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Carpal Tunnel Syndrome Message Board

Newly diagnosed, have questions


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Old 08-26-2017, 11:04 AM   #1
Matheis66
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Newly diagnosed, have questions

I seen a neurologist that diagnosed me with carpal tunnel syndrome last week. The reason I went to him was I had the following symptoms: tingling, numbness and pain in both hands but mainly in the right. Also I have neck pain often. And I have crawling sensations in my right shoulder that occurs many times thruout the day. The doctor pretty much ignored the crawling sensations in my shoulder which is frustrating. And recommended me to wear splints on both hands at night. Also mentioned if that didn't work, surgery would be needed. So, I've been wearing them. And I have more pain with them on than off! They are not too tight either. All thru the night my sleep is disturbed because I am massaging my own fingers and popping the knuckles. When I remove them in the morning the numbness and tingling is worse for awhile then subsides a little over time. Of course none of this has stopped the sensations in my shoulder which is starting to hurt. I feel my problem is stemming more from a pinched nerve in my neck. But doctor feels I am wrong. And by the way, I do have arthritis in my neck and bone spur. Insight anyone?

 
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Old 08-26-2017, 11:05 AM   #2
Matheis66
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Re: Newly diagnosed, have questions

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Originally Posted by Matheis66 View Post
I seen a neurologist that diagnosed me with carpal tunnel syndrome last week. The reason I went to him was I had the following symptoms: tingling, numbness and pain in both hands but mainly in the right. Also I have neck pain often. And I have crawling sensations in my right shoulder that occurs many times thruout the day. The doctor pretty much ignored the crawling sensations in my shoulder which is frustrating. And recommended me to wear splints on both hands at night. Also mentioned if that didn't work, surgery would be needed. So, I've been wearing them. And I have more pain with them on than off! They are not too tight either. All thru the night my sleep is disturbed because I am massaging my own fingers and popping the knuckles. When I remove them in the morning the numbness and tingling is worse for awhile then subsides a little over time. Of course none of this has stopped the sensations in my shoulder which is starting to hurt. I feel my problem is stemming more from a pinched nerve in my neck. But doctor feels I am wrong. And by the way, I do have arthritis in my neck and bone spur. Insight anyone?
I forgot to mention that I have no pain in my wrist.

 
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Old 09-07-2017, 08:15 AM   #3
teteri66
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Re: Newly diagnosed, have questions

I'm glad I saw your post. I normally post on the "Back Problems." I would suggest you make an appointment to see a spine specialist. This can be either an orthopedic spine surgeon or a neurosurgeon whose practice is limited to the back and neck. Some people are hesitant to consult with a spine specialist because they see the word "surgeon" and think that is all they do. However, these two specialties have the most education and training in issues and diseases of the spine, neck and back and of the issues that pop up as a result of nerve compression coming from the spine.

The nerve responsible for the symptoms you feel in your wrists and hands is the median nerve. It originates as a group of nerve roots in the cervical spine (neck). These roots come together to form a single nerve in the arm. The median nerve goes down the arm and forearm, passes through the carpal tunnel at the wrist, and goes into the hand. The nerve provides feeling in the thumb and index, middle, and ring fingers. The nerve also controls the muscles around the base of the thumb.

If there is some issue in that part of the spine like degenerative disc disease, bulging disc, enlarged facet joint, stenosis, etc., it can cause compression in this group of nerves. This can be felt at the site of compression or anywhere along the path of the nerve.

If interested, you can look online for a dermatome map to see which spinal nerves innervate the areas where you have symptoms. You will note that the
C5, C6 and C7 run across the shoulders and then down the arm and into the hand.

I suspect more than the problem you are having being located in the carpal tunnel, it is originating from the cervical spine.

Many times when people have treatment for carpal tunnel, it is a temporary fix and the symptoms come back. This is because there are spinal issues that are not being addressed...so you are fixing the symptoms but not addressing the real cause. Sometimes it is a matter of poor posture and poor structural alignment that can be corrected through physical therapy, etc. But, often it is a nerve that is being compressed to the point that it is not able to function normally.

Please make an appointment with an ortho spine or neuro surgeon for an accurate diagnosis and plan of treatment.

 
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