Finger Numbness and Shoulder Pain: A Guide to Rehabilitation

Q: Finger Numbness and Shoulder Pain: A Guide to Rehabilitation

Hello Jayen288： 1. It is essential to return for a follow-up appointment. An MRI is only a diagnostic tool; outpatient visits are necessary to discuss clinical treatment, which needs to be adjusted based on symptom changes and other examinations. 2. There

Numbness and pain in the fingers?

Hello, doctor.
Recently, I've been experiencing numbness in my fingers and shoulder pain.
I've been undergoing rehabilitation for two weeks, but I haven't felt any improvement.
I recently had an MRI done at the neurology department, and the results I saw on the National Health Insurance APP are as follows:
Result: MR of cervical spine without enhancement showed:
- Herniated disc noted at the central C5/6 and right C6/7.
They compress the adjacent root and thecal sac.
- Osteophyte formation due to degeneration, causing encroachment of the intervertebral foramen noted at the levels of right C6/7.
- Spur formation and degenerative disc changes noted in other regions of the visible spine.
- No definite change in the visible cord.
- The paraspinal region is intact.
Impression: Herniated disc, central C5/6 and right C6/7 foraminal stenosis, right C6/7.
1.
Should I go back to review the report in seven days?
2.
What is the nature of this problem?
3.
How should I proceed with rehabilitation?

Jayen288, 50~59 year old female. Ask Date: 2023/04/19

Dr. Lin Ruixiang reply Rehabilitation

Hello Jayen288:
1.
It is essential to return for a follow-up appointment.
An MRI is only a diagnostic tool; outpatient visits are necessary to discuss clinical treatment, which needs to be adjusted based on symptom changes and other examinations.

2.
There is a presence of herniated discs and bone spurs.

3.
In principle, rehabilitation treatment should last at least one month, after which the continuation of treatment will depend on the patient's condition, or more aggressive treatments (such as surgery) may be considered.

The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2023/04/19

More Info

Hello, thank you for your inquiry regarding your symptoms of finger numbness and shoulder pain, as well as the recent MRI findings. Based on your MRI report, it appears that you have a herniated disc at the C5/6 level and right C6/7, which is likely contributing to your symptoms. The herniated disc can compress the adjacent nerve roots, leading to pain, numbness, and weakness in the areas innervated by those nerves, which can include your shoulder and fingers.

Understanding Your Condition
1. Herniated Discs: A herniated disc occurs when the soft inner gel of the disc bulges out through a tear in the tougher exterior. This can press on nearby nerves, causing pain, numbness, or weakness. In your case, the herniation at C5/6 and C6/7 is likely affecting the nerves that supply the shoulder and arm, leading to the symptoms you are experiencing.

2. Osteophytes and Degenerative Changes: The MRI also indicates osteophyte formation (bone spurs) and degenerative disc changes. These are common in individuals with age-related wear and tear on the spine, which can further contribute to nerve compression and pain.

3. Symptoms: The numbness in your fingers and pain in your shoulder are consistent with nerve compression due to the herniated disc and degenerative changes. This can lead to a condition known as cervical radiculopathy, where pain radiates from the neck into the shoulder and arm.

Rehabilitation and Treatment Options
1. Follow-Up with Your Doctor: It is crucial to follow up with your healthcare provider to discuss the MRI results in detail. They can provide a comprehensive assessment and recommend a treatment plan tailored to your specific condition. It is advisable to go back for your follow-up appointment as scheduled.

2. Physical Therapy: Rehabilitation is a key component in managing your symptoms. A physical therapist can design a program that focuses on:
- Strengthening Exercises: Targeting the muscles around your neck and shoulders to provide better support and reduce strain on the spine.

- Stretching Exercises: To improve flexibility and relieve tension in the neck and shoulder area.

- Posture Training: Educating you on proper posture to minimize stress on the cervical spine during daily activities.

3. Pain Management: Depending on the severity of your symptoms, your doctor may recommend medications such as non-steroidal anti-inflammatory drugs (NSAIDs) to help manage pain and inflammation. In some cases, corticosteroid injections may be considered to reduce inflammation around the affected nerves.

4. Activity Modification: It may be beneficial to modify activities that exacerbate your symptoms. Avoiding heavy lifting and repetitive motions that strain your neck and shoulders can help in the healing process.

5. Alternative Therapies: Some patients find relief through alternative therapies such as acupuncture, chiropractic adjustments, or massage therapy. However, it is essential to consult with your healthcare provider before starting any alternative treatments.

Conclusion
In summary, your symptoms of finger numbness and shoulder pain are likely related to the herniated discs and degenerative changes noted in your MRI. A comprehensive rehabilitation program, guided by a physical therapist, along with appropriate medical management, can significantly improve your condition. Be sure to discuss your MRI findings with your healthcare provider to determine the best course of action moving forward. Your proactive approach to seeking treatment is commendable, and with the right interventions, you can work towards alleviating your symptoms and improving your quality of life.

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