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Dr. Jyothikumar

Neurosurgeon, Chennai

Dr. Jyothikumar Neurosurgeon, Chennai
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Jyothikumar
Dr. Jyothikumar is an experienced Neurosurgeon in Retteri, Chennai. You can meet Dr. Jyothikumar personally at Retteri Sri Kumaran Health Centre Private Limited in Retteri, Chennai. You can book an instant appointment online with Dr. Jyothikumar on Lybrate.com.

Lybrate.com has an excellent community of Neurosurgeons in India. You will find Neurosurgeons with more than 42 years of experience on Lybrate.com. You can find Neurosurgeons online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Retteri Sri Kumaran Health Centre Private Limited

No 1419 A, 200 Feet Inner Ring Road, Retteri Junction, Kolathur. Landmark: Near To Petrol Bunk, ChennaiChennai Get Directions
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Hello sir/mam mere dost ka 1 din pehle accident hua hai uske dono pair mai fecture and ek haath mai fecture hai so usko aaj subha hosh aaya uske na toh sir par chot hai na face par helmet laga hua tha and wo kisi ko pehchan nhi raha thoda medicine ka nasha sa bhi hai use wo hospital mai admit hai apne papa ko uncle bol raha hai kya uski yaddast toh nhi gayi doctor acche se behaive kar raha dar kr bhi nhi bol raha normally bol raha mai uske saamne gaya mujhe bolta hai bhaiya aap kon maine kaha mai tera dost fir bolne laga mujhe paani de do peena hai uske bottle chad rahi hai and plaster ho raha hai toh kya problem hai use?

MD - General Medicine
General Physician, Gandhinagar
Hello lybrate-user, do not worry. It is post traumatic amnesia. He should be fine within few days. If he is not able to recognize anyone from family after 1 week also, then we have to think for other possibilities. I hope reports have been done to check any injury in head. If you have any doubt or querry you can contact me. Thank you.
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Purpose and Types of Brain Tumor Surgery

MCh - Neurosurgery, MBBS
Neurosurgeon, Chennai
Purpose and Types of Brain Tumor Surgery

Although surgery is considered to be the first step of treatment in any form of tumor but its feasibility depends upon the type, size and location of the tumor. It is not necessary that every kind of brain tumor might require surgery.

Indications of Brain Tumor Surgery

  • Diagnosis of the type of tumor by taking a sample of the tumor for laboratory examination
  • Complete resection of tumor
  • Removal of the tumor as much as possible to slow down its growth and improve the symptoms.
  • Remove the tumor in order to help other treatment
  • Provide direct access for other forms of treatment like chemotherapy, radiotherapy etc.
  • To relieve pressure caused by tumor on surrounding structures

Types of Brain Tumor Surgery

The different types of surgery that are performed in cases of brain tumor include the following:

Craniotomy: Craniotomy is the most commonly performed procedure to remove brain tumor along with a piece of bone. The removed bone is replaced and the tumor is sent for histopathology (biopsy). The surgery is performed using a high end microscope by any of the following techniques:

  • Extended bifrontal craniotomy
  • "Eyebrow" craniotomy (supra-orbital craniotomy)
  • "Keyhole" craniotomy (retro-sigmoid craniotomy)
  • Orbitozygomatic craniotomy
  • Translabyrinthine craniotomy

Shunt: A narrow piece of flexible tube with a pressure regulated valve in between is called a shunt. This is used to relieve the intracranial pressure caused by obstruction of the natural brain fluid (CSF) pathway by tumor mass. The procedure involves insertion of a drainage system into the brain to remove or drain excess of blocked fluid into the peritoneal cavity.

Stereotactic surgery: This surgery is done by creating a three-dimensional image called stereotaxy using computers. It aims to find out the location and position of the tumor. In fact it can also be done to aid tumor removal, implant radiation pellets or for other treatments.

Embolization: It is a procedure used to reduce the amount of blood supply to a tumor by blocking the blood flow in the selected arteries. It is generally performed before the main surgery.

Endoscopy and endoscope assisted surgery: Endoscope is the tool which helps to closely visualize the tissue through small openings in difficult to reach areas. This tool can be used in various brain surgeries to precisely reach the target location without damaging the adjacent structures.

