[57F] With chronic neck pain and hand numbness post-vehicle accident

What might be happening

Based on the symptoms and history you've provided, here are some possible explanations for your condition:

1. Cervical Radiculopathy

• Rationale: Your symptoms of neck pain, numbness in the hands and fingers, and difficulty holding your head up suggest that you might have cervical radiculopathy. This condition occurs when a nerve in the neck is compressed or irritated, often due to a herniated disc or bone spurs.
• Typical Treatments: Treatment often includes physical therapy, medications for pain relief, and sometimes corticosteroid injections. In severe cases, surgery may be recommended to relieve the pressure on the nerve.

2. Carpal Tunnel Syndrome

• Rationale: The numbness in your hands and fingers, especially when performing tasks like sewing or writing, could also be indicative of carpal tunnel syndrome. This condition occurs when the median nerve is compressed as it travels through the wrist.
• Typical Treatments: Treatment may include wrist splints, anti-inflammatory medications, and physical therapy. In some cases, surgery may be necessary to relieve the pressure on the median nerve.

3. Psoriatic Arthritis

• Rationale: Given your history of psoriatic arthritis, some of your symptoms, such as finger deformities and hand weakness, could be related to this condition. Psoriatic arthritis can cause joint pain, stiffness, and swelling.
• Typical Treatments: Treatment often includes medications like NSAIDs, DMARDs, and biologics to reduce inflammation and slow disease progression. Physical therapy can also help maintain joint function.

What you can do

Cervical Radiculopathy

• See a Specialist: Consult a neurologist or an orthopedic specialist to evaluate your neck and determine the best course of action. They may recommend imaging studies like an MRI to assess the extent of nerve compression.
• Physical Therapy: Engage in physical therapy exercises designed to strengthen the muscles around your neck and improve your posture.
• Pain Management: Use over-the-counter pain relievers like ibuprofen or acetaminophen to manage pain. Applying heat or cold packs to your neck may also provide relief.

Carpal Tunnel Syndrome

• Wrist Splints: Wear wrist splints, especially at night, to keep your wrists in a neutral position and reduce pressure on the median nerve.
• Ergonomic Adjustments: Make ergonomic adjustments to your workspace to reduce strain on your wrists. This may include using a keyboard with wrist support or adjusting the height of your chair.
• Limit Repetitive Activities: Try to limit activities that exacerbate your symptoms, such as sewing or writing for extended periods.

Psoriatic Arthritis

• Medication Management: Continue taking your prescribed medications for psoriatic arthritis and consult your rheumatologist if you experience any new or worsening symptoms.
• Joint Protection: Use assistive devices to reduce strain on your joints and protect them from further damage. This may include using jar openers or ergonomic tools.
• Exercise: Engage in low-impact exercises like swimming or walking to maintain joint flexibility and overall health.

What you should look out for

Given the complexity of your symptoms and the potential for serious underlying conditions, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Severe or worsening pain: If your neck pain becomes unbearable or significantly worsens, seek immediate medical attention.
• Loss of function: If you experience sudden weakness or loss of function in your arms or hands, this could indicate a more serious issue that requires prompt evaluation.
• Changes in bowel or bladder function: Any new or worsening changes in bowel or bladder function should be reported to your healthcare provider immediately.

Remember, while I can provide information and suggestions, it's essential to consult with a healthcare professional for a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.