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Suggest Treatment For Severe Neck Pain When Diagnosed With Bulging Of C5-C6

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Posted on Wed, 15 Jul 2015
Question: I have been diagnosed with bulging of C5-C6 and C6-C7 with and shift to the right. I have neck pain always. I have right arm radiculopathy. My right arm is hurting me and my right hand is very swollen especially the first and middle fingers and the knuckles of the hand. I have numbness and pain in both arms and trembling of the hands. I also have the numbness and pain in both legs going down to my feet and recently gait balance problems and urinary urgency. I believe that all of this is related to my neck. Can it be? I saw a neurologist of told me that my right hand problem was carpel tunnel. That doesn't explain anything else. He never even examined the hand or touched me. And I don't know why it would be constantly swollen. My primary thought that my right hand may be RA but the tests were negative. I was rear- ended in a car accident about three weeks ago and my symptoms are much worse since then - at least in my neck and right arm and hand. What type of a specialist should I be going to see and do you have any ideas of what may be going on? I am 47 female. I am a diabetic but pretty well controlled. My las t two A1c were 7.2 and 6.9.
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Answered by Dr. Dr. Naveen Kumar Sharma (3 hours later)
Brief Answer:
You are likely having cervical myelopathy

Detailed Answer:
Hello,
I have studied your case. Your symptoms are mostly due to compression of the cord in the neck. This is called cervical myelopathy. This causes pain and tingling numbness in hand and in lower limb. This also causes gait disturbance. I do not think that you are having hand problems because of Rheumatoid or carpel tunnel problems.
I have following suggestions for you.
1.You need to see a neurosurgeon or spine surgeon.
2.You may need surgery to take care of progression of these symptoms.
3.Wear soft cervical collar to prevent any movement at neck.
4.Tablet Baclofen may be helpful.
I hope these steps will be helpful for you.Let me know if there is any other followup questions.
thanks
Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
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Dr. Dr. Naveen Kumar Sharma

Orthopaedic Surgeon, Joint Replacement

Practicing since :2002

Answered : 4486 Questions

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Suggest Treatment For Severe Neck Pain When Diagnosed With Bulging Of C5-C6

Brief Answer: You are likely having cervical myelopathy Detailed Answer: Hello, I have studied your case. Your symptoms are mostly due to compression of the cord in the neck. This is called cervical myelopathy. This causes pain and tingling numbness in hand and in lower limb. This also causes gait disturbance. I do not think that you are having hand problems because of Rheumatoid or carpel tunnel problems. I have following suggestions for you. 1.You need to see a neurosurgeon or spine surgeon. 2.You may need surgery to take care of progression of these symptoms. 3.Wear soft cervical collar to prevent any movement at neck. 4.Tablet Baclofen may be helpful. I hope these steps will be helpful for you.Let me know if there is any other followup questions. thanks