Adjuvant modalities to improve outcome: In addition to above mentioned surgeries, following surgeries may also be performed in relation to brain tumor treatment:

  • Laser surgery
  • Photodynamic laser surgery
  • Ultrasonic aspiration
  • Fluorescent-guided surgery
  • Electrophysiological monitoring 

    If you wish to discuss about any specific problem, you can consult a neurosurgeon.

3223 people found this helpful

I don't feel any weakness. But my hands always get shivering. What would be the reason behind this?

MSc
Dietitian/Nutritionist, Chandigarh
Add 1spoon honey and chawanprash in morning and evening and have 2 cups of milk wth almonds kishmish banana in morning and evening. Avoid fry spicy junk food and aerated drinks and do 30mints of exercise in the day avoid excess salt and spices. Do deep breathing 5times inhale exhale from left nostril than same from right nostril.
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Hi sir, before 7 months I had a seizure in sleep. Aftr than 3 days before I had the same. I had an eeg and something is abnormal in the report. Pls tell me what is the cause for that sudden seizure. None in my family has it.

Ph.D - Ayurveda, MD - Ayurveda, Diploma in Diet and Nutrition, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Diploma Yoga
Ayurveda, Jaipur
Hi sir, before 7 months I had a seizure in sleep. Aftr than 3 days before I had the same. I had an eeg and something ...
Dear Arun, regarding ur seizures - Ceratinly Ayurveda's Shirodhara nad Nasyam Therapies will be beneficial for you along with allopathic treatment. as allopathic treatment will prevent the relapse os the seizures in future ayurveda's therapies will give strength to ur brain nerves and maintain their normal functions. Shirodhara - would completely take the stress out of ur body and u will feel light, fresh and full of energy. Although some herbal medicines might also help you but after proper history taking. For that u may consult me privately over Lyberate. Please update with ur valuable feedback.
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Hey Doc, I keep getting cramps randomly all over my body, even in weird places like my face, neck and back of my head or on the upper side of my head. I am most worried about it on the back of my head (near the cerebellum) and on the upper head. It pains a lot and there is almost nothing I can do to prevent it. It occurs more frequently while I am lifting weights in the gym or after getting less sleep or when its very cold. It almost paralyses me and only stops when I start taking deep breaths. Is there some kind of problem? Should I consult my doctor or get some tests done? It really worries me. Also, is it normal to get cramps in the neck, because even thats scary. Please guide me on what action to take.

Master of Physical Therapy MPT CARDIO, BPTh/BPT
Physiotherapist, Rajkot
DEAR FRIENDS FIRST YOU BE FIRM AND STABLE, THEN THINK ABOUT YOURSELF... THIS MAY BE DUE TO SOME MINERALS OR VITAMINS DEFICIENCY OR MAY BE NEUROLOGICAL PROBLEM. AS YOU SAID YOU GET RELIEF WHEN YOU TAKE DEEP BREATHS IT MEANS YOUR SYMPATHETIC NERVOUS SYSTEM WORKING MORE PROFOUND.. DO DAILY SURYA NAMSKARA, YOGA PRANAYAMA JOIN ART OF LIVING YOGA WORKSHOP WILL IMPROVE CONTROL OF YOUR PARASYMPATHETIC SYSTEM & MAY GET RELIEF FASTER...
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My uncle is suffering from brain TB from 24th dec 2014 today he is well but he cannot speak properly and he is not able to stand also. So how long it take to recover from this disease.

M.S (surgery), M.Ch - Neuro Surgery
Neurosurgeon, Gurgaon
Depending on the extent of damage recovery can take 6 months to 1 year. You will need the help of professional physiotherapist and rehab expert.

Hi. Every day I get Migraine and always feeling tired. Please help me to resolve this. Unable to open my eyes.

CCEBDM, PG Diploma In Clinical cardiology, MBBS
Cardiologist, Ghaziabad
Get BP and eye sight checked, x ray PNS, thyroid hormones T3 T4 Tsh 1.Sleep.Go to bed and get up about the same times every day, 3. Eat regular meals. 4. Drink plenty of water to avoid dehydration 5. Relax – listen soothing music. Walk for 5 mts 6.avoid .stress, 7. .avoid strong stimuli like loud noises, and smell of food 8. Keep your routine fixed and regular for med contact on private chat.
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I am suffering from Spinal stenosis on D11-D12-L1 since last 10 years. Due to this I have weakness in both legs. I have also numbness in feet. I have problem in dorsiflexion and aversion of feet due to nerve weakness. So I can not up my feet like foot drop. I am taking medicine regularly but no relief. Dr. told for surgery. Please tell me risk of surgery.

