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    What's Brachialgia? Any Pain condition start from your Neck region travel towards shoulder and may radiating down'to hand fingers, maybe associated with Nerves root's compression or Disc pathology from C1 to C7 like Disc Bulge, Protrusion, Extrusion etc.but commenest one is C4-5-6. Most of people's have myths about this problem-keep on saying it's Cervical Spondylitis or Cervical pain, they visit to doctors intially for relief, first doctors will ask them to get done X-ray, Cervical Spine .just after seeing x-rays he will advise you neck collar or pillow for couple of days or weeks. Without knowing what exact structure is involved in Neck Pain, wether it's Nerves, muscles, cervical vertebrae, vascular structure, artery or vein.how your doctor is commenting it's cervical Spondylitis or something else? How your doctor will see Nerves root's in X-ray? . Clinical findings* -patients may experience Tingling sensation Heaviness or burning sensation, spasms in area.of dermatome.in severe condition your power of limbs may affected, even patient feel difficulty in gripping or holding object. Investigation- X-ray Cervical Spine, MRI scan cervical, Doppler ultrasound arterial or venous.EMG, , NCV etc Treatment of Brachialgia* Medical treatment-analgesics muscles relaxant or rest for limited duration, some Physiotherapy if be needed but contraindications if neurological function with warning signs.present . Every medical treatment has its own limitations with time frame. Surgical options* If conservative treatment has been non responsive to medical treatment. May opt for-Epidural injections for Pain relief as directed by your Pain physician or Neurosurgeon. Etc. Nucleoplasty procedures, Laser procedures, Disc Fix Discectomy, Laminectomy etc Never mind if you are feeling any Pain condition associated with Unwanted paresthesia Numbness Spasms Tingling sensation etc must consult with Pain physician or Neurosurgeon.but keep on trial with medicine by any physician or therapist or unwanted exercise may be catastrophic events if spinal cord vital functions compromise.. anything unwanted action there may have deleterious effects.
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    Spinal Canal stenosis? It's clinical condition where canal of Spinal column get narrow down to expected dimensions, leading to claudication, means difficulty in walking for certain distance as oneself experience with his normal walking. Symptoms* Low Back Pain Paresthesia , Numbness, Spasms in Calf Muscles, Tingling sensation, Heavier feet. Sometimes Bowl and Bladder incontinence. Investigation- X-ray, MRI, CT scan, EMG, NCV, VIt B12 Treatment* Most of the time someone who is suffering with such symptoms.whenever visit to any general doctors, they simply labelled such conditions as #slipped disc.for that medical conservative treatment start with exercises, physiotherapy and Pain killer. Clinically we can broadly categorised Spinal Canal Stenosis in three types. Mild, Moderate, Severe Medical treatment has values in mild to moderate types with specific safety precautions, unless Motor Power, Bowl and bladder incontinence is not affected. Severe Canal stenosis Most often dealt with Surgery.because of risk with cauda equina syndrome.if not treated timely manner it may compromise your spine vital structure like spinal cord and other important structures.leading to demand for emergency surgery. Type of surgery Patient who is present with symptoms of severe Canal Stenosis demand conventional surgery or Minimal Invasive surgery, Minimal invasive techniques are far safe and with good prognosis. with accuracy and affordable to patients.in such situations if someone who is scared about open surgery, can opt for Minimal Invasive surgery. There'ssmall incision, early ambulatory, , no blood loss and less abstinence from work. Conclusion-if you are feeling or living with such clinical findings can opt for best medical/surgical treatment with proven prognosis with qualified Spine Neurosurgeon.or Pain physician, Neurophysician.who can help you with definite answer.
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