Dizziness or occasional pain in the limbs?
Hello, doctor.
I have ulcerative colitis (diagnosed last May) which is currently well-controlled, and my mucosa has healed.
Additionally, I have a cervical disc herniation at C3-C4-C5-C6 (as shown in an MRI).
Occasionally, I experience pain in my left arm, left neck, and left chest, and sometimes I feel weakness, with most symptoms occurring on the left side, although I have experienced them on the right side a few times.
A lumbar X-ray indicated mild compression at L3-4-5 and S1, which sometimes causes pain in my left thigh, calf, knee, and foot, with symptoms fluctuating (I am currently undergoing rehabilitation to maintain my condition).
After recovering from a cold and sinusitis in early September, I have been feeling better, but since around September 2nd, I have experienced dizziness and a feeling of heaviness in my head for about two weeks.
Sometimes it is more pronounced, while other times it is less noticeable.
My neck and the back of my head feel very tight, but I have no issues walking.
Occasionally, I feel a slight discomfort, but it is manageable.
I would like to ask what these symptoms might indicate.
Are they related to the cervical compression, or could they be associated with the aforementioned symptoms and multiple sclerosis?
Wang, 40~49 year old female. Ask Date: 2023/10/05
Dr. Cai Zongzhang reply Neurology
Hello: The symptoms mentioned can have multiple possible causes.
It is recommended to visit a neurologist for an examination to determine the underlying cause, which will help establish a clear treatment direction.
Reply Date: 2023/10/05
More Info
Neck pain and dizziness can indeed be related to disc issues, particularly when there is a history of cervical disc herniation, as in your case with the C3-C4-C5-C6 levels. The symptoms you describe, including pain in the left arm, neck, and chest, as well as weakness, are consistent with cervical radiculopathy, which occurs when a nerve root in the cervical spine is compressed or irritated. This compression can lead to pain, numbness, and weakness along the path of the affected nerve, which can manifest in various areas, including the arms and chest.
The dizziness you are experiencing, particularly after a sinus infection, could be multifactorial. While it may not be directly caused by the cervical disc issues, there are several ways in which they could be related. For instance, cervical spine problems can lead to muscle tension and spasms in the neck and upper back, which can contribute to feelings of dizziness or lightheadedness. Additionally, if there is any compromise of blood flow due to muscle tension or nerve irritation, this could also lead to dizziness.
It's important to note that while your symptoms could be related to your cervical spine issues, they could also be indicative of other conditions. For example, multiple sclerosis (MS) is a neurological condition that can present with a variety of symptoms, including dizziness, weakness, and sensory changes. However, MS is typically accompanied by other neurological signs and symptoms, and a thorough evaluation by a neurologist, including MRI of the brain and spinal cord, would be necessary to rule it out.
Given your history of ulcerative colitis, it's also essential to consider that systemic issues can sometimes manifest as neurological symptoms. Inflammatory conditions can affect various systems in the body, and while your colitis is currently well-controlled, it’s crucial to monitor for any new or worsening symptoms.
To address your symptoms effectively, I recommend the following steps:
1. Follow-Up with Your Healthcare Provider: Given the complexity of your symptoms, a comprehensive evaluation by a neurologist may be warranted. They can assess whether your dizziness is related to cervical spine issues or if further investigation is needed for other potential causes.
2. Physical Therapy: Continuing with physical therapy can be beneficial. A physical therapist can provide exercises to strengthen the neck and shoulder muscles, improve posture, and alleviate tension that may be contributing to your symptoms.
3. Pain Management: If you are experiencing significant discomfort, discussing pain management options with your healthcare provider may be helpful. This could include medications, injections, or alternative therapies.
4. Monitor Symptoms: Keep a detailed log of your symptoms, including when they occur, their severity, and any potential triggers. This information can be invaluable for your healthcare provider in determining the underlying cause of your symptoms.
5. Lifestyle Modifications: Consider lifestyle changes that may help alleviate symptoms, such as ergonomic adjustments at work, regular breaks to stretch, and stress management techniques like mindfulness or yoga.
In conclusion, while your neck pain and dizziness may be related to your cervical disc issues, it is essential to conduct a thorough evaluation to rule out other potential causes. Collaborating closely with your healthcare team will ensure that you receive the most appropriate care for your symptoms.
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