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Old 03-28-2010, 10:50 PM   #1
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arm jumping and cant find answers

My arm jumped up and down while the physiatrist was pushing down on it and i was to push up against his pressure. I have tried to google this test but cant figure out what he was seeing. My other arm did not do this. He came back to do this test on my arm 3 times. The first time he looked at me with suprise and I was suprised as well. When he pushed down it jumped 3 times as he was putting the pressure down and i was trying to press up. Any one have an answer? I do have herniated disks in cervical c3-4 c 5-6 c 6-7 thoraic t7-t8 and l5-s1

 
Old 03-29-2010, 01:15 AM   #2
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Re: arm jumping and cant find answers

Wow.. well it could be an number of things... what kind if surface were you laying on? Was any part your arm in contact with any surface when he was pressing down? How was your shoulder positioned in relation to the rest of your body? How about your elbow, was there any pressure on the ulnar nerve ie your funny bone? Was your head and neck supported?? were you lying down or sitting up on a examination table?

When you say jumping was it like a reflex response or a muscle spasm?

Really there are so many variables to consider here can you provide a more complete description of the examination? Start from the beginning and detail everything... inculding your emotional state. Were you under any extra stress that day? Did you have any other symptoms? Any hormonal or digesitive issues at the time??

Did they take you blood pressure that day? Was it within your typical range? How about your pulse rate? Was it normal or decreased or elevated? Had you eaten anything that day? Was your diet typical or did you skip a meal? Have eaten anything new or sampled any foods that you don't typically eat?

Really I understand if you don't want to share too much personal information but there are so many variables to consider from low blood sugar to hypertension to psychosomatic responses...

I really can't offer any opinions without knowing more about what else was going on with your environment and more specificity than jumping...

~Myo

 
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Old 03-29-2010, 08:50 AM   #3
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Re: arm jumping and cant find answers

Thank you for responding ! Ill explaine the process I had done:
I was sitting on an exam table with my right arm straight out to my side level with my shoulder The Dr had a hand on my shoulder and onefurther down my arm and he told me to resist his downward pressure. The arm smoothly and slowly went down as his pressure was greater then mine. He then performed the same on the left arm. As he was pressing down my arm went down very unsmooth kind of like a crank he pressed down i pressed up and with his force my arm went down a few inches then jerked up then down then up then down till it was at my side almost cog wheel if that makes sense.

I had no back support or neck support. This was d*****atley a reflex response. I think the Drs hand was between my elbow and wrist when he was putting pressure down he was not gripping the arm just applying downward pressure with his hand palm open. I didnt skip and meals or have any other out of the ordinary things going on that day blood pressure was ok although he didnt tell me anything as he was doing these tests to report to my insurance company on their behalf.

 
Old 03-29-2010, 02:58 PM   #4
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Re: arm jumping and cant find answers

Ok sounds like you need to research some more in reflexology... sounds like you have nerve out of place possibly due to a torn ligament or tendon. kind of like they test your knees with the hammer. I'm guessing you won't find your answer here, but maybe in the Carpal Tunnel Syndrome Forum there are some threads about Tennis Elbow and related injuries.. Maybe someone in Hip and Knee has more information about reflexes in relation to tendons and ligaments,

Hope that helps...

~Myo

 
Old 03-29-2010, 06:55 PM   #5
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Re: arm jumping and cant find answers

Thanks again for the conversation, I hadnt thought of reflexology until you mentioned it. I think it must be from a pinched nerve from one of my herniated disks in cervical c3-4 c5-6 c6-7. I looked up reflexology tests and found the "empty can test" which is the closest to what the dr did from what i have read. Ill keep looking. Thanks again for the advise.

Still wondering if any one has experienced this?

 
Old 03-30-2010, 08:25 AM   #6
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Re: arm jumping and cant find answers

great advice there MP. what i am wondering is if you have ANY areas up in the c spine findings where the areas of your actual cord are being compromised in any way? what this 'sounds like, besides being a bit hyper reflexic is what is called clonus? i have this in my L leg from a cord injury along with what is called myeolopathy too? the clonus is like extra 'beats' that continue on after the stimulus is gone/removed? it is a test done to check for possible cord contact(or just how really impacted a possible cord compression finding actually is) in some cases. real clonus is caused by an overactive stretch reflex. what YOUR type of reaction was. the thing here is it is caused by the disruption of upper motor neurons that are actually IN the cord? these are just part of what actually are in the cord area in alot of places including more towards the outter areas of the inside of the cord itself? i DO most definitely have the upper motor neuron damage, thats been documented. so ANY real solid compression upon that cord could possibly be causing this. when he hit your knees with that little hammer thingy? what were those reflexes like? the normal 'bounce out, or a bit hyper/brisker there too? esp on that same exact side you had the 'odd' reaction on? while there can be many possible reasons to even have a more pronounced type of reactions going on ,if your spinal cord is being impacted in any way, that seriously just could be the reason for YOUR reaction to that type of test.

