Question: Hello. I am a 39 year old. Male. I do some activities like dancing and recently I think I pulled a muscle or maybe twisted a nerve in my arm and right hand while dancing. But the result was pain not only in my hand but from my leg up to my neck. Pain is precisely in neck, shoulder, arm and hand. And I am quite worried about this. A week ago I had an MRI scan taken and I would like to have an opinion from you, I guess a second opinion. I uploaded the results. Please provide best possible answer. Thanking you in advance.
Answer: Hi. Thanks for contacting QuestionDoctors.com. Based on the information you have provided and uploaded, I can see your MRI indicates:
Disc bulge indenting the theca at c4/c5
Disc protrusion indenting the theca – left lateral recess at c5/c6
Degenerative cervical disc disease.
In my opinion, development of the degenerative cervical disc disease results from the cervical spine fractures.
Sensory pain radiates in the direction of the cushioning discs and nerve roots involvement. The pain you feel along your neck, shoulder, arm is probably caused by c4/c5 involvement. The pain you feel specifically in hand is probably caused by the c5/c6 involvement.
Naproxen can be used to help alleviate degenerative cervical disc disease. Tens machine can also be used to help with the pain. Your doctor may recommend the use of Baclofen and calcium. I would also recommend you consult with a Physio Therapist who may suggest further treatment and the use of a cervical collar and hot/cold compress treatments.
Hello Doctors. I am a 32 year old woman suffering from chronic back pain. I have been to several doctors as well as many specialists and there seems to be NOTHING wrong with me. This has been confirmed by numerous tests – cbc blood test, scans etc . My question is: Please inform me as to what are my options. What can I do to get rid of this chronic pain I am suffering from? Thank you ahead of time. God bless you.
Hello. In response to your question I think it is important to underline some facts.
At times pain is not caused by anything physically. And it isn’t imagined either. It is real.
Pain can be purely psychological. It is often caused by psychogenic factors meaning pain that’s psychological in origin. It also is possible it starts from fearful thoughts…negative perceptions of ourselves.
There are 100 million Americans who suffer from chronic pain, with back pain, neck pain, fibromyalgia symptoms, or other forms of pain that have no diagnosed physical cause…none whatsoever.
It’s not that their pain is “in their heads.” The truth is much more nuanced: All pain can have both physical and psychological components. But the psychological component is often dismissed or never acknowledged.
Big pharma’s aggressive marketing of pills and the minimal training doctors get in pain medicine mean that for too long, the go-to treatment for many forms of chronic pain has been opioids. Yet opioids have proven to be not only largely ineffective for treating most chronic pain but also highly addictive and risky.
Other forms of therapy do exist for relief of chronic pain
Cognitive behavioral therapy
Cognitive behavioral therapy shows meaningful benefits on chronic pain — both for psychogenic pain, and for pain with a physical cause — according to systematic reviews of the research. There’s also promising research around mindfulness-based stress reduction and therapies inspired by it.
Yet pain psychologists are hard to find and hard to pay for, and most patients don’t even know they exist. “At the moment, they tend to be seen as a route of no hope for the hopeless, for people who have gone through everything else,” says Amanda Williams, a psychological researcher who conducted one of the reviews of studies on the effectiveness of psychological therapy for pain.
Doctors have long known that pain can exist in the absence of any physical harm.
Likewise, doctors have known that pain can be suppressed without any real medical intervention.
“Pain can be ‘real’ pain — and it can be caused by brain circuits,” says Tor Wager, a neuroscientist who studies pain at the University of Colorado Boulder. “We have to get over this concept that either the pain is real or it’s all in my head and I’m making it up.” It’s both. Pain, explained
Chronic pain may start off as an acute injury and then never go away. It could also be the result of nerve problems, or degenerative diseases like arthritis. Some people might be more susceptible to acute pain turning into chronic pain due in part to genetics. And there’s some evidence that differences in brain structure can predict who goes on to develop chronic pain and who does not.
Our thoughts, personalities, and learned behaviors can also influence whether our pain alarms get tripped. So do our emotions.
