Hello,
Thank you for your query at DoctorSpring.com
I have read your question with diligence.
It looks that you are having chronic C8 radiculopathy.
There are various other causes for this problem for this ailment,these include-
-Diabetes
-High blood pressure
-Deficiency of vitamin B1,2,6,12
-Compression of ulnar nerve at elbow or at wrist(There are various sites at elbow & at wrist where it can be compressed, A good clinician or a neurologist can identify the site of compression)
-Cyst in course of ulnar nerve
-Compression during anaesthesia
-Aberrent artery in course of nerve
There are many other causes which may lead to this problem .You should consult to a neurophysician and ask for further investigation including antibody test & thyroid function test to evaluate your problem. Those tests and its reports will give us a better picture.
Hope this will help you.
( Note from the In House Physician : I have forwarded your case to our neurophysician and upgraded your consult for free. We are getting multiple opinions for you, to give you a more broader perspective. Once he replies, his answer will also be added to your dashboard. So right now your case is been handled by 2 different doctors to give more insight into your issue. )
Regards.
Patient replied :
I appreciate that as I paid for what I thought was a specialist to begin with???!!
So not sure what's free. I also provided great detail of diagnostic findings and would like insight based on the findings namely the MRI post the accident and the 3 disks impacted as documented how that translates to my hands diagnosis of just c8 radiculopathy with no verifiable cause. Not what I'm looking for. I have none of the other conditions you speculate to be assumptive.
More than why the C8 radiculopathy. I want an expert opinion on my imaging and symptoms shared for his perspective insight or assessment?!! Thank you
Hello,
Please go through what our neurologist has to say :
I have noted your symptoms and agree that symptoms are a combination of radiculopathy along with ulnar neuropathy.
MRI findings may not correlate with symptoms. In this condition, patient's symptoms and signs are of paramount importance in making a diagnosis.
We need not look for any medical conditions, as most of them would cause more widespread involvement of nerves/radicles.
Treatment would be with medications such as pregabalin, gabapentin or duloxetine.
Physiotherapy would also help.
I hope it helps.
Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist
Patient replied :
What is it that your suggesting?
Radiculopathy is not imaging based, as I assumed there should be a strong correlation with it.
2) ulnar neuropathy please explain
3) what disks are responsible based on what detail I sent you in my symptoms beyond just neck pain? 4) so nerve damage now worsening post this accident in your medical opinion would be resolved with meds, am I understanding that correctly?????
Thank you for getting back. My replies are below:
1. Radiculopathy is diagnosed on the basis of patients' symptoms and findings on clinical examination. MRI is done to look for conditions that can cause radiculogpthy, most common being slipped discs. Others being tutors such as neurofibroma, infections, trauma, etc.
2. Ulnar neuropathy refers to a disease of ulnar nerve, located on the inner aspect of forearm and hand. Common cause being pressure on the ulnar nerve at the level of elbow.
3. Discs involved would be C7-8, and also upper levels (C3-4, C4-5, C5-6) to explain inter scapular pain.
4. Surgical treatment is needed if MRI shows compression of nerves. Since there is no significant compression of nerves on mRI, medical treatment would suffice.
Best wishes,
Dr. Sudhir Kumar.