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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 57921
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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Have had chest pain, right hand side,for a few days now,

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Have had chest pain, right hand side,for a few days now, feels like a muscle ache , but also along side that my first two fingers in my right hand have been feeling numb, as if there freezing cold. Any idea what this is, and are they related?
JA: The Doctor can help. To begin, how long have they had the numbness? Have they used any medication for it?
Customer: About 3 or 4 days now, both symptoms. I've not had medication
JA: Thanks for that. Have they seen a doctor about the numbness?
Customer: Not yet
JA: Thank you so much for your answers. Finally, is there anything else in their medical history the Doctor should know?
Customer: No, nothing serious at all

The chest pain and numbness in the two fingers are related and are likely due to pinched nerves in the neck.

This can be due to;

1) Herniated/degenerated disc in the neck

2) Cervical spondylosis; bone spurs in the neck vertebrae pressing on the nerves.

Following investigations would be required to confirm the diagnosis;

1) X-ray of the neck spine

2) MRI of the neck

3) Nerve conduction velocity (NCV) study

4) Electromyography (EMG)

Following measures would be helpful for the treatment;

1) Neck care in the activities of daily living.

a) No working on the computer for more than half an hour in a single stretch. Same for TV.

b) Monitors and televisions exactly in front (180 degrees).

c) Contour pillow: Should fill the hollow when lying on back or straight. Available over the counter.

2) Cervical Collar or Brace

3) Cervical traction

4) Anti-inflammatory analgesics like Ibuprofen

5) Some physicians do give oral steroids in severe radiculopathy cases, in which pain/numbness/tingling is quite significant.

6) Physical therapy: gradually increasing exercises from passive stretching to active against resistance regime.

7) Electrotherapy in the form of TENS, interferential and laser, and ultrasound.

8) Hot fomentation

9) Local analgesic patch / ointment / spray

You can consult the following specialists;

a) Orthopedist

b) Neurologist

c) Specialist in Physical medicine and rehabilitation.

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