Fellowship in Interventional Pain management , Diploma in Anesthesia, DA, MBBS
Pain Management Specialist, Jaipur
I am suffering from Spinal stenosis on D11-D12-L1 since last 10 years. Due to this I have weakness in both legs. I ha...
Dear condition you mentioned must be specify. Grades mild a moderate severe. Up to certain extent Pt usually tolerant. Unless motor power-bowl-bladder dysfunction ensue. In your Case motor as well as sensory affected. Now other two I had mentioned are likely to be see in onwards progression. You're going to get Best results with minimal invasive surgery hopefully.
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Sir, I am 40 years old I have some numb feel in my left leg in lower. Please suggest what to do?

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
Sir, I am 40 years old I have some numb feel in my left leg in lower. Please suggest what to do?
Do take tens therapy for pain relief for 12 days followed by strengthening exercise from physiotherapist best wishes.
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Spine Surgery Recovery With Proper Aftercare

International Arthroscopy , Shoulder Surgery Fellowship, M Ch. Ortho, Fellowship in Joint Replacement, Fellowship Tr.Sports surgery/arthroscopy, Fellowship in Orthopaedic Rehabilitation (FOR), MS - Orthopaedics, MBBS
Orthopedist, Delhi
Spine Surgery Recovery With Proper Aftercare

It is not that very easy to get complete recovery after spinal surgery and for that you have to rely on different caring tips. Your surgeon can help you in this regard and can provide you a checklist containing different essential caring tips. You should follow those tips sincerely so that unwanted side-effects can be easily avoided. 

Few caring tips after a spine surgery:

  1. Consumption of adequate amount of proteins: If the protein content is increased in your diet, then quickest recovery can be definitely expected. Muscle collagen can be strengthened and healed with the regular intake of the necessary amounts of protein. In fact, infectious conditions can be effectively dealt with by protein intake. 
  2. Getting adequate rest: Proper rest is needed and you should have enough sleep for getting complete recovery. If your body needs some more sleep than the standard one, then you should go for the same. Your mood, memory and body will get refreshed and rejuvenated by taking proper sleep at night. In fact, you can also get rid of pains and other side-effects after surgery by taking rest.
  3. Taking nutritional supplements: There are a few essential nutrients that are needed after the surgical procedure and they are vitamin D, vitamin C, Omega-3 fatty-acids, magnesium and others. These nutritional elements are now available in the form of supplements and are readily available in the stores. Though these supplements are completely organic, but still you should start taking the same when doctors permit you. These supplements help in collagen healing and thus speedy recovery can be gained by taking them in a consistent manner. Muscle heath can be effectively protected by consuming these supplements. 
  4. Acute hydration: Hydration is highly needed especially after spinal surgery so that toxin accumulation can be prevented. If you want to get proper hydration, then nothing can be a better option than drinking lots of water. In fact, spinal surgeons also recommend the same for avoiding surgical complications. Tea, coffee and sodas need to be completely replaced with water. Your system can be thoroughly cleaned by draining out toxins. 
  5. Eliminating refined sugars from diet: Refined flour and sugary products are to be completely curtailed from regular diet; otherwise you might face severe complications. Your blood-sugar level needs to be regulated. If your immunity system gets suppressed, then you will be in great trouble and hence sugar should not be included in your diet at all.
2643 people found this helpful

I am 67 years old and have under control levels diabetic, cholesterol and b. P. Some months back I had mild giddiness when I tilted my head downwards. Doctor prescribed medicine like stemmatil mild dose and dvised it due to old age when enough blood may not be going to brain and advised caution as the best cure to avoid downward jerks to head. Please give me second opinion and would you suggest a brain scan to know more.

MD, MBBS
General Physician, Delhi
Hello sir your doctor has advised you correctly and your query is also valid rather than a brain scan, I ll advise a test called carotid doppler first it's like an ultrasound of neck to see flow of blood to your brain with age and previously high cholesterol levels and diabetes we get atherosclerosis of blood vessels (narrowing of vessels) can review with reports for further management
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I often have head pain. 3-4 times a week. But mostly its minor. Does it show the possibility of migraine ?