Overall, the takeaway is that “pain isn’t just something that happens to us,” says Beth Darnall, a professor of anesthesiology at Stanford University. “We are participating with pain by how much attention we give to it, by the contents of our thoughts, and our appraisal. How awful and negative is it? How helpless and hopeless do you feel about it? Do you feel as a victim; do you feel at the mercy of your pain?”
You might be thinking: Isn’t this all a placebo response? Well, maybe. But don’t dismiss placebos’ healing power. Even powerful painkillers like morphine are much less effective when people don’t know they’ve taken them.
It could be that psychological therapy is kind of like a strong placebo, or that placebo is a weak form of therapy –
the power of healers to cure disease may in fact stem form the psychological effects healers exert on people’s own inner mental placebo effect.
The best evidence base for this is for cognitive behavioral therapy
Considering how dangerous and damaging the past decades of treating chronic pain with addicting opioids has been, and how risky and expensive surgery can be, they’re a worthy option, one that’s never sold to doctors by pharmaceutical representatives or advertised directly to consumers on TV.
The most common psychological treatment for pain, and the most well-studied, is cognitive behavioral therapy, or CBT. Overall, it’s one of the most rigorously tested and effective tools psychology has to offer. More typically, it’s used to treat anxiety, phobias, and mood disorders like depression. But it can also help some people manage their pain.
CBT “helps people change ways of processing their beliefs and their experiences when they are overly negative,” she says.
Alternative treatment therapies have also shown to help with chronic pain… one of which Reiki healing being presently used in hundreds of American hospitals as well as thousands of hospitals throughout the world.
In the brain, emotional pain and physical pain interact. Just as people sometimes turn to opioids to mask their emotional problems, psychological therapy and other healing techniques can help physical pain. “It’s time to recognize that there is so much overlap that we almost can’t treat one without addressing the other,” Darnall, the Stanford professor of anesthesiology, says.
Psychological therapies can get better — and so can access to them
On the bright side, psychological therapies for pain are low-risk. The same cannot be said of medical treatments for chronic pain. Back surgery for lower back pain often backfires. Doctors literally call this “failed back surgery syndrome” — around 20 percent of back surgery patients will still have chronic pain despite successful procedures, which can cost $50,000 or more.
So the best advice to chronic pain sufferers is to explore ALL avenues even those that seem out of the ordinary.
I need something to eat and understanding my x-rays. I got my image of my cervical lumbar and thoracic regions . I suffer from lower back pain on a daily basis period severe neck pain migraines seldomly numbness and tingling in my extremities. I currently see a chiropractor once or twice a week for an adjustment to relieve pressure. I have issues relaxing and recently have lost the ability to pick up a loaded basket of laundry. I also constantly keep myself moving as if I remain still for long periods of time that’s difficult to stand
– My father is 73 years old.
– Injured his back in the car on 25/2/18. Suffering severe back pain since then
– Did MRI scan on 12/3/18 discovered fracture at T10.
– Pain Management specialist suggested for nerve root block and faucet joint injection to relieve pain but no sign of pain relief
– 2nd opinion from Orthopedic told vertebroplasty is the most ideal treatment for him. Underwent vertebroplasty procedure on 28/3/18.
– After a week of vertebroplasty procedure, very little sign of pain relief.
* Is it normal for pain remains even after 9 days of vertebroplasty procedure ? As we learned from the internet this is a very effective procedure as most patient reported pain was gone within 48 – 72 hours
* With his condition and treatment, how long would he need for pain to subside ?
* Any other treatment required to eliminate pain ?
Medications: Not taking any pain killers at the moment
I experience pain in my right shoulder everytime I raise my arm over my head or put a shirt or coat on. I have been told that glucosamine pills will help and maybe even cure this. Should I use glucosamine? Can I get your opinion on this.
I have a pharyngeal pain on the right side. Pain is very low in the morning but after 10 -11 start to irradiate in the right ear , mandible , right shoulder and cervical spine on the right.
Swollen right SCM muscle , trapezes etc ..
Swollen inflammatory glands on the neck on the right side.
Pain is bearable when i lay down in bed and i can sleep at night but i cant sleep on the right side.
Pain is better when i go to the gym but it’s worse the day after gym.
I have this pain for 2 years now .
