How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask healthydoc Your Own Question

healthydoc
healthydoc, Board Certified Physician
Category: Neurology
Satisfied Customers: 1986
Experience:  Board Certified U.S. Neurologist
55821379
Type Your Neurology Question Here...
healthydoc is online now

i was diagnosed to have disc herniation on the right side C6-7

Resolved Question:

i was diagnosed to have disc herniation on the right side C6-7 . i had spinal surgery ( fusion) in 12/11.. it is over 2 years and i am still experiencing lots of pain in my right arm. MRI showing free nerve roots after the surgery but no one seem to know why aim still having the pain.
Submitted: 2 years ago.
Category: Neurology
Expert:  healthydoc replied 2 years ago.

healthydoc :

Hello and thank you for your question.

healthydoc :

When did you have MRI?

healthydoc :

Did you have EMG test done?

Customer:

thank you.. i had my

Customer:

last MRI last year

healthydoc :

You're welcome. Since when you are having this pain?

Customer:

EMG done done before i had my sx showed only mild delay c6,7,T1

healthydoc :

was this also done last year?

Customer:

the pain comes and goes

Customer:

EMG no done in 2011

healthydoc :

Okay. As you already had delay in C6, C7 I would suggest to repeat the EMG and MRI as well. Your symptoms does suggest that you can have cervical radiculopathy.

Customer:

i get variable pains ... involving mainly the index and thumb

Customer:

sometimes the whole had feels numb

Customer:

carpal tunnel syndrome excluded

healthydoc :

It is also possible that you have arthritis which can also cause inflammation leading to nerve irritation.

Customer:

as i siad MRI review by number of radiologist and spinal surgeon .. everybody agreed the surgery was ok

Customer:

recently seen a surgeon who thought i might be suffering thoracic outlet syndrome

healthydoc :

Do you have neck and shoulder pain, any discoloration to extremities?

Customer:

i have shoulder and neck pain ad spasm but no vascular elemants

healthydoc :

okay. So you may have this condition which can also cause pressure on the nerves leading to such symptoms. However you would also need MRI to confirm the diagnosis.

Customer:

sleeping seems to take the pain away as i am ok when i wake up in the morning

Customer:

MRI of the mck or the solder?

Customer:

neck or shoulder?

healthydoc :

Both neck and shoulder

healthydoc :

Your doctor may also order MRI of the chest.

Customer:

x ray done showed no cervical rib

healthydoc :

I would suggest to get MRI of your neck again as it has been a year.

Customer:

in fact i had more than one MRI .. last was year ago... all show the nerve root to be free... do think there is chance that the root were injured during my surgery

Customer:

?

healthydoc :

if it was injured than it would show in MRI.

Customer:

ok

healthydoc :

I would suggest to repeat MRI and EMG.

Customer:

ok thank you

healthydoc :

Physical therapy and medications like lyrica can help to ease the pain.

healthydoc :

You're welcome

Customer:

i took lyrics for some time with no real benefit

Customer:

the only thing that help is massage

healthydoc :

okay. You can try gabapentin.

Customer:

if it was still root problem can you suggest any nerve block?

healthydoc :

First you need to get evaluated if you have any nerve compression. If you have than you can get epidural or corticosteroid shot.

Customer:

gabapentin .. what dose ? i am 80 kg

healthydoc :

Start with 300mg on day 1 and than 600mg on day 2 and thereon.

healthydoc :

Always ask your doctor before taking any medications.

Customer:

any other investigation i should do?

healthydoc :

No. Just get EMG and MRI done again.

Customer:

thank you

healthydoc :

You're welcome.

healthydoc :

I wish you the best. Please rate my answer positively if you have no further questions. Thank you.

healthydoc, Board Certified Physician
Category: Neurology
Satisfied Customers: 1986
Experience: Board Certified U.S. Neurologist
healthydoc and other Neurology Specialists are ready to help you

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Dr. F

    Dr. F

    Board Certified MD

    Satisfied Customers:

    266
    Neurosurgeon with more than 20 years experience in practice and teaching.
< Previous | Next >
  • http://ww2.justanswer.com/uploads/BrainLifeDoc/2010-10-04_004701_AMF_2008_2_pix.jpg Dr. F's Avatar

    Dr. F

    Board Certified MD

    Satisfied Customers:

    266
    Neurosurgeon with more than 20 years experience in practice and teaching.
  • http://ww2.justanswer.com/uploads/TO/TOHfan1/2012-3-3_11610_strokedoc.64x64.jpg Stroke Doc's Avatar

    Stroke Doc

    Board Certified Physician

    Satisfied Customers:

    41
    I am board-certified in Neurology and the subspecialty Vascular Neurology.
  • http://ww2.justanswer.com/uploads/PR/pradocs/2012-7-23_23649_201272323220JApicture105x113.64x64.jpg Dr. Bob's Avatar

    Dr. Bob

    Neurologist (MD)

    Satisfied Customers:

    1497
    Neurology & Int Medicine (US Trained): 20 yrs experience
  • http://ww2.justanswer.com/uploads/HE/healthydoc/2011-7-22_193154_LevGrinman2.64x64.jpg healthydoc's Avatar

    healthydoc

    Board Certified Physician

    Satisfied Customers:

    325
    Board Certified U.S. Neurologist
  • /img/opt/shirt.png RH's Avatar

    RH

    Board Certified Neurologist

    Satisfied Customers:

    1944
    Expert in various areas of Neurology
  • /img/opt/shirt.png Brainmaster's Avatar

    Brainmaster

    Board Certified MD

    Satisfied Customers:

    58
    ABPN certified. 6 years of outpatient general neurology practice experience. No malpractice cases
  • /img/opt/shirt.png braindr11's Avatar

    braindr11

    Board Certified Physician

    Satisfied Customers:

    43
    Neurologist with outstanding expertise