Your symptoms are suggestive of;
1) Pinched nerves in the neck
2) Carpal tunnel syndrome.
The following measures would be helpful for pinched nerves in the neck;
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/ IPad/ Mobile.
b) Monitors and televisions exactly in front (180 degrees).
c) Contour pillow: Should fill the hollow when lying on the back /straight or sideways. The principal is neck to be in a neutral position and supported. Available over the counter.
2) Soft Cervical Collar or Brace
3) Cervical traction
4) Anti-inflammatory analgesics like Ibuprofen etc.
5) Some physicians do give oral steroids in severe radiculopathy cases, in whom pain/numbness/tingling is quite significant.
6) Physical therapy: gradually increasing exercises from passive stretching to active ROM and against resistance regime.
7) Electrotherapy in the form of TENS, interferential and laser, and ultrasound.
8) Hot fomentation
9) Local analgesic patch/ointment/ spray.
10) Gentle massage.
This is an exercise resource;
The investigations advised are;
MRI of the neck and wrist
Nerve conduction velocity study.
Following is the comprehensive treatment protocol for carpal tunnel syndrome:
1) Therapeutic ultrasound and shortwave diathermy
2) Wrist splints with the wrist joint in neutral or slight extension (to be worn at nighttime for a minimum of 3-4 wk).
3) Nonsteroidal anti-inflammatory drugs (NSAIDs); Brufen 400 mg twice a day.
4) Gabapentin 100 mg twice a day.
5) Physical therapy/Occupational therapy/Exercises.
6) Steroid shots
I hope your symptoms resolve soon.
I would be happy to assist you further if you need more information.
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