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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Numbness In Right Hand, Stiffness In Thumb And Joint Pain?

I have had numbness in my right hand for 2-3 years that has gotten progressively worse. I cannot lift my pinky and ring finger and now my thumb has gotten stiff. I went to a hand specialist and took a nerve test for carpal tunnel but it came back negative. He sent me for a neck MRI which showed: multilevel degenerative disc and uncoverterbal joint changes disc osteophyte complex and unconvertebral arthropthy at C5-C6 causing mild central canal stenosis and bilateral neural foraminal narrowing mild left neutral foraminal narrowing at C6-C7 due to unconverterbral arthropthy small disc osteophyte complex at C3-C4 and C4-C5 due without spinal stenosis straightening of the normal cervical lordosis The doctor told me these symptom are not causing my problem. What should my next move be?
Fri, 7 Jun 2019
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General Surgeon,  's  Response
Hi,

Noted the history of numbness in right hand for 2-3 years, progressively worsening, can not lift 2 fingers, stiff thumb and so on, nerve conduction study for carpal tunnel being normal, MRI neck shows changes but are not responsible for your symptoms as per your Doctor; want to know what should be done further:
Take a second opinion of a Neurosurgeon for clinical evaluation, examination and correlation with the reports. This will clarify the matter further.
There are other chances of nerve compression causing the symptoms or can be a local cause like Rheumatoid Arthritis of the small joints of hand.
Other causes which can such problems ae Hansen's disease and some granulomatous disorders. You Doctors will be in a position to decide the cause and get you investigated accordingly to get a proper cause and thus have proper management.
Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant, ENT & General Surgeon
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What Causes Persistent Numbness In Right Hand, Stiffness In Thumb And Joint Pain?

Hi, Noted the history of numbness in right hand for 2-3 years, progressively worsening, can not lift 2 fingers, stiff thumb and so on, nerve conduction study for carpal tunnel being normal, MRI neck shows changes but are not responsible for your symptoms as per your Doctor; want to know what should be done further: Take a second opinion of a Neurosurgeon for clinical evaluation, examination and correlation with the reports. This will clarify the matter further. There are other chances of nerve compression causing the symptoms or can be a local cause like Rheumatoid Arthritis of the small joints of hand. Other causes which can such problems ae Hansen s disease and some granulomatous disorders. You Doctors will be in a position to decide the cause and get you investigated accordingly to get a proper cause and thus have proper management. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant, ENT & General Surgeon