i have ddd, with narrowing of left foramen (cervical) and hypertrophy of joints of luschka. my neck hurts all the time, with shooting pains/tingling/numbness on the top of my left shoulder down my left arm, all the way to my thumb. i had an emg/ncs which showed no nerve impingement. BUT when the neurologist did this, he had me bend my chin to my chest. when i do this, the tingling,pain/numbness down my arm subsides. is this why the test was negative? could i get a different reading if i held my head in the position that makes the pain and tingling ensue? holding my head up or back or to the left recreates these awful sensations. thanks!
I agree with the EMG to determine the presence of peripheral neuropathy.
I would also examine for central neurologic causes. An MRI of the affected area can be done to exclude a disk herniation or pinched nerve that the EMG may have missed.
Metabolic diseases like B12 deficiency, thyroid disease or diabetes can be considered as well, as they each can lead to some of the symptoms you describe.
A referral to a neurologist at an academic medical center can be considered. I would also consider a physiatry referral (rehabiliation MD) as well.
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 patients education only. Please see your personal physician for further evaluation of your individual case.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.