Nerve Pain: From Sciatica to Neck and Chest Issues

Q: Nerve Pain: From Sciatica to Neck and Chest Issues

Hello Wei： Based on your description, in addition to the sciatic nerve issue, there may also be autonomic nervous system involvement and gastroesophageal reflux or possibly digestive ulcers. <br>You should promptly visit a cardiology and gastroenterology clinic for further examin

Numbness from the neck to the eyes, sensitivity to sunlight, nasal symptoms, and weakness in all four limbs?

Hello, doctor.
I discovered I have sciatica in March of this year.
I underwent an MRI, which showed nerve compression.
My legs are very numb, and the doctor prescribed me mephenoxalone, Euclidan, gastrointestinal medication, and pain relievers.
I have been taking these for several months along with physical therapy, but my condition has not improved.
In September, I noticed my head was very numb and painful, with many blood vessels appearing in my right eye.
I also experienced weakness in all four limbs, tinnitus, and severe neck pain.
Whenever I lie down to sleep, my head beats in sync with my pulse, and after five minutes, my head and heart are beating at the same rate.
Because of the pain from sciatica, I have been sleeping on my stomach (not sure why).
I have been doing this after work until morning for five months.
I went back to see the same doctor, who said I have mild cervical bone spurs.
I had an X-ray done, but I didn't believe it, so I went to another doctor for an X-ray, and they said I don't have any.
A few days ago, I had an MRI, and the doctor said there is nothing wrong.
For the past two months, I have had high blood pressure, with my pulse consistently between 90 and 100.
A few days ago, I noticed chest pain, which is very painful when I swallow.
Once, while sleeping, I almost couldn't breathe, and pressing on my chest causes pain in my ribs.
What should I do, doctor? I quit smoking in April of this year.
Thank you.

Wei, 20~29 year old female. Ask Date: 2005/11/04

Dr. He Dongjin reply Cardiology

Hello Wei: Based on your description, in addition to the sciatic nerve issue, there may also be autonomic nervous system involvement and gastroesophageal reflux or possibly digestive ulcers.
You should promptly visit a cardiology and gastroenterology clinic for further examination and treatment.
Thank you for your message, and I wish you a speedy recovery.
Best regards, He Dongjin.

Reply Date: 2005/11/04

More Info

It sounds like you are experiencing a complex array of symptoms that are causing you significant distress. Based on your description, you have been dealing with sciatica, nerve compression, and various other neurological symptoms, including headaches, neck pain, and chest discomfort. Let’s break down your symptoms and explore potential avenues for management and treatment.

Understanding Your Symptoms
1. Sciatica and Nerve Compression: Sciatica is often caused by compression of the sciatic nerve, typically due to a herniated disc or spinal stenosis. This can lead to pain, numbness, and weakness in the legs. You mentioned that you have been on medications like mephenoxalone and have undergone physical therapy without significant improvement. This suggests that the underlying issue may require more than conservative management.

2. Neurological Symptoms: The new symptoms you are experiencing, such as numbness in your head, increased pain, and the sensation of your heart beating in your head, are concerning. These could indicate that there is additional nerve involvement or possibly a different neurological issue at play. The presence of bloodshot eyes and tinnitus (ear ringing) could also suggest increased intracranial pressure or vascular issues.

3. Neck Pain and Possible Bone Spurs: You mentioned that imaging showed mild cervical bone spurs, but another doctor indicated that there was no significant finding. Bone spurs can sometimes contribute to nerve compression, leading to pain and neurological symptoms. It’s essential to have a clear and consistent diagnosis from a qualified specialist.

4. Chest Pain and Breathing Issues: The chest pain you are experiencing, especially when swallowing or lying down, could be related to several factors, including gastrointestinal issues (like acid reflux), musculoskeletal problems, or even anxiety. The sensation of difficulty breathing while sleeping is particularly concerning and warrants immediate medical attention.

Recommendations for Management
1. Consult a Neurologist: Given the complexity of your symptoms, it would be beneficial to see a neurologist who specializes in nerve disorders. They can conduct a thorough evaluation, including nerve conduction studies and possibly a lumbar puncture if indicated, to assess for any underlying neurological conditions.

2. Pain Management: Since you have been on pain medications without relief, discussing alternative pain management strategies with your doctor is crucial. This may include nerve blocks, physical therapy focused on strengthening and flexibility, or even alternative therapies such as acupuncture.

3. Cardiovascular Evaluation: Given your symptoms of chest pain and elevated heart rate, it would be wise to consult a cardiologist. They can perform tests such as an EKG, echocardiogram, or stress test to rule out any cardiac issues.

4. Psychological Support: The stress and anxiety stemming from your health concerns can exacerbate physical symptoms. Consider speaking with a mental health professional who can help you develop coping strategies and address any anxiety related to your health.

5. Lifestyle Modifications: Since you mentioned quitting smoking, continue to focus on a healthy lifestyle. Regular exercise, a balanced diet, and adequate hydration can significantly impact your overall health and may help alleviate some symptoms.

6. Follow-Up Imaging: If your symptoms persist or worsen, follow up with imaging studies, such as an MRI of the cervical spine, to reassess for any changes that might have occurred since your last scan.

Conclusion
Your symptoms are multifaceted and require a comprehensive approach to diagnosis and treatment. It’s essential to work closely with healthcare providers who can coordinate your care across specialties. Keep a detailed record of your symptoms, including when they occur and any triggers, as this information can be invaluable in diagnosing your condition. Remember, you are not alone in this, and there are resources and professionals available to help you navigate these challenges.

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