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
1-1 drop of cow ghee in both nostrils at night time before sleep. Take sootshekhar. Kaparda and godanti bhasm with honey two times a day. Eat green vegetables. Healthy food. Fruits. Drink plenty of water. Do pranayama early in the morning. Walk minimum for 30 minutes per day.
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Hi is duloxetine used to treat Parkinson disease ?Is it evident that using duloxetine confirms one has Parkinson? Please suggest.

BPTh/BPT
Physiotherapist, Delhi
Hi is duloxetine used to treat Parkinson disease ?Is it evident that using duloxetine confirms one has Parkinson? Ple...
Hello. No it's not a fact. Diagnosis of Parkinson's is not that tough. It's symptoms almost declare it. And you can opt. For MRI. Regards!
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I am using diabetic medicines like Metformin from several years. I am now having pain on right foot second finger bottom like thron while walking. Can you suggest any medicine. Is it nerve damage? Any medicine you can advise?

MBBS
General Physician, Ahmedabad
I am using diabetic medicines like Metformin from several years. I am now having pain on right foot second finger bot...
It can b neuralgia//diabetic peripheral neuropathy. details--fbs/ppbs//hba1c levels. Also get vibration test for feet.
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My Ulnar nerve of the right hand is damaged and the last two fingers pain. There's numbness in the palm and the finger tips. Even the left hand palm has numbness. I also have arthritis of the right knee.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
My Ulnar nerve of the right hand is damaged and the last two fingers pain. There's numbness in the palm and the finge...
For right hand do take tens therapy for 12 days followed by strengthening exercise from physiotherapist for knee do take ift for pain relief for 10 days followed by strengthening exercise from physiotherapist best wishes.
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If migraine pain starts then pain killer at that should be taken immediately or should wait it to be slow down automatically.

MBBS, cc USG
General Physician, Gurgaon
Some health tips for Migraine headache 1. You can avoid light for some time •2.You can Apply hot or cold compresses to your head or neck for reducing pain, (Ice packs and Hot packs and heating pads both decreases pain) •3.Warm showers or baths may also decrease pain 4.Proper sleep, some tips to encourage sound sleep. Establish regular sleep hours. Minimize distractions. •Your eating habits can also triggers migraines Headache •Be consistent. Eat at about the same time every day. Don't skip meals. Fasting increases the risk of migraines Avoid foods that trigger migraines Meditation is very effective in Migraine You can take painkiller if above measures are not effective.
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I am 50 years old left hand fingers are feeling numb from 6 to 7 hours what should I do?

