Neuropathy: Seeking Answers for Unresolved Pain

Neuropathy

Hello, doctor.
A year ago, I suddenly started experiencing numbness in my little finger, along with heat and pain in my palm, and unusual pain in my chest and back.
I have visited various hospitals and undergone numerous tests, including X-rays, MRIs, ultrasounds, and nerve conduction studies, but the doctors have not provided a clear diagnosis.
I used to sleep on my left side, and later X-rays revealed mild scoliosis and cervical spine curvature.
I have been doing pull-ups at home to adjust my posture, and the pain in my chest and back has slightly improved, but the numbness and pain in my hands remain unresolved.
The doctors believe my issues are not significant enough to warrant surgery and have advised me to pursue conservative treatment with cervical traction.

I go for traction every day except Sundays when the hospital is closed.
However, each time I undergo traction, I feel severe pain at the junction of my throat and deep in my mouth, as well as around my Adam's apple, as if my bones are being compressed forward.
The pain is unbearable, and I experience a tight, constricted sensation when swallowing.
There is an issue with the third and fourth cervical vertebrae slipping backward, but the doctors only examine my cervical spine and do not assess the first thoracic vertebra.
I feel that the nerve compression is likely at the first thoracic vertebra, as I can distinctly feel the intensity of numbness and pain in my hands when adjusting various postures.

After the onset of my symptoms a year ago, I sought osteopathic treatment, where significant pressure was applied to the spinal area between my shoulder blades.
Since then, my condition has worsened.
I have informed my doctors, but they have not taken my concerns seriously.
I would like to know what I should do.
I am in so much pain that I cannot sleep, and my mental state is nearing a breaking point.
This has been ongoing for a year now, and I hope you can provide me with some hope for recovery.
Thank you very much.

Yang Xiansheng, 20~29 year old female. Ask Date: 2021/04/22

Dr. Zhang Junwei reply Neurosurgery

It is advisable to seek diagnoses and treatment from different neurologists or neurosurgeons at various hospitals or medical centers, as your issue is complex and cannot be accurately addressed online.

Reply Date: 2021/04/22

More Info

I'm sorry to hear about the challenges you're facing with your health, particularly the unresolved pain and discomfort. It sounds like you've been through a lot over the past year, and it's understandable to feel frustrated when you haven't received clear answers or effective treatment.

From what you've described, it seems that you may be experiencing a combination of neuropathy and musculoskeletal issues, possibly exacerbated by your spinal alignment problems. Neuropathy can manifest as numbness, tingling, and pain, often due to nerve compression or damage. In your case, the symptoms in your hands and the pain in your chest and back could be related to nerve compression in the cervical or thoracic spine, especially given your history of scoliosis and cervical spine issues.

It's important to note that while imaging studies like X-rays and MRIs can provide valuable information, they may not always reveal the underlying cause of nerve pain. Sometimes, nerve compression can occur without obvious structural abnormalities visible on imaging. This is why a thorough clinical evaluation, including a detailed history and physical examination, is crucial.

Given your ongoing symptoms and the lack of improvement with conservative treatments like traction, it may be beneficial to seek a second opinion from a specialist, such as a neurologist or an orthopedic surgeon with expertise in spinal disorders. They may consider additional diagnostic tests, such as a nerve conduction study or electromyography (EMG), to assess the function of your nerves and muscles more thoroughly.

In the meantime, here are some strategies that may help alleviate your symptoms:
1. Physical Therapy: A physical therapist can work with you to develop a tailored exercise program that focuses on strengthening the muscles around your spine, improving flexibility, and addressing any postural issues. They may also use modalities like ultrasound or electrical stimulation to help manage pain.

2. Pain Management: If you haven't already, consider consulting a pain management specialist. They can offer a range of treatments, including medications, nerve blocks, or other interventions that may provide relief.

3. Ergonomic Adjustments: Evaluate your daily activities and work environment. Making ergonomic adjustments, such as using supportive chairs, adjusting your workstation, or using tools designed to reduce strain, can help alleviate discomfort.

4. Mind-Body Techniques: Practices like mindfulness, meditation, or yoga can help manage pain and improve your overall well-being. These techniques can help reduce stress, which may exacerbate pain perception.

5. Alternative Therapies: Some individuals find relief through acupuncture, chiropractic care, or massage therapy. While these treatments may not work for everyone, they can be worth exploring as part of a comprehensive pain management strategy.

6. Lifestyle Modifications: Ensure you're maintaining a healthy lifestyle, including regular physical activity, a balanced diet, and adequate sleep. These factors can significantly impact your pain levels and overall health.

7. Support Groups: Connecting with others who are experiencing similar challenges can provide emotional support and practical advice. Consider joining a support group for individuals with chronic pain or neuropathy.

It's crucial to advocate for yourself in the healthcare system. If you feel that your concerns are not being addressed, don't hesitate to seek out additional opinions or specialists who may be more attuned to your specific needs. Remember, you deserve to have your pain taken seriously and to receive the care that can help improve your quality of life.

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