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Medical Forum / Diseases and Disorders / Arthritis / July 2004

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Tingling on my right feet

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BKS - 13 Jul 2004 03:30 GMT
One morning I woke up with severe pain my right shoulder.  I could not
lift my right hand or move backward without feeling severe pain my
right shoulder.  I went to emergency and was prescribed Naproxene
(sp.?) an anti-inflammatory drug.  They took an x-ray of my right
shoulder. Nothing wrong was seen on bones.  Doctor asked me if i
remember doing anything unusual with my right hand.  I remembered
weeding out my lawn a month ago and felt burning sensation in my right
shoulder when one of the weeds happened to be deep rooted and had pull
real hard!  I was recommended to see my Orthopedic.

I got an appointment with orthopedic two weeks later.  I was taking
Naproxene during that time.  Pain subsided.  But a week later suddenly
I felt tingling sensation in my right palm.  The same night tingling
spread over my right chest, right leg and right feet!  I was very
scared!

I was planning to talk to Orthopedic about my pain in my right
shoulder, but now I had to tell him tingling/numbness in right side of
my body too!  Pain my right shoulder was almost gone by the time I met
my Orthopedic.

My Orthopedic said tingling on particular side of the body is an
indication that something wrong with nerves coming from my brain.
Asked me if I was ever in an accident.  I was in an accident 15 years
ago.  He took X-ray of my neck.  Saw nothing wrong.  He recommended
MRI.

MRI report reads as follows:

"MRI examination of the cervical spine performed using sagittal T1,
sagittal T2 and axial T2 weighted sequences.

Findings:  Craniocervical junction is unremarkable.  Cervical
vertebral bodies are of normal size and stature with maintenance of
intervertebral disc space hight, apart from C5-C6 and C6-C7 where
there reversal of normal cervical curvature.  Anterior and posterior
marginal ostephytic spur-disc complexes identified at those levels.
Most severe, at the C5-C6 level, is broad-based disc-spur complex with
a more focal LEFT paracentral protrusion of disc material extending
approximately 5-mm, severe in nature, with cord concavity and mass
affect upon the cord at this level.

At C6-C7, disc-spur complex results in broad-based appearance with
encroachment upon the LEFT neural foramina at C6-C7.  The most
significant findings include that of the protrusion of disc material
at the C5-C6 level.

IMPRESSION:
1.  REVERAL OF NORMAL CERVICAL CURVATURE EPICENTER OF WHICH IS c5-c6
AND c6-c7

2.  At C5-C6, apart from the posterior marginal ostephytic spur-disc
complex, broad based, there is more focal, significant LEFT
paracentral protrusion of disc material, approximately 5-mm, with
significant mass effect upon the cervical cord and concavity of the
cord at that level.  Correlation with symtomatology recommended.

3.  Disc-spur complex C6-C7, are broad-based, resulting in mild LEFT
neural formina encroachment at C6-C7."

My Orthopedic referred me to a Neurosurgeon with an advice - Surgery
should be Your Last Option!

A week later, I saw my Neurosurgeon. He read the MRI report, glanced
the MRI film and recommended surgery of my neck.  He said I have
pinched nerve causing tingling/numbness on my right side of the body!
When I saw Neurosurgeon, tingling/number was almost gone!  I had
slight tingling on my right feet and I still have.  Most of the time I
feel perfectly Ok. Slight tingling with sometimes warm feeling shows
up once in a while!  I mentioned that to my Neurosurgeon.  He insisted
surgey and gave a week to think about it.

Needless to say I was too scared to go for surgery.  I saw a
Chiropractor.  Of course he is no orthopedic or Neurosurgeon, but by
reading the MRI report he thought left side of my body should have any
problem, if any, not right side!  According to him, my symptom and MRI
report does not match.  He thinks tingling/numbness most likely is
caused by my original problem - pain in my upper right shoulder.  I
may have broken a ligament while pulling out weed and nerves around it
may have affected by that!  He thought it could heal itself.  Of
course, he did say the MRI report indicates I will have some problem
in future in left side of my body!  He did not think surgery was
necessary to cure tingling in right side of the body!

Was Chiropractor correct in his statement?

Why my Orthopedic or Neurosurgeon did not pay much attention when I
said all this started with pain in my right shoulder while weeding out
my lawn!  Tingling showed up 2 weeks after the pain in my shoulder!

I am thinking to get second opinion from another neurosurgeon.  But I
thought of putting my problem here to get comments.

I am 49. Interesting my elder sister of 52 had the same problem and
was cured without surgery!  My mother, 80, had the same problem and
she is fine with no surgery!

I apologize for the long post.  But I had to detail everything!  

