[52M] Experiencing neck pain with radiating numbness

Patient Description

A 52-year-old male reports a dull, throbbing neck pain of 3 weeks duration, rated 7/10 in severity, located in the middle and right side of the neck, radiating down to the shoulder and arm. The pain and associated numbness, which extends from the neck to the right hand, are exacerbated by neck rotation, bending the head backwards, and prolonged static positions. Temporary relief is achieved through movement of the hand and shoulder. The patient has a medical history significant for an ACL replacement in the left knee, appendectomy, cholecystectomy, left shoulder surgery, high cholesterol, GERD, and migraines. Current medications include Crestor, Zomigran, and Imdur. The patient has known allergies to Celebrex, Pravastatin, and iodine.

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Arora's Assessment

What might be happening

Based on the information you provided, possible diagnoses include:

  • Cervical Radiculopathy: This condition occurs when a nerve in the neck is irritated as it leaves the spinal canal. It can cause pain that radiates into the shoulder and arm, as well as numbness or tingling in the arm or hand. It is often caused by "wear and tear" changes that occur in the spine as we age, such as arthritis.

    • Treatment for cervical radiculopathy might include physical therapy, medications to reduce pain and inflammation, 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. As the disks dehydrate and shrink, signs of osteoarthritis develop, including bony projections along the edges of bones (bone spurs). Cervical spondylosis is very common and worsens with age.

    • Treatment typically involves a combination of nonsteroidal anti-inflammatory drugs, physical therapy, and possibly surgery.
  • Thoracic Outlet Syndrome: This group of disorders occurs when the blood vessels or nerves in the space between your collarbone and your first rib (thoracic outlet) become compressed. This can cause pain in your shoulders and neck and numbness in your fingers.

    • Treatment usually involves physical therapy and pain relief measures. Most people improve with these approaches.

What you can do

  1. Try to maintain good posture. Keep your back supported, and make sure that your computer monitor is at eye level.
  2. Take regular breaks from long periods of looking down or forward.
  3. Consider over-the-counter pain relievers, such as ibuprofen (Advil, Motrin IB, others) or acetaminophen (Tylenol, others).
  4. Apply heat or cold to the painful area. One good method is to use a moist heat pad or take a warm shower.

What you should look out for

Seek immediate medical attention if you notice:

  • Severe, sudden-onset neck pain
  • Pain that radiates down both arms or legs
  • Difficulty with balance or coordination
  • Loss of bladder or bowel control
  • Unexplained weight loss

Remember, I'm an AI and this advice is based on the information you've given me. It's always a good idea to consult with a healthcare professional who can evaluate your symptoms in person.

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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 as it exits the spinal canal, causing pain that radiates into the shoulder and arm, along with numbness or tingling. Treatment may include physical therapy, pain and inflammation medications, and sometimes surgery.


What are the symptoms and treatment options for cervical spondylosis?

Cervical spondylosis refers to age-related wear and tear on the spinal disks in the neck, leading to symptoms like neck pain and stiffness. Treatment often involves nonsteroidal anti-inflammatory drugs, physical therapy, and possibly surgery if symptoms are severe.


What is thoracic outlet syndrome and how can it be managed?

Thoracic outlet syndrome is a condition where the blood vessels or nerves between the collarbone and first rib are compressed, causing shoulder and neck pain and numbness in the fingers. Management typically includes physical therapy and pain relief measures.


When should I seek immediate medical attention for neck pain?

Immediate medical attention for neck pain is necessary if you experience severe, sudden-onset neck pain, pain radiating down both arms or legs, difficulty with balance or coordination, loss of bladder or bowel control, or unexplained weight loss.


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