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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Neurology
Satisfied Customers: 56897
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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I have inflammation in my shoulder elbow and wrist and have

Customer Question

Hi I have inflammation in my shoulder elbow and wrist and have a tingling sensation in my fingers and they burn I got a blood test and it said it was not arthritis my doctor thinks it might be carpel tunnel but my physio thinks it it has to do with my neck/ shoulders any thoughts
JA: How long have you been dealing with this issue? Are you experiencing any numbness or tingling?
Customer: A year now
JA: Is there anything else the Doctor should know before I connect you? Rest assured that they'll be able to help you.
Customer: Yep
Submitted: 22 days ago.
Category: Neurology
Customer: replied 22 days ago.
My physio put me on shoulder and chest stretches as I have bad posture and he told me to buy a proper desk setup so I don't slouch when I use my laptop
Expert:  Dr. Arun Phophalia replied 22 days ago.

Your symptoms can be due to;

1) Pinched nerves in the neck (disc disease neck).

2) Carpal tunnel syndrome.

A physical exam may help but confirmation can only be done by;

MRI of the neck and wrist.

Nerve conduction velocity study

Electromyography.

Physiotherapy is the mainstay of the treatment.

Following measures would be helpful;

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 the 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 whom 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

This is an exercise resource;

https://www.spine.org/Portals/0/assets/downloads/KnowYourBack/CervicalExercise.pdf

I wish your symptoms resolve soon.

I would be happy to assist you further if you need any more information.
Thanks for using Just Answer.

Customer: replied 22 days ago.
Would these be a cure
Expert:  Dr. Arun Phophalia replied 22 days ago.

Yes, these would cure it.

Customer: replied 22 days ago.
The hot fomentation is that for the wrist with heat pads
Expert:  Dr. Arun Phophalia replied 22 days ago.

Heating pads or warm moist packs can be applied to the wrist, elbow, and shoulder as well.

Customer: replied 22 days ago.
I was using ice packs to my wrist elbow and shoulders was I wrong with that and I use a stylus for my phone as my fingers hurt is there a way to get it back to using my fingers and I play the keyboard would these let me be able to play again
Customer: replied 22 days ago.
How long would I wear the collar brace
Expert:  Dr. Arun Phophalia replied 22 days ago.

It is not wrong to apply an ice pack. Some patients actually prefer it over the heat.

So it is an individual preference.

Once you are alright you would be able to use the keyboard.

A collar brace may be needed for 1-2 weeks.

Customer: replied 20 days ago.
My knee hurts when I walk on it and is aggravated when I kneel on it
Expert:  Dr. Arun Phophalia replied 20 days ago.

Please open a new thread for a new question as per site rules and regulations.

You would not incur any additional cost for it.

Customer: replied 18 days ago.
There's a soreness brusing pain on the side of my wrist (I'm doing the stretches everyday)
Expert:  Dr. Arun Phophalia replied 18 days ago.

A wrist brace would help.

Customer: replied 18 days ago.
That's what I'm using now
Expert:  Dr. Arun Phophalia replied 18 days ago.

Okay.

Customer: replied 18 days ago.
I have etoflam from a previous can I use that for my wrist shoulder and elbow
Expert:  Dr. Arun Phophalia replied 18 days ago.

You may use it.

Customer: replied 12 days ago.
Is it possible that I have tendonitis in my wrist
Expert:  Dr. Arun Phophalia replied 12 days ago.

That can only be determined/confirmed by a physical exam and a brace helps in it.

Customer: replied 12 days ago.
I'm getting a xray on the 23 for my wrist and shoulder would that show anything
Expert:  Dr. Arun Phophalia replied 12 days ago.

Tendons are not seen on x-ray.