis, Lupus, Myositis, Neuralgia, Osteoarthritis, Polymyalgia Rheumatica, Rheumatoid Arthritis, Sciatica, Tendinitis, Vasculitis.
Cervical Osteoarthritis
by adlpn, Nov 12, 2005 12:00AM
On Oct 21 2004 I was injured at work when a large man fell on to my forearm. At the time my neck and back hurt. The next day it was better and pain was in my elbow. April 7 2005 I had an ulnar nerve transposition to the right arm. Since then my pain is worse. It is now sharp shooting pains in my neck, shoulder, and right arm.(sometimes into my head also.) All on right side.
Also my neck pops really loudly now, and my shoulder burns and feels heavy. I had a cervical MRI in Sept 2005. My doctor (work comp) said it was normal but put me in PT. This has relieved only the tenseness in the muscles. On my therapy note I saw my Dx was cervical DJD. My question is would he Dx me with this if MRI was normal, and could this be causing the sharp pains or is it more likely continuing nerve damage? And could it also be DJD in my elbow causing the horrific pain in it?(The tingling was relieved after surgery except sometimes pain shoots down my R. leg and my great toe tingles)
Also my neck pops really loudly now, and my shoulder burns and feels heavy. I had a cervical MRI in Sept 2005. My doctor (work comp) said it was normal but put me in PT. This has relieved only the tenseness in the muscles. On my therapy note I saw my Dx was cervical DJD. My question is would he Dx me with this if MRI was normal, and could this be causing the sharp pains or is it more likely continuing nerve damage? And could it also be DJD in my elbow causing the horrific pain in it?(The tingling was relieved after surgery except sometimes pain shoots down my R. leg and my great toe tingles)
Doctor's Answer
by Kevin Pho, MD, Nov 14, 2005 12:00AM
, Nov 14, 2005 12:00AM
It is difficult to say without examination. Cervical DJD in itself can lead to pain and discomfort as well as nerve impingement.
Inflammation of surrounding muscles can also cause nerve impingement leading to the discomfort you are feeling.
If PT isn't helping, you can consider another orthopedic opinion to see whether surgery is an option.
You can also consider a pain management specialist to help manage the discomfort. If cervical DJD is a problem, spinal injections to help relieve the discomfort can be considered.
Another option would be a referral to a neurologist to consider electrodiagnostic testing to determine if there is nerve damage.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
http://www.straightfromthedoc.com
Inflammation of surrounding muscles can also cause nerve impingement leading to the discomfort you are feeling.
If PT isn't helping, you can consider another orthopedic opinion to see whether surgery is an option.
You can also consider a pain management specialist to help manage the discomfort. If cervical DJD is a problem, spinal injections to help relieve the discomfort can be considered.
Another option would be a referral to a neurologist to consider electrodiagnostic testing to determine if there is nerve damage.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
http://www.straightfromthedoc.com
