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Without the ability to examine you and obtain a history, I am unable to provide you with a diagnosis. However, possible diagnoses include a neuropathy or radiculopathy.In general, the symptoms of these 2 conditions are tingling, numbness, shooting pains, and sometimes weakness.
A radiculopathy is a problem in the nerve roots as they exit the spinal cord. This could be due to arthritis compressing on the nerves as they exit, a herniated disc, a narrow spinal canal (spinal stenosis), or other such problems in the part of the spine called the cervical spine.
In the arm, from the elbow to the finger tips, there are 3 major nerves that supply innervation to the skin and muscles. It is difficult from the description you provide to tell which nerve it is, it could be ulnar or median nerve. I will continue my answer below in another section due to character count limitations.
The ulnar nerve is a nerve that is formed in the arm and it sends nerve fibers to the muscles and skin to the pinky finger, ring finger, and the whole inner side of the forearm and hand, in addition to some other muscles. The cause of this problem is in general called a "compression neuropathy", something causing pressure on the nerve and leading to these symptoms. One place this nerve can have pressure placed on it is at the elbow. Symptoms are mainly in the 4th and 5th digit (the ring finger and the pinky) but depending on where the nerve is compressed they can extend all the way up to the elbow.
The median nerve can be injured anywhere along its course. If your symptoms are confined to just your hand, it may be the nerve was injured somewhere at the wrist. The carpal tunnel is the area in the wrist that the median nerve passes through. If the median nerve is compressed in the carpal tunnel, it can cause symptoms in the first three digits of the hand most often, but in some patients shooting pains can occur all the way up to the elbow. The symptoms are often worst at night. Carpal tunnel syndrome can be caused by repetitive movements at the wrist like typing. Treatment includes wearing a wrist brace and in severe cases surgery.
For your hand/arm symptoms, you may benefit from seeing a neurologist in order to evaluate you and possibly order some testing. These may or may not include, depending on your full history and physical examination, an MRI of the neck, or an EMG/NCS, a test which tests how electricity is conducted along nerves and how muscles respond. . It is important to have this further evaluated and diagnosed, as there are specific treatments for neuropathic pain (pain due to nerve irritation) depending on the cause, and a specific diagnosis will both guide treatment and need for further monitoring, and a regimen/plan to relieve your severe pain can be found.
Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.
i have had my left wrist cts release twice no different then this may had pronator release on left forearm has been getting worse since then. the pain is still there having trouble sleeping and left arm is getting weaker by the day. the doctor who did the release said there is nothing he can do surgical. pain meds not working, going to work or sitting at home on a day does not matter pain just stays there. also can not lift my arm above shoulder get muscle spacisms in my left forarm. my family doctor says same as the surgern says, but at least he feels sorry cause he can't help. what can i do,stop working and try to let it rest or just live like this of my life like a cripple. also right arm also has cts and pronator but has not been done they do not want to touch it cause of the left. what can i do????????what about chronic pain????????
Spinal MRI. I had Dequerveins and surgery at the wrist on left arm, it was successful. Also had carpal surgery right hand, both by same surgeon, both doing good. I took longer off from work than most people do and followed the doctors instructions exactly. I have heard a lot of people say that their surgery wasn't successful, but they went to work just weeks after it. I stayed out 3 months. It caused debt and other problems to pile up, but was worth it in the long run. I have also had a spinal fusion C2-6. Large one. Now I am having some neck problems 15 years later and hope to get an MRI soon. I am having pain in my right forearm also. Related? I don't know. Plan to get a C-spine MRI.
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