BHMS
Homeopath, Madhubani
I am 50 years old left hand fingers are feeling numb from 6 to 7 hours what should I do?
Pressure upon the arm nerves or vessels causing numbness, tingling or temporary paralysis of the arm may result from: Sleeping with the hand under the head Sitting with the arm hanging over the back of a chair Wearing straps or carrying a bag or rucksack Inflated cuff during measuring blood pressure Raising the Arms Above the Level of the Heart Keeping the hand (s) above the level of the heart during work or sleep can prevent appropriate blood perfusion of the hands, and cause numbness, tingling or partial paralysis of the hand (s) within few minutes. Cold In cold weather, narrowing of the arteries in the hands and fingers can prevent appropriate blood supply and thus numbness, tingling, pain or temporary paralysis of the hands and fingers. DISORDERS OF THE NECK (CERVICAL) SPINE Cervical Disk Syndrome Degenerative disc disease (DDD) or injury, like hyper-extension injury in car accidents (head moves rapidly toward the back), can result in bulging or herniated disc (s) pressing upon the cervical (neck) spinal nerves, thus causing symptoms of cervical disc syndrome: Position/movement dependent pain, tingling or numbness in the neck, shoulders, upper back, arm, hand or fingers (when the roots of cervical spinal nerves are compressed) Stumbling gait, difficulty with fine hand moves, tingling in the body or legs (when the cervical spinal cord is compressed) Symptoms can appear immediately after the injury, or develop slowly over the weeks or months. Diagnosis is made by a CT or MRI of the neck spine. Therapy includes immobilization, cold therapy followed by heat therapy, cervical traction, analgesics, muscle relaxants, physical therapy or surgical decompression of the nerve roots or spinal cord. Cervical Spondylosis Cervical spondylosis is an age-related deformation of the cervical spine; deformed vertebra or discs can press upon the spinal cord or nerve roots in the neck and cause chronic symptoms, like in the cervical disc syndrome (see above). INJURIES Disorders of the Brachial Plexus The brachial plexus is formed by the cervical nerves C5-C8 and thoracic nerve Th1. The plexus extends from the lower part of the neck to the armpit. From brachial plexus all main nerves to the arm (axillary, musculocutaneus, ulnar, radial, and median nerve) arise. Brachial Plexus Injuries Most of brachial plexus injuries usually occur in car, motorcycle and sport accidents, during birth, or in bullet or knife injuries. Symptoms and prognosis depend on the nerves involved and extent of an injury: nerve stretching, scar tissue (neuroma), partial or complete nerve rupture or tearing of the nerve from the spinal cord. A limp or paralyzed arm, severe pain and numbness, especially in the neck and shoulders, and weak arterial pulses in the arm are main symptoms. Some brachial plexus injuries may heal without treatment. Many children who are injured during birth improve or recover by 3 to 4 months of age. Treatment of brachial plexus injuries includes physical therapy and, if necessary, surgery. Thoracic Outlet Syndrome Thoracic outlet is the space between the collar bone (clavicle), first rib and corresponding ligaments through which nerves and vessels travel from the base of the neck toward the armpit. Thoracic outlet syndrome (TOS) results from a compression or extension of the subclavian artery or vein, or brachial plexus (nerves), commonly occurring in motorbike accidents, athletes, swimmers, weight lifters, etc. Symptoms include: Muscle wasting at the base of the thumb, numbness, feeling of pins and needles, or pain in the shoulder, armpit, arm or hand (when nerves are compressed) Pale, cool arm with weakened arterial pulse in the arm, numbness and pain (when vessels are compressed) Radiation-Induced Brachial Plexopathy Radiation-induced damage of the brachial plexus can follow radiotherapy of the chest, axillary region, thoracic outlet or neck. Symptoms may appear months to years after radiation therapy and include numbness, swelling, weakness or pain in the arm. Broken Shoulder Blade Shoulder blade (scapula) is the bone in the upper back that connects the collar bone (clavicle) and arm bone (humerus). Broken shoulder blade, usually from a car or motorbike accident, can result in pain, swelling, bruising or deformation of the shoulder blade area, and weakness, numbness or tingling in the shoulder or arm. Broken Arm, Wrist, Hand or Finger Symptoms of broken arm (the arm bone – humerus, elbow, and bones of the forearm – radius and ulna) include: Severe pain increasing with arm movement Obvious deformity, swelling, tenderness and bruising over the site of bone fracture Stiffness or inability to move your arm, hand or finger Weakness, numbness or tingling in the arm, hand or fingers Cubital Tunnel Syndrome or Ulnar Neuropathy The ulnar nerve arises from the brachial plexus in the neck and travels under the collar bone, downside along the inner side of the upper arm, behind the inner part of the elbow (Latin cubitus), where it can be felt as a “funny bone” and then down to the wrist, hand and little and ring finger. Ulnar nerve entrapment usually results from an elbow injury or constant pressure upon the elbow, like in cyclists or typists. Symptoms, known as cubital tunnel syndrome, include: Pain on the inner side of the elbow or electric shock sensation after touching the elbow The hand, ring and little finger are numb and falling asleep, especially after bending the elbow Limited