[52M] Experiencing neck pain and numbness radiating to right arm and fingers

Patient Description

A 52-year-old male reports a 15-day history of neck pain and 21-day history of numbness. The neck pain originates at the base of the skull, extends down the neck to the shoulder, and radiates into the right arm and hand, described as aching and dull with a severity of 6/10. The pain is constant, exacerbated by head and neck rotation, and lifting arms overhead. The numbness follows a similar path, affecting the shoulder, arm, hand, and specifically the 4th and 5th fingers. Relief is temporarily achieved with cold and heat therapy. The patient also reports a compromised grip strength in the right hand. Medical history includes high cholesterol since 2013, GERD since 2017, migraines since 2020, ACL replacement, rotator cuff surgery, and cholecystectomy and appendectomy. Current medications include Crestor, Protonix, Carafate, Zonisamide, and Imdur. The patient has allergies to Celebrex, Pravastatin, and iodine.

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Arora's Assessment

What might be happening

Based on the information you've provided, the most likely causes of your symptoms include:

  • Cervical Radiculopathy: This condition occurs when a nerve in your neck becomes irritated or compressed. It can cause pain, numbness, or weakness in your neck, shoulder, arm, and hand. The fact that your symptoms are affecting your 4th and 5th fingers specifically could suggest that the nerve root at the C8 level of your cervical spine is involved.

    • Typical treatments for cervical radiculopathy include physical therapy, medications for pain relief, and in some cases, surgery.
  • Cervical Spondylosis: This is a general term for age-related wear and tear affecting the spinal disks in your neck. It can lead to chronic, persistent pain and numbness in your neck and upper extremities.

    • Treatment usually involves a combination of physical therapy, medications, and possibly surgery.
  • Thoracic Outlet Syndrome (TOS): This condition occurs when the blood vessels or nerves between your collarbone and your first rib (thoracic outlet) are compressed. This can cause pain in your shoulders and neck and numbness in your fingers.

    • Treatment typically involves physical therapy and pain relief measures. In some cases, surgery might be necessary.

Please note that these are potential causes based on the information you've provided, but only a healthcare professional can provide a definitive diagnosis.

What you can do

Here are some steps you can take to manage your symptoms:

  1. Over-the-counter pain relievers: Non-prescription medications such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin IB) can help relieve pain.
  2. Heat or cold: Applying heat or cold to your neck can help relieve neck pain.
  3. Physical therapy: Exercises to strengthen your neck and shoulder muscles can help manage your symptoms. A physical therapist can guide you through these exercises.
  4. Rest: Avoid activities that aggravate your symptoms, and take breaks when you need to.

What you should look out for

Please seek immediate medical attention if you experience:

  • Sudden, severe pain in your neck or arm
  • Loss of strength or coordination in your arms or hands
  • Loss of sensation or abnormal sensations in your arms or hands
  • Loss of bladder or bowel control

Remember, it's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What is cervical radiculopathy and how is it treated?

Cervical radiculopathy occurs when a nerve in the neck is irritated or compressed, leading to pain, numbness, or weakness in the neck, shoulder, arm, and hand. Treatment typically includes physical therapy, pain relief medications, and sometimes surgery.


What are the symptoms and treatment options for cervical spondylosis?

Cervical spondylosis is age-related wear and tear on the spinal disks in the neck, causing chronic pain and numbness in the neck and upper extremities. Treatment often involves physical therapy, medications, and possibly surgery.


How does thoracic outlet syndrome affect the body and what are the treatment options?

Thoracic outlet syndrome occurs when nerves or blood vessels between the collarbone and first rib are compressed, causing pain in the shoulders and neck and numbness in the fingers. Treatment usually involves physical therapy and pain relief measures, with surgery as a possible option.


What are the warning signs that require immediate medical attention for neck and arm pain?

Immediate medical attention is needed if there is sudden, severe pain in the neck or arm, loss of strength or coordination in the arms or hands, loss of sensation or abnormal sensations in the arms or hands, or loss of bladder or bowel control.


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