About six monthes ago I had a pretty good fall off my porch(about five-six feet). When I fell I landed on my right side. I got up by myself and thought I was ok except for being brused on my right side all the way down. Now, the right side of my body aches and has sharp pain. My abdomen even hurts and I'm constipated. All the doctors say I have IBS and fibromyalgia. I don't beleive this. The right side of neck, shoulder, shoulder blade, arm, and hand hurt very bad. Oh, I did not tell you my right hand has been cold and blue for a month. Docs say this is raynaud. Several weeks ago one of my teenage boys noticed a lump on my right shoulder blade. It's the size of a baseball! Doc says it is a lipoma. I am not a physician but, I don't agree. This huge thing came up in a matter of hours and is right on top of where I have the most pain. The problem I have is I take lithium and seroquil(12 years). When people see that, they simpley think I'm crazy and making things up. I have physical symptoms thay are visable, why won't somebody help me?
Hi
Thanks for writing to the forum!
There are many neurological conditions in which a doctor may elicit the Hoffman's response like cervical spondylitis, spinal cord compression, upper motor neuron disease and multiple sclerosis. Hence it is possible to have this sign on a hand that does not hurt.
I am not sure what symptoms you have. Hence, it is difficult to comment. However many head and neck injuries are symptomless for months and may present later. What kind of injury did you have?
Hope this helps. Please let me know if there is any thing else and do keep me posted. Take care!
Head flexure injuries, such as those resulting from hitting the windshield, often result in what are called subluxion injuries, often called "whiplash" injuries, which become acute and painful eight to twenty four months after the incident. That after an initial peiod of no pain for months. For insurance purposes this makes it difficult to connect the pain with the injury.
A Hoffman's sign is normally painless, and meaningless to a lay person. Many people have them all their lives with no obvious neurological impairment.