if you could actually type out what was found in the MRI report summary about that c spine area and any finding that could also be in T 1 since this is also partly what also innervates at least part of that arm, that would seriously help alot in giving you the very best advice here. the way any rad actually chooses to 'word' any particular finding upon interpretation really does matter with certain findings.

if per chance you do not have your own copy of that report, you seriously DO need to get one and ANY other testing results you have had done along the way regarding this and continue to always ask for your own copies of ANY types of real testing from here on out as well. honest to god, esp when dealing with specialists moreso than primarys, you will NOT always even get told about certain real hard findings that were listed as findings in any given report, but that particular specialist 'felt'(this is based ONLY upon HIS level of actual experience and knowledge with any given finding) it was not pertinent, when it could very well be or impact another body area?
you can get your own copy from the ordering doc who referred you for it,or you can always just go directly to the facility that did your MRI and simply sign a release of info sheet and they will pop off your own copy. we just always NEED to have our own copies of ALL our own test results. they just are really needed at certain times in certain situations too. but this also allows US, the actual patients to simply read thru our own results and ask important questions of our surgeons as well.

but if you can just get that end summary up here to actually read thru word for word, trust me, it will help us to actually help you in all the best possible ways. marcia
__________________
3-22-01,herniated C-6-7
11-20-01,placement of hardware for failed fusion
9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

 
Old 03-30-2010, 09:45 AM   #7
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Re: arm jumping and cant find answers

[QUOTE=feelbad;4215327]if you could actually type out what was found in the MRI report summary about that c spine area and any finding that could also be in T 1 since this is also partly what also innervates at least part of that arm, that would seriously help alot in giving you the very best advice here. the way any rad actually chooses to 'word' any particular finding upon interpretation really does matter with certain findings.

but if you can just get that end summary up here to actually read thru word for word, trust me, it will help us to actually help you in all the best possible ways. marcia[/QUOTE]
Kind off odd but when i asked for a copy of my MRI findings they gave ne a copy of the actual MRI on DVD-DL. On the other hand when switched clinics I asked them to cc me a copy of my medical records so I have a full copy every test and procedure they ran.

~Myo

 
Old 03-31-2010, 09:45 AM   #8
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Re: arm jumping and cant find answers

you also have the right to ANY actual written/typed report on ANY testing that is EVER actually done on you by law MP. i would recontact the people who 'decided' not to give you what the law states you simply HAVE the right to have a copy of, at anytime for any real reason you choose to want it?

honest to god MP, i have EVERY single scrap of documented paper that contains info on ALLL my 6 surgeries, my many(18 as of last year) MRI results along with alot of the 'hardfilms and CDs now, thank god, all my many ultrasounds/reports i have to have every year on my kidneys and liver, along with ALL angios i have had to have along with the coiling of my aneurysm op notes too. this stuff in some cases is a gold mine of real info about US and our conditions and with the doc visit clinic notes every doc has to make after every single visit with any patient, you also obtain that docs overall 'impressions' of you and your conditions? this alone and reading it tells you alot about just what your doc thinks are the bigger problems or even if you are being taken seriously? or if there just IS any real mistakes in your medical records simply by obtaining all of them like once a year, depending?

anyone who esp has any type of an ongoing/chronic type of condition that requires alot of ongoing testing and doc/specialist types of visits, really really NEEDS to be obtaining in an ongoing way, all and everything that has happened or been done or documented on them. there were also many things like actual real dxes that i had been given after my cord surgery that were never actually even mentioned in my NSs notes, along with the one badly needed document from my cord surgery where it actually talked about the losses and hit nerves where my real damage occured? it was missing from my actual central file at the freaking hospital! that one document missing simply blew my first go round chances in even getting ssd. i personally had to track down the neurophysiatrist who actually did my intraoperative monitoring to obtain 'his' actual op notes,since THAT is where that real imperitive info was,and NOT even in my NSs op notes at all.

no one truely knows just what is or is not in any given rad report or real medical files til you simply obtain them and look for yourself. okay,i'm done now, lol. just have had some huge 'learning' experiences along the way here.. but always get everything you are simply entitled to be law. it helps, alot in some cases. marcia
__________________
3-22-01,herniated C-6-7
11-20-01,placement of hardware for failed fusion
9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

 
Old 03-31-2010, 11:47 PM   #9
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Re: arm jumping and cant find answers

[QUOTE=feelbad;4216165]you also have the right to ANY actual written/typed report on ANY testing that is EVER actually done on you by law MP. i would recontact the people who 'decided' not to give you what the law states you simply HAVE the right to have a copy of, at anytime for any real reason you choose to want it?

