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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Do I Have Sever Pain In My Right Shoulder Radiating Down My Arm And Hand?

I wake every night with sever pain in my rt shoulder radiating down my arm and hand. My hand feels numb but it is so much pain, sometimes it is difficult to even move. I am assuming, due to my daily activities of working on a computer, that I may have CTS, but unsure how to begin treatment,
Wed, 23 Apr 2014
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hello,
Thanks for your query.
According to your symptoms it looks like there is compression of nerve in cervical [neck area] spine. This leads to numbness and tingling in your hand.
Most probable reason for your symptoms could be postural problem as you are sitting for long time and working on computer for long time.

You may need to take x ray spine to see for severity of nerve compression.
Some medication like methylcobalamine with muscle relaxant and analgesic will help, you can take them consulting your treating doctor.

Some exercises which can be done after pain has reduced include- gradual neck rotation, touching your ears to shoulder, shoulder shrugging exercises. You may consult physiotherapist for further guidance. He may start INTERFERENCE THERAPY, ULTRASONIC THERAPY, which are helpful in your case.

Some life style modifications for you – Take break every 40 min from computer and do some neck rotation, stretches, walk and get back to work. Sit with taking support to your neck, do not use thick pillow in bed.

I do hope that you have found something helpful and I will be glad to answer any further query.
Take care
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Why Do I Have Sever Pain In My Right Shoulder Radiating Down My Arm And Hand?

Hello, Thanks for your query. According to your symptoms it looks like there is compression of nerve in cervical [neck area] spine. This leads to numbness and tingling in your hand. Most probable reason for your symptoms could be postural problem as you are sitting for long time and working on computer for long time. You may need to take x ray spine to see for severity of nerve compression. Some medication like methylcobalamine with muscle relaxant and analgesic will help, you can take them consulting your treating doctor. Some exercises which can be done after pain has reduced include- gradual neck rotation, touching your ears to shoulder, shoulder shrugging exercises. You may consult physiotherapist for further guidance. He may start INTERFERENCE THERAPY, ULTRASONIC THERAPY, which are helpful in your case. Some life style modifications for you – Take break every 40 min from computer and do some neck rotation, stretches, walk and get back to work. Sit with taking support to your neck, do not use thick pillow in bed. I do hope that you have found something helpful and I will be glad to answer any further query. Take care