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1466918 tn?1286455991

Sensitivity in hands

I was involved in a car motorcycle accident almost 6 months ago resulting in a closed head injury.
I have noted that when placing my chin near my chest I get a shock sensation through my arms and trunk.
I am also left with a burning pain in my hands simular to the onset of frost bite.  I find now my hands are ultra temperature sensitive to cooler changes in temperatures.  They feel thick and require gloves to keep them warm enough to tolerate the sensations of pain.
I have had an EMG test in which the neurologist referred me to get another MRI and diagnosed me me with having Lhermits sign or Barbers chair syndrome.
The neurologist perscribed CARBAMAZEPINE and it has helped with the shock sensation but has done nothing for the hand sensitivity.
I was advised by one physician that I potentially have a nerve injury in the cervical spine region and that they have not been able to isolate it to make repairs.
I am concerned if it is a nerve in the spinal cord or cervical cord that I may stuck with the impairment for life and want to recover so I can return to my employment.
I am currently unacceptable for my past employment due to the amount of medicines I require to maintain my pain levels.
If you have any suggestions that may help me point my doctors in the right direction or have seen this before and dealt with it please be so kind as to respond.
Thank you so very much!!

Best Answer
82861 tn?1333453911
When was your last MRI?  If it's been a few months, that's plenty of time for a herniated disc (or more than one) to bulge even more in that time.  If you haven't had a plain x-ray series done, that would be a good idea as well.  

If you can swing it, ask for a referral to a major medical clinic like Mayo or the Cleveland Clinic.  You'll need to gather all your records and films so they can be reviewed.  Sometimes you just need a different set of eyeballs looking at a problem before the answer becomes clear.  Your symptoms pretty clearly indicate nerve involvement, it's a matter of pinpointing exactly where those nerves are impinged or damaged.

Since it's probably going to take quite a while to get all that done, give psychotherapy with a pain psychologist a try.  A good therapist can help you learn new techniques for dealing with your pain.  Can't hurt, might help - as my own pain doctor said.  In my case, it's been a big help.  Hoping you get some answers soon, and keep the rubber side down.  :-)
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1466918 tn?1286455991
I did recently get yet another MRI done at the same trauma center that did the original MRI.
The neurologist says there are no changes.  I suppose the damage done in the accident would be fairly simular to what was already done.
I think they need to compare the latest MRI to one done before the accident.
I had one done 2 years before this accident after a previous accident in 2007-2008 I believe.
I'm not so sure whoever is reading the MRI's is actually looking for a particular problem and not just making a comparison for any changes which in my mind means if it looks the same as last time I (the patient must) be ok!  Nonsense, I am still having pain yet am able to use my hands normally with the exception of the pain and temperature sensitivity.
I wish they would just locate the nerve and burn it or block it so I can get on with my life without the handfull of pills!.
I dont like pills, and never did like to take a pill for anything.
Pills simply MASK a problem in general, unless you have a disease such as Diabetes High Blood pressure and a diatribe of other diseases.
I dont have any disease I am extremely confident I have a pinched nerve and until its moved, blocked, cut off, etc,. I will unfortunately continue to experience pain and have to rely on pills to get through the day.
Helpful - 0
Avatar universal
I had a similiar pain and shock sensations in my hands. They did a c4 c5 cervical fusion on me and it helped some. I have another almost herniated disc but they left it. You may want to get an MRI done on the neck.  Car accidents can cause problems long after we walk away thinking we're fine unfortunately.
Helpful - 0
Avatar universal
We're not doctors here, just people dealing with chronic pain.  We can try to suggest things, but it's not considered medical advice.
Do you know what the results of your MRI were?  It does sound like you have a nerve injury and maybe it's being trapped or pinched by a disc in your neck.  Possibly a bulging or herniated disc caused by the accident.
I have 2 herniated discs in my neck and issues with the nerves in my arm and hand.  It could also be a nerve going down your arm, but I think they all start at the spinal column.  
Have you seen a neurosurgeon?  They can give you a good idea of what's going on and whether or not it's "fixable".
Helpful - 0
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