honest to god MP, i have EVERY single scrap of documented paper that contains info on ALLL my 6 surgeries, my many(18 as of last year) MRI results along with alot of the 'hardfilms and CDs now, thank god, all my many ultrasounds/reports i have to have every year on my kidneys and liver, along with ALL angios i have had to have along with the coiling of my aneurysm op notes too. this stuff in some cases is a gold mine of real info about US and our conditions and with the doc visit clinic notes every doc has to make after every single visit with any patient, you also obtain that docs overall 'impressions' of you and your conditions? this alone and reading it tells you alot about just what your doc thinks are the bigger problems or even if you are being taken seriously? or if there just IS any real mistakes in your medical records simply by obtaining all of them like once a year, depending?

get everything you are simply entitled to be law. it helps, alot in some cases. marcia[/QUOTE]

Thanks feel bad,

I'll track down those records... I know for certain which facilities I have to revisit to obtain my records. The painful part will be reviewing my hospital records to make sure the results include all my results that they had run by other departments... radiology, cardiology etc.

Also obtaining all my medical records from when I lived in Baltimore will be a pain.

Thanks for the advice,

~Myo

 
Old 04-01-2010, 08:33 AM   #10
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Re: arm jumping and cant find answers

the great thing here about actually obtaining any real records MP is that it can almost always be done with simple phone calls to the records depts of the facilitys you were seen at and just asking them to send out the needed releases of info for you to sign. this is also when you can write on that sheet more specifically what YOU need to make certain is also included. any real testing that is done in any hospital, even spaced out types of testing, they will in most cases, still all be in one central medical file kind of all togehter? but if anything is missing when you get them, you can always just call since any release IS good for exactly ONE full year after you sign it and send it back to them.

for some sick reason, some places just DO make you pay a certain amount of actual money just for the freaking privledge of obtaining YOUR OWN info. in my case here in MN tho, i have never ever had to pay even a dime for any of my ungodly amounts of records i have here at all. ya just kind of have to see what they do as far as that goes. personally i think its appalling for anyone to HAVE to actually pay anything for their own freaking medical info, unless of course YOU lose it and want it again type thing? but some just do it this way anyways. mine even paid the postage to send the huge envelopes of info too. go figure. just gather up what you still can MP, like i said above,you just have NO real clue as to even what is in them til YOU simply read thru everything. i sure wish i had obtained ALL my records before SSD did so i would have been able to just 'get' what was missing situated BEFORE they got their hands on them first. i just assumed like pretty much everyone does that everything was actually IN my records and i had way more than enough actual tested documentation with many docs, and their own impressions and assessments done as to the actual fall out from that stupid surgery, nope. good luck here in getting this now. hopefully the records do not go too far back and they wont have to dig into archives after like so many years have passed by. its just much quicker if the info is more current than way far back, but it IS still obtainable in their other files. Marcia
__________________
3-22-01,herniated C-6-7
11-20-01,placement of hardware for failed fusion
9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

 
Old 04-01-2010, 06:09 PM   #11
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Re: arm jumping and cant find answers

Thanks everyone for such a good posts, its extreamly helpful I am feeling so lost with everything and to boot im now not working and scared to death, Here is the following of what my last MRI from Nov 2009 says ( i will only put what was found not what was normal):
c3-c4 small central disc protrusion with out significant impingement on the thecal sac the neural foramina are patent
c5-c6 there is a left paracental disc protrusion extending posteriorly for a distance of 3mm. There is narrowing of the left lateral recess. The neural foramina remain patent
there is no cord compression. It does lateralize slightly to the right of mid lung in keeping wih a broad based disc herniation.
c6-c7 there is a left paracentral protrusion which is effacing the thecal sac anteriorly on the left side
t7-t8 there is a central disc protrusion. A hemangioma is also noted in that vertebral body
l5-s1 here is a large central disc extrusion which extends inferior to the disc for a distance of approx 1.2 cm and extends posteriorly for a distance of 1.5 cm. There is significant narrowing of the thecal sac. Transluminal diameter of the thecal sac at this level has been reduced by 50 percent.

I had had a cat scan 8 months ago which showed at l4-l5 a broad based left sided lateral and foraminal disc herniation. There is al least moderate degenerative foraminal stenosis as a result of this. another Cat scan 5 months ago which showed at the l4-l5 lvl there is a posterolateral disc herniation wth disc filling the interval vertebral foramen. No central disc herniation or spinal stenosis is seen. All the other areas mentioned above have showed up on all the reports but The l4-l5 did not show up on my mri and the Dr said that sometimes they heal themselves or go in and out so the l4-l5 one must have healed,
I have tried to googleand "wiki" the words i dont know but i really still dont understand.
Thanks again so much for the help and ideas i am so grateful for the support it really helps not to feel so alone

 
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