– I removed my tonsils
– I did lots of tests like 5 MRI , 1 Angio MRI , 3 fibroscopy , all blood teste etc…
nothing is wrong and the pain is getting worse .
I am losing my mind.
I attached mi MRI of cervical spine .
I don’t know what to do next.
I excluded eagle syndrome . My styloids are 2 cm and 2,2 cm
I tried all antibiotics and pain killers in the world Nothing Work ! |Not even 1% of pain is gone
Doctors think that something in my spine is pushing in my throat in the vallecula epiglotis region .
Here is my pictore from fibroscopy on the Right side. This is my normal side on the left
I am a 23 year old female with chronic pain and tingling sensation in both legs accompanied by issues with urinating. I have had to urinate multiple times in just a short 30 minutes…some times i feel like i can’t empty my bladder. My legs have been hurting for about 6 months. They hurt all day every day and even wake me up during the night. I can’t find relief with anything…please help.
Medications: Synthroid, zoloft
General Information: Saw a doctor and had xrays done. Went to an ER one time because the pain was radiating to my abdomin and back..urgent care said there was blood in my urine and figured I was having a kidney stone. They gave me a shot of muscle relaxer which did not help and sent me to the ER for a CT and they refused to do one.
About a week ago, I hit my head. No signs of concussion, only a slight bruise that was tender to touch. This afternoon, while washing my face, when I went over that spot I experienced a pulling and tingling sensation directly back to the top of my scalp. This is the first day and it’s happened any time I apply slight pressure to that spot. (ie: applying makeup) I had an aneurysm about 7 years ago and they glued the affected vessel with no further issues beyond minor numbness, in a couple of spots, on the left side. Is this something I should be concerned about or will it go away when the bruise is gone?
I have an 11 year old girl, she suffers from burning and stinging pain and “clicking” in quadriceps. She has been suffering from this pain since she was little. It usually occurs after physical sports activities. She had had x rays, MRI and blood tests but nothing has been found. Please help.
I sleep on a thin foam mattress which has given me back issues in the past but just mild discomforting pain. I sleep on the side and my back through the night. Last week for two nights I started sleeping in the other direction (180 degrees change) and I slept that way 2 nights in a row and since then I have had this lower left back pain and lowest left rib area. When I sneeze or cough I can feel the pain. I haven’t taken anything for it yet. When I pulled a door, I could feel the pain in the lower left back again. I pulled the door with my left hand.
Medications: Nothing. Just started taking Aleve right now.
Over the past year I suffer from intermittent pelvic pain. I had a ultrasound quite some time ago that showed I have hemorrhagic cysts located on my ovaries. i have had these cysts throughout my adult life so that doesn’t worry me but the pelvic pain does. Please tell me what can be causing this pain I experience.
Hi I’m having a problem with my sinuses and major headaches and also occasional nose bleeds. Sometimes i get pressure on the right side of my nose and the pain causes the right side of my face to swell and my teeth to hurt where i can not even close my mouth. Then with the headaches i take medicines but it might soothe it for like 1hr and come right back 10x harder, also with the nose bleeds it can happen depending on the severity of my headaches. Maybe you can help me. Thank you and have a blessed day.
I have been diagnosed with Spinal TB (backache was on for an year and little more than that) and was hospitalized. I have been sent home after medication since doctor said surgery is not required. Pain still continues and at late night (not all nights) become unbearable. What should i do to subside/reduce the pain?
Medications: Regular as told by Doctor
4 days ago I woke up with heavy pelvic pressure that lasted all day & back began to feel discomfort. 3 days ago had discomfort in back at beginning of day but by afternoon I had severe back pain & cramps & also began having upper & lower abdominal cramps & I could barely walk. Still today the back & abdominal cramps are coming & going sometimes making it difficult to stand up from sitting & walking
2 weeks before feeling pain, swelling and redness at left
thigh within two days it moved to calf that time the
ultrasongraphy done and result says reactive left
of the SSV and the left LSVI take aspirin 80 mg for 2 day
The swelling and redness disappear fell itching pain and
After a week do the scan again and the report says normal
But the numbness same
Now I am Taking
Almost 4 days, But no changes and feeling
numbness on arm and forearm muscles too
This is the current status no pain numbness only
what I should do?
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