movements of the ring and little finger (“handlebar palsy” in cyclists) Hand (on the little finger side) sensitivity to cold Prevention of ulnar nerve entrapment is by avoiding excessive elbow use. Treatment includes special arm exercises, anti-inflammatory drugs, like ibuprofen, and wearing an elbow splint. DISORDERS OF THE SPINAL CORD AND BRAIN Multiple Sclerosis Multiple sclerosis is a disease of an uncertain cause affecting the nerve tissue of the spinal cord, brainstem or brain. Symptoms can appear suddenly or gradually, “travel” among various body parts and include: numbness or tingling in one or both arms (or any other body part), blurred or double vision or blindness, weak or paralysed limbs, problems with urinating or defecating, difficulty maintaining balance, tiredness, etc. Symptoms can last from few weeks to several months, disappear completely and appear again, and, in general, worsen with time. Diagnosis is with MRI of the brain and spinal cord, and examination of cerebrospinal fluid obtained by lumbar punction. Apart from treating symptoms, there is no treatment for multiple sclerosis at the time. ACUTE BRACHIAL NEURITIS Acute brachial neuritis is a rare, supposedly autoimmune inflammation of brachial plexus, occurring at any age, but primarily in young men. Symptoms include severe pain in the upper arms and shoulders, followed by numbness and weak reflexes; the disorder resolves in few months on its own. WRIST DISORDERS Carpal Tunnel Syndrome (CTS) Carpal tunnel syndrome (Latin carpus = wrist) is a painful condition of the wrist, hand and fingers, caused by repetitive use of the wrist, or swelling of the tissues in the wrist, resulting in a pressure upon the median nerve. CTS is a common problem in assembly line workers, computer workers, musicians, mechanics, tennis players, etc. Bone spurs in rheumatoid arthritis, or fluid in hypothyroidism, kidney disease or menopause may also press on the median nerve. Symptoms usually start gradually and include: Tingling or numbness in the thumb, index, middle and ring finger and related part of the hand Pain in the wrist, palm or forearm Difficulty grasping small objects or gripping Hand pain at night Ganglion Cyst Ganglion cyst (Greek ganglion = tumor, cyst = fluid filled sac) is a soft lump, usually appearing on the back of the hand in some people between 20-40 years of age. It is a noncancerous fluid filled sack arising from the tendon sheets or capsule of the joint from an unknown reason. Ganglion cysts may not be always seen from the outside. Gymnasts often have them. Symptoms include: A soft lump or lumps of various size (may exceed an inch), on the back of the hand, inner side of the wrist, base of the finger, or on the last finger joint. Pain or numbness in the wrist, hand or finger (s) DISORDERS OF FINGER ARTERIES Raynaud’s Disease Raynaud’s disease is a painful finger condition due to spasms in the finger arteries. Disease may also affect toes or, rarely, nose, ears, lips and nipples. The cause is not known. Symptoms are triggered by cold (even short term cold like taking something from a freezer) or strong emotions, and appear in the following sequence: Fingers (one, more or all in one or both hands) become pale, numb or cold due to lack of blood flow, then bluish due to a lack of oxygen, then red, with throbbing pain and tingling as blood returns to the affected area. Attacks can occur daily, weekly or occasionally and can last from less than a minute to several hours, usually about 15 minutes. Different areas can be affected at different times. Severe, although rare, attacks can result in finger sores or tissue death (gangrene). Raynaud’s Phenomenon Raynaud’s phenomenon is a term used for the same finger symptoms as in Raynaud’s disease, when the cause is known. Causes include: connective tissue diseases, like scleroderma, systemic lupus erythematosus (SLE), Sjögren’s syndrome, dermatomyositis, and polymyositis, carpal tunnel syndrome, obstructive arterial disease, anti-hypertensive drugs, ergotamine (used for treating migraine), chemotherapeutic medications, etc. In workers exposed to vinyl chloride, using vibrating tools, typists and pianists, Raynaud’s phenomenon also commonly occurs. DIAGNOSIS OF ARM NUMBNESS OR TINGLING History of arm numbness. Knowing an exact time course of tingling or numbness, and eventual arm weakness, head or legs involvement, history of arm or neck injuries, repetitive elbow or wrist use, reactions to cold, hypothyroidism, diabetes, menopause may give a strong evidence about the cause. Neurological examination. Testing of sensitivity of a particular arm dermatome can reveal which nerves are involved. Imaging. X-ray may reveal arthritis in the neck spine, or a broken arm bone. Myelography can reveal herniated disc or narrowed spinal canal. MRI and CT show soft tissues like tumors. Electromiography (EMG) and nerve conduction studies can show the nature of the nerve damage. Together with imaging they are important to evaluate the extent of brachial plexus injury. Blood tests can reveal diabetes, abnormalities in serum levels of sugar (diabetes), calcium, potassium, sodium, magnesium, vitamins B6 or B12, thyroxine (hypothyroidism), sex hormones (menopause). Cold simulation test can reveal Raynaud’s disease or phenomenon. TREATMENT OF ARM NUMBNESS OR TINGLING Firstly, the cause of numbness should be treated if possible. Non-steroid anti-rheumatic drugs like ibuprofen, or antidepressants, may relieve pain and numbness.
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