Hello and thank you for your question.
When did you have MRI?
Did you have EMG test done?
thank you.. i had my
last MRI last year
You're welcome. Since when you are having this pain?
EMG done done before i had my sx showed only mild delay c6,7,T1
was this also done last year?
the pain comes and goes
EMG no done in 2011
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.
i get variable pains ... involving mainly the index and thumb
sometimes the whole had feels numb
carpal tunnel syndrome excluded
It is also possible that you have arthritis which can also cause inflammation leading to nerve irritation.
as i siad MRI review by number of radiologist and spinal surgeon .. everybody agreed the surgery was ok
recently seen a surgeon who thought i might be suffering thoracic outlet syndrome
Do you have neck and shoulder pain, any discoloration to extremities?
i have shoulder and neck pain ad spasm but no vascular elemants
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.
sleeping seems to take the pain away as i am ok when i wake up in the morning
MRI of the mck or the solder?
neck or shoulder?
Both neck and shoulder
Your doctor may also order MRI of the chest.
x ray done showed no cervical rib
I would suggest to get MRI of your neck again as it has been a year.
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
if it was injured than it would show in MRI.
I would suggest to repeat MRI and EMG.
ok thank you
Physical therapy and medications like lyrica can help to ease the pain.
i took lyrics for some time with no real benefit
the only thing that help is massage
okay. You can try gabapentin.
if it was still root problem can you suggest any nerve block?
First you need to get evaluated if you have any nerve compression. If you have than you can get epidural or corticosteroid shot.
gabapentin .. what dose ? i am 80 kg
Start with 300mg on day 1 and than 600mg on day 2 and thereon.
Always ask your doctor before taking any medications.
any other investigation i should do?
No. Just get EMG and MRI done again.
I wish you the best. Please rate my answer positively if you have no further questions. Thank you.