You may indeed have a pinched nerve in the neck - maybe at the C5 or C6 level. This could cause tingling or numbness in the shoulder/scapular area radiating down to the upper arm, and potentially weakness of external rotation of the arm or arm abduction (raising the arm). The diagnosis may be clinically apparent in the neurological examination by sensory exam, muscle weakness, and reflexes. If there is a clear precipitant, an MRI of teh neck may not be necessary, but usually it is good to do an MRI to look for whats compressing the nerve root - usually an osteophyte or some bony spur related to wear and tear but more rarely a growth or disc. Surgery is only done in cases of intractable pain or progressive neurological dysfunction (ie losin gmuscle strength in the arm). An EMG needle study of the arm can also confirm the diagnosis and ***** the severity. Naproxen and other anti-inflammatories have an immediate analgesic effect but the anti-inflammatoy effect takes about 7-10 days to kick in, be patient! Many times these pinched nerves resolvewith conservative therapy. Be sure to follow with your doctor andupdate him with your progress.
First time here. I'm hoping that I can get some answers or maybe at least some advice. I have been having reoccurring episodes of pain fro about 3-4 yrs now. It has not allowed me to work for 3 months and I'm confused as to why I can't get pain relief. I have pain at the back of my head,which causes headaches repeatedly,pain also down my neck across my shoulders and down my right arm. Doctor thinks it is Fibromylgia (fibromyalgia) I don't think so.Sending me for an mri end of October. Hopefully I will get some answers then.My thought it is from a car accident I was in Oct/2000 hense a pinched nerve? Any thoughts? Emg came back normal. Just looking for some explanation.