Polymyalgia Rheumatica :: Tingling And Numbness In Fingers And Hands


May 1, 2016

Diagnosed with PMR & GCA in December, 2015, I am down to 40 mg prednisone together with 20 mg methotrexate.  Have only been on the methotrexate for 3 weeks and down to 40mg of prednisone for 2 days from 42.5mg so far so good.  Apart from the normal side effects of prednisone, I am experiencing numbness in the tips of my fingers which spreads down into my hands.  Mostly on the left side which is where my GCA is worse. 

However, sometimes I have it on my right side as well.  I have no strength in my hands and am dropping things.  I have spoken to both my GP & Rheumy and they have not any answers.  One would presume it is to do with blood/oxygen flow.

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Male age 49, started with pain in my right hand 4 years ago. Gradually transferred to left hand and now is what I would describe generally as a combination of burning, aching tingling and numbness in both hands, wrists and forearms. No other issues, aside from that in good health and do lots of regular physical activity.

Lived with the pain which has gradually got worse and probably is something like a 5/10 on the pain scale now.

Recent stressful domestic issues seemed to aggravate the pains so finally decided to see a Spine Doctor (I am a Brit but live in the Philippines where medical care is excellent, especially when they see a foreign face with bulging pockets !)

The Dr did all the usual physical tests and none of them replicated the symptoms and her diagnised me with Carpal Tunnel Syndrome in both hands, to which I said "Sorry Sherlock, it ain't CTS).

Ok, he said, go do an MRI, which I just did and have the results (results pasted at the end of this post)

Went back to see the Dr and he said that I need surgery (Fusion of C5 and C6).

So, my quandry now is should I believe him or should I try a different approach.

The first paste below is the original MRI findings and the second paste is a second opinion that I got from an independent on line service.

IMPRESSION: -BILATERAL NEURAL FORAMINAL STENOSIS AT C5-C6 SECONDARY TO RIGHT FORAMINAL DISC EXTRUSION ON THE RIGHT, BILATERAL UNCOVERTEBRAL JOINT HYPERTROPHY WITH PROMINENT SPUR ON THE LEFT. -CORD EDEMA, C5 AND C6.

Second Opinion

OPINION:

There is a moderate sized, posterior disc protrusion/osteophyte complex at C5/C6 causing moderate spinal canal stenosis, moderate compression of the cervical cord and cord edema. The segment of cord edema extends from the level of the C4/C5 disc to C6/C7 disc and affects the left hemicord more than the right hemicord. Significant bilateral foraminal stenosis at C5/C6 with compression of both exiting C6 nerves (right more than left) seen.

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