Any comment will be appreciated.  Thanks for reading!
Harvey R. Stone - 13 Jul 2004 04:38 GMT
Hi BKS,,,,   Its really not about what you are scared of.   You have had a
doctor tell you that you have serious problems.   See another doctor to get
a reading if you want to but  pinched nerves can have long lasting effects
and sometimes things stay that way.   Do something to help yourself.
Harv
> One morning I woke up with severe pain my right shoulder.  I could not
> lift my right hand or move backward without feeling severe pain my
[quoted text clipped - 96 lines]
>
> Any comment will be appreciated.  Thanks for reading!
JXStern - 13 Jul 2004 05:41 GMT
>My Orthopedic referred me to a Neurosurgeon with an advice - Surgery
>should be Your Last Option!

Quite.

>A week later, I saw my Neurosurgeon. He read the MRI report, glanced
>the MRI film and recommended surgery of my neck.  He said I have
[quoted text clipped - 4 lines]
>up once in a while!  I mentioned that to my Neurosurgeon.  He insisted
>surgey and gave a week to think about it.

If you ask a surgeon, he will recommend surgery.

If you ask a bartender, he will sell you a drink.

You need to make your decisions in some neutral location!

>Any comment will be appreciated.  Thanks for reading!

I have a bit of this myself for about the last two years - but it's my
arm and fingers, not my feet, and more tingling and numbness, and not
pain.  I'm pretty sure it's a slipped or torn or something neck
vertebrae putting a little pressure on a nerve.  It was pretty severe
back when it started, is probably 90% improved now, but I can make it
worse by sleeping with my neck at an odd angle.  A little stretching
and yoga and gentle calesthenics help relax and align the spine, and
this for me tends to clear it back down when it jumps up.  I don't use
any drugs for it at all.

So, I guess that's my recommendation - try to find some kind of yoga
or stretching class, maybe your chiro can recommend one.  And perhaps
try not to stress your neck or your spine the way you did when you
were younger - I sure as heck know that I have to be more careful of
mine!

J.
dadand1 - 13 Jul 2004 14:24 GMT
> My Orthopedic said tingling on particular side of the body is an
> indication that something wrong with nerves coming from my brain.
> Asked me if I was ever in an accident.  I was in an accident 15 years
> ago.  He took X-ray of my neck.  Saw nothing wrong.  He recommended
> MRI.

You have a smart surgeon there.

> MRI report reads as follows:
>
[quoted text clipped - 13 lines]
> My Orthopedic referred me to a Neurosurgeon with an advice - Surgery
> should be Your Last Option!

Once again your surgeon has shown his wisdom. Sounds like you have a blown
disc which is putting considerable pressure on your spinal cord. Any
pressure on your cord can effect anything and everything below that point.
c5-6, 6-7 are exit points for the nerves in your arms. Foraminals are the
holes the nerves pass through. Sometimes discs will recede by themselves and
thus relieve the pressure on the spinal cord until the next time they blow.
Sometimes they don't. Damage to nerves is permanent and they are not real
tough. Doc told me if you drop a dime from a foot above the cord, you will
be paralyzed from that point down forever. I would seek a second opinion
with another nuerosurgeon. I would also seek as much information about blown
discs as I could find. I saw chiros for years and he certainly helped my
symptoms. He also masked a real problem for so long a time as I no longer
had an option but near emergency surgery.

If you have a good neuro, surgery is the last option for them as well. These
guys aren't stupid. If they have been around awhile, they already have more
money than they can spend in two lifetimes. That isn't their motivation
anymore. I'm not sure though why he only gave you a week to consider your
situation.
I know the though of the surgery is pretty scary. I was there. It is a
fairly common procedure though. Risky, but common.

Hopefully, given some time the disc will recede and relieve the pressure on
the cord. Hopefully, there is no permanent damage caused while you are
waiting to see IF that happens. It is a rock and a hard place situation.
Good luck to you. I wish you the best.
Z
BKS - 22 Jul 2004 01:03 GMT
Sometimes discs will recede by themselves and
> thus relieve the pressure on the spinal cord until the next time they blow.
> Sometimes they don't.

Your comments is the best so far!  Thanks for that.  Do you know any
case that has blown up discs receded?  Was it because of special neck
exercise or just good luck?

> I know the though of the surgery is pretty scary. I was there. It is a
> fairly common procedure though. Risky, but common.

What caused this problem to you?  Are you functionaing normal life
after the surgery?  How long it took you for the surgery and how long
it took you to recover from the surgery?

Thanks for great post!
Katherine Wolfe - 22 Jul 2004 06:34 GMT
> Sometimes discs will recede by themselves and
> > thus relieve the pressure on the spinal cord until the next time they blow.
[quoted text clipped - 3 lines]
> case that has blown up discs receded?  Was it because of special neck
> exercise or just good luck?

I had three herniated disks in my neck from a rear-ender a few years ago.
In my case, the disks receded enough where I didn't need surgery.  All
herniated disks will recede some, if they aren't re-injured.  Whether it's
enough depends on how big the herniation was to begin with, and whether the
extruded disk material is pressing on nerves as they exit the spine, or on
the spinal cord itself.  Neck exercises will help stabilize the neck, but
they don't actually do anything for the disks directly.